Please help me ......... ( urgent )

[matilda]

1. How old are you?
O Less than 20 *** 20-30 O 30-40 O More than 40
2. Gender:
O Male *** Female
3. Do you drink Alcohol?
O Yes *** No (Go to question #7)
4. How much do you drink on average? (per week)
Volume ……. O Glasses O Bottles O Liters
5. What is your drink? If your choice is other, please write your drink …
O Beer O Wine O Spirits O Gin O Cider
O others (………………..)
6. When you drink alcohol, do you face any of these problems?
Stress, anxiety or depression: O None O 1-3 O 4-9 O more than 9
Damaged relationships: O None O 1-3 O 4-9 O more than 9
Fights, troubles other people: O None O 1-3 O 4-9 O more than 9
Hurt your self, someone else: O None O 1-3 O 4-9 O more than 9
7. Do you face problems falling asleep?
O Not at all ***Not much OSometimes O A lot
8. Do you wake up during the night?
O Not at all *** Not much O Sometimes O A lot
9. Do you face problems at school/work?
O Not at all O Not much *** Sometimes O A lot
10. Do you notice any change in your usual appetite?
O Not at all *** Not much O Sometimes O A lot
11. Do you have any thoughts of death or suicide?
***Not at all O Not much O Sometimes O A lot
12. Have you noticed any decrease or increase in your weight during the last 3 weeks?
O Not at all O Not much O Sometimes *** A lot
13. Do you feel restless?
O Not at all O Not much *** Sometimes O A lot
THANK YOU FOR COMPLETING THIS SURVEY


Hope you use it



Matilda

[Tdol]

And another

[ineedahelp]

thank you very much guys


i appreciate that

[Toncha]

I did.