7) How often during the last year have you had a feeling of guilt or remorse after drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
8) How often during the last year have you been unable to remember what happened the night before because
you had been drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
9) Have you or someone else been injured as a result of your drinking?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
10) Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested
you cut down?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
Record total of specific items here: _____