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Exploring the Impact of Socioeconomic Factors on Alcohol Consumption Patterns
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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Socioeconomic Factors and Alcohol Consumption: A Community Survey"
1
What is your age group
Select the answer that applies to you
18-24
25-35
36-46
47 and older
2
What is your highest level of education completed?
Select the answer that applies to you
No formal education
primary school
High school
Associate degree or vocational school
Bachelors degree or higher
3
What is your current employment status?
Select the answer that applies to you
employed full-time
Employed part-time
self-eemployed
Unemployed
student
retired
4
What is your estimated monthly household income?
Select one or more answers
Less than $50,000 JMD
$50,000 – $149,999 JMD
$150,000 – $299,999 JMD
$300,000 – $499,999 JMD
$500,000 JMD or more
5
What is your estimated monthly household income?
Select one or more answers
Less than $50,000 JMD
$50,000 – $149,999 JMD
$150,000 – $299,999 JMD
$300,000 – $499,999 JMD
$500,000 JMD or more
6
What is your estimated monthly household income?
Select one or more answers
Less than $50,000 JMD
$50,000 – $149,999 JMD
$150,000 – $299,999 JMD
$300,000 – $499,999 JMD
$500,000 JMD or more
7
What is your estimated monthly household income?
Select one or more answers
Less than $50,000 JMD
$50,000 – $149,999 JMD
$150,000 – $299,999 JMD
$300,000 – $499,999 JMD
$500,000 JMD or more
8
How often do you consume alcoholic beverages?
Select one or more answers
Never
Ocasionally (1-3 times a month)
Regularly (1-4 times a week)
Frequently (5 or more times per week)
9
Do you think your level of education has influenced your drinking habits?
Select one or more answers
Yes, it has decreased my drinking
Yes, it has increased my drinking
No, it has not affected my drinking habit
Unsure
10
How does your employment status affect your ability to afford alcohol?
Select one or more answers
It has no impact
I can afford more alcohol because of my employment status
I can afford less alcohol because of my employment status
Other (please specify)
11
Do you think your income level has an impact on the frequency of your alcohol consumption?
Select one or more answers
Yes, I drink more frequently because of my income level
Yes, I drink less frequently because of my income level
No, it has no impact
Unsure
12
2. Why do you think people abuse the use of alcohol?
Select one or more answers
Mental Health Issues
Trauma and Past experience
Social Influence
13
What emotions would you say might lead to you using alcohol?
Select one or more answers
Sadness or Depression
Anxiety or Stress
Anger or Frustration
Happiness or Celebration
14
Do you think when consuming a certain amount of alcohol, it is more difficult for you to stop?
Select one or more answers
Yes
No
15
Do you feel as if you are addicted to the use of alcohol?
Select one or more answers
Yes
No
16
Have you been in situations where there were opportunities for alcohol use? Did you feel pressured? Why or why not?
17
Some people say that addiction is a disease, and others believe it’s a choice. What would be your answer, and why?
18
Can you describe any changes in your alcohol consumption patterns due to shifts in your employment or income status?
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