Questionnaire template
Alcohol Use and Attitudes
Measures adults' drinking frequency, quantity, settings, motives, perceived effects and harms, and interest in getting help.
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Questions in this template
Your Drinking Habits
Thank you for taking part in this survey about alcohol. Your answers will help us better understand drinking habits and respond to alcohol-related problems.
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How often do you have a drink that contains alcohol?
Choose one from a list:
- Daily
- Weekly
- Monthly
- Rarely
- Never
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On a typical occasion when you drink, how many drinks do you have?
Asked only when
q_drink_frequency.outcome is not None and q_drink_frequency.outcome != 5Choose one:
- 1 to 2
- 3 to 4
- 5 to 6
- 7 or more
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Which kinds of alcoholic drink do you have most often?
Asked only when
q_drink_frequency.outcome is not None and q_drink_frequency.outcome != 5Choose any that apply:
- Beer
- Wine
- Spirits
- Cocktails
- Something else
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What else do you usually drink?
Asked only when
q_drink_frequency.outcome is not None and q_drink_frequency.outcome != 5 and q_beverage_types.outcome is not None and q_beverage_types.outcome & 16 != 0Open answer
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How often do you drink in each of these settings?
Asked only when
q_drink_frequency.outcome is not None and q_drink_frequency.outcome != 5- At home
- At parties
- At dinners or other social events
- In bars or pubs
For each row: choose one:
- Never
- Rarely
- Sometimes
- Often
- Always
How You See Your Drinking
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How satisfied are you with the amount you currently drink?
Choose one:
- Very satisfied
- Satisfied
- Neither satisfied nor dissatisfied
- Dissatisfied
- Very dissatisfied
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What leads you to have a drink?
Choose any that apply:
- Pressure from other people
- To unwind or ease stress
- To enjoy social occasions
- Out of habit
- Something else
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What else leads you to drink?
Asked only when
q_drinking_motives.outcome is not None and q_drinking_motives.outcome & 16 != 0Open answer
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How much does alcohol affect your everyday life?
Choose one:
- Not at all
- Slightly
- Moderately
- Significantly
- Extremely
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In what ways does it affect your everyday life?
Asked only when
q_daily_life_effect.outcome is not None and q_daily_life_effect.outcome >= 2Open answer
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Have you noticed any effects of drinking on your body or your mind? Please describe them.
Open answer
Health and Well-being
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Have you ever had any of the following because of drinking?
Choose any that apply:
- A hangover
- A memory blackout
- An injury
- Problems in a relationship
- Problems at work or school
- None of these
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Do you think the way you drink has affected your health?
Choose one:
- Yes
- No
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How has your health been affected?
Asked only when
q_health_impacted.outcome == 1Open answer
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How often do you think about getting help to cut down or stop drinking?
Choose one from a list:
- Always
- Often
- Sometimes
- Rarely
- Never
About This Survey
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What made you decide to take part in this survey?
Open answer
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How could we make this survey better?
Open answer