|
1. What is your age? (Required) |
|
|
| 16-18 |
0 |
0% |
| 18-21 |
0 |
0% |
| 21-24 |
2 |
100% |
| Total Number of Choices | 2 | |
|
2. What is your gender? (Required) |
|
|
| Male |
2 |
100% |
| Female |
0 |
0% |
| Total Number of Choices | 2 | |
|
3. Marital status (Required) |
|
|
| Single |
1 |
50% |
| Married |
1 |
50% |
| Divorced |
0 |
0% |
| Widowed |
0 |
0% |
| Total Number of Choices | 2 | |
|
4. Where do you study? (Required) |
|
|
| School |
0 |
0% |
| College |
0 |
0% |
| University |
2 |
100% |
| Total Number of Choices | 2 | |
|
5. Do you live with both parents? (Required) |
|
|
| Both |
1 |
50% |
| One of them |
0 |
0% |
| Neither |
1 |
50% |
| Guardian |
0 |
0% |
| Total Number of Choices | 2 | |
|
6. Where do you live? (Required) |
|
|
| Home |
2 |
100% |
| Student accomodation |
0 |
0% |
| Other |
0 |
0% |
| Total Number of Choices | 2 | |
|
7. At what age did you first start drinking alcohol? (Required) |
|
|
| Under 16 |
0 |
0% |
| 16-18 |
0 |
0% |
| 19-21 |
2 |
100% |
| 21+ |
0 |
0% |
| Total Number of Choices | 2 | |
|
8. If you started drinking under the age of 18, then why? (Tick all that apply) (Required) |
|
|
| Peer pressure |
0 |
0% |
| Confidence boost |
1 |
50% |
| Made you feel older/tougher |
0 |
0% |
| Other |
1 |
50% |
| Total Number of Choices | 2 | |
|
9. How many units of alcohol do you drink in a week? (Required) |
|
|
| 1-10 |
1 |
50% |
| 11-21 |
1 |
50% |
| 21-30 |
0 |
0% |
| 30+ |
0 |
0% |
| Total Number of Choices | 2 | |
|
10. How many units is 'binge drinking' in a typical session? (please tick for each) (Required) |
|
|
| Men: 1-2 |
0 |
0% |
| 2-3 |
0 |
0% |
| 3-4 |
0 |
0% |
| 4-5 |
0 |
0% |
| 5-6 |
1 |
25% |
| 6+ |
1 |
25% |
| Women: 1-2 |
0 |
0% |
| 2-3 |
0 |
0% |
| 3-4 |
0 |
0% |
| 4-5 |
1 |
25% |
| 5-6 |
1 |
25% |
| 6+ |
0 |
0% |
| Total Number of Choices | 4 | |
|
11. In a typical week, how many times do you drink? (Required) |
|
|
| 1-3 |
2 |
100% |
| 4-6 |
0 |
0% |
| Everyday |
0 |
0% |
| Total Number of Choices | 2 | |
|
12. Why do you drink? (Required) |
|
|
| Total Number of Comments | 2 | |
|
13. Do your parents drink? (Required) |
|
|
| Yes |
0 |
0% |
| No |
0 |
0% |
| One of them |
2 |
100% |
| Total Number of Choices | 2 | |
|
14. With whom do you drink? (Tick all that apply) (Required) |
|
|
| Parents |
0 |
0% |
| Siblings |
0 |
0% |
| Extended family |
1 |
25% |
| Friends |
2 |
50% |
| Others |
1 |
25% |
| Total Number of Choices | 4 | |
|
15. Where do you drink? (Tick all that apply) (Required) |
|
|
| Home |
1 |
17% |
| Student accomodation |
1 |
17% |
| Pubs/Clubs |
2 |
33% |
| Parties |
2 |
33% |
| Other |
0 |
0% |
| Total Number of Choices | 6 | |
|
16. What do you believe 'binge drinking' to be? (Required) |
|
|
| Total Number of Comments | 2 | |
|
17. Would you class yourself as a 'binge drinker?' (Required) |
|
|
| Yes |
0 |
0% |
| No |
2 |
100% |
| Total Number of Choices | 2 | |
|
18. Is anyone else in your family a 'binge drinker?' (Required) |
|
|
| Yes |
0 |
0% |
| No |
2 |
100% |
| Total Number of Choices | 2 | |
|
19. Does drinking alcohol boost your confidence? (Required) |
|
|
| Yes |
2 |
100% |
| No |
0 |
0% |
| Total Number of Choices | 2 | |
|
20. Were you able to purchase alcohol under the legal age? (Required) |
|
|
| Yes |
0 |
0% |
| No |
2 |
100% |
| Total Number of Choices | 2 | |
|
21. Are you able to purchase cheap alcohol? (Required) |
|
|
| Yes |
1 |
50% |
| No |
1 |
50% |
| Total Number of Choices | 2 | |
|
22. Has the increase in pub/club opening hours affected you at all? (Required) |
|
|
| Total Number of Comments | 2 | |
|
23. When was the last time you saw an advertisement on T.V regarding safe alcohol limits? (Required) |
|
|
| Today |
1 |
50% |
| Past few days |
1 |
50% |
| Past week |
0 |
0% |
| Past month |
0 |
0% |
| Past year |
0 |
0% |
| Never |
0 |
0% |
| Total Number of Choices | 2 | |
|
24. What do you drink? (Tick all that apply) (Required) |
|
|
| 'Low alcohol' drinks (Beer, Lager, Cider at 2%) |
1 |
25% |
| 'Super strength' drinks (Beer, Lager, Cider at 9%) |
0 |
0% |
| Spirits (Gin, Rum, Vodka & Whisky) |
2 |
50% |
| Shots |
0 |
0% |
| Alcopops |
1 |
25% |
| Wine & Champagne (Red, White, Rose or Sparkling) |
0 |
0% |
| Fortified Wine (Sherry & Port) |
0 |
0% |
| Total Number of Choices | 4 | |