Alcohol consumption Questionnaire
How often do you consume alcohol, do you think that alcohol causes difficulties in life?
Please specify your gender
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What is your marital status?
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How Old are you?
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What is your Occupational Status?
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How often do you have a drink containing alcohol?
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Did you divorce / break up / separate because of drinking?
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How many drinks do you have when you are drinking?
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how often do you have six or more drinks?
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How often do you find it hard to stop drinking once you started?
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How often did you fail to do what you were expected to do because of drinking?
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How often did you forget what happened because of drinking?
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when do you engage in a fight?
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How often did you get into a fight because of drinking?
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do you often find yourself engaging in fights with other people?
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have you or someone else been injured because of drinking?
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are other people worry because of your drinking?
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