Alcohol Dependence Scale – ADS

How much did you drink the last time you drank? (0 = Enough to get high or less, 1 = Enough to get drunk, 2 = Enough to pass out)

Do you often have hangovers on Sunday or Monday mornings? (0 = No, 1 = Yes)

Have you had the "shakes" when sobering up (hands tremble, shake inside)? (0 = No, 1 = Sometimes, 2 = Often)

Do you get physically sick (e.g., vomit, stomach cramps) as a result of drinking? (0 = No, 1 = Sometimes, 2 = Almost every time I drink)

Have you had the "DTs" (delirium tremens) - that is, seen, felt or heard things not really there; felt very anxious, restless, and over excited? (0 = No, 1 = Sometimes, 2 = Several times)

When you drink, do you stumble about, stagger, and weave? (0 = No, 1 = Sometimes, 2 = Often)

As a result of drinking, have you felt overly hot and sweaty (feverish)? (0 = No, 1 = Once, 2 = Several times)

As a result of drinking, have you seen things that were not really there? (0 = No, 1 = Once, 2 = Several times)

Do you panic because you fear you may not have a drink when you need it? (0 = No, 1 = Yes)

Have you had blackouts ("loss of memory" without passing out) as a result of drinking? (0 = No, never, 1 = Sometimes, 2 = Often, 3 = Almost every time I drink)

Do you carry a bottle with you or keep one close at hand? (0 = No, 1 = Some of the time, 2 = Most of the time)

After a period of abstinence (not drinking), do you end up drinking heavily again? (0 = No, 1 = Sometimes, 2 = Almost every time I drink)

In the past 12 months, have you passed out as a result of drinking? (0 = No, 1 = Once, 2 = More than once)

Have you had a convulsion (fit) following a period of drinking? (0 = No, 1 = Yes, 2 = Several times)

Do you drink throughout the day? (0 = No, 1 = Yes)

After drinking heavily, has your thinking been fuzzy or unclear? (0 = No, 1 = Yes, but only for a few hours, 2 = Yes, for one or two days, 3 = Yes, for many days)

As a result of drinking, have you felt your heart beating rapidly? (0 = No, 1 = Yes, 2 = Several times)

Do you almost constantly think about drinking and alcohol? (0 = No, 1 = Yes)

As a result of drinking, have you heard "things" that were not really there? (0 = No, 1 = Yes, 2 = Several times)

Have you had weird and frightening sensations when drinking? (0 = No, 1 = Once or twice, 2 = Often)

As a result of drinking have you "felt things" crawling on you that were not really there (e.g., bugs, spiders)? (0 = No, 1 = Yes, 2 = Several times)

With respect to blackouts (loss of memory): (0 = Have never had a blackout, 1 = Have had blackouts that last less than an hour, 2 = Have had blackouts that last for several hours, 3 = Have had blackouts that last a day or more)

Have you tried to cut down on your drinking and failed? (0 = No, 1 = Once, 2 = Several times)

Do you gulp drinks (drink quickly)? (0 = No, 1 = Yes)

After taking one or two drinks, can you usually stop? (0 = Yes, 1 = No)