* 1. What is your gender?

* 2. What is your age?

* 3. When did you start drinking alcohol?

* 4. How often do you drink?

* 5. Why do you drink?

* 6. Where do you usually drink?

* 7. Have you ever experienced health problems due to drinking? If yes, which ones?

* 8. 8. Have you ever made decisions under the influence of alcohol and later regretted them?

* 9. Have you tried to stop drinking?

T