Survey Text

1983
top
1983
Survey form view entire document:  text  image
Hand calendar.
10a. Did you have a drink during the 2-week period [outlined on that calendar/beginning Monday, (date) and ending Sunday (date)]?

1[] Yes
2[] No (10c)
O4
Refer to 10c.

1[] Over 2 weeks, less than 1 year (17)
2[] 1 year or more (26)

22a. What is your main reason for not drinking since (date in 10c)?

00[] No need/not necessary
01[] Don't care for/dislike it
02[] Medical/health reasons
03[] Religious/moral reasons
04[] Alcoholic/problem drinker-self
05[] Costs too much
06[] Family member an alcoholic or problem drinker
07[] Quit drinking (23b)
08[] Infrequent drinker (23a)
88[] Other (Specify) ____