你认为自己是否酒精成瘾
Do you think you are addicted to alcohol?

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1.
你的年龄是多大？
How old are you?
16-29岁16 to 29years old
30-45岁30 to 45years old
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2.
你的性别是？
Your gender is？
男 Man
女 Woman
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3.
你的身份是？
Your identity is？
学生 Student
上班族 Wage earners
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4.
你平均一周喝几次酒？
How many times a week do you drink on average?
1次 Once
2-3次 Two or three times
3-4次 Three to four times
5次以上 More than five times
0次 Zero times
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5.
你平时喝什么酒？
What kind of wine do you usually drink?
啤酒 Beer
鸡尾酒 Cocktail
红酒 Red wine
白酒 Liquor
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6.
你认为导致你饮酒成瘾的主要原因？
What do you think is the main reason for your alcohol addiction?
【多选题】
逃避现实压力
Escape from the pressure of reality
社交需求
Social needs
工作/学习压力太大
Work or study are too stressful.
缺乏其他兴趣爱好
Lack of other hobbies
周围人都这样形成了习惯
People around have formed habits like this.
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7.
你平时都和谁一起喝酒？
Who do you usually drink with?
朋友 Friend
男/女朋友 Boyfriend or girlfriend
家人 Family member
陌生人组局 Strangers set up the game
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8.
你的家人喝酒吗？
Does your family drink?
喝 Drink
不喝 Don't drink
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9.
是否酒后出现失控行为（争吵、受伤等）？
Do you have out-of-control behavior after drinking（Quarrel or injury)?
从未 Never
偶尔 Once in a while
多次 Many times
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10.
你是否认为自己酒精成瘾？
Do you think you are addicted to alcohol?
是 Yes
否 No
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