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Appendix F

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Questionnaire: 

Identifying Alcohol Problems

                

Parents can provide this questionnaire to their children to complete on their own. 

  • Do you miss class because of drinking or hangovers?

  • Do you drink to overcome shyness and to build confidence?

  • Do you drink to escape from study or home worries?

  • Does it bother you or anger you if someone says you drink too much?

  • Do you need to have a drink before you go out on a date?

  • Do you ever have money problems due to alcohol consumption?

  • Do your friends drink less than you?

  • Do you ever have a memory loss due to drinking?

  • Do you get into trouble with residential life staff due to drinking?

  • Do you ever think you have a drinking problem?

  • Does drinking affect your reputation?

  • Do you always drink until the bottle is empty, all the beer cans are dead, or until the party is over?

 

Assessment 

A YES answer to one question is a warning.

A YES answer to as few as three questions indicates that alcohol has become or is becoming a problem.

 

Reflections

After completing the survey, ask yourself the following:

  • How do you feel about the results of this survey?

  • What role does alcohol play in your life?

  • Is alcohol having a negative impact on your college career?

  • Do you know what campus resources are available to assist people with alcohol or other drug problems?