| RPT |
|Alcohol Use Disorders Identification Test - Consumption (AUDC)
| 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*>
|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
| Date Given: <.Date_Given.>
|activities.
| Clinician: <.Staff_Ordered_By.>
| Location: <.Location.>
|
| Veteran: <.Patient_Name_Last_First.>
| SSN: <.Patient_SSN.>
| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
|
