Wine Management Made Easy Question Title * 1. How old are you? Question Title * 2. What do you do? Question Title * 3. What is your marital, family status and ages of your children if applicable? Please give any other details around this. Single with no children Single with children Married with no children Married with children Divorced no children Divorced with children Question Title * 4. Are you a... Please write any other comments habitual drinker? binge drinker? or both? Question Title * 5. How much wine (or alcohol) do you drink each week? Less than 7 glasses (175 ml) of wine a week 7-12 glasses 12-15 glasses 15-20 glasses 20-25 glasses More than 25 glasses Don't drink wine but drink something else Please give as much detail as possible as to what you drink, when you drink it etc Other (please specify) Question Title * 6. Do you think you drink too much? Question Title * 7. Why do you drink wine or other alcohol? Question Title * 8. What are your reasons for drinking as much as you do (if applicable)? What influences you to drink and would you like to drink less? Question Title * 9. Do you worry about your long term and internal health from drinking wine or other alcohol? Question Title * 10. If there is anything else you would like to share about your wine (or alcohol) drinking such as needs, habits, issues, addiction and frustrations, please write here, along with any help you might need should you do Janey's wine management course Done