'Binge drinking'

1. What is your age? (Required)

Please select an option16-18 18-21 21-24

2. What is your gender? (Required)

Male    Female

3. Marital status (Required)

Please select an optionSingle Married Divorced Widowed

4. Where do you study? (Required)

Please select an optionSchool College University

5. Do you live with both parents? (Required)

Please select an optionBoth One of them Neither Guardian

6. Where do you live? (Required)

Please select an optionHome Student accomodation Other

7. At what age did you first start drinking alcohol? (Required)

Please select an optionUnder 16 16-18 19-21 21+

8. If you started drinking under the age of 18, then why? (Tick all that apply) (Required)

Peer pressure    Confidence boost    Made you feel older/tougher    Other

9. How many units of alcohol do you drink in a week? (Required)

Please select an option1-10 11-21 21-30 30+

10. How many units is 'binge drinking' in a typical session? (please tick for each) (Required)

Men: 1-2    2-3    3-4    4-5    5-6    6+    Women: 1-2    2-3    3-4    4-5    5-6    6+

11. In a typical week, how many times do you drink? (Required)

Please select an option1-3 4-6 Everyday

12. Why do you drink? (Required)

13. Do your parents drink? (Required)

Please select an optionYes No One of them

14. With whom do you drink? (Tick all that apply) (Required)

Parents    Siblings    Extended family    Friends    Others

15. Where do you drink? (Tick all that apply) (Required)

Home    Student accomodation    Pubs/Clubs    Parties    Other

16. What do you believe 'binge drinking' to be? (Required)

17. Would you class yourself as a 'binge drinker?' (Required)

Yes    No

18. Is anyone else in your family a 'binge drinker?' (Required)

Yes    No

19. Does drinking alcohol boost your confidence? (Required)

Yes    No

20. Were you able to purchase alcohol under the legal age? (Required)

Yes    No

21. Are you able to purchase cheap alcohol? (Required)

Yes    No

22. Has the increase in pub/club opening hours affected you at all? (Required)

23. When was the last time you saw an advertisement on T.V regarding safe alcohol limits? (Required)

Please select an optionToday Past few days Past week Past month Past year Never

24. What do you drink? (Tick all that apply) (Required)

'Low alcohol' drinks (Beer, Lager, Cider at 2%)    'Super strength' drinks (Beer, Lager, Cider at 9%)    Spirits (Gin, Rum, Vodka & Whisky)    Shots    Alcopops    Wine & Champagne (Red, White, Rose or Sparkling)    Fortified Wine (Sherry & Port)