CAGE-AID
Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Have you ever felt that you ought to cut down on your drinking or drug use?
*
Yes
No
Have people annoyed you by criticizing your drinking or drug use?
*
Yes
No
Have you ever felt bad or guilty about your drinking or drug use?
*
Yes
No
Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover (eye opener)?
*
Yes
No
Sources:
This tool was developed by Richard Brown, MD and Laura Saunders at the University of Wisconsin.Brown RL, Rounds LA. Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wis Med J. 1995;94:135-40.Hinkin CH, Castellon SA, Dickson-Fuhrman E, Daum G, Jaffe J, Jarvik L. Screening for drug and alcohol abuse among older adults using a modified version of the CAGE. Am J Addict. 2001;10:319-26.
Scoring:
One or more "yes" responses is regarded as a positive screening test, indication possible substance use and need for further evaluation.
Submit
Should be Empty: