CAGE Questionnaire Worksheet Bundle — Complete Clinical Toolkit for Alcohol Use Screening

Every clinician who screens for alcohol use problems needs more than just a questionnaire — they need a structured workflow that covers administration, interpretation, client education, and documentation. This complete CAGE Questionnaire Bundle provides exactly that: six professionally designed, print-ready worksheets that take you from informed consent through to a personalized client recovery plan, all grounded in the validated CAGE screening instrument (Ewing, 1984).

What Is the CAGE Questionnaire?

The CAGE Questionnaire is one of the most widely validated and time-efficient alcohol use screening tools in clinical practice. In under one minute, its four yes/no items — Cut down, Annoyed, Guilty, Eye-opener — identify patterns associated with alcohol dependence. A score of 2 or above meets the established clinical threshold for further evaluation, while a single affirmative response to the Eye-opener item (Q4) is independently recognized as a strong indicator of physiological withdrawal, regardless of total score.

What Is Inside This Bundle

The bundle contains six structured worksheets, each addressing a distinct phase of the CAGE administration process:

1. CAGE Scoring Sheet

A clean, structured scoring worksheet for clinician or participant use. Includes the full four-item questionnaire with Yes/No response fields, per-item point tracking, and a score summary grid. Built-in clinical note on Q4 as an independent withdrawal marker. Ready to print and administer in under one minute.

2. CAGE Interpretation Guide

A detailed score interpretation reference covering the 0–1 standard baseline and 2–4 elevated intensity profiles, a critical marker alert for Q4, referral recommendations by score and risk profile, and a side-by-side comparison of the CAGE versus AUDIT instruments. Essential for clinicians making triage and referral decisions.

3. CAGE Psychoeducation Handout

A client-facing handout that explains the purpose of the CAGE screening, translates score ranges into plain language, addresses the clinical significance of morning drinking (Q4), and lists next-step resources including healthcare professionals, support groups such as AA and SMART Recovery, and substance abuse helplines. Designed to be handed directly to the participant after administration.

4. CAGE Personal Well-Being Action Plan

A structured goal-setting worksheet the client completes following their results. Includes a commitment checklist covering self-honesty, trigger identification, professional support-seeking, and goal-setting, plus a five-area action table covering professional support, reduction or quitting goals, support network, healthy alternatives, and follow-up planning. Bridges the gap between screening and behavioural change.

5. CAGE Clinician Reference Card

A compact professional quick-reference summarizing instrument overview, scoring thresholds, the CAGE acronym breakdown, Q4 clinical alert, instrument limitations (lifetime timeframe, self-report bias, comparison with AUDIT), referral criteria, and key strengths. Designed for fast retrieval during a clinical session without opening a manual.

6. CAGE Informed Consent Form

A two-page consent document capturing participant name, date of birth, date of assessment, administrator, and clinical setting. Covers purpose, what to expect, tool limitations, confidentiality, and voluntary participation. Includes an initialed declaration section and signature fields for both participant and clinician. Meets standard documentation requirements for clinical and research settings.

Who This Bundle Is For

This toolkit is designed for mental health professionals, addiction counselors, social workers, and clinical psychologists who administer alcohol use screenings in outpatient, community, or hospital settings. It is equally useful for academic programs in psychology, social work, nursing, and addiction studies that teach students how to conduct structured clinical screening. Researchers using the CAGE as part of a study protocol will find the consent form and clinician reference particularly valuable.

This bundle is not intended as a standalone diagnostic tool and is clearly marked for educational and research use in line with the original instrument's scope as defined by Ewing (1984).

Why This Bundle Saves You Time

Rather than sourcing, formatting, and clinically reviewing six separate documents individually, this bundle delivers a consistent, professionally branded toolkit where every worksheet is designed to work as part of the same session workflow. The visual design is clean, print-optimized, and built for real clinical use — not academic illustration.

Download the bundle, print the worksheets, and run a structured, documentable CAGE screening session from first contact to client action plan — today.

Reference: Ewing, J. A. (1984). Detecting Alcoholism: The CAGE Questionnaire. JAMA, 252(14), 1905–1907. All worksheets produced by Neuroviax Academy for educational and research purposes only. Not a substitute for professional clinical judgment or formal diagnosis.