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Questionnaire template

Reasons for Drinking Alcohol

Explores how often adults drink, their reasons for drinking, perceived effects, views on alcohol and sense of control.

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Healthcare · Alcohol assessment. All Healthcare templates

Questions in this template

How Often and Why You Drink

  1. Thank you for taking part. This short survey looks at why people drink alcohol; there are no right or wrong answers.

  2. How often do you drink alcohol?

    Choose one:

    • Never
    • Less than once a month
    • A few times a month
    • Once or twice a week
    • Three or more times a week
    • Daily or almost daily
  3. What are your main reasons for drinking? Select all that apply.

    Condition: Only for people who drink

    Choose any that apply:

    • To relax
    • To socialise
    • To ease stress
    • To mark special occasions
    • To stop thinking about problems
    • Other
  4. Pick one of the reasons you selected and tell us a little more about it.

    Condition: Shown once at least one reason was selected

    Open answer

Effects and Views

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

    Condition: Only for people who drink

    • Having a drink makes me feel more self-assured.
    • Drinking makes it easier to belong in my group of friends.
    • Other people find me more entertaining after a drink.
    • A drink helps me put my worries aside.

    For each row: choose one:

    • Strongly disagree
    • Disagree
    • Neither agree nor disagree
    • Agree
    • Strongly agree
  2. Which statement comes closest to how you see drinking alcohol?

    Choose one:

    • It is an unhealthy habit
    • It is a necessary part of social life
    • It is a matter of personal choice
    • It is a way to escape
    • Other
  3. How would you describe your view?

    Condition: Only when Other was chosen

    Open answer

Awareness and Control

  1. How would you rate yourself on each of these?

    Condition: Only for people who drink

    • Knowing how much I actually drink
    • Being able to limit how much I drink

    For each row: choose one:

    • 1 - Very low
    • 2
    • 3
    • 4
    • 5 - Very high
  2. Is there anything else about your reasons for drinking that you would like to add?

    Open answer