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(p. 233) Drinking Patterns Questionnaire 

(p. 233) Drinking Patterns Questionnaire
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date: 03 July 2020

We have found that each person has a unique or different pattern of drinking alcohol. People drink more at certain times of the day, in particular moods, with certain people, in specific places, and so forth. It is very common for people to drink more under various stresses, before or after difficult interactions, and when they are experiencing particular feelings. It may sometimes seem that there are no circumstances that relate to your drinking, that is, “I just drink.” However, after some thought, every person can identify at least some important factors.

This questionnaire will help you to think about different aspects of your life and how each might relate to your drinking. You will find instructions at the beginning of each section. Please give each item careful consideration. You will benefit most from this questionnaire if you are honest and open with your responses.

For each item, mark with an “X” whether or not you drank in this situation in the PAST 6 MONTHS.

Use the following options to answer each of the questions:

  • Mark “X” under Did not drink if you did not drink in this situation in the past 6 months.

  • Mark “X” under Sometimes drank if you did drink in this situation in the past 6 months.

  • Mark “X” under Major drinking, if you drank often in this situation in the past 6 months.

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Section 1: Environmental Factors Related to Drinking

Section 2: Work Related

Section 3: Financial

Section 4: Physiological

Section 5: Interpersonal

Section 6: Marital/Relationship

Section 7: Parents

Section 8: Children

Section 9: Emotional

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