CAGE Questionnaire Calculator

Complete a brief four-question alcohol-use screening and review the score.

CAGE alcohol screening questions
Answer each question based on your experience over your lifetime.

About the CAGE questionnaire

The CAGE questionnaire is a brief screening instrument designed to identify possible problems related to alcohol use. Its name comes from four themes: feeling a need to Cut down, becoming Annoyed by criticism, feeling Guilty about drinking, and using an Eye-opener drink in the morning. The questions usually refer to lifetime experience rather than only recent consumption. Each yes answer receives one point, producing a score from zero to four. A score of two or more is commonly treated as a positive screen for clinically significant alcohol concerns and a reason for further assessment. Some settings use a lower threshold to improve sensitivity. Three or four yes answers indicate greater concern, but the score does not measure the amount consumed, establish severity, or diagnose alcohol use disorder. A low score also cannot rule out risky drinking, especially because CAGE focuses on consequences and dependence-related experiences rather than current quantity and frequency. Screening works best when answers are honest, private, and followed by a respectful conversation. Clinicians may combine CAGE with questions about standard drinks, binge episodes, withdrawal symptoms, medicines, pregnancy, driving, work, relationships, and physical or mental health. Other instruments, such as AUDIT-C, are often used to assess current consumption. The appropriate next step depends on the full picture and can range from education or monitoring to a structured diagnostic evaluation and treatment support. This calculator stores answers only in the current page state and provides educational scoring, not medical advice. If the result raises concern, consider discussing it with a primary-care professional, behavioral-health clinician, or confidential alcohol support service. Do not abruptly stop heavy, prolonged alcohol use without medical guidance because withdrawal can be dangerous. Tremors, hallucinations, confusion, seizures, severe vomiting, breathing difficulty, or inability to stay awake require urgent medical attention. If alcohol creates an immediate safety risk, avoid driving and seek local emergency help.

CAGE scoring examples

Yes answersScoreScreening interpretation
No yes answers0 out of 4Lower screening concern
Cut down and Guilty2 out of 4Positive screen
Cut down, Annoyed, and Guilty3 out of 4Higher screening concern

How to use the CAGE screening

  1. Read each question and consider your lifetime experience with alcohol.
  2. Choose Yes or No for all four questions.
  3. Select Calculate CAGE score to total one point for each Yes answer.
  4. Review the screening interpretation and seek professional assessment when the result or your drinking causes concern.

Frequently asked questions

What does CAGE stand for?

The letters represent Cut down, Annoyed, Guilty, and Eye-opener. They summarize the theme of each of the questionnaire's four items.

What score is considered positive?

A score of two or more is commonly considered a positive screen and supports further assessment. Thresholds can differ by setting, so a clinician may interpret even one yes answer in context.

Does a positive score diagnose alcohol dependence?

No, CAGE is a screening tool rather than a diagnostic interview. A qualified professional considers drinking patterns, symptoms, health effects, and diagnostic criteria before making a diagnosis.

What time period should I consider?

Traditional CAGE questions generally ask about lifetime experience. Answer yes if the experience occurred in the past even when it is not happening currently.

Can a score of zero prove my drinking is safe?

No, CAGE may miss hazardous consumption that has not produced dependence-related concerns. Quantity, frequency, binge drinking, medications, pregnancy, driving, and individual health risks still matter.