Family Support Questionnaire

Do you sometimes drink more than you want to?

Yes
No

Are you concerned about someone else's drinking in your family?

Yes
No

Has anyone else said they are worried about your drinking?

Yes
No

Do you and your partner or other family members argue about your drinking?

Yes
No

Do you and your partner or other family members argue about someone else's drinking?

Yes
No

Do you sometimes find it difficult to get to work because you drank the night before?

Yes
No

Have you noticed changes in your partner's daily routine which might be because they are drinking more?

Yes
No

Have parenting styles and responsibilities become unbalanced in your family?

Yes
No