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  • Drinking Questionnaire DR Q 112001

    Transféré par

    ark1974
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    This document appears to be a questionnaire assessing a participant's cravings and urges to drink alcohol. It contains two questions - the first asks the participant to rate the strength of their desire to drink when reminded of alcohol on a scale of 0 to 4. The second question asks the participant to imagine themselves in an environment where they previously drank and rate the likelihood they would drink today in that scenario on the same 0 to 4 scale. The document provides identifying information for the participant and date but no other context or responses.

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    Drinking Questionnaire Dr q 112001

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    This document appears to be a questionnaire assessing a participant's cravings and urges to drink alcohol. It contains two questions - the first asks the participant to rate the strength of their desire to drink when reminded of alcohol on a scale of 0 to 4. The second question asks the participant to imagine themselves in an environment where they previously drank and rate the likelihood they would drink today in that scenario on the same 0 to 4 scale. The document provides identifying information for the participant and date but no other context or responses.

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    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    2 vues1 page

    Drinking Questionnaire DR Q 112001

    Transféré par

    ark1974
    This document appears to be a questionnaire assessing a participant's cravings and urges to drink alcohol. It contains two questions - the first asks the participant to rate the strength of their desire to drink when reminded of alcohol on a scale of 0 to 4. The second question asks the participant to imagine themselves in an environment where they previously drank and rate the likelihood they would drink today in that scenario on the same 0 to 4 scale. The document provides identifying information for the participant and date but no other context or responses.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

    Date Entered___________ Staff Initials___________

    COMBINE DRINKING QUESTIONNAIRE (DRQ Ver A)


    Center Participant # Participant Initials Week Sequence

    0 1
    Date Staff ID

    /
    mo. da.

    /
    yr.

    1. In the past week, please rate how strong your desire to drink has been when something in the environment has reminded you of drinking (examples: seeing a beer ad, walking past the liquor section in the grocery store). No desire 0 1 2 3 Extremely strong 4

    2. Please imagine yourself in the environment in which you previously drank alcohol (for example, a bar, a restaurant, or a particular room where you live.) If you were in this environment today and if it were the time of day that you typically drank, what is the likelihood that you would drink today? Not at all 0 1 2 3 Im sure I would drink 4

    DRQ_3 (10/11/00)

    Page 1 of 1

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