The Alcohol Use Disorders Identification Test

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Introduction:
You are being invited to participate in an online psychological test designed to assess the potential presence of alcohol use disorders. This form explains the purpose of the test, what you can expect during the testing process, and your rights as a participant.

Purpose of the Test:
The purpose of the online Alcohol Use Disorders Identification Test is to assess an individual’s potential alcohol use disorder. The test will ask you about your drinking habits, alcohol-related experiences, and the impact of alcohol on your daily life.

What You Can Expect:
The online Alcohol Use Disorders Identification Test will consist of a series of questions that you will be asked to answer honestly and to the best of your ability on a computer or mobile device with internet access. The test should take approximately 15-20 minutes to complete.

Confidentiality:
All of your responses will be kept confidential and will be used for research purposes only. Your personal information will not be disclosed to anyone outside of the research team without your consent.

Risks and Benefits:
There are no known risks associated with participating in this online test. The benefits of participating include gaining insight into your own potential alcohol use disorder and contributing to the advancement of knowledge about alcohol use disorders.

Voluntary Participation:
Your participation in this study is completely voluntary. You have the right to decline to participate or to withdraw from the study at any time without penalty.

Contact Information:
If you have any questions about the study or your rights as a participant, you may contact the principal investigator at 7588399338

Consent:
By clicking the “I agree” button below, I indicate that I have read and understood the information provided in this form, and I agree to participate in the online Alcohol Use Disorders Identification Test.

I agree

How often do you have a drink containing alcohol?*

Never

Monthly or Less

2 To 4 Times a MONTH

2 To 3 Times a WEEK

4 or More Times a WEEK

How many units of alcohol do you drink on a typical day when you are drinking?*

1 or 2 Drinks

3 or 4 Drinks

5 or 6 Drinks

7 or 7 or 9 Drinks

10 or more drinks

How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year?*

Never

Less than monthly

Monthly

Weekly

Daily or Almost Daily

How often during the last year have you found that you were not able to stop drinking once you had started?*

Never

Monthly or Less

2 To 4 Times a MONTH

2 To 3 Times a WEEK

4 or More Times a WEEK

How often during the last year have you failed to do what was normally expected from you because of drinking?*

Never

Monthly or Less

2 To 4 Times a MONTH

2 To 3 Times a WEEK

4 or More Times a WEEK

How often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session?*

Never

Monthly or Less

2 To 4 Times a MONTH

2 To 3 Times a WEEK

4 or More Times a WEEK

How often during the last year have you had a feeling of guilt or remorse after drinking?*

Never

Monthly or Less

2 To 4 Times a MONTH

2 To 3 Times a WEEK

4 or More Times a WEEK

How often during the last year have you been unable to remember what happened the night before because you had been drinking?*

Never

Monthly or Less

2 To 4 Times a MONTH

2 To 3 Times a WEEK

4 or More Times a WEEK

Have you or someone else been injured as a result of your drinking?*

No, Never

Yes, But not in last year

Yes, During the last year

Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down?*

No, Never

Yes, But not in last year

Yes, During the last year

The Alcohol Use Disorders Identification Test

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