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The AUDIT-C score, explained

Three questions, a number from 0 to 12, and a great deal of care needed in how you read it.

Last updated: July 2026

What it is

The AUDIT-C is a short alcohol screening questionnaire. It is made up of the three consumption questions from the AUDIT (Alcohol Use Disorders Identification Test), the ten-item instrument developed for the World Health Organization and published by Saunders and colleagues in 1993. Bush and colleagues validated the three-question subset as a standalone screener in 1998.

Its purpose is narrow and worth stating plainly: it is designed to flag drinking patterns that deserve a closer look. It is not designed to diagnose anything.

The three questions

Each answer scores from 0 to 4, so the total runs 0–12.

#QuestionScored on
1How often do you have a drink containing alcohol?Frequency, from "never" (0) to "4+ times a week" (4)
2How many standard drinks do you have on a typical day when you are drinking?Typical quantity, from "1–2" (0) to "10+" (4)
3How often do you have six or more drinks on one occasion?Heavy-episode frequency, from "never" (0) to "daily or almost daily" (4)

Notice what the three together are reaching for: not just how much, but how often and how concentrated. Fourteen drinks spread evenly across a week and fourteen drinks in one Saturday score very differently — deliberately, because they carry different risks.

Reading the score

The most widely used positive-screen thresholds are 4 or more for men and 3 or more for women. Above that, the likelihood of hazardous drinking rises with the score.

BandBroad meaning
Low riskConsumption below the screening threshold. Not a guarantee of no harm — just no flag from this instrument.
HazardousA pattern that raises the risk of future harm, even if nothing has gone wrong yet.
HarmfulA pattern where damage — physical, mental or social — is more likely to be occurring already.
Possible dependenceA high score warranting a proper conversation with a clinician. Not a diagnosis of dependence.

The single most important thing to hold onto: a screening score is a prompt, not a verdict. It is designed to be sensitive — to catch people worth asking more questions about — which necessarily means it flags some people who turn out to be fine. Only a qualified professional can diagnose an alcohol use disorder.

What it doesn't capture

How SipWiser scores it from your log

Normally you'd answer the AUDIT-C from memory — and memory tends to round drinking down. Because SipWiser already holds a record of what you actually logged, it derives the three answers from your own history instead of asking you to recall them.

Two honest caveats. It needs roughly a month of tracking before it reads reliably, since all three questions are about typical patterns rather than one night. And it can only see what you logged — nights you skipped are invisible to it, which biases the score downward.

If the number worries you. That reaction is worth taking seriously, and it's also worth not facing alone. A GP is a completely ordinary place to start — this is a routine conversation for them, not a dramatic one. In Belgium, De DrugLijn and Aide-Alcool offer free, anonymous advice. Elsewhere, your national health service will list local services. Wanting to drink less is a good instinct, whatever the score says.

Common questions

What is a normal AUDIT-C score?

Scores run 0–12. Commonly used positive-screen thresholds are 4+ for men and 3+ for women. Higher scores mean a higher likelihood of hazardous drinking — but the number is a prompt for a conversation, not a conclusion.

Is AUDIT-C a diagnosis of alcoholism?

No. It's a screening tool designed to flag patterns worth examining. Only a qualified clinician can diagnose an alcohol use disorder.

Can my score go down?

Yes. It reflects recent consumption patterns, so as those change the score follows. That's precisely what makes it useful to watch over time rather than once.

Know where you stand

SipWiser scores the AUDIT-C from the nights you've already logged — no questionnaire, no recall bias. Free, offline-first, and built to help you drink less, never more.

Get it on Google Play

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