1. Do you drink alcohol regularly?
__Yes
__No
2. At what age did you started drinking?
__10 to 13yrsold
__13 to 15yrsold
__15 to 18yrsold
__18 to 20yrsold
__21 and above
3. What is your reason for drinking? (you can choose more than
one)
__Occasions
__Parties
__To forget problems
__To relax
__I like the taste
__Others
4.
What type of alcohol do you usually drink?
__Beer
__Gin
__Liquor
__Rum
__Wine
__Whiskey
__Vodka
__Others
5.
How much quantity do you usually drink?
__1
cup
__2
cups
__3
cups
__4
cups
__5
cups and above
6.
Who influenced you to drink?
__Family
__Friends
__Classmates
__Officemates
__Others
7.
How does drinking of alcohol affect you?
__I
feel dizzy
__I
feel more aggressive
__I
can’t remember a think
__I
feel relax
__Nothing
__Others
8. What do think about people who drink alcohol?
_______________________________________________________________.
9. Who do think is more accepted by the society?
__Drinker
__Non-drinker
10. Why?
_______________________________________________________________.
Checked!
TumugonBurahinSurvey: 8/10