Figure 2. TWEAK

T-TOLERANCE – How many drinks does it take before you begin to feel the first effects of alcohol? [3 or more drinks constitutes a positive answer = 2 points]
W- WORRY – Do close friends or relatives worry or complain about your drinking? [“yes” constitutes a positive answer = 2 points]
E-EYE OPENER – Do you sometimes take a drink in the morning when you first get up? [“yes” constitutes a positive answer = 1 point]
A-AMNESIA – Has a friend or family member ever told you about things you said or did when you were drinking that you could not remember? [“yes” constitutes a positive answer = 1 point]
K-CUT DOWN – Do you sometimes feel the need to cut down on your drinking? [“yes” constitutes a positive answer = 1 point]

Scores on the TWEAK range from 0 to 7. Investigators have suggested that a cut point total score on the TWEAK of 2 or more should be used to optimize sensitivity/specificity in identifying pregnant women who may not be alcohol-dependent but who may, nevertheless, be drinking at levels that place the fetus at risk.