Questionnaire template
Drinking Habits and Their Effects
Measures adults' drinking frequency, quantity, reasons, effects on daily life and help-seeking for alcohol use.
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Questions in this template
How Often and How Much
Thank you for sharing your experiences with alcohol. Your answers are confidential and will support our research on drinking habits.
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How often do you drink alcohol these days?
Choose one:
- Every day or almost every day
- Several times a week
- About once a week
- Two or three times a month
- About once a month
- Less than once a month
- Never
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On a day when you drink, how many drinks do you usually have?
Condition: Asked of people who drink
Choose one:
- 1-2
- 3-4
- 5-6
- 7 or more
Reasons for Drinking
Condition: Asked of people who drink
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What are your main reasons for drinking? Select all that apply.
Choose any that apply:
- To socialise
- To relax
- To celebrate
- To go with food
- To cope with stress or low mood
- Out of habit
- Other
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What other reason do you have?
Condition: Shown when Other was selected
Open answer
Effects of Drinking
Condition: Asked of people who drink
-
What effect does your drinking have on each of these?
- Physical health
- Mental wellbeing
- Productivity at work
- Relationships
- Finances
For each row: choose one:
- Very negative
- Somewhat negative
- No effect
- Somewhat positive
- Very positive
Support
-
Which statement best describes you regarding help with your drinking?
Choose one:
- I have sought help, and it was useful
- I have sought help, but it was not useful
- I have not sought help, but I have thought about it
- I have not sought help and have not thought about it
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Is there anything else about your drinking that would help us understand it better? (optional)
Open answer