How regularly do you drink alcohol?
Every day
3-5 times per week
1-3 times per week
A few times a month
Rarely
(Please select one)
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What is your long term goal with drinking?
To stop drinking
To reduce my drinking
I'm not sure
(Please select one)
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Why do you want to change your relationship with alcohol?
Feel healthier
Lose weight
Sleep better
Improve mental health
Increase energy
Perform better at work
Improve personal relationships
(Please select one)
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Which of the following best describes you?
I drink because I enjoy it, I could stop if I wanted
I sometimes think I should drink less, but I’m not sure I need to
I drink in response to stress or emotions, and that makes it hard to control
I know I should reduce my drinking, but my environment makes it difficult
I want to drink less and believe I have the power to do it with effort
I am actively working to reduce my drinking because I know it’s up to me
I want to drink less, but external factors make it feel out of my control
(Please select one)
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Where did you first hear about Nul?
Instagram
Facebook
Google
X
News/Article
Friend
Other
(Please select one)
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Thank you!
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