The table provides the Drinker Inventory of Consequences

INSTRUCTIONS:
Here are a number of events that drinkers sometimes experience.
Read each one carefully, and indicate how often each one has happened to you DURING THE PAST 12 MONTHS by circling the appropriate number (0=Never, 1=Once or a few times, etc.).
If an item does not apply to you, circle zero (0).

There are five columns from left to right

Headings read:

DURING THE PAST 12 MONTHS, has this happened to you? Circle one answer for each item:
No
Almost
Yes, Once
Yes, More than Once

Rows for those columns read accordingly:
1. I have had a hangover or felt bad after drinking.
0
1
2
3
2. I have felt bad about myself because of my drinking.
0
1
2
3
3. I have missed days of work or school because of my drinking.
0
1
2
3
4. My family or friends have worried or complained about my drinking.
0
1
2
3
5. I have enjoyed the taste of beer, wine, or hard liquor.
0
1
2
3
6. The quality of my work has suffered because of my drinking.
0
1
2
3
7. My ability to be a good parent has been harmed by my drinking.
0
1
2
3
8. After drinking, I have had trouble with sleeping, staying asleep, or nightmares.
0
1
2
3
9. I have driven a motor vehicle after having three or more drinks.
0
1
2
3
10. My drinking has caused me to use other drugs more.
0
1
2
3