Questionnaire template
Adult Drinking Patterns
Measures adults' drinking frequency, preferred drinks, beliefs about alcohol and openness to strategies for drinking less.
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Healthcare · Alcohol assessment. All Healthcare templates
Questions in this template
About You
Thank you for taking part in this study of adult drinking patterns. Your answers will help inform public health policy.
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What is your gender?
Choose one:
- Female
- Male
- Another gender
- Prefer not to say
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What is your age?
A number from 18 to 110
How You Drink
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How often do you have an alcoholic drink?
Choose one:
- Every day or almost every day
- At least once a week
- At least once a month
- Less than once a month
- Never
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What kind of alcoholic drink do you have most often?
Asked only when
q_drinking_frequency.outcome is not None and q_drinking_frequency.outcome != 5Choose one from a list:
- Wine
- Beer
- Spirits
- Cocktails or mixed drinks
- Something else
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Which drink do you usually have?
Asked only when
q_drinking_frequency.outcome is not None and q_drinking_frequency.outcome != 5 and q_usual_drink.outcome == 5Open answer
Your Views on Alcohol
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How much do you agree or disagree with each statement?
- Having a drink is a normal part of social life.
- Alcohol is bad for a person's health.
- Alcohol makes it easier to mix with other people.
- Drinking heavily over time can lead to dependence.
For each row: choose one:
- Strongly disagree
- Disagree
- Neither agree nor disagree
- Agree
- Strongly agree
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In a few words, what is your personal view on drinking and its effects?
Open answer
Drinking Less
-
Which of these approaches could help you drink less?
Choose any that apply:
- Having fewer drinks on each occasion
- Drinking on fewer days
- Getting help from a health professional
- Joining a peer support group
- Being more physically active
- Choosing alcohol-free drinks instead
- None of these
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If you have ever tried to cut down, what happened?
Open answer