File name: Mast Screening Tool Pdf
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%PDF %Äåòåë§ó ÐÄÆ 4 0 obj /Length 5 0 R /Filter /FlateDecode >> stream x Õ}k¯$¹qå÷ú ùñ ×T>êå/. Have you ever increased your drinking after experiencing a loss in your life? Michigan Alcohol Screening Test Date Accomplished: Full Name of Patient: Full Name of Assessor: Instructions: Please answer the following questions with a simple Yes or No. Some Missing: Mast Screening. Michigan Alcoholism Screening Test Yes No Do you enjoy a drink now and then? 1 0 1. Do you feel you are a normal drinker? By normal we mean you drink less than or as much as most other people. 1 0 2. Have you ever awakened the morning after some drinking the night before and found that you could not remember a part of the evening? 1 0 3. Michigan Alcohol Screening Test Date Accomplished: Full Name of Patient: Full Name of Assessor: Instructions: Please answer the following questions with a simple Yes or No. Some questions revolve around certain incidents and will ask you about the number of times those certain incidents happened. Please indicate those as well. O No (0) O No (2). A self-scoring test to assess if you may have a drinking problem. Answer YES or NO to 25 questions and score them according to the scale to get your alcohol rating.