Original | 5. Check the word
that best describes how often you drink beer. _____ sometimes _____ usually _____ frequently _____ never |
G1 | Question
6: During an average week, how often do you consume beer? A. 0 times per week B. 1-2 times per week C. 3-5 times per week D. 6-7 times per week E. More than once per day |
G2 | 3.
3a. In the past 12 months, on average, how often you drink wine? _____Everyday _____3-5 times a week _____1-2 times a week _____2 to 3 times a month _____Once a month _____3 to 11 times in the past year _____1 or 2 times in the past year _____Never 3b. In the past 12 months, on average, how often you drink beer? _____Everyday ..... _____Never 3c. In the past 12 months, on average, how often you drink liquor? _____Everyday ..... _____Never |
G3 | The
following questions refer to alcohol consumption. For the purpose of this survey, alcohol
refers to a) fermented alcoholic beverages and, b) distilled alcoholic
beverages. Fermented alcoholic beverages have a relatively low alcohol
content (typically less than 15%) and include wine, beer and cider. Distilled
alcoholic beverages typically have a higher alcohol content (typically 35% or
higher) and include gin, vodka, bourbon, tequila, whisky, rum, sake, soju etc. 8. Do you drink alcohol? _____ Yes _____ No (Go to Question 10 directly) 9. How often do you drink fermented alcoholic beverages? Fermented alcoholic beverages include beer, wine and cider. _____ more than five times a week _____ 3-4 times a week _____ 1-2 times a week _____ less than 2 times a month _____ never (eg. I drink other alcoholic beverages other than fermented alcohol) 9b. How often do you drink distilled alcoholic beverages? Distilled alcoholic drinks (i.e. hard liquor) that have a relatively high alcohol content (typically 35% or more), like Brandy, vodka, bourbon, tequila, whisky, etc.? _____ more than five times a week ….. _____ never (eg. I drink other alcoholic beverages that do not contain distilled alcohol) |
G4 | The
following questions ask about your personal alcohol consumption. An
“alcoholic drink” is equivalent to any of the following: a can or bottle of
beer/glass of wine/bottle or can of wine cooler/shot of liquor/any mixed
drink with alcohol 1. In an average week, how frequently do you have at least one alcoholic drink? ____1-2 ____3-4 ____5 or more ____None at all 2. How many alcoholic drinks do you consume in an average drinking session? ____1-2 ____3-4 ____5 or more ____None at all |
G5 | 1.
How many times in an average week do you drink alcohol? _____ Never _____ 1-2 times _____ 3-4 times _____ 5 or more times |