Alcohol Questionnaire

Please answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.

Alcohol Consumptom

When you have completed the questionnaire please drop it into the surgery.

If you have scored more than 5 on the questionnaire, please complete this next one:

Full Alcohol Screen

If you would like some help to reduce your alcohol intake, please ask the Receptionist for an appointment when you drop your forms off at the surgery.