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

1. 你的年龄是多大？

How old are you?

16-29岁16 to 29years old30-45岁30 to 45years old

2. 你的性别是？

Your gender is？

男 Man女 Woman

3. 你的身份是？

Your identity is？

学生 Student上班族 Wage earners

4. 你平均一周喝几次酒？

How many times a week do you drink on average?

1次 Once2-3次 Two or three times3-4次 Three to four times5次以上 More than five times0次 Zero times

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

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?

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.

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

8. 你的家人喝酒吗？

Does your family drink?

喝 Drink不喝 Don't drink

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

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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