Questionnaire - Page 2(a) of 9
(1077 maximum possible questions)		 Last updated: May 12, 2008

THE ANALYST TM
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The following questions deal with alcohol consumption, alcoholism and recovery from alcoholism.
203.  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
204.  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
205.  Do you suffer hangovers after drinking alcohol?
No / don't know
Mild
Moderate
Serious
Severe
206.  When drinking alcohol heavily, have you suffered blackouts (no memory of events)?
Don't know / doesn't apply
No, never
Probably
Occasionally
Frequently
207.  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
208.  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
209.  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 man gets a telephone call from a doctor. The doctor says: "About this medical test I did on you, I have some good news and some bad news."
The man asks for the good news first: "The good news is that you have 24 hours to live," says the doctor.
Horrified, the man asked: "If that is the good news, then what is the bad news??"
"I couldn't reach you yesterday!"