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Background
 
 
 
1.Please indicate your sex:
 
Male
 
Female
 
 
 
2.Please indicate your age at the time of your divorce:
 
20 – 24
 
25 – 29
 
30 - 34
 
35 – 39
 
 
 
3.How many children resulted from your marriage?
 
None
 
1
 
2
 
3
 
4+
 
 
 
4.Who initiated the divorce?
 
Me
 
My Spouse
 
It was a mutual decision
 
 
Prior to Divorce
 
 
 
5.On average, how often did you have a drink containing alcohol?
 
Never
 
Once a month
 
2 to 4 times per month
 
2 to 3 times per week
 
4 or more times per week
 
 
 
6.How many alcoholic drinks did you have on a typical day when you were drinking?
 
1 to 2 drinks
 
3 to 4 drinks
 
5 to 6 drinks
 
7 to 9 drinks
 
10 or more drinks
 
 
 
7.How often did you have 6 or more drinks on one occasion?
 
Never
 
Less than monthly
 
Monthly
 
Weekly
 
Daily or almost daily
 
 
 
On most occasions, with whom did you usually drink?
 
Alone
 
With one or two friends
 
With a large group
 
OVER 
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