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2011
February
A
Alcohol addiction
Alcohol addiction
0%
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Hello:
You are invited to participate in our survey It will take approximately two minutes to complete the questionnaire.
The purpose of this study is to gather research for a course at ITT-Technical Institute. This research will not be published or shared outside of an academic setting. The purpose of this study is to gather facts and opinions on the subject alcohol addiction. This survey is completely voluntary, and responses will remain confidential and anonymous. You must be at least 18 years of age to participate in this survey. If you have any questions, email me at
[email protected]
. Thank you in advance for your participation.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
I Agree
Do you feel that alcohol addiction is a problem in the U.S. today?
Yes
No
Uncertain
How would you define an alcoholic?
Anyone that drinks one or two alcoholic beverages in a day.
Anyone that drinks three or four alcoholic beverages in a day.
Anyone that drinks four or five alcoholic beverages in a day.
Anyone that drinks six or more alcoholic beverages in a day.
What is your gender?
Male
Female
What is your age?
18 – 21
22 – 30
31 – 40
41 – 50
51 – 60
61 – 70
71+
What is your highest level of education attained?
Less than a High School Diploma
High School Diploma or GED
Some College
Vocational Degree or Certification
Undergrad Degree
Master’s Degree or Above
What type of geographic area do you live in?
Rural
Urban
Suburban
What is the social class of your city or town?
Wealthy
Upper Middle Class
Middle Class
Lower Middle Class
Poor
What type of housing do you currently live in?
Apartment
Single Family Home
Manufactured Home
Multiple Family Home
Single Room Occupancy (SRO)
Do you rent or own your home?
Rent
Own
Live with Family
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