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1. I have a headache
2. If I'm feeling restricted in any way,
drinking makes me feel better.
3. I have a hard time sleeping
4. I feel stressed lately
5. I feel scared without any good
reason.
6. I felt I was close to panic.
7. I worry too much
8. Drinking makes me inefficient.
2.2 Mood
7. I feel irresponsible
8. I can't act as quickly when I've been
drinking.
9. I get clumsy when I drink
2.4 Memory
Sources:
Sutton D. March 28, 2011.Enhancing Motivation for Change in
https://www.ncbi.nlm.nih.gov/books/NBK64976/table/A62223/?fbclid=IwAR
3jLmwY-UrM28_yc2KW4ZnzO3Wbi8R8EDP0OtkcsL9ilWYR3e8BAu07_o8
Questionnaire:
1. Gender
o Male
o Female
2. How old are you?
o 13-14
o 15-16
o 17-18
o 19
3. How long have you been drinking?
o Less than one year
o One year
o More than a year
4. How often do you drink alcohol?
o Always
o Often
o Sometimes
o Never
5. How many drinks do you usually consume in drinking alcohol?
o Half a bottle
o One bottle
o More than two bottles
6. Why did you start consuming alcohol?
o Peer pressure
o Curiosity
o For celebrations or parties
o Adult influence