|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
|
YES |
NO |
© The Regents of the University of Michigan, 1991.
Scoring: Five or more "yes" responses are indicative of an alcohol problem. For further information, contact Frederic C. Blow, Ph.D., at the University of Michigan Alcohol Research Center, 400 E. Eisenhower Parkway, Suite A, Ann Arbor, MI 48108; (734) 998-7952.
Source: Blow, F.C.; Brower, K.J.; Schulenberg, J.E.; et al. The Michigan Alcoholism Screening TestGeriatric Version (MAST-G): A new elderly-specific screening instrument. Alcoholism: Clinical and Experimental Research 1992, 16:372.