Changing the Culture of Risky Drinking
Name of Festival:
*
Your First & Last Name:
*
Assessment Date:
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Month
-
Day
Year
Date
Start Time (of assessment):
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
End Time (of assessment):
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Assessment
1. Did you see people NOT being carded who appeared to be under the age of 30?
*
Yes
No
Comments:
2. Were wristbands used to identify people who were 21 and older?
*
Everyone
Some
None
3. Were people under age 21 allowed in the area where alcohol was sold or consumed? Were people able to take their alcoholic? beverage out of a restricted area? (Circle yes if either were occurring)
*
Yes
No
Comments:
4. Could you tell the difference between alcoholic and non-alcoholic beverages, based on their container?
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Yes
No
Comments:
5. Could people buy more than one drink at a time? (includes pitchers)
*
Yes
No
Comments:
6. Were any bottles or cups larger than 12 ounces? Were pitchers of beer sold? (Note: some wine coolers are 16 oz.)
*
Yes, one or more of these occurred.
No, none of these occurred.
Comments:
7. Did the festival offer price discounts on drinks or tickets? (example: All-you-can-drink, pitchers, tickets/drinks at a lower price if you purchase a larger quantity)
*
Yes
No
Comments:
8. Did you see obviously intoxicated people purchasing alcohol?
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Yes
No
Comments:
9. Did you see any of the servers consuming alcohol while on duty?
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Yes
No
Comments:
10. Was food sold in the same place as alcohol?
*
Yes
No
Comments:
11. Were there alcohol product or tavern banners/signs displayed at the event?
*
Yes
No
Comments:
12. 12. When did alcohol sales end?
*
When the Festival ended.
30 minutes before festival ended.
1 hour before festival ended.
Comments:
13. What were people smoking at this event?
*
14. Rate the level of intoxication at this festival:
1 (low)
2
3 (moderate)
4
5 (extreme)
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