Please help! I have some questions about Alcohol?
I am examining alchol use for a research project. Any input is greatly appreciated!!! Thank you so much for taking the time to read this:)
Gender:
Age:
Race:
1. Do you feel you are a normal drinker? (“normal” – drink as much or less than most other people)
YES or NO
2. Have you ever awakened the morning after some drinking the night before and found that you could not remember a part of the evening?
YES or NO
3. Does any near relative or close friend ever worry or complain about your drinking?
YES or NO
4. Can you stop drinking without difficulty after one or two drinks?
YES or NO
5. Do you ever feel guilty about your drinking?
YES or NO
6. Have you ever attended a meeting of Alcoholics Anonymous (AA)?
YES or NO
7. Have you ever gotten into physical fights when drinking?
YES or NO
8. Has drinking ever created problems between you and a near relative or close friend?
YES or NO
9. Has any family member or close friend gone to anyone for help about your drinking?
YES or NO
10. Have you ever lost friends because of your drinking?
YES or NO
11. Have you ever gotten into trouble at work because of drinking?
YES or NO
12. Have you ever lost a job because of drinking?
YES or NO
13. Have you ever neglected your obligations, your family, or your work for two or more days in a row because you were drinking?
YES or NO
14. Do you drink before noon fairly often?
YES or NO
15. Have you ever been told you have liver trouble such as cirrhosis?
YES or NO
16. After heavy drinking have you ever had delirium tremens (D.T.’s), severe shaking, visual or auditory (hearing) hallucinations?
YES or NO
17. Have you ever gone to anyone for help about your drinking?
YES or NO
18. Have you ever been hospitalized because of drinking?
YES or NO
19. Has your drinking ever resulted in your being hospitalized in a psychiatric ward?
YES or NO
20. Have you ever gone to any doctor, social worker, clergyman or mental health clinic for help with any emotional problem in which drinking was part of the problem?
YES or NO
21. Have you been arrested more than once for driving under the influence of alcohol?
YES or NO
22. Have you ever been arrested, even for a few hours because of other behavior while drinking?
(If Yes, how many times ________ )
YES or NO
Tagged with: About • Alcohol • Help • please • Questions • Some
Filed under: Alcohol Withdrawal Delirium
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sounds like questions from a therapist or shrink. everyone is an alky according to these questions.
Jeff B has the right idea.
male,19,white
yes, no, no, yes, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no
1. YES
2. NO…but it’s been fuzzy
3. NO
4. YES
5. NO
6. NO
7. NO
8. NO
9. NO
10. NO
11. NO
12. NO
13. NO
14. NO…only on occasion
15. NO
16. NO
17. NO
18. NO
19. NO
20. NO
21. NO…DO NOT DRINK AND DRIVE
22. NO
Gender:male
Age: 14
Race: white
1. Do you feel you are a normal drinker? (“normal” – drink as much or less than most other people)
YES
2. Have you ever awakened the morning after some drinking the night before and found that you could not remember a part of the evening?
YES
3. Does any near relative or close friend ever worry or complain about your drinking?
YES
4. Can you stop drinking without difficulty after one or two drinks?
YES
5. Do you ever feel guilty about your drinking?
NO
6. Have you ever attended a meeting of Alcoholics Anonymous (AA)?
NO
7. Have you ever gotten into physical fights when drinking?
YES
8. Has drinking ever created problems between you and a near relative or close friend?
YES
9. Has any family member or close friend gone to anyone for help about your drinking?
NO
10. Have you ever lost friends because of your drinking?
NO
11. Have you ever gotten into trouble at work because of drinking?
NO
12. Have you ever lost a job because of drinking?
NO
13. Have you ever neglected your obligations, your family, or your work for two or more days in a row because you were drinking?
NO
14. Do you drink before noon fairly often?
NO
15. Have you ever been told you have liver trouble such as cirrhosis?
NO
16. After heavy drinking have you ever had delirium tremens (D.T.’s), severe shaking, visual or auditory (hearing) hallucinations?
YES
17. Have you ever gone to anyone for help about your drinking?
NO
18. Have you ever been hospitalized because of drinking?
NO
19. Has your drinking ever resulted in your being hospitalized in a psychiatric ward?
NO
20. Have you ever gone to any doctor, social worker, clergyman or mental health clinic for help with any emotional problem in which drinking was part of the problem?
