The TWEAK alcohol screening test

The TWEAK alcohol screening test is a short, five-question test which was originally designed to screen pregnant women for harmful drinking habits. Researchers at the Research Institute on Addictions at Buffalo, New York, Department of Obstetrics/Gynecology and Wayne State University developed the TWEAK as a short test more sensitive to detecting alcohol problems in pregnant women.
Tweak Acronym

The name of the test is an acronym for





K/Cut down (with a poetic license use of “K” instead of “C” for cutting down on alcohol consumption).

The TWEAK Test

1. How many drinks does it take to make you feel high?2. Have close friends or relatives worried or complained about your drinking in the past year?

3. Do you sometimes take a drink in the morning when you first get up?

4. Has a friend or family member ever told you about things you said or did while you were drinking that you could not remember?

5. Do you sometimes feel the need to cut down on your drinking?

Scoring the TWEAK Test

The maximum score on the test is seven points, with the first two questions counting for two points each and the last three one point each. Note about question 1: If a woman responds that it takes three or more drinks to feel high, she scores two points. If she responds “less than three,” she scores zero on the question.A total score of two or more on the test is an indication of harmful drinking and further evaluation is indicated.

Some may substitute the following for question 1: “How many drinks can you hold?” If a woman responds that she can hold more than five drinks (meaning she can drink more than five without passing out), she scores two points; she scores zero if she reports less than five.


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