Survey - Student Alcoholism

every dayat least once a week but not every dayat least once a month but less than once a weekmore than once a year but less than once a monthdon't drink beer

every dayat least once a week but not every dayat least once a month but less than once a weekmore than once a year but less than once a monthdon't drink wine and spirits

Many times	At least once in the past two months	At least once in my life but not past 2 months	Never happened
Had a hangover

Driven a car after having several drinks

Came to class after having several drinks

Missed a class

Had trouble with the law because of drinking

Gotten into a fight after drinking

True	False	Don't know
Alcohol is not a drug

Drinking coffee or taking a shower will sober you up

Women respond to alcohol differently than men do

Alcohol increases your sexual drive and ability

If you had a parent who is an alcoholic, this does not increase your chances of developing alcoholism

Alcohol can lead to cancers such as cancers in the liver or stomach

66% of alcoholics have a mental or emotional disease

MaleFemale

Student Alcoholism

Year in school:

Your religion:

How often, do you usually have a beer?

When you drink beer, how much, do you usually drink at any one time?

How often do you usually have wine, liquors and spirits?

When you drink wine, liquors and spirits, how much, do you usually drink at any one time?

Now please try to fill this table

How often on average do you smoke cigarettes?

When you smoke, how many cigarettes do you smoke?

Thank you guys, one more thing! Please try to answer some interesting questions.

Gender:

How old are you?