Alcohol Consumption

Please complete the form below to calculate