The Drinking Decoder: Discover What's Really Behind Your Alcohol Habits...

The Drinking Decoder:

Discover What's Really Behind Your Alcohol Habits...
Name*

First NameLast Name
Email*
example@example.com
1. When do you most frequently drink alcohol? (Choose all that apply)*

After a stressful dayIn social situationsWhen I feel bored or lonelyWhen I feel sad or downTo celebrate good newsWhen I can't sleep
2. Which emotions do you most often feel before deciding to drink?*

AnxietyLonelinessHappiness/excitementAnger/frustrationBoredomI don't notice any particular emotions
3. How often do you drink to relieve stress?*

NeverRarelySometimesOftenAlmost always
4. Which statement best describes your typical drinking pattern?*

I drink on specific occasions onlyI drink socially when others are drinkingI drink at regular times (like every evening)I drink whenever I feel the urgeMy drinking doesn't follow any pattern
5. When you try to cut back, what's the hardest situation to avoid drinking?*

Social gatherings with friendsAfter a difficult day at workWhen I feel emotionally upsetWeekend nightsWhen I'm alone
6. Which physical or environmental triggers most often lead to drinking?*

Seeing alcohol in my homePassing by a bar or pub or shop that sells alcoholBeing in certain locations (friend's house, pubs, bars, clubs, certain restaurants)Feeling physically tiredWatching TV/movies where people are drinkingNone of these apply to me
7. How often do you drink to help you fall asleep?*

NeverRarelySometimesOftenAlmost always
8. When you drink, what are you typically seeking?*

Relief from negative emotionsEnhanced enjoyment of an experienceConnection with othersTo feel more confidentTo silence inner thoughts
9. What thought typically goes through your mind before drinking?*

I deserve this after todayThis will help me feel betterEveryone else is drinkingI need this to relaxThis will be fun
10. When you've tried to reduce your drinking in the past, what was the main challenge?*

Managing stress without alcoholSocial pressureDealing with emotionsBreaking the habit/routinePhysical cravingsI haven't tried
11. Which statement best reflects your relationship with alcohol?*

Drinking helps me cope with things I don't want to faceDrinking is just something I do sociallyDrinking has become part of my regular routineI drink to enhance positive experiencesDrinking helps me manage my emotions
12. If you couldn't drink alcohol anymore, what would you miss most?*

The feeling of relaxation it providesThe social aspectThe escape from problems or emotionsThe taste/enjoyment of the drinks themselvesThe routine/habit
Emotional Coping*
Social Facilitation*
Habit/Routine*
Stress Relief*
Max
Heading
Results
Total Score*
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