.

Addiction

Gentile signore o signora,


La preghiamo di dedicare alcuni minuti del suo tempo

per completare il seguente sondaggio.

Protetto
Survio
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Hello! In this survey we will ask you some questions about addiction, specifically: tobacco, drugs and alcohol. We will use the results to complete a school project.


Thank you for your contribution!

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1

How old are you?

2

Where do you live?

3

What gender do you identify with?

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4

Have you ever consumed alcohol?

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5

How often have you consumed alcohol in the past?

Until one year ago.
6

How often do you consume alcohol now?

For the past year.
7

Why did you consume/consume alcohol?

If you have never consumed alcohol you can skip this question.
8

Why don't you consume alcohol?

If you consume alcohol, you can skip this question.
9

Have you ever tried to stop drinking alcohol?

Also add a motivation and whether the attempt was successful (e.g. Yes, I tried to quit because of health problems but I was not successful).
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10

Have you ever smoked?

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11

How many cigarettes do you smoke per day?

If you do not smoke, you can skip this question.
12

Why did you start smoking?

If you don't smoke, you can skip the question.
13

Why don't you smoke?

If you smoke, you can skip the question.
14

Have you ever tried to quit smoking?

Also add a motivation and whether it was successful (e.g. Yes, I tried to quit because I was spending too much money on cigarettes and I succeeded. I have not smoked for 4 years).
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15

Have you ever used drugs?

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16

Why did you use drugs?

If you have never used drugs, you may skip this question.
17

What kind of drugs have you taken?

If you have never used drugs, you may skip this question.
18

Why have you never used drugs?

If you have used drugs, you may skip this question.
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Now we will talk about abstinence. If you have never used drugs, tobacco or alcohol the test for you ends here. Go ahead to the closing without answering. Thank you for your contribution!

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19

Have you ever experienced withdrawal?

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20

If you experienced withdrawal, with what substance did it happen?

21

What did you feel while in withdrawal?

Describe the physical and psychological effects in as much detail as possible.
22

How did you overcome this withdrawal?

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The test is officially over and you can return to your favourite substances.


Thank you for your contribution.


Cheers!

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