Questionnaire on Alcohol consumption
MOTIVATIONAL & BEHAVIORAL FACTORS AFFECTING ALCOHOL CONSUMPTION AMONGST COLLEGE-GOING STUDENTS.
1. Name:
2. Gender:
3. College:
4. Class Level:
5. Pocket Money:
6. Have you consumed alcohol before:
If No, then go to 8.
7. Have you consumed alcohol for other than tasting purposes:
8. Are you willing to try:
If Yes, then go to 10.
9. If No, then why not:
10. At what age did you start consumption:
11. Which of the following types of alcohol have you tried:
12. Of those specified in 11, which do you prefer to consume the most:
13. Any brand in particular:
14. Why:
15. How frequently do you consume alcohol:
16. How much do you drink at a given point of time:
17. How often in the last month have you had alcohol to drink:
18. Which of the following factors affect your decision to consume alcohol:
19. How many of your friends consume alcohol:
20. How often have your friends asked you to consume alcohol:
21. How much would your friends stop you from consuming alcohol:
22. Of the following, where do you normally consume alcohol:
23. How much do you spend on alcohol in one month:
24. Has your drinking alcohol caused you any of the following problems:
25. Do any of your parents consume alcohol:
26. Are your parents aware about your alcohol consumption
27. Have you tried to quit:
28. If Yes, how successful was it: