| 1.
How often do you have a drink containing alcohol?
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| 2.
How many drinks containing alcohol do you have on a typical
day when you are drinking?
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| 3.
How often do you have four or more drinks on one occasion?
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4.
How often during the last year have you found that you were
not able to stop drinking once you had started?
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| 5.
How often during the last year have you failed to do what
was normally expected from you because of drinking?
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| 6.
How often during the last year have you needed a first drink
in the morning to get yourself going after a heavy drinking
session?
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| 7.
How often during the last year have you had a feeling of
guilt or remorse after drinking?
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| 8.
How often during the last year have you been unable to remember
what happened the night before because you had been drinking?
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| 9.
Have you or someone else been injured as a result of your
drinking?
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| 10.
Has a relative or friend, or a doctor or other health worker
been concerned about your drinking or suggested you cut
down?
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