Home Accessing Support Questionnaires Michigan Alcohol Screening Test (MAST) Michigan Alcohol Screening Test (MAST) Contact Information First Name * Last Name * Date Of Birth * Telephone Number * Email Address * Reference 1. Do you feel you are a normal drinker? ("normal" is defined as drinking as much or less than most other people) Yes No 2. Have you ever awakened the morning after drinking the night before and found that you could not remember a part of the evening? Yes No 3. Does any near relative or close friend ever worry or complain about your drinking? Yes No 4. Can you stop drinking without difficulty after one or two drinks? Yes No 5. Do you ever feel guilty about your drinking? Yes No 6. Have you ever attended a meeting of Alcoholics Anonymous (AA)? Yes No 7. Have you ever gotten into physical fights when drinking? Yes No 8. Has drinking ever created problems between you and a near relative or close friend? Yes No 9. Has any family member or close friend gone to anyone for help about your drinking? Yes No 10. Have you ever lost friends because of your drinking? Yes No 11. Have you ever gotten into trouble at work because of drinking? Yes No 12. Have you ever lost a job because of drinking? Yes No 13. Have you ever neglected your obligations, family, or work for two or more days in a row because you were drinking? Yes No 14. Do you drink before noon fairly often? Yes No 15. Have you ever been told you have liver trouble, such as cirrhosis? Yes No 16. After heavy drinking, have you ever had delirium tremens (DTs), severe shaking, visual or auditory (hearing) hallucinations? Yes No 17. Have you ever gone to anyone for help about your drinking? Yes No 18. Have you ever been hospitalized because of drinking? Yes No 19. Has your drinking ever resulted in your being hospitalized in a psychiatric ward? Yes No 20. Have you ever gone to any doctor, social worker, clergyman, or mental health clinic for help with any emotional problem in which drinking was part of the problem? Yes No 21. Have you been arrested more than once for driving under the influence of alcohol? Yes No 22. Have you ever been arrested, or detained by an official for a few hours, because of other behavior while drinking? Yes No Send Form Posted on 19 September 2020 at 7:03 pm.