Questionnaire - Page 2(a) of 9
(1015 maximum possible questions)		 Last updated: Oct 09, 2008

THE ANALYST TM
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The following questions deal with alcohol consumption, alcoholism and recovery from alcoholism.
198.  What is your current average alcohol consumption?
Don't know
None at all
A few drinks per week or less
On average about one drink per day
On average, two or more drinks per day
199.  Do you become sick or develop symptoms after drinking wine, especially as compared to other alcoholic beverages?
No / don't know
Mildly
Moderately
Seriously
Severely - I can't tolerate it at all
200.  Do you suffer hangovers after drinking alcohol?
No / don't know
Mild
Moderate
Serious
Severe
201.  When drinking alcohol heavily, have you suffered blackouts (no memory of events)?
Don't know / doesn't apply
No, never
Probably
Occasionally
Frequently
202.  If you are currently consuming alcohol, do your friends think you have a problem with alcoholism?
No / not applicable / don't know
Probably
Yes, a moderate problem
Yes, a significant problem
Yes, a very serious problem
203.  Recovery from alcoholism. Are you...
Not applicable / don't know
Not fully recovered
Fully recovered with no known consequences
Fully recovered with mild consequences
Fully recovered, but serious health consequences
204.  If you are an alcoholic but not fully recovered, which statement is most true?
Not applicable / don't know
I don't want to quit
I am trying and it is not too difficult
I am trying, but am finding it difficult
I've tried, but gave up because it is too hard

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A: An average student with a Jewish Mother.