| Alcohol:
Stages of Change (Short Form) Alcohol Stage Item for non-dependent drinkers
Males (females use 4 or more in a row)
In the last month have you had 5 or more drinks in a row?
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| 1. |
Yes, and I do not intend to stop drinking 5 or more drinks in a row. |
 |
| 2. |
Yes, but I intend to stop drinking 5 or more drinks in a row during the next 6 months. |
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| 3. |
Yes, but I intend to stop drinking 5 or more drinks in a row during in the next 30 days. |
|
| 4. |
No, but I have had 5 or more drinks in a row in the past 6 months. |
|
| 5. |
No, and I have not had 5 or more drinks in a row in the past 6 months. |
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| 6. |
No, I have never had 5 or more drinks in a row. |
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Scoring
1 = Precontemplation
2 = Contemplation
3 = Preparation
4 = Action
5 = Maintenance
6 = Non bingers
Note: Contact Dr. Laforge for more information on
validity and reliability of this instrument.
References
Laforge, R. G., Maddock, J. E., & Rossi, J. S. (1998). Comparison of five
stage methods for alcohol abuse among college students. Annals of Behavioral Medicine,
20, 170 (Abstract).
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