e-alcohol screening and brief intervention (e-SBI)

In the past year…

1. 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

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2. How many units of alcohol do you drink on a typical day when you are drinking? (Please indicate the type and amount of alcoholic beverages in the option below)

  • Type of drinks (Alcohol Content*)
    Volume per container or per usual serving
    Number of "alcohol unit" * (Per container)
    Alcohol unit calculator
  • Beer/Alcopops
       (5%)
    1 glass(180ml)
    0.7 units
    glass
  • Beer/Alcopops
       (5%)
    1 can(330ml)
    1.3 units
    can
  • Beer/Alcopops
       (5%)
    1 bottle(330ml)
    1.3 units
    bottle
  • Beer/Alcopops
       (5%)
    1 can(500ml)
    2.0 units
    can
  • Beer/Alcopops
       (5%)
    1 bottle(640ml)
    2.5 units
    bottle
  • Red/White wine/
    Champagne
       (12%)
    1 glass(125ml)
    1.2 units
    glass
  • Spirits
       (40%)
    1 peg(40-50ml)
    1.3 units
    peg
  • Spirits
       (40%)
    1 glass(shot)(22ml)
    0.7 units
    glass
  • Rice wine
       (40%)
    1 glass(180ml)
    5.7 units
    glass
  • Rice wine
       (40%)
    1 small glass(20ml)
    0.6 units
    Small
    glass
  • Maotai
       (52%)
    1 maotai glass(20ml)
    0.8 units
    Maotai
    glass
  • Japanese Sake
       (16%)
    1 small cup(20ml)
    0.3 units
    Small
    cup

You may choose to fill in the volume (ml) and alcohol content (% by volume)* of your drink:
*Alcohol content is printed on the label of the container

  Volume (ml) Alcohol Content (% by volume)*
(1)
Volume (ml)
Alcohol Content (% by volume)*

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3. How often do you have at least 5 cans of beer/5 glasses of table wine/5 peg of spirits on one occasion? (i.e. 60 g pure alcohol)

  • Never
  • Less than monthly
  • Monthly
  • Weekly
  • Daily or almost daily
  • The following amounts of alcoholic drinks contain about 60 g pure alcohol.
  • (330ml)
    Beer/Alcopops
  • (125ml)
    Red/White wine/
    Champagne
  • (40-50ml)
    Spirits

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4. How often during the last year have you found that you were not able to stop drinking once you had started?

  • Never
  • Less than monthly
  • Monthly
  • Weekly
  • Daily or almost daily

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5. How often during the last year have you failed to do what was normally expected from you because of your drinking?

  • Never
  • Less than monthly
  • Monthly
  • Weekly
  • Daily or almost daily

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6. How often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session?

  • Never
  • Less than monthly
  • Monthly
  • Weekly
  • Daily or almost daily

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7. How often during the last year have you had a feeling of guilt or remorse after drinking?

  • Never
  • Less than monthly
  • Monthly
  • Weekly
  • Daily or almost daily

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8. How often during the last year have you been unable to remember what happened the night before because you had been drinking?

  • Never
  • Less than monthly
  • Monthly
  • Weekly
  • Daily or almost daily

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9. Have you or somebody else been injured as a result of your drinking?

  • No
  • Yes, but not in the last year
  • Yes, during the last year

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10. Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut down?

  • No
  • Yes, but not in the last year
  • Yes, during the last year

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