Questionnaire for Identifying Early Signs of Alcoholism Test

How the Scales are Structured
Who Usually Takes This Test?
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Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- Yes
- No
- Yes
- No
- Yes
- No
Questionnaire for Identifying Early Signs of Alcoholism Test - Description and methodology of the test
People who want to examine whether their drinking patterns include possible warning signs can use the Questionnaire for Identifying Early Signs of Alcoholism Test as a structured self-report exercise. Intended for someone reflecting on personal alcohol use, the alcoholism self-assessment connects everyday habits, consequences, and attitudes with a broad result. It can help a reader decide which experiences deserve closer attention and whether preventive changes are worth considering.
What This Assessment Explores
The questionnaire looks beyond drinking frequency to early alcohol-related difficulty, covering access to alcohol, anticipation, memory gaps, morning relief, next-day effects, family conflict, mood, energy, work, and drinking beliefs.
The sample items fall into four thematic areas that contextualize the single result of this early-warning questionnaire:
- Alcohol access and preoccupation show whether availability or drinking thoughts shape routine.
- Loss of control and memory concerns capture forgotten events, regret, and consequences.
- Physical and functional effects indicate hangovers, fatigue, sluggishness, or reduced work capacity.
- Social and emotional context reflects family strain, conflict, mood shifts, and permissive beliefs.
The Alcoholism Indicators Scale spans -40 to 40. Its bands are Alcoholism-level symptoms (-40--12.9), Casual drinking range (-12.8-12.8), and Healthy level (12.9-40). It measures early signs of alcohol dependence and indicates risk for preventive or corrective action.
Methodology and Evidence Base
Each item uses Yes/No choices about behavior, consequences, opinions, and social expectations. As an alcohol dependence questionnaire, it is straightforward to complete, but answers may reflect both lived experience and personal interpretation.
The questionnaire displays one result on that scale; its answer-to-score conversion is not specified, so the result should be interpreted through its shown band without inferring individual point values.
The online questionnaire is attributed to Jellinek and Seeley, and its themes are conceptually consistent with Yakhin and Mendelevich (1987), whose clinical questionnaire addressed early signs of alcoholism. This relationship does not establish that the online version reproduces that instrument's validated form. Jellinek's 1960 framework adds historical context for dependence-related change, but it does not validate this online scoring system.
Because it is an alcohol-use questionnaire, self-report results can be shaped by memory, current circumstances, self-awareness, and reluctance to disclose; a single score does not establish alcoholism and is best considered alongside drinking history, daily functioning, and broader assessment when concern is substantial.
- Yakhin, K. K., & Mendelevich, V. D. (1987). Clinical questionnaire to detect early signs of alcoholism. Kazan Medical Journal, 68(1), 38-42. 10.17816/kazmj95899.
- Jellinek, E. M. (1960). The Disease Concept of Alcoholism. New Haven, CT: Hillhouse Press.
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