TWEAK Questionnaire

The TWEAK is another acronym; this instrument is designed for use with pregnant women.

Tolerance, Worried, Eye-Opener, Amnesia, Kut down

(hey, no one ever said the instrument developers were also great acronym creators, but everyone needs an acronym, right?!)

  • How many drinks can you hold?  (Tolerance)
  • Have close friends or relatives Worried or complained about your drinking in the past year?
  • Do you sometimes take a drink in the morning when you get up?  (Eye-opener)
  • Has a friend or family member ever told you about things you said or did while you were drinking that you could not remember?  (Amnesia)
  • Do you sometimes feel the need to Cut down on your drinking?

The TWEAK is used to screen for pregnancy risk drinking, defined here as the consumption of 1 ounce or more of alcohol per day while pregnant. Scores are calculated as follows: A positive response to question T on Tolerance ( i. e. , consumption of more than five drinks) or question W on Worry yields 2 points each; an affirmative reply to question E, A, or K scores 1 point each. A total score of 2 or more points on the TWEAK indicates a positive outcome for pregnancy risk drinking.

 

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