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L'înformâtion et les sèrvices publyis pouor I'Île dé Jèrri

Alcohol consumption questionnaire

​​Self-assessment questionnaire

Answer all the questions below, making a note of how many points each of your answers get.

1. How often do you have a drink containing alcohol?

Never 0 points
Once a month or less 1 point
2 to 4 times a month 2 points
2 to 3 times a week 3 points
4 or more times a week 4 points

2. How many units of alcohol do you have on a typical day when you are drinking?

1 or 2 0 points
3 or 4 1 point
5 or 6 2 points
7 to 9 3 points
10 or more 4 points

3. How often do you have 6 or more units on one occasion?

Never 0 points
Less than monthly 1 point
Monthly
2 points
Weekly 2 points
Daily or almost daily 2 points

4. How often during the past year have you found that you were not able to stop drinking once you had started?

Never 0 points
Less than monthly 1 point
Monthly 2 points
Weekly 3 points 
Daily or almost daily 4 points

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

Never 0 points
Less than monthly 1 point
Monthly 2 points
Weekly 3 points
Daily or almost daily 4 points

6. How often during the past year have you had a drink in the morning to get yourself going?

Never 0 points
Less than monthly 1 point
Monthly 2 points
Weekly 3 points
Daily or almost daily 4 points

7. How often during the past year have you had a feeling of guilt or remorse after drinking?

Never 0 points
Less than monthly 1 point
Monthly  2 points
Weekly 3 points
Daily or almost daily 4 points

8. How often during the past year have you been unable to remember what happened the night before because you had been drinking?

Never 0 points
Occasionally 1 point
Monthly 2 points
Weekly 3 points
Daily 4 points

9. Have you or somebody else been injured as a result of your drinking?

No, this has never happened 0 points
Yes, but not in the past year 4 points
Yes, during the past year 4 points

10. Has a relative, friend, doctor or health worker been concerned about your drinking or suggested you cut down?

No, never 0 points
Yes, but not in the past year 2 points
Yes, during the past year 4 points

Now you have answered all the questions, add up the points and go to the results page.

Could you be putting your health at risk? Results​​​​​

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