Alcohol Questionnaire for Adults

Your Contact Details

Title

First Name(s)

Last Name

Date of Birth

Home Telephone

Work Telephone

Home Address

Postcode

Mobile Telephone

Alcohol

1 drink = 1/2 pint of beer or 1 glass of wine or 1 single spirits. 1 unit of alcohol = 10cc of alcohol. So, a small glass (125cc) of 12% wine is 12.5 * 0.12 = 1.5 units.
How often do you have a drink containing alcohol?
How many standard drinks containing alcohol do you have on a typical day?
MEN: How often do you have EIGHT or more drinks on one occasion? WOMEN: How often do you have SIX or more drinks on one occasion?

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