Drinking Habits Survey
  • Name
  • Date of birth
  • Gender

  • Occupation
  • Do you drink alcohol?
  • What sort of drinker are you?

  • What do you typically drink?

  • List your favorite alcoholic beverages

  • How often do you drink?
  • Where do you usually drink?

  • How much do you spend a month on drinking?
  • Is there a family history of alcoholism?

  • Please elaborate

  • Does anyone close to you drink heavily?

  • Please elaborate

That's all, folks!

* End page and disqualification logic can only be seen in the live survey