FAST by pengxiuhui

VIEWS: 16 PAGES: 2

									Name:                                            Date of Birth:                          Male/Female


FAST ALCOHOL SCREENING TEST [FAST]
                                                                       Scoring system                        Your
Questions
                                                                                                             score
                                                           0          1         2          3          4
                                                                                                   Daily
How often have you had 6 or more units if                            Less
                                                                                                    or
female, or 8 or more if male, on a single                Never       than     Monthly    Weekly
                                                                                                  almost
occasion in the last year?                                          monthly
                                                                                                   daily

Only answer the following questions if the answer above is Less than monthly (1) or Monthly
(2). Stop here if the answer is Never (0), Weekly (3) or Daily (4).

                                                                                                   Daily
How often during the last year have you failed to                    Less
                                                                                                     or
do what was normally expected from you                   Never       than     Monthly    Weekly
                                                                                                  almost
because of your drinking?                                           monthly
                                                                                                   daily
                                                                                                   Daily
How often during the last year have you been                         Less
                                                                                                     or
unable to remember what happened the night               Never       than     Monthly    Weekly
                                                                                                  almost
before because you had been drinking?                               monthly
                                                                                                   daily
                                                                                Yes,               Yes,
Has a relative or friend, doctor or other health                              but not             during
worker been concerned about your drinking or               No                  in the               the
suggested that you cut down?                                                    last                last
                                                                                year               year

Scoring:
 A score of 0 on the first question indicates FAST negative, you do not need to answer any more
   questions.
 A total of 1 – 2 on the first question then continue with the next three questions.
 A total of 3 – 4 on the first question, this is a positive screen, go straight onto the
   AUDIT questions overleaf
 An overall total score of 3 or above is FAST positive. Go onto ask AUDIT overleaf.


                                                                                                      SCORE




  A pint of         A pint of     Alcopop or a     440ml can of       440ml can of      250ml glass   Bottle of wine
regular beer,      “strong”/      275ml bottle       “regular”          “super            of wine
lager or cider    ”premium”        of regular      lager or cider      strength”          (12%)           [12.5%]
                 beer, lager or       lager                              lager
Page 1 of 2           cider
Name:                                      Date of Birth:                       Male/Female


Score from FAST (other side)

                                                                                  SCORE




Remaining AUDIT questions

                                                               Scoring system                     Your
Questions
                                                                                                  score
                                                     0        1         2         3        4
                                                                      2-4       2-3        4+
How often do you have a drink containing                    Monthly   times     times    times
                                                    Never
alcohol?                                                    or less     per       per      per
                                                                      month     week     week

How many units of alcohol do you drink on a
                                                    1 -2     3-4       5-6      7-8       10+
typical day when you are drinking?
                                                                                          Daily
How often during the last year have you found                Less
                                                                                            or
that you were not able to stop drinking once you    Never    than     Monthly   Weekly
                                                                                         almost
had started?                                                monthly
                                                                                          daily
                                                                                          Daily
How often during the last year have you needed               Less
                                                                                            or
an alcoholic drink in the morning to get yourself   Never    than     Monthly   Weekly
                                                                                         almost
going after a heavy drinking session?                       monthly
                                                                                          daily
                                                                                          Daily
                                                             Less
How often during the last year have you had a                                               or
                                                    Never    than     Monthly   Weekly
feeling of guilt or remorse after drinking?                 monthly
                                                                                         almost
                                                                                          daily
                                                                        Yes,              Yes,
                                                                      but not            during
Have you or somebody else been injured as a
                                                     No                in the              the
result of your drinking?                                                last               last
                                                                        year              year

Scoring:
0 – 7 Lower risk
8 – 15 Increasing risk                                                                TOTAL
16 – 19 Higher risk
20+ Possible dependence




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