Survey Text

1988
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1988
Survey form view entire document:  text  image

Refer to table B on the Cover Page and ask for each person listed except the sample person.
If personal interview -- hand Card O2 and read first alternative wording.

Card O2

1. Heavy
2. Moderate
3. Light
4. Very light or occasional
5. Quit drinking
6. Never drank

If telephone interview -- read second alternative wording and the list of answer categories.
9a. Please look at this card and tell me which number best describes -- drinking during the past year. Or I am going to read a list of different drinking categories, please tell me which one best describes -- drinking in the past year.

Person no. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

b. What about -- drinking?

Person no. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

c. What about -- drinking?

Person no. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

d. What about -- drinking?

Person no. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

e. What about -- drinking?

Person no. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

f. What about -- drinking?

Person no. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

Refer to Table B on the Cover Page and ask for each person listed except the sample person.
If personal interview -- Hand Card O2 and read first alternative wording.

Card O2

1. Heavy
2. Moderate
3. Light
4. Very light or occasional
5. Quit drinking
6. Never drank

If telephone interview -- read second alternative wording and the list of answer categories.
13a. Please look at this card and tell me which number best describes --drinking during the past year. Or I am going to read a list of different drinking categories, please tell me which one best describes -- drinking in the past year.

Person No. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

b. What about -- drinking?

Person No. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

c. What about -- drinking?

Person No. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

d. What about -- drinking?

Person No. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

e. What about -- drinking?

Person No. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

f. What about -- drinking?

Person No. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

Refer to Table B on the Cover Page and ask for each person listed except the sample person.
If personal interview -- hand Card O2 and read first alternative wording.

Card O2

1. Heavy
2. Moderate
3. Light
4. Very light or occasional
5. Quit drinking
6. Never drank

If telephone interview -- read second alternative wording and the list of answer categories.

28a. Please look at this card and tell me which number best describes -- drinking during the past year.
I am going to read a list of different drinking categories, please tell me which best describes -- drinking in the past year.

Person No. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

b. What about -- drinking?

[option for 5 entries [b-f], for different sample adults in the household/family, in the original document not presented here]

Person No. ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

Refer to table B on the Cover Page and ask for each person listed except the sample person.
If personal interview -- hand Card O2 and read first alternative wording.

Card O2

1. Heavy
2. Moderate
3. Light
4. Very light or occasional
5. Quit drinking
6. Never drank

If telephone interview -- read second alternative wording and the list of answer categories.
14a. Please look at this card and tell me which number best describes -- drinking during the past year.
I am going to read a list of different drinking categories, please tell me which one best describes -- drinking in the past year.

Person No ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK

b. What about -- drinking?

[option for 6 entries, (b-f) for different household/family member, in the original document not presented here]

Person No ____
1[] Heavy
2[] Moderate
3[] Light
4[] Very light or occasional
5[] Quit drinking
6[] Never drank
9[] DK