Alcohol Use Disorders Identification Test (AUDIT-10)
Complete and score the 10-item WHO AUDIT for the past year, see the 0–40 screening zone, and review which item groups contributed.{{ summaryTitle }}
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A useful alcohol screen has to look beyond the number of drinking days. Quantity, loss of control, disrupted responsibilities, injuries, memory gaps, and other people's concern can point to different kinds of risk. The Alcohol Use Disorders Identification Test (AUDIT) combines those signals in 10 questions about the past 12 months.
The World Health Organization developed AUDIT for screening and brief assessment in primary-care and community settings. Its total supports a structured follow-up conversation. It does not establish alcohol use disorder, grade clinical severity, or decide whether changing alcohol use suddenly would be medically safe.
- Consumption
- Items 1 to 3 cover drinking frequency, typical quantity, and occasions with six or more drinks.
- Possible dependence
- Items 4 to 6 ask about impaired control, missed expectations, and morning drinking after a heavy session.
- Alcohol-related problems
- Items 7 to 10 cover guilt, memory loss, injury, and concern or advice from others.
Those three item groups reveal where points came from, but they are not independent diagnostic scales. Two people can reach the same total through very different patterns. Recent injury or repeated loss of control can matter even when the overall score is lower, while a higher score still requires clinical context rather than an automatic conclusion.
Drink size is another important source of variation. The questions about a typical drinking day and six or more drinks assume a consistent understanding of one standard drink. Glass size and alcohol strength differ across drinks and countries, so changing that definition partway through can distort the result.
AUDIT is intended for voluntary adult screening. It should not determine treatment, employment, insurance, legal status, or eligibility. Anyone concerned about withdrawal, severe symptoms, injury, or immediate safety should seek qualified medical help rather than wait for a score.
How to Use This Tool:
Answer every item from the same past-12-month frame and use one standard-drink definition throughout.
- Select the response that best matches each question. Use Previous when an earlier answer needs correction.
- Finish all 10 questions before reading the result. Incomplete response sets do not produce a total or item-group scores.
- Read the screening zone and follow-up guidance, then review the consumption, possible-dependence, and alcohol-related-problem totals. The optional answer-review settings change presentation only, not scoring.
Interpreting Results:
The 0 to 40 total selects one WHO screening zone. Higher totals indicate more alcohol-related screening concerns, but the zone is a guide to the next conversation rather than a diagnosis. Confirm the raw answers before relying on the total, especially when an answer was difficult to place between two frequency categories.
- Zone I usually supports alcohol education while leaving room to discuss any individual concern.
- Zones II and III call for progressively more structured advice, counseling, and monitoring.
- Zone IV supports referral for diagnostic evaluation and treatment review. It does not make abrupt withdrawal safe.
- Item-group totals describe the answer pattern; they do not diagnose consumption, dependence, or harm as separate conditions.
Technical Details:
A complete response set is scored with the official English AUDIT key from the WHO second edition. Items 1 through 8 use direct contributions from 0 to 4. Items 9 and 10 use 0 for No, 2 for an event before the last year, and 4 for an event during the last year.
Formula Core:
The total is the unweighted sum of all 10 item contributions.
Here, si is the keyed contribution for item i. The sum is an integer from 0 to 40 with no weighting, normalization, or rounding.
Score construction:
| Reported score | Items | Item contributions | Range |
|---|---|---|---|
| AUDIT total | 1 to 10 | Items 1 to 8: 0 to 4; items 9 to 10: 0, 2, or 4 | 0 to 40 |
| Consumption | 1 to 3 | Direct sum | 0 to 12 |
| Possible dependence | 4 to 6 | Direct sum | 0 to 12 |
| Alcohol-related problems | 7 to 10 | Direct sum | 0 to 16 |
Rule Core:
| Zone | AUDIT total | Usual screening response |
|---|---|---|
| Zone I | 0 to 7 | Alcohol education |
| Zone II | 8 to 15 | Simple advice and risk-reduction feedback |
| Zone III | 16 to 19 | Simple advice, brief counseling, and continued monitoring |
| Zone IV | 20 to 40 | Referral for diagnostic evaluation and treatment review |
Responsible Use and Privacy:
Answers and progress update the page URL as you work. The URL contains the responses and can appear in browser history and requests; anyone with the URL can read them. Encoding is not encryption or access control. Starting over clears the current attempt and removes its response state from the current URL; it does not erase earlier copies or browser history. Treat URLs, copies, and downloaded answer reviews as sensitive health information.
- Do not use the total to diagnose alcohol use disorder or select treatment.
- Do not use a lower zone to dismiss injury, memory loss, morning drinking, loss of control, or another person's concern.
- Do not plan abrupt alcohol withdrawal from this result. Withdrawal can require medical supervision.
References:
- AUDIT: The Alcohol Use Disorders Identification Test, Guidelines for Use in Primary Care, World Health Organization, second edition, 2001.
- Brief Intervention for Hazardous and Harmful Drinking: A Manual for Use in Primary Care, World Health Organization, 2001.
- SAFER: Brief interventions and treatment, World Health Organization.