Alcohol Questionnaire

Please answer the questions in this short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.

Alcohol Questionnaire for Adults

Your Contact Details

Name
Name
First
Last
Address
Address
Post Code
City
Country

Alcohol

1 drink = 1/2 pint of beer or 1 glass of wine or 1 single spirits.
1 unit of alcohol = 10cc of alcohol. So, a small glass (125cc) of 12% wine is 12.5 * 0.12 = 1.5 units.