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Drinking Patterns Questionnaire
We have found that each person has a unique or different pattern of drink-
ing alcohol. People drink more at certain times of the day, in particular
moods, with certain people, in specific places, and so forth. It is very com-mon for people to drink more under various stresses, before or after difficult
interactions, and when they are experiencing particular feelings. It may
sometimes seem that there are no circumstances that relate to your drink-
ing, that is, “I just drink.” However, after some thought, every person canidentify at least some important factors.
This questionnaire will help you to think about different aspects of your life
and how each might relate to your drinking. You will find instructions at
the beginning of each section. Please give each item careful consideration.
You will benefit most from this questionnaire if you are honest and openwith your responses.
For each item, mark with an “X” whether or not you drank in this situation
in the PAST 6 MONTHS.
Use the following options to answer each of the questions:
■ Mark “X” under Did not drink if you did not drink in this situation
in the past 6 months.
■ Mark “X” under Sometimes drank if you did drink in this situationin the past 6 months.
■ Mark “X” under Major drinking, if you drank often in this situation
in the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Section 1: Environmental Factors Related to Drinking
Various locations, times, people, activities, and events are associated withevery person’s drinking. The items in this section will help you to thinkabout these factors. Read each item carefully as some are divided into morethan one part.
Location
Select one box next to each of the following items to indicate thefrequency with which you drank in each of the following locations duringthe PAST 6 MONTHS. If the location does not apply to you, answer “Didnot drink in this location.”
Drinkinglocations
Did not drink inthis location
Sometimesdrank in thislocation
Major drinking location
1. Home
2. Bar
3. Club
4. Private club
5. Automobile
6. Outdoors
7. Church or temple
8. Work
9. Restaurant
10. Other’s home
After you have answered each of the above questions, go back andselect the number of the location where you drank most often duringthe past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Time
Select to each of the following items to indicate thefrequency with which you drank at each of the following times during thePAST 6 MONTHS. If the time does not apply to you, answer “Did notdrink at this time.”
Drinkingtimes
Did not drink atthis time
Sometimesdrank at thistime
Major drinking time
11. During the morning
12. Lunchtime
13. Afternoon
14. After work (if employed)
15. During supper
16. During the evening
17. At bedtime
18. During the night
After you have answered each of the above questions, go back andselect the number of the time during which you drank most oftenduring the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Companions
Select one box next to each of the following items to indicate thefrequency with which you drank with each of the following people duringthe PAST 6 MONTHS. If a particular person does not apply to you, answer“Did not drink with this person.”
Drinkingcompanions
Did not drinkwith this person
Sometimesdrank with thisperson
Major drinking companion
19. Spouse/Partner
20. Relative
21. Child
22. Male friend(s)
23. Female friend(s)
24. Male and femalefriend(s)
25. Alone
26. Strangers
27. Businessacquaintances
After you have answered each of the above questions, go back andselect the number of the person with whom you drank most oftenduring the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Activities
Select one box next to each of the following items to indicate thefrequency with which you drank during each of the following activitiesduring the PAST 6 MONTHS. If a particular activity does not apply toyou, answer “Did not drink during this activity.”
Drinkingactivities
Did not drinkduring thisactivity
Sometimesdrank duringthis activity
Major drinking activity
28. Cooking
29. Chores
30. Shopping
31. Smoking
32. Watching television
33. Eating
34. Reading
35. Resting
36. Doing crafts or hobby
37. Talking
38. Playing pool
39. Playing games (cards,pinball, etc.)
40. Gambling (horses, dogs)
41. Entertaining
42. Listening to entertainment
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Drinkingactivities
Did not drinkduring thisactivity
Sometimesdrank duringthis activity
Major drinking activity
43. Attending a meeting
44. Partying
45. Driving
46. Playing sports
47. Attending sportingevent
48. Sunbathing
49. Cooking out
50. Walking or hiking
51. Recreationalactivities (fishing,swimming, etc.)
52. In sexual activities
53. Fighting (arguing)
After you have answered each of the above questions, go back andselect the number of the activity during which you drank most oftenduring the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Urges
Select one box next to each of the following items that best describesyour drinking or urges to drink during the PAST 6 MONTHS. If a par-ticular situation does not apply to you, answer “Did not drink in thissituation.”
