When assessing alcohol use in women who are at least 65 years of age, it is important to include information on the quantity and frequency of use and also the pattern and duration of use. Of particular concern in older adult women is a binge pattern of use defined as 3 or more alcohol beverages on a single occasion. Close to 25% of adults 50 to 59 years old report binge drinking, and approximately 10% of those 65 or older report binge drinking. Although the prevalence and intensity (number of drinks consumed in a single occasion) of binge drinking were higher for younger adults, the highest frequency of binge drinking (5.5 episodes a month) was among those who were 65 or older. Binge drinking increases the risk for adverse health outcomes such as injury related to motor vehicle crashes or falls and contributes to 80,000 deaths annually. Most adults who binge drink do not have an alcohol use disorder10 and therefore may not screen positive on screening tools that lack consumption variables.