Alcohol Use and Support Needs

Your Drinking

1. Thank you for taking time to look at your relationship with alcohol. Your answers are anonymous and can help point you towards useful support.

2. The first three questions are the AUDIT-C, the consumption items of the World Health Organization's Alcohol Use Disorders Identification Test (Babor and colleagues; short form validated by Bush and colleagues, 1998).

3. This questionnaire is a screening aid, not a diagnosis of alcohol dependence. If you are worried about your drinking, please speak to a doctor or another health professional.

4. How often do you have a drink containing alcohol?

   Choose one:

   • Never
   • Monthly or less
   • 2-4 times a month
   • 2-3 times a week
   • 4 or more times a week

5. How many drinks containing alcohol do you have on a typical day when you are drinking?

   Condition: Asked of people who drink

   Choose one:

   • 1 or 2
   • 3 or 4
   • 5 or 6
   • 7 to 9
   • 10 or more

6. How often do you have six or more drinks on one occasion?

   Condition: Asked of people who drink

   Choose one:

   • Never
   • Less than monthly
   • Monthly
   • Weekly
   • Daily or almost daily

Effects on Daily Life

Condition: Asked of people who drink

1. How much do you agree with each statement about your drinking?

   • I find it hard to keep my drinking to the amount I intended.
   • My drinking has caused tension with people close to me.
   • I have regretted things I did while drinking.
   • I sometimes need a drink just to feel normal.

   For each row: choose one:

   • Strongly disagree
   • Disagree
   • Neither agree nor disagree
   • Agree
   • Strongly agree

Your View of Your Drinking

Condition: Asked of people who drink

1. Why do you usually drink? Select all that apply.

   Choose any that apply:

   • To socialise
   • To cope with problems or stress
   • Because I feel I need to
   • To relax
   • None of these

2. Have you ever tried to drink less?

   Choose one:

   • Yes
   • No

3. What made drinking less difficult for you? (optional)

   Condition: Shown to people who have tried to drink less

   Open answer

Seeking Support

1. How comfortable would you feel asking a professional for help with your drinking?

   Choose one:

   • Not at all comfortable
   • Slightly comfortable
   • Moderately comfortable
   • Very comfortable
   • Completely comfortable

2. Which kinds of support for drinking have you used? Select all that apply.

   Choose any that apply:

   • Mutual-help group, such as AA
   • Counselling
   • Residential treatment
   • Other
   • I have not sought help

3. How did you find the support you used? (optional)

   Condition: Shown when at least one kind of support was used

   Open answer