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Table 2 Main baseline questionnaire for the ATS

From: Protocol for a national monthly survey of alcohol use in England with 6-month follow-up: ‘The Alcohol Toolkit Study’

1. Audit
a. How often do you have a drink containing alcohol? • Never
• Monthly or less
• 2 to 4 times a month
• 2 to 3 times a week
• 4 to 5 times a week
• 6 or more times a week
b. How many standard drinks containing alcohol do you have on a typical day when you are drinking? • 1 to 2
• 3 to 4
• 5 to 6
• 7 to 9
• 10 to 12
• 13 to 15
• 16 or more
c. How often do you have six or more standard drinks on one occasion? • Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily
d. How often during the last 6 months have you found that you were not able to stop drinking once you had started? • Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily
e. How often during the last 6 months have you failed to do what was normally expected from you because of drinking? • Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily
f. How often during the last 6 months have you needed a first drink in the morning to get yourself going after a heavy drinking session? • Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily
g. How often during the last 6 months have you had a feeling of guilt or remorse after drinking? • Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily
h. How often during the last 6 months have you been unable to remember what happened the night before because you had been drinking? • Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily
j. Have you or someone else ever been injured as a result of your drinking? • No
• Yes, but not in the least 6 months
• Yes, during the last 6 months
Has a relative or friend or a doctor or another health worker ever been concerned about your drinking or suggested you cut down? • No
• Yes, but not in the least 6 months
• Yes, during the last 6 months
2. Current attempts to reduce intake
a. Are you currently trying to restrict your alcohol consumption e.g. by drinking less, choosing lower strength alcohol or using smaller glasses? • Yes
• No
3. GP advice
a. In the last 12 months, has a doctor or other health worker within your GP surgery discussed your drinking? • No
• Yes, a doctor or other health worker within my GP surgery offered advice about cutting down on my drinking
• Yes, a doctor or other health worker within my GP surgery offered help or support within the surgery to help me cut down
• Yes, a doctor or other health worker within my GP surgery referred me to an alcohol service or advised me to seek specialist help
• Yes, a doctor or other health worker within my GP surgery referred me to an alcohol service or advised me to seek specialist help
b. (If answers No) You said a doctor or other health worker within your GP surgery has not discussed your drinking with you in the last 12 months. Please could you confirm which of the following statements applies to you. • I have not seen a doctor or health worker within my GP surgery in the last 12 months
• I have seen a doctor or health worker within my GP surgery in the last 12 months but did not discuss my drinking.
4. Type of alcohol
a. Which of these do you drink most often? • Wine
• Beer or lager
• Spirits on their own (for example whisky, vodka)
• Cider
• Alcopops (for example WKD, Smirnoff Ice)
• Mixed drinks (for example gin and tonic, whisky and coke)
• Other
5. Motivation to reduce
a. Which of the following best describes you? • I REALLY want to cut down on drinking alcohol and intend to in the next month
• I REALLY want to cut down on drinking alcohol and intend to in the next 3 months
• I want to cut down on drinking alcohol and hope to soon
• I REALLY want to cut down on drinking alcohol but I don’t know when I will
• I want to cut down on drinking alcohol but haven’t thought about when
• I think I should cut down on drinking alcohol but don’t really want to
• I don’t want to cut down on drinking alcohol
6. Amount spent
a. On average about how much per week do you think you spend on alcohol for your own consumption?  
7. Urges to drink
a. How strongly have you felt the urge to drink alcohol in the past 24 hours? • Not at all
• Slight
• Moderate
• Strong
• Very strong
  • Extremely strong
8. Attempts to cut down and quit
a. How many attempts to cut down on your drinking alcohol have you made in the last 12 months (e.g. by drinking less, choosing lower strength alcohol or using smaller glasses)? Please include all attempts you have made in the last 12 months, whether or not they were successful, AND any attempt you are currently making.  
b. During your most recent attempt to restrict your alcohol consumption, was it a serious attempt to cut down on your drinking permanently? • Yes
• No
9. Help sought
a. Which, if any, of the following did you use to help restrict your alcohol consumption during the most recent attempt? • Any medicines (e.g., acamprosate (Campral), disulfiram (Antabuse), nalmefene (Selincro)
• Attended one or more one-to-one or group counselling\advice\support sessions for help with drinking
• Attended a specialist alcohol clinic or centre for help with drinking
• Consulted a community pharmacist for help with drinking
• Phoned a helpline for help with drinking (e.g. DrinkLine)
• An alcohol self-help book or booklet
• Visited a website for help with drinking
• Used an alcohol application (‘app’) on a handheld computer (smartphone, tablet, PDA)
• Hypnotherapy for help with drinking
• Acupuncture for help with drinking
• Other (please specify)
10. Triggers of quit attempt
a. Which of the following, if any, do you think contributed to you making the most recent attempt? • Advice from a doctor\health worker
• Government TV\radio\press advert
• A decision that drinking was too expensive
• I knew someone else who was cutting down
• Health problems I had at the time
• A concern about future health problems
• Something said by family\friends\children
• A significant birthday or event
• Improve my fitness
• Help with weight loss
• Detox (e.g., dry January)
• Other (please specify)