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What is your gender?
 
Female
 
Male
 
 
 
What is your age group?
 
16 - 21
 
22 - 27
 
28 - 35
 
36 - over
 
 
 
How often do you consume any form of alcohol?
 
Never
 
1 - 3 times a week
 
4 - 5 times a week
 
More
 
 
 
How much alcohol would you consume each time?
 
1 - 3 glasses
 
4 - 5 glasses
 
6 or more
 
 
 
What alcohol do you consume?  (You may choose more than one)
 
Beer
 
Wine
 
Spirits
 
Other

 
 
 
When the weekend comes, do you find yourself consuming more alcohol?
 
Yes
 
No
 
Depends on the occasion
 
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