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Alcohol addiction survey

The purpose of this survey is to gather information about people's experiences with alcohol addiction. The survey will ask about your personal experiences with alcohol addiction, as well as your thoughts on the causes, treatments, and consequences of addiction.

1 minute to complete

Eligibility

There are no specific eligibility criteria to fill the Alcohol Addiction Survey. However, the survey is designed to collect feedback from individuals who have recently received treatment for alcohol addiction from a healthcare provider.

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Questions for Alcohol addiction survey

Questions

1.

How often do you drink alcohol?

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Occasionally
  4. Monthly
  5. Weekly
  6. Daily
2.

How many drinks do you usually have when you drink alcohol?

The answer should be a single choice:
  1. 1-2
  2. 3-4
  3. 5-6
  4. more than 7
3.

How long have you been drinking alcohol?

The answer should be a single choice:
  1. Less than 6 months
  2. 6 months to 1 year
  3. 1-2 years
  4. 3-5 years
  5. More than 5 years
4.

Do you feel that you need to drink alcohol in order to feel happy or relaxed?

The answer should be a single choice:
  1. Yes
  2. No
5.

Have you ever tried to quit drinking alcohol but found that you couldn’t?

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

Do you ever drink more alcohol than you intended to?

The answer should be a single choice:
  1. Yes
  2. No
7.

Do you ever drink alcohol even though you know it’s going to make you feel worse?

The answer should be a single choice:
  1. Yes
  2. No
8.

Do you ever drink alcohol to relieve stress or anxiety?

The answer should be a multiple choice:
  1. Never
  2. Sometimes
  3. Always
9.

How often during the past year have you failed to do what was normally expected from you because of drinking?

The answer should be a multiple choice:
  1. Never
  2. Weekly
  3. Less than monthly
  4. Almost daily
10.

Do you ever drink alcohol even though you know it’s going to make you feel tired and sluggish the next day?

The answer should be a multiple choice:
  1. Never
  2. Sometimes
  3. Always

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Here are some FAQs and additional information
on Alcohol addiction survey

What is an alcohol addiction survey?

An alcohol addiction survey is a questionnaire that is used to collect information about someone’s alcohol use. It is used to assess whether someone has an alcohol problem and to determine the severity of the problem.

What is the alcohol addiction rate?

More than 6 percent of adults in the U.S. have an alcohol use disorder, about 1 in 12 men and 1 in 25 women. An additional 623,000 people between the ages of 12 and 17 have alcohol use disorders.

How long does it take to complete an alcohol addiction survey?

The length of time it takes to complete an alcohol addiction survey can vary depending on the survey. However, most surveys can be completed in less than 10 minutes.

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