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Preface for Screening Questions
These questions help me to provide the
best possible care.
You do not have to answer them if you
are uncomfortable.
I am going to ask you some personal
questions that I ask all my patients.
Screening Questions
Do you smoke? Do you drink? Do you use drugs?
On average, how many days per week do you drink
alcohol ( beer, wine, liquor )?
On a typical day when you drink, how many drinks
do you have?
What is the maximum number of drinks you had on
any given occasion during the last month?
Remember that a “standard drink” consists of:
NIAAA Guidelines: To reduce risk of illness or injury
<14 drinks/week for men and <7 drinks per
week for women
<4 for men & <3 for women in any two hour
drinking occasion
65 years < 3 drinks per occasion
Pregnant women 0 drinks per day
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