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Klink Survey
What kind of drinker are you?
1.
Who are you favorite people to drink with? (Check all that apply).
Small groups of friends
Large groups of friends
Co-workers
Family
Significant other
Other (please specify)
2.
How often do you drink? (Pouring a glass of wine for dinner counts!)
Less than once/month
Once or twice a month
Once or twice a week
3-4 days/week
5+ days/week
3.
When do you usually drink? (check all that apply)
Occasionally on weekends
Consistently on weekends
1-2 times during the week (Sun-Thurs)
3+ times during the week (Sun-Thurs)
Other (please specify):
4.
How often do you find yourself drinking in the following places/situations?
Never
Less than once/month
Once or twice / month
Once/week
2-3 times/week
4+ times/week
N/A
At bars
Never
Less than once/month
Once or twice / month
Once/week
2-3 times/week
4+ times/week
N/A
At your home
Never
Less than once/month
Once or twice / month
Once/week
2-3 times/week
4+ times/week
N/A
At others' homes (small get-togethers)
Never
Less than once/month
Once or twice / month
Once/week
2-3 times/week
4+ times/week
N/A
At parties
Never
Less than once/month
Once or twice / month
Once/week
2-3 times/week
4+ times/week
N/A
At work functions (happy hours, company parties)
Never
Less than once/month
Once or twice / month
Once/week
2-3 times/week
4+ times/week
N/A
In restaurants, when out to dinner
Never
Less than once/month
Once or twice / month
Once/week
2-3 times/week
4+ times/week
N/A
At events (fairs, festivals, concerts, sporting events, etc)
Never
Less than once/month
Once or twice / month
Once/week
2-3 times/week
4+ times/week
N/A
Comments/Clarification
5.
Have any favorites? We'd love to know what brands or types of drinks you love the most.
Liquor
Wine
Beer
6.
On average, how much money each month do you think you spend on alcohol?
$0
Less than $20
$21 - $50
$51 - $75
$76 - $100
More than $100
While I'm out (restaurants, bars, etc)
$0
Less than $20
$21 - $50
$51 - $75
$76 - $100
More than $100
When I'm at home
$0
Less than $20
$21 - $50
$51 - $75
$76 - $100
More than $100