Alcohol Screening

Hours:

Fall/Spring, Mon. – Fri.
8:30 a.m. – 4:30 p.m.
Summer, Mon. – Thurs.,
8 a.m. – 5:15 p.m.

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Alcoholism is the top cause of problems in the USA today. If you think that you or a family member has a problem contact the employee assistance program.

The Employee Assistance Program (EAP) announces the availability of an On-line Alcohol Screening Instrument for Self-Assessment. This new tool enables individuals to privately assess their own alcohol use. Detailed instructions will guide you on use of the instrument. Results are kept Private.

For assistance in understanding your score, or to discuss your or someone else’s alcohol use, call EAP. Or you may want to schedule an appointment to discuss any range of problems that may interfere with important aspects of your life. Whatever your concerns, we are here to serve you.

EAP is confidential, voluntary, and free of charge. Call 973-761-5303 for more information. To schedule an appointment click here.

The following alcohol screening instrument, developed by Dr. Jay Rathbun of the University of Michigan, is designed to assist you in understanding your use of alcohol. The instrument itself is a composite of two alcohol screening instruments: the Alcohol Use Disorders Identification Test (AUDIT) developed by the World Health Organization and the CAGE questionnaire developed by researchers at the University of North Carolina. Both instruments are widely respected alcohol screening tools.

*There is no computer-related interactive component to this instrument so that your anonymity is protected. No one has access to your results; they are for your purposes only.

Directions – Number a sheet of paper from 1-12. Read each question, one at a time, and simply choose one of the responses that fits your circumstance. Each response is weighted from 0 – 4 as indicated in parentheses. Place the score that appears in the parenthesis at the end of the response you’ve chosen next to the number of the question on your sheet of paper.

Alcohol Screening Instrument for Self-Assessment

1. How often do you have a drink containing alcohol?
[ ] never (0)
[ ] monthly or less (1)
[ ] two or four times/month (2)
[ ] two or three times/week (3)
[ ] four or more times/week (4)

2. How many drinks containing alcohol do you have on a typical day when you are drinking?
[ ] 1 or 2 (0)
[ ] 3 or 4 (1)
[ ] 5 or 6 (2)
[ ] 7 – 9 (3)
[ ] 10 or more (4)

3. How often do you have six or more drinks on one occasion?
[ ] never (0)
[ ] less than monthly (1)
[ ] monthly (2)
[ ] weekly (3)
[ ] daily or almost daily (4)

4. How often during the last year have you been unable to remember what happened the night before because of drinking?
[ ] never (0)
[ ] less than monthly (1)
[ ] monthly (2)
[ ] weekly (3)
[ ] daily or almost daily (4)

5. How often during the last year have you found that you were not able to stop drinking once you started?
[ ] never (0)
[ ] less than monthly (1)
[ ] monthly (2)
[ ] weekly (3)
[ ] daily or almost daily (4)

6. How often during the last year have you failed to do what is normally expected from you because of drinking (e.g., missed deadlines, poor classroom or work attendance, failed committee responsibilities, inconsistent work patterns?)
[ ] never (0)
[ ] less than monthly (1)
[ ] monthly (2)
[ ] weekly (3)
[ ] daily or almost daily (4)

7. Have you or someone else been injured as a result of your drinking?
[ ] no (0)
[ ] yes, but not in last year (2)
[ ] yes, during last year (4)

8. Has a relative or friend or doctor or other health worker been concerned about your drinking or suggested you cut down?
[ ] no (0)
[ ] yes, but not in last year (2)
[ ] yes, during last year (4)

9. How often in the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
[ ] never (0)
[ ] less than monthly (1)
[ ] monthly (2)
[ ] weekly (3)
[ ] daily or almost daily (4)

10. How often during the past year have you had feelings of guilt or remorse after drinking?
[ ] never (0)
[ ] less than monthly (1)
[ ] monthly (2)
[ ] weekly (3)
[ ] daily or almost daily (4)

11. Have people annoyed you by criticizing your drinking?
[ ] no (0)
[ ] yes, but not in last year (2)
[ ] yes, during last year (4)

12. Have you ever felt that you should cut down on your drinking?
[ ] no (0)
[ ] yes, but not in last year (2)
[ ] yes, during last year (4)

Scoring – After you have finished, total your individual item scores into one composite score for all 12 questions.

Next, total your individual item scores for the last four questions only (9 – 12).
You should now have two composite scores – one for all twelve questions and one for the last four questions.

Interpretation – A score of 8 or more for all twelve questions indicates that a harmful level of alcohol consumption is likely.

The last four questions (9,10,11,12) are considered a separate “sub-assessment” embedded into the entire self-administered instrument. On only the last four items, a total score of 1 – 2 indicates that you may have a drinking problem. A score of 3 or more indicates there is a significant possibility that you have a problem with alcohol.

If your score exceeds the cut-off values on either instrument, you should seek help.

Need Help? – If you have any questions about your score on this instrument or general questions/concerns about your or someone else’s alcohol usage, please contact EAP and call for an appointment:

Employee Consulting Associates
Dr. Michael J. Kahn
Telephone: 888-291-1524 or 973-761-5303
Fax: 973-761-5005
E-Mail: drmjkahn@aol.com

Additional Assistance and Information

New Jersey State Pension Program, http://www.state.nj.us/treasury/pensions/

State Health Benefits, https://www.state.nj.us/treasury/pensions/hb-active-shbp.shtml

New Jersey Self-Help Group Clearinghouse, https://www.njgroups.org/

Al-Anon and Alateen, http://www.al-anon.org
self-help info for families and friends of alcoholics

Alcoholics Anonymous Net, https://www.aa.org/
self-help info for alcohol/drug addictions

Cocaine Anonymous, http://www.ca.org
self-help info for cocaine addiction

Narcotics Anonymous, https://m.narcoticsanonymousnj.org/
self-help info for narcotic addiction

Nicotine Anonymous, http://www.nicotine-anonymous.org
self-help info for nicotine addiction

Overeaters Anonymous, https://oa.org/
self-help info for compulsive overeaters

Secular Organization for Sobriety, https://aaagnostica.org/secular-organization-for-sobriety-sos/
self-help recovery method for alcoholics/drug addicts who are uncomfortable with the spiritual content of 12-Step programs

SCA – Sexual Compulsives Anonymous, http://www.sca-recovery.org/
self-help info for men and women dealing with compulsive sexual behavior

SMART Recovery, http://www.smartrecovery.org/
self-help program for alcohol/substance abuse (non-spiritual approach)

Women for Sobriety, http://www.womenforsobriety.org/
self-help program for women dealing with alcoholism and other addictions

Workaholics Anonymous, https://workaholics-anonymous.org/
self-help info for people addicted to work

Alzheimers Association, https://www.alz.org/nj
information on drugs/treatment options, caregiver resources, fact sheets, support group info

Centers for Disease Control, http://www.cdc.gov
health recommendations by geographic location, food and water precautions, disease outbreak info. — a “must see” site for the traveler.

Ramapo College of New Jersey recognizes the value of publishing on the Internet. The College does not preview, review, censor, or control the content of these pages in any way as a matter of course. This page and Web pages linked from this page are created by the authors, and do not in any way constitute official Ramapo College of New Jersey content.

Alcohol Screening

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