This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

Alcohol Questionnaire

Be Alcohol Aware - It makes good health sense!

If you want to check how much you are drinking please complete the alcohol questionnaire.  Click here.docx to download and print the questionnaire and a patient leaflet.  The questionnaires are also available at the surgery main reception.

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

Alcohol Consumption Questionnaire



Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website