| RPT |
.|.|Alcohol Use Disorders Identification Test - Consumption (AUDC)||Date Given: <.Date_Given.>|Clinician: <.Staff_Ordered_By.>|Location: <.Location.>||Veteran: <.Patient_Name_Last_First.>|SSN:
|2. How many drinks containing alcohol did you have on a typical day when
| you were drinking in the past year?
| <*Answer_84*>
|3. How often did you have six or more drinks on one occasion in the past
| year?
| <*Answer_85*>
||Information contained in this note is based on a self report assessment and is not sufficient to use alone for diagnostic purposes. Assessment
results should be verified for accuracy and used in conjunction with other diagnostic activities. |$~
<.Patient_SSN.>|DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)|Gender: <.Patient_Gender.>||<*Answer_999999999999*>
||Questions and Answers
|
|1. How often did you have a drink containing alcohol in the past year?
| Consider a drink to be a 12 ounce can or bottle of regular beer,
| 8 ounces of malt liquor, a 5 ounce glass of table wine, or a
| 1.5 ounce shot of liquor (like scotch, gin, or vodka).
| <*Answer_83*>
|