Drinkingurges
Did not drink inthis situation
Sometimesdrank in thissituation
Major drinking situation
54. I sometimes drinkwhen I see or hear anadvertisement for alcohol(TV commercial, magazinead, billboard, etc.)
55. I sometimes drink whenpassing a particular bar orrestaurant
56. I sometimes drink when Isee someone else drinking
57. I sometimes drink when Ihear people talking aboutdrinking
58. I seem to drink more onparticular days of the week
59. I seem to drink moreduring certain times of themonth
60. I seem to drink more atcertain times of the year(holidays, vacations, etc.)
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Drinkingurges
Did not drink inthis situation
Sometimesdrank in thissituation
Major drinking situation
61. I sometimes like to have adrink with certain foods,snacks, or meals
62. When I drink at home,I usually drink only incertain parts of the house
63. I sometimes drink morefrequently in certain typesof weather (hot day, coldday, etc.)
After you have answered each of the above questions, go back andselect the number of the situation during which you drank mostoften during the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Section 2: Work Related
Select one box next to each of the following items to indicate YES orNO, whether each of the following three items applied to you in the PAST6 MONTHS.
YES NO
A I have been employed at sometime in the PAST 6 MONTHS
B I have done volunteer work inthe PAST 6 MONTHS
C I have looked for work in thePAST 6 MONTHS
If you did not answer “Yes” to A, B, or C above, skip the entire “Work”section (questions 64–76).
If you did answer “Yes” to either item A, B, or C, please complete the entire“Work” section.
It is not unusual at times for people to drink because of work-related eventsor difficulties. This can happen in both paying jobs and volunteer work.The stress of looking for a job may also relate to drinking. Selectthe box next to each of the following items that best describes your drinkingin the PAST 6 MONTHS.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Did not drink inthis situation
Sometimes drankin this situation
Major drinkingsituation
64. I sometimes drink before I go towork
65. I sometimes drink on the job
66. I sometimes drink during workbreaks
67. I sometimes go drinking withfriends straight from workbefore stopping home
68. I sometimes drink after work tohelp relieve some of the pressurefrom the job
69. I sometimes drink with businessassociates at meetings,conventions, cocktail parties,etc.
70. I sometimes drink when I haveproblems with my coworkers orboss
71. I sometimes drink when I getnervous at work
72. I sometimes drink when I feelthat I’m not getting anywhere inmy job or career
73. I sometimes drink when I amhappy with the way work isgoing
74. I sometimes drink more onpayday after cashing my check
75. I sometimes drink after a jobinterview
76. I sometimes drink when I feelthat finding a new job is hopeless
After you have answered each of the above questions, go back andselect the number of the situation during which you drank mostoften during the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Section 3: Financial
Often, people drink as a response to financial difficulties. For each of thefollowing items select the box that best describes your drinking inthe PAST 6 MONTHS. If a particular situation does not apply to you,select “Did not drink in this situation.”
Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
77. I sometimes drink when I attemptto pay my bills and I get frustrated
78. I sometimes drink when I worryabout my finances
79. I sometimes drink when I feel bador guilty about not being a goodprovider
80. I sometimes drink when I can’t buysomething that a family memberrequests
81. I sometimes drink when I can’tafford something that I want verymuch
82. I sometimes drink when a familymember makes a purchase thatI know we can’t afford
83. I sometimes drink after I spend toomuch money
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
84. I sometimes drink when Ithink that my spouse doesn’tmake enough money
85. I sometimes feel like drinkingbecause of arguments overhow to spend money
86. I sometimes drink when I getangry over who controls themoney
87. I am sometimes more temptedto drink when my finances aregoing well and/or I havecaught up with all of my bills
88. I am sometimes more temptedto drink when I have a lot ofmoney in my pocket
After you have answered each of the above questions, go back andselect the number of the situation during which you drank mostoften during the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Section 4: Physiological
Select one box next to each of the following items that best describesyour drinking behavior during the PAST 6 MONTHS. If a particular situa-tion does not apply to you, select the box that indicates “Did notdrink in this situation.”
Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
89. I sometimes feel shaky and drinkto stop it
90. I sometimes drink when I feeltired or fatigued
91. I sometimes drink when I getrestless
92. I sometimes drink when I’mexperiencing physical pain (backpain, headache, etc.)
93. I sometimes take a drink if I havetrouble falling asleep
94. I sometimes wake up during thenight and take a drink to getback to sleep
95. I sometimes drink alcohol when Iam thirsty
96. I sometimes drink before mymenstrual period
After you have answered each of the above questions, go back andselect the number of the situation during which you drank mostoften during the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Section 5: Interpersonal
People drink in social situations, that is, with other people, for many rea-sons. Select one box next to each of the following items that bestdescribes your drinking in the PAST 6 MONTHS. If a particular situationdoes not apply to you, select “Did not drink in this situation.”
Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
97. It is sometimes difficult for menot to drink when people aroundme are drinking
98. I sometimes find it hard to resistif someone buys me a drink oroffers to do so
99. I sometimes drink to be part ofthe group
100. I sometimes drink as a way tomeet people or be with others
101. I sometimes drink to feel morecomfortable with others
102. I sometimes think that I don’trelate well to others and drinkinghelps me do so
103. I sometimes feel that I’m not asgood as other people anddrinking helps me feel better
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Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
104. I sometimes find that I drink afterI become angry at someone
105. I sometimes drink after feelinghurt by someone
106. I sometimes drink when I want tohurt or get back at someone
107. I sometimes drink when I amangry at myself for not speakingmy mind to someone
108. I sometimes drink to help meexpress my feelings towardsomeone (anger, love, etc.)
109. I sometimes drink when I feellonely
110. I sometimes drink because I thinkit’s the only way to have fun
111. I sometimes drink when I’m boredand have nothing to do
112. I sometimes drink when I thinkthat nobody cares about me
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Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
113. I sometimes drink whenI want someone to payattention to me
114. I sometimes drink when I feelthat people have put toomuch responsibility on me
115. I sometimes drink whenI think about pastrelationships
After you have answered each of the above questions, go back andselect the number of the situation during which you drank mostoften during the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
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Section 6: Marital/Relationship
Select the YES or NO box to indicate whether you have beenmarried or involved in a romantic relationship in the PAST 6 MONTHS:
YES NO
I have been married or involved in a romantic relationship in the past6 months
If you answered “NO” to this question, skip the entire “Mari-tal/Relationship” section (questions 116–142).
If you answered “Yes” to this question, please complete the entire “Mari-tal/Relationship” section.
Although sometimes hard to discuss, it is quite common for relationshipissues to be related to drinking. Select the box after each of thefollowing items that best describes your drinking in the PAST 6 MONTHS.If a particular situation does not apply to you, select “Did notdrink in this situation.”
Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
116. I sometimes drink whenI anticipate an argument with mypartner
117. I sometimes drink after having anargument with my partner
118. I sometimes drink after mypartner nags me about something
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Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
119. I sometimes drink after mypartner criticizes me
120. I sometimes drink when mypartner is drinking or offersme a drink
121. I sometimes drink to help meexpress my feelings toward mypartner
122. I sometimes drink when mypartner and I are celebratingsomething
123. I sometimes drink after mypartner and I disagree aboutsexual relations
124. I sometimes drink or get anurge to drink when I want toavoid sexual relations with mypartner
125. I sometimes drink when I’mconcerned about my sexualadequacy
126. I sometimes drink whenI want to enjoy sexualrelations more
127. I sometimes drink afterphysical violence occurs in thefamily or when I haveconcerns about it
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Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
128. I sometimes drink whenI think my partner or familydoesn’t care about me
129. I sometimes drink when I feelthat my partner doesn’tunderstand my needs ordesires
130. I sometimes drink when mypartner doesn’t spend enoughtime with me
131. I sometimes drink when I feel“trapped” in my relationship
132. I sometimes drink when I’mfrustrated that my partner andI can’t resolve a conflict
133. I sometimes drink after mypartner embarrasses me inpublic
134. I sometimes drink at timeswhen I am jealous
135. I sometimes drink when mypartner and I have conflict onhow to deal with ourchild(ren)
136. I sometimes drink when I amnot happy with my role in thefamily
137. I sometimes drink when itseems that my partner is nottreating my like an adult
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Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
138. I sometimes drink whenI think my partner is tooinvolved with my affairs
139. I sometimes drink when I feelthat my partner doesn’t meethis or her responsibilities
140. I sometimes drink whenI feel that I don’t meet myresponsibilities
141. I sometimes drink to “getback” at my partner
142. I sometimes drink more whenmy partner tries to stop mydrinking
After you have answered each of the above questions, go back andselect the number of the situation during which you drank mostoften during the past 6 months.
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Section 7: Parents
Select the YES or NO box to indicate whether at least one of yourparents and/or in-laws are still living:
YES NO
A My parents are still living
B My in-laws are still living
If you answered “No” to both A and B, skip the entire “Parents” section(questions 143–154).
If you answered “Yes” to either A or B, please complete the entire “Parents”section.
Put an “X” in one box that best describes your drinking in the PAST 6MONTHS. If a particular situation does not apply to you, put an “X” under“Did not drink in this situation.”
Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
143. I sometimes drink with myparents or in-laws
144. I sometimes drink after spendingtime with my parents or in-laws
145. I sometimes drink to help meexpress my feelings toward myparents or in-laws
146. I sometimes drink when I’mupset with my parents or in-laws
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Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
147. I sometimes drink when I feelthat my parents or in-lawsdon’t respect me as an adult
148. I sometimes drink when I feelguilty about something relatedto my parents or in-laws
149. I sometimes drink whenI hurt or embarrass myparents or in-laws
150. I sometimes drink when I feelthat my parents or in-laws aretoo demanding or interfering
151. I sometimes drink after myparents or in-laws andI disagree about something
152. I sometimes drink whenI think about things that myparents did to me when I wasyounger
153. I sometimes drink when I seethat my parents or in-laws aregetting older
154. I sometimes drink whenI think about the death of oneor both of my parents orin-laws
After you have answered each of the above questions, go back andselect the number of the situation during which you drank mostoften during the past 6 months.
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Section 8: Children
If you have children, interactions with your children can lead you to certainfeelings or moods related to your drinking. Select the YES orNO box to indicate whether you have any children.
YES NO
If you do not have any children, skip the remainder of this section(questions 155–171).
Please complete this section even if children from your present or previousmarriage are not currently living with you. Select each of thefollowing items for the PAST 6 MONTHS. If a particular situation doesnot apply to you, select “Did not drink in this situation.”
Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
155. I sometimes drink afterinteracting with my children
156. I sometimes drink when myspouse and I have a disagreementabout our children
157. I sometimes drink to help meexpress my feelings toward mychildren
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Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
158. I sometimes drink when I’mannoyed with my children
159. I sometimes drink when I feelthat my children don’t respectme
160. I sometimes drink when I feelthat my children are ashamedof me
161. I sometimes drink after mychildren get in troubleat school or with legalauthorities
162. I sometimes drink after mychildren do not follow myorders or wishes
163. I sometimes drink when I feelthat my children are too muchresponsibility
164. I sometimes drink when I feelthat I cannot control mychildren
165. I sometimes drink when I feelguilty about something relatedto my children
166. I sometimes drink whenI can’t give my childrensomething they want
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
Oxford Clinical Psychology | Oxford University Press
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Did not drink inthis situation
Sometimesdrank in thissituation
Major drinkingsituation
167. I sometimes drink afterpunishing my children tooharshly or losing my temper
168. I sometimes drink after mychildren manipulate myspouse/partner into doingsomething with which I’m notpleased
169. I sometimes drink whenI want to see my children butI can’t do so
170. I sometimes drink when mychildren talk back to me
171. I sometimes drink when I feelthat my children don’t needme any longer
After you have answered each of the above questions, go back andselect the number of the situation during which you drank mostoften during the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
Oxford Clinical Psychology | Oxford University Press
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Section 9: Emotional
People often drink when they are experiencing some type of emotion, eithernegative or positive. Select next to each emotion on the following listto describe the emotions you have or haven’t experienced before drinking inthe PAST 6 MONTHS. If a particular emotion does not apply to you,Select “Did not drink with this emotion.”
Did not drinkwith thisemotion
Sometimesdrank in thissituation
Majordrinking-relatedemotion
172. Angry
173. Sad
174. Depressed
175. Hurt
176. Spiteful
177. Lonely
178. Hopeless
179. Frustrated
180. Guilty
181. Fearful
182. Nervous
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
Oxford Clinical Psychology | Oxford University Press
![Page 27: DrinkingPatternsQuestionnaire - Oxford Clinical Psychology · You will benefit most from this questionnaire if you are honest and open with your responses. ... (TV commercial, magazine](https://reader033.vdocuments.us/reader033/viewer/2022042910/5f4034f00b03273aa61124f9/html5/thumbnails/27.jpg)
Did not drink withthis emotion
Sometimes drankin this situation
Majordrinking-relatedemotion
183. Restless
184. Insecure
185. Fatigued
186. Happy
187. Relaxed
188. Self-confident
189. Loving
After you have answered each of the above questions, go back andselect the number of the feeling with which you drank most oftenduring the past 6 months.
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
Oxford Clinical Psychology | Oxford University Press
![Page 28: DrinkingPatternsQuestionnaire - Oxford Clinical Psychology · You will benefit most from this questionnaire if you are honest and open with your responses. ... (TV commercial, magazine](https://reader033.vdocuments.us/reader033/viewer/2022042910/5f4034f00b03273aa61124f9/html5/thumbnails/28.jpg)
Review
You have now finished the sections of the questionnaire dealing with events, people, andfeelings that come before your drinking or urges to drink. We would like you to look backover the questionnaire and think about the relative importance of each of these sections asit applies to your drinking, that is, how important each section is compared to the othersections.
The different sections of the questionnaire that you have just completed are listed below.Think about the section that is most important, out of all nine sections, in relation to yourdrinking or urges to drink. Select next to that section. Then think about the section that issecond most important to your drinking, and select “2” next to that section. Then thinkabout the section that is third most important to your drinking, and select next to that “3”section. Continue to do that until you have ranked each of the nine sections listed below.Each number should be used only once. The sections marked “8” and “9” should be leastimportant related to your drinking, compared to the other sections.
Most Important- - - - - - - - - - - - - - - - - - - - - - - - - - -Least Important
1 2 3 4 5 6 7 8 9
Section 1 Environmental(p. 220)
Section 2 Work (p. 227)
Section 3 Financial (p. 229)
Section 4 Physiological (p. 231)
Section 5 Interpersonal (p. 232)
Section 6 Marital/Relationship (p. 235)
Section 7 Parents (p. 239)
Section 8 Children (p. 241)
Section 9 Emotional (p. 244)
Elizabeth E. Epstein, Barbara S. McCrady A Cognitive-Behavioral Treatment Program for Overcoming Alcohol Problems: Drinking Patterns Questionnaire.Copyright © 2009 by Oxford University Press
Oxford Clinical Psychology | Oxford University Press