CAGE Alcohol Screening Instrument
| The CAGE screening test is short and simple
to administer. Two or more positive answers are correlated with alcohol dependence
in 90% of cases. When used with the Alcohol and other Drug-Related Problems checklist below, both dependence and initial associated problems may be identified as well as those who are not dependent but who still have some problems. These instrument CAGE may not pick up problems in those who are fearful of negative consequences of disclosure such as those looking for accommodation, people who are fearful of child protection agency staff and those with mental health problems. |
A short questionnaire about your alcohol use.
| C - Have you ever thought you should CUT
DOWN on your drinking? A - Have you ever felt ANNOYED by others' criticism of your drinking? G - Have you ever felt GUILTY about your drinking? E - Do you have a morning EYE OPENER? |
ALCOHOL AND OTHER DRUG-RELATED PROBLEMS Alcohol and other drugs can cause short-term problems and longer-term problems. Circle those areas which may be causing you problems. |
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| Family Friends Social |
Health Depression Anxiety |
Work Money Lifestyle |
Legal Driving Family Law |
| Any other problems? (e.g.
Sex issues, Accidents, Someone else's alcohol or drug use, etc.) .......................................................................................................................................... |
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| If you identified any problems, talking with someone may help. Discuss these with the person who gave you this questionnaire or contact the Alcohol & Drug Information Service in your state. This telephone service is free and confidential. | |||
Related Internet Sites Click here for State by State Telephone Help Information (from ADCA) |
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