Alcohol self-assessment tool

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First, a little bit of information about you ..

Who are you filling in these questions for?

Please select... Myself Research/work purposes Other

Please select your gender, or the gender of the person you are filling in this test for:

Male

Female

Please select your age, or the age category of the person you are answering these questions for:

Please select... Under 18 18-29 30-44 45-64 65+

Where are you based?

Please select... Carlow Cavan Clare Cork Donegal Dublin Galway Kerry Kildare Kilkenny Laois Letrim Limerick Longford Louth Mayo Meath Monaghan Offaly Roscommon Sligo Tipperary Waterford Westmeath Wexford Wicklow Outside Republic of Ireland

Where did you hear about this test?

Please select... Healthcare professional Internet search Email From a friend From a relative Facebook Drugs.ie Website Other