undefined

Survey On Drug And Alcohol Abuse

Survey on Drug and Alcohol abuse collects data on the use of illicit drugs, alcohol, and tobacco among the population. Questionnaires cover about drug use in the past month, including the number of days used, the number of drinks consumed, and the number of cigarettes smoked. The survey also asks about the frequency of drug use in the past year and the age at which the respondent first used drugs.

1 minute to complete

Eligibility

The survey is available for people who are above the age of eighteen and are residing in the United States of America.

undefined

Questions for Survey On Drug And Alcohol Abuse

Questions

1.

Have you ever abused drugs or alcohol?

The answer should be a single choice:
  1. Yes
  2. No
2.

If yes, how often do you abuse drugs or alcohol?

The answer should be a text input.
3.

What type of drugs or alcohol do you abuse?

The answer should be a text input.
4.

How do you feel after abusing drugs or alcohol?

The answer should be a single choice:
  1. Not at all satisfied
  2. Slightly satisfied
  3. Moderately satisfied
  4. Very satisfied
  5. Completely satisfied
5.

Have you ever experienced negative consequences as a result of your drug or alcohol abuse?

The answer should be a single choice:
  1. Yes
  2. No
6.

If yes, what were the consequences?

The answer should be a text input.

Here are some FAQs and additional information
on
Survey On Drug And Alcohol Abuse

What is the difference between alcohol and drug abuse?

Alcohol abuse is defined as a pattern of drinking that results in one or more of the following situations within a 12-month period: failure to fulfill major responsibilities at work, school, or home; drinking in situations that are physically dangerous; legal problems related to drinking; or continued drinking despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol. Drug abuse, on the other hand, is defined as a pattern of drug use that results in one or more of the following situations within a 12-month period: failure to fulfill major responsibilities at work, school, or home; using in situations that are physically dangerous; legal problems related to drug use; or continued drug use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the drug.

Want to use this template?

Testimonials

G2 BadgesG2 BadgesG2 BadgesG2 BadgesG2 Badges

What's next? Try out templates like
Survey On Drug And Alcohol Abuse

1000+ Templates, 50+ Categories

Want to create secure online forms and surveys?

Join BlockSurvey.

SHARE