Alcohol Questionnaire

Please answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.

About this form

A red asterisk indicates a compulsory field.

By using this form, you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your details.

Personal Information

Personal information retained on this system is stored in a secure data centre located in the UK and is treated as confidential.

Alcohol

1 drink = 1/2 pint of beer or 1 glass of wine or 1 single spirit.
1 unit of alcohol = 10cc of alcohol. So, a small glass (125cc) of 12% wine is 12.5 * 0.12 = 1.5 units.

COVID-19 Updates & Information

Advice in your region

England | Scotland | Wales | Northern Ireland | Ireland


Get tested for COVID-19


Symptoms

Find out about the main symptoms of coronavirus and what to do if you or your child has them.

Testing

Get a test to check if you have COVID-19, find out what testing involves and understand your test result.

Vaccination

Get your COVID-19 vaccination, read about the vaccines and find out what happens when you have your vaccine.

NHS COVID Pass

Find out how to get your COVID Pass to attend trial events in England or to travel abroad.

Self-isolation and treating symptoms

Advice about staying at home (self-isolation) and treatment for you and anyone you live with.

People at high risk

Advice for people at higher risk from COVID-19, including older people, people with health conditions and pregnant women.

Long-term effects (long COVID)

Find out about the long-term effects coronavirus can sometimes have and what help is available.

Social distancing

Advice about avoiding close contact with other people (social distancing), looking after your wellbeing and using the NHS and other services.

Using the NHS and other health services

Find out about changes to using health services, such as GPs and hospitals, because of COVID-19.

Take part in research

Find out about health research studies and how you may be able to take part.

Download the NHS COVID-19 test and trace app