Scoonie Alcohol Questionnaire
About me

How many units of alcohol do I think I drink each week?*

How many units of alcohol do I think I drink each week?*

My age*

My age*

My gender*

My gender*

My location*

My location*

The number of units that you actually consume in a week (calculated for you):

The number of units that you actually consume in a week (calculated for you):

0

Consumption based on maximum daily consumption X days of drinking (calculated for you):

Consumption based on maximum daily consumption X days of drinking (calculated for you):

0
In the last week
On ONE day of drinking (the day that I drank the most), I consumed

Wine – still or sparkling (glasses)

Wine – still or sparkling (glasses)

number of glasses (bottle = 6 small / 3 large glasses)

Beer or Cider (bottles or glasses)

Beer or Cider (bottles or glasses)

number of bottles or glasses

Shots or Spirits (glasses)

Shots or Spirits (glasses)

number of glasses

I drank on these days (tick all that apply)

I drank on these days (tick all that apply)

How many days in the week would you drink this amount?

How many days in the week would you drink this amount?

My measures over a week
Please indicate in the box the number of each type of drink you may have per week

Wine – small glass

Wine – small glass

(bottle = 6 small glasses)

glasses

Wine – large glass

Wine – large glass

(bottle = 3 large glasses)

glasses

Wine – champagne flute

Wine – champagne flute

(bottle = 6 glasses)

glasses

Beer – small bottle or 1/2 pint

Beer – small bottle or 1/2 pint

bottles / glasses

Beer – large bottle or pint

Beer – large bottle or pint

bottles / glasses

Shots or Spirits – single

Shots or Spirits – single

glasses

Shots or Spirits – double

Shots or Spirits – double

glasses
Summary
note: Hazardous drinking = more than 14 units per week

Weekly consumption (units) based on response to “my measures over a week”:

Weekly consumption (units) based on response to “my measures over a week”:

0

Weekly consumption (units) based on maximum daily consumption X days of drinking:

Weekly consumption (units) based on maximum daily consumption X days of drinking:

0

I have found this resource useful in helping me to understand more clearly my unit consumption relative to my drinking.*

I have found this resource useful in helping me to understand more clearly my unit consumption relative to my drinking.*