Alcohol consumption Questionnaire

How often do you consume alcohol, do you think that alcohol causes difficulties in life?

Results are publicly available

Please specify your gender

What is your marital status?

How Old are you?

What is your Occupational Status?

How often do you have a drink containing alcohol?

Did you divorce / break up / separate because of drinking?

How many drinks do you have when you are drinking?

how often do you have six or more drinks?

How often do you find it hard to stop drinking once you started?

How often did you fail to do what you were expected to do because of drinking?

How often did you forget what happened because of drinking?

when do you engage in a fight?

How often did you get into a fight because of drinking?

do you often find yourself engaging in fights with other people?

have you or someone else been injured because of drinking?

are other people worry because of your drinking?