Alcohol Questionnaire

Alcohol Questionnaire for Adults

Please fill in this questionnaire to the best of your knowledge.

Your Contact Details

Date of Birth


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.
Men: How often do you drink more than 8 drinks on one occasion ?
Women: How often do you drink more than 6 drinks on one occasion ?

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