4hpi - Free Printable Clinical Forms & Tools

CAGE Questionnaire


1. Have you ever felt you needed to Cut down on your drinking?

Yes No

2. Have people Annoyed you by criticizing your drinking?

Yes No

3. Have you ever felt Guilty about drinking?

Yes No

4. Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover?

Yes No