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Davenal House and Stoke Prior Surgery NHS GP Surgery in Bromsgrove

Alcohol consumption review

Alcohol Consumption Review

About You

Full Name: *

Date of Birth: *

Please use this date format: DD/MM/YYYY.

Phone Number:

Email Address: *

Any responses we send will go to this email address.

Alcohol consumption questions

This is one unit of alcohol:

Amount of different types of drink representing one unit of alcohol

And each one of these, is more than one unit:

Amount of different types of drink representing more than one unit of alcohol

How often do you have a drink containing alcohol? *

Never

Monthly or less

2-4 times per month

2-3 times per week

4+ times per week

How many units of alcohol do you drink on a typical day when you are drinking? *

1-2

3-4

5-6

7-9

10+

How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year? *

Never

Less than monthly

Monthly

Weekly

Daily or almost daily

If you are human, leave this field blank.

Davenal House Surgery
28 Birmingham Road
Bromsgrove
Worcestershire
B61 0DD

Get directions

01527 872008

Stoke Prior Surgery
Ryefields Road
Stoke Prior
Bromsgrove
Worcestershire
B60 4ND

Get directions

01527 832423

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