CAGE-AID

CAGE-AID

CAGE - Adapter to include Drugs (CAGE-AID) Screening Instrument
Clinician: *
Please select the clinician from the card given to you by the front desk:
Client Name:*

First NameLast Name
1. Have you ever felt you should cut down on your drinking or drug use?
YesNo
YesNo
2. Have people annoyed you by criticizing your drinking or drug use?
YesNo
YesNo
3. Have you ever felt bad or guilty about your drinking or drug use?
YesNo
YesNo
4. 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)?
YesNo
YesNo
SCORING
SCORE: Number of “Yes” Answers
Screened positive for a substance use disorder = a score of 1 or greater
CAGE Adapted to Include Drugs
Brown, R. and Rounds, L. Conjoint screening questionnaires for alcohol and drug abuse: two pilot studies. Unpublished study, 1991.

CAGE
Ewing, J.A. Detecting alcoholism: The CAGE questionnaire. Journal of the American Medical Association 252: 1905-1907, 1984.
Should be Empty: