Clinical instrument

CAGE Alcohol Screening Questionnaire

A brief 4-item yes/no screener for clinically significant alcohol problems. The total is compared to the standard cutoff. Intended for use under clinician supervision.

This is a clinical instrument. It is not publicly self-administered — a clinician assigns it through a secure patient link.

At a glance

Items
4
Response scale
No / Yes
Est. time
~1 min
Norms
Percent-of-maximum
Access
Clinician patient-link

What it measures

The CAGE questionnaire (Ewing, 1984) is a 4-item yes/no screen for clinically significant alcohol problems, its name an acronym of its four questions (Cut down, Annoyed, Guilty, Eye-opener). Per Ewing (1984), a total of 2 or more is considered clinically significant.

Its brevity makes it a common first-pass screen in medical settings; a positive screen calls for a fuller alcohol-use assessment rather than standing as a conclusion on its own.

Psychometric properties

The notes below are reproduced from the platform's psychometrics register for this instrument — the same source-cited reliability, validity, and norms text that accompanies its downloadable report.

A brief 4-item screen; internal consistency is modest given its length, but it is widely validated for case-finding (Dhalla & Kopec, 2007).

At a cutoff of 2 or more, pooled sensitivity is about 0.71 and specificity about 0.90 for alcohol abuse and dependence (Dhalla & Kopec, 2007).

Introduced by Ewing (1984); two or more positive responses warrant further assessment.

Example item

“Have you ever felt you should cut down on your drinking?”

NoYes

Illustrative only. During administration items are presented one screen-set at a time; response-key direction is never shown to respondents.

Scoring & interpretation

Item responses are summed to a total score and compared against published screening cutoffs.

BandThresholdInterpretation
Screen negative≥ 0No items endorsed. A clinically significant alcohol problem is unlikely based on this screen alone.
Borderline≥ 1One item endorsed. Many clinicians treat any positive response as grounds for further inquiry about drinking.
Screen positive≥ 2Two or more items endorsed — clinically significant; further assessment for an alcohol use disorder is recommended.

Source & citation

Ewing, J. A. (1984). Detecting alcoholism: The CAGE questionnaire. JAMA, 252(14), 1905–1907. Freely available for clinical use.

Scoring. Cutoff threshold per Ewing, J. A. (1984). Detecting alcoholism: The CAGE questionnaire. JAMA, 252(14), 1905–1907 (a score of 2 or more is considered clinically significant).

CAGE questionnaire (Ewing, J. A., 1984). Free for clinical and research use with attribution.

References

  1. Ewing, J. A. (1984). Detecting alcoholism: the CAGE questionnaire. JAMA, 252(14), 1905-1907.
  2. Dhalla, S., & Kopec, J. A. (2007). The CAGE questionnaire for alcohol misuse: a review of reliability and validity studies. Clinical and Investigative Medicine, 30(1), 33-41.