HBC Dry January Questionnaire Question Title * 1. What is your sex and how old are you? Female, 18-24 years Female, 25-34 years Female, 35-44 years Female, 45-54 years Female 55-64 years Female 65-74 years Female, 75 years and older Male, 18-24 years Male, 25-34 years Male, 35-44 years Male, 45-54 years Male 55-64 years Male 65-74 years Male, 75 years and older OK Question Title * 2. How often do you have a drink containing alcohol? A. Never B. Monthly C. 2 to 4 times a month D. 2 to 3 times a week E. 4 or more times a week OK Question Title * 3. How many alcohol units do you have on a typical day when you are drinking? A. 1 or 2 B. 3 or 4 C. 5 or 6 D. 7 to 9 E. 10 or more OK Question Title * 4. How many times have you had 5 or more drinks for men or 4 or more drinks for women on a single occasion in the last year? A. Never B. Less than monthly C. Monthly D. Weekly E. Daily or almost daily OK Question Title * 5. During the last year, how often you were not able to stop drinking once you started? A. Never B. Less than monthly C. Monthly D. Weekly E. Daily or almost daily OK Question Title * 6. During the last year, how often have you failed to do what was expected of you because of drinking? A. Never B. Less than monthly C. Monthly D. Weekly E. Daily or almost daily OK Question Title * 7. During the last year, how often have you needed a first drink in the morning to get your self going after a heavy drinking session? A. Never B. Less than monthly C. Monthly D. Weekly E. Daily or almost daily OK Question Title * 8. During the last year, how often have you had a feeling of guilt or remorse after drinking? A. Never B. Less than monthly C. Monthly D. Weekly E. Daily or almost daily OK Question Title * 9. During the last year, how often have you been unable to remember what happened the night before because you have been drinking? A. Never B. Less than monthly C. Monthly D. Weekly E. Daily or almost daily OK Question Title * 10. Have you or someone else been injured because of your drinking or has a relative, friend, doctor or other health worker been concerned about your drinking or suggested you cut down? A. Never B. Once, but not in the last year C. Yes, in the last year D. Yes, in the lat month OK DONE