CAGE Questionnaire for Detecting AlcoholismPlease complete this form and we will contact you for interpretation and any needed next steps. Name * First Name Last Name Date of Birth * C: Have you ever felt you should CUT down on your drinking? * Yes No A: Have people ANNOYED you by criticizing your drinking? * Yes No G: Have you ever felt GUILTY about your drinking? * Yes No E: Have you ever had a drink first thing in the morning (EYE opener)? * Yes No Thank you!
