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Instrument Fact Sheets


This appendix contains detailed information about the instruments listed in the Quick-Reference Instrument Guide. The fact sheets are in alphabetical order by full name of the instruments.

ATTENTION: Samples of the actual instruments are NOT included in this online version. For printed copies of the instruments, please contact the source listed on each fact sheet.

Note: You need Adobe Acrobat Reader to view and/or print the fact sheets (PDF format). The browser you are using determines the methods necessary to download Acrobat files. See Methods for Saving Acrobat Files / PDF Viewing Information.


Adapted Short Michigan Alcoholism Screening Test (ASMAST) for Fathers (F–SMAST) and Mothers (M–SMAST)
Addiction Admission Scale (AAS)
Addiction Potential Scale (APS)
Addiction Severity Index (ASI)
Adolescent Alcohol Involvement Scale (AAIS)
Adolescent Diagnostic Interview (ADI)
Adolescent Obsessive–Compulsive Drinking Scale (A–OCDS)
Alcohol Abstinence Self–Efficacy Scale (AASE)
Alcohol Craving Questionnaire (ACQ–NOW)
Alcohol Dependence Scale (ADS)
Alcohol Expectancy Questionnaire (AEQ)
Alcohol Expectancy Questionnaire—Adolescent Form (AEQ–A)
Alcohol Timeline Followback (TLFB)
Alcohol Use Disorders Identification Test (AUDIT)
Alcohol Use Inventory (AUI)


CAGE Questionnaire
Clinical Institute Withdrawal Assessment (CIWA–AD)
Cognitive Lifetime Drinking History (CLDH)
College Alcohol Problem Scale—Revised (CAPS–r)
Composite International Diagnostic Interview (CIDI core) Version 2.1
Comprehensive Adolescent Severity Inventory (CASI)
Customary Drinking and Drug Use Record (CDDR)


Diagnostic Interview Schedule (DIS–IV) Alcohol Module
Drinker Inventory of Consequences (DrInC)
Drinking Context Scale (DCS)
Drinking Expectancy Questionnaire (DEQ)
Drinking Problems Index (DPI)
Drinking Refusal Self–Efficacy Questionnaire (DRSEQ)
Drinking–Related Internal–External Locus of Control Scale (DRIE)
Drinking Self–Monitoring Log (DSML)
Drug–Taking Confidence Questionnaire (DTCQ)
Drug Use Screening Inventory (revised) (DUSI–R)


Ethanol Dependence Syndrome (EDS) Scale


Family Tree Questionnaire (FTQ) for Assessing Family History of Alcohol Problems
Five–Shot Questionnaire
Form 90


Global Appraisal of Individual Needs (GAIN)


Impaired Control Scale (ICS)
Important People and Activities Instrument (IPA)
Inventory of Drug–Taking Situations (IDTS)


Leeds Dependence Questionnaire (LDQ)


MacAndrew Alcoholism Scale (Mac)
Michigan Alcoholism Screening Test (MAST)
Motivational Structure Questionnaire (MSQ)


Negative Alcohol Expectancy Questionnaire (NAEQ)


Obsessive Compulsive Drinking Scale (OCDS)


Penn Alcohol Craving Scale (PACS)
Personal Concerns Inventory (PCI)
Personal Experience Inventory (PEI)
Personal Experience Inventory for Adults (PEI–A)
Personal Experience Screening Questionnaire (PESQ)
Problem Recognition Questionnaire (PRQ)
Psychiatric Research Interview for Substance and Mental Disorders (PRISM)


Quantity–Frequency (QF) Methods
Quitting Time for Alcohol Questionnaire (QTAQ)


Rapid Alcohol Problems Screen (RAPS4)
Readiness To Change Questionnaire Treatment Version (RTCQ–TV)
Recovery Attitude and Treatment Evaluator (RAATE) Clinical Evaluation (RAATE–CE) and Questionnaire I (RAATE–QI)
Rutgers Alcohol Problem Index (RAPI)


Self–Administered Alcoholism Screening Test (SAAST)
Semi–Structured Assessment for the Genetics of Alcoholism (SSAGA–II)
Severity of Alcohol Dependence Questionnaire (SADQ)
Short Alcohol Dependence Data (SADD)
Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES)
Steps Questionnaire
Structured Clinical Interview for the DSM (SCID) Substance Use Disorders Module—Adapted for Adolescents
Substance Abuse Module (SAM) Version 4.1
Substance Abuse Subtle Screening Inventory (SASSI)
Substance Dependence Severity Scale (SDSS)
Substance Use Disorders Diagnostic Schedule (SUDDS–IV)
Surrender Scale


Teen Addiction Severity Index (T–ASI)
Teen–Treatment Services Review (T–TSR)
Temptation and Restraint Inventory (TRI)
Timeline Followback (TLFB)
Treatment Services Review (TSR)


University of Rhode Island Change Assessment Scale (URICA)


Your Workplace (YWP)

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Prepared: August 2004