Original | 7. Have you ever had
drunken sex? _____ Yes _____
No 7b. If yes to 7, how many times have you had drunken sex in the past year? _____ sometimes _____ usually _____ frequently _____ never |
G1 | Question
7a. Have you ever engaged in sexual activity while under the influence of
alcohol? A. Yes B. No Question 7b. If yes to 7a, how many times have you done so in the past year? A. Never B. 1-5 C. 6-10 D. More than 10 times |
G2 | 6. In
the past 12 months, have you ever had sex (that is, any mutually voluntary
activity with another person that involves genital contact and sexual
excitement or arousal, even if intercourse and/or orgasm did not take place)
while under the influence of alcohol? _____ Yes _____ No _____Not sure _____Not applicable 6b. If Yes to 6, in general, how often have you had sex while under the influence of alcohol in the past year? _____ Very frequently _____ Frequently _____ Occasionally _____ Rarely _____ Very rarely |
G3 | 14.
Have you ever had sex while under the influence of alcohol ? _____ Yes _____ No 14a. If yes to 14, how many times have you had sex while under the influence of alcohol in the past year? _____ seldom _____ sometimes _____ frequently _____ never 15. Have you ever had sex while under the influence of alcohol and not explicitly given consent? _____ seldom _____ sometimes _____ frequently _____ never 16. Have you ever had sex while under the influence of alcohol and not explicitly received consent? _____ seldom _____ sometimes _____ frequently _____ never |
G4 | 11.
Have you ever engaged in sexual activity after consuming four or more
alcoholic drinks? (For this questionnaire, sexual activity is considered any
activity between yourself and one or more persons involving direct
stimulation of the genital region of any participant.) _____ Yes _____ No 11b. If yes to 11, how many times in an average month do you engage in sexual activity after consuming four or more alcoholic drinks? ____1-2 ____3-4 ____5 or more |
G5 | 4. In
an average month, how often do you mix alcohol use and sexual activity? _____ Never _____ 1-3 times _____ 4-6 times _____ 7-9 times _____ 10 or more times |