The Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) is a 10-item questionnaire that measures the current degree of severity of an individual’s alcohol withdrawal symptoms.
Items 1-9 are scored on a scale from 0 to 7, 0 being no symptoms and 7 being severe symptoms.
Item 10 is scored on a scale from 0 to 4:
0 = oriented and can do serial additions
1 = cannot do serial additions or is uncertain about date
2 = disoriented for date by no more than 2 calendar days
3 = disoriented for date by more than 2 calendar days
4 = disoriented for place/or person
CIWA-Ar Questionnaire Word doc.
Sullivan, J. T., Sykora, K., Schneiderman, J., Naranjo, C. A., & Sellers, E. M. (1989). Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA‐Ar). Addiction, 84(11), 1353-1357.