NO
21. Have you been arrested more than once for driving under the influence of alcohol?
NO
22. Have you ever been arrested, even for a few hours because of other behavior while drinking?
(If Yes, how many times ________ )
NO
no, yes, no, yes, yes, no, no, no, no, no, no, no, no, no, no, no, no, no, hell no, no, nope.
Humans and alcohol…
An often fatal combination!
Gender: Male
Age: 30
Race: Caucasian
1. YES
2. YES
3. NO
4. YES
5. NO
6. NO
7. NO
8. NO
9. NO
10. NO
11. NO
12. NO
13. NO
14. NO
15. NO
16. YES
17. NO
18. NO
19. NO
20. NO
21. NO
22. NO
Female, 54, W
no yes no yes no no yes no no no no no no no no no no no no no no no
Gender: Male
Age:20
Race:Whitew
1. Do you feel you are a normal drinker? (“normal” – drink as much or less than most other people)
YES
2. Have you ever awakened the morning after some drinking the night before and found that you could not remember a part of the evening?
YES
3. Does any near relative or close friend ever worry or complain about your drinking?
NO
4. Can you stop drinking without difficulty after one or two drinks?
YES
5. Do you ever feel guilty about your drinking?
NO
6. Have you ever attended a meeting of Alcoholics Anonymous (AA)?
NO
7. Have you ever gotten into physical fights when drinking?
YES
8. Has drinking ever created problems between you and a near relative or close friend?
NO
9. Has any family member or close friend gone to anyone for help about your drinking?
NO
10. Have you ever lost friends because of your drinking?
NO
11. Have you ever gotten into trouble at work because of drinking?
YNO
12. Have you ever lost a job because of drinking?
NO
13. Have you ever neglected your obligations, your family, or your work for two or more days in a row because you were drinking?
NO
14. Do you drink before noon fairly often?
NO
15. Have you ever been told you have liver trouble such as cirrhosis?
NO
16. After heavy drinking have you ever had delirium tremens (D.T.’s), severe shaking, visual or auditory (hearing) hallucinations?
NO
17. Have you ever gone to anyone for help about your drinking?
NO
18. Have you ever been hospitalized because of drinking?
NO
19. Has your drinking ever resulted in your being hospitalized in a psychiatric ward?
NO
20. Have you ever gone to any doctor, social worker, clergyman or mental health clinic for help with any emotional problem in which drinking was part of the problem?
NO
21. Have you been arrested more than once for driving under the influence of alcohol?
NO
22. Have you ever been arrested, even for a few hours because of other behavior while drinking?
(If Yes, how many times ________ )
NO
1 Not now (age and experience) #2 Yes #3 Yes #4 No #5 Yes #6 Yes (many now) #7 Yes #8 Yes #9 No #10 No #11 Yes #12 No #13 Yes #14 No #15 No #16 No #17 Yes #18 No #19 No #20 Yes #21 Yes (15yr between) #22 Yes Assaulting an Officer. My Gender is Female Age 56 Race White. I am clean and sober now thru GOD and AA. I would have classified myself as a Functioning alcoholic. Hope this gave you some insight, oh and by the way I started drinking and partying at age 13.
Hi My Name is Vickie & I am an alcoholic, Yes I already know this, step 1 complete*
1 No
2. 2 – 8 yes
9 no
10. – 12 yes
13. -20 no
21. yes
22. no
1 yes
2 yes
3 no
4 yes
5 no
6 no
7 no
8 no
9 no
10 no
11 no
12 no
13 no
14 no
15 no
16 no. that would be a obvious problem
17no
18 no
19 no
20 no
21 no
22 no
33
Dude
Honkey
1. N
2.Y
3. Y
4. N
5. Y
6. N
7. N
8. N
9. N
10.N
11.N
12.N
13.N
14.N
15.N
16.Y
17.Y
18.N
19.N
20.Y
21.N
22.N
Gender: female
Age: 22
Race: white
1. NO
2.YES
3.NO
4.YES
5. NO
6. NO
7. NO
8. NO
9. NO
10. NO
11. NO
12. NO
13. YES
14. NO
15. NO
16. NO
17. NO
18. NO
19. NO
20. NO
21 NO
22. NO