About You

Basic information about you (Anonymous)

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* 1. What is your age?

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* 2. What is your gender?

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* 3. What is your approximate average household income per year?

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* 4. About how many alcoholic drinks do you have each week?

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* 5. Have you ever been in an alcohol treatment program?

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* 6. Has anyone close to you ever been (or is currently) in an alcohol abuse treatment program (for example Alcoholics Anonymous, The Substance Abuse Foundation etc.)?

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* 7. Has your health ever suffered due to alcohol?

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* 8. Has anyone close to you ever suffered health problems or died due to alcohol abuse? If yes, please explain.

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* 9. Is there anyway in which you feel you have been affected negatively by alcohol? If yes,in what way?

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* 10. Do you think alcohol abuse is a problem in Barbados? If yes, please explain.

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