Oct 24, 2006 11:19
Guys I really need some help. I have to have this survey done by tommorrow for sociology so if you could, (those who drink), could fill this out and comment back the answers, I would love you forever.
We are conducting a survey on alcohol abuse for our sociology class. Only those who consume alcohol should take this survey. Please answer honestly and openly; every survey in anonymous. Thank you for your time.
1. Gender: A. Male B. Female
2. Age: ________
3. Which political party would you most likely affiliate with?
A. Republican B. Democrat C. Independent D. None
4. Have you ever drunk alcohol? A. Yes B. No
5. If yes, how often do you drink?
A. once a year B. once a month C. once a week D. More than once a week
6. Is there any alcoholism in your family history? A. Yes B. No
7. Have you ever passed out from drinking? A. Yes B. No
8. Have you ever operated a vehicle under the influence of alcohol? A. Yes B. No
9. Have you ever ridden with a driver who had been drinking? A. Yes B. No
10. Do you know anyone who has been involved in a drunk driving accident?
A. Yes B. No
11. Do either of your parents drink? A. Yes B. No
12. If you drank before the legal age, did your parents buy it for you? A. Yes B. No
13. Who do you drink with? A. other people B. alone C. both
14. Have you ever served as a designated driver? A. Yes B. No
15. Have you ever gone to work drunk? A. Yes B. No
16. Have you ever gone to school drunk? A. Yes B. No
17. Do you ever miss out on family functions to stay home and drink? A. Yes B. No
18. Do you know anyone who has received a DUI? A. Yes B. No
19. How old were you when you first started drinking?
A. 15 and under B. 16 to 18 C. 19 to 20 D. 21 and over
20. What is your opinion of the current drinking age? (21)
A. Too low B. Too high C. Just right
21. In your opinion, do you currently or have you ever abused alcohol? A. Yes B. No
22. Would you buy alcohol for someone under 21 if you trusted them? A. Yes B. No
23. Do you consider yourself a responsible drinker? A. Yes B. No
24. In your opinion, are your inhibitions lowered while you drink? A. Yes B. No
25. Have you ever done something you regret while drunk? A. Yes B. No
26. Have you ever or do you currently binge drink? A. Yes B. No