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
Thank you for taking part. This short survey looks at why people drink alcohol; there are no right or wrong answers.
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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
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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
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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
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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
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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
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How would you describe your view?
Condition: Only when Other was chosen
Open answer
Awareness and Control
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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
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Is there anything else about your reasons for drinking that you would like to add?
Open answer