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Alcohol Audit C

If you have been invited to submit an alcohol consumption review, please complete this form.

Your Details

DD/MM/YYYY
If Known
Your Contact Details

Alcohol use disorders identification test consumption (AUDIT C)

Alcohol Reference Chart

One unit of alcohol is equal to one of the following: Half pint of regular beer, lager or cider; Half a small glass of wine; 1 single measer of spirits; 1 small glass of cherry; 1 small measure of aperitifs


Scoring:

  • A total of 5 or more is a positive screen
  • 0 to 4 indicates low risk
  • 5 to 7 indicates increasing risk
  • 8 to 10 indicates higher risk
  • 11 to 12 indicates possible dependence

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Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Your Neighbourhood Professionals. Just a Click Away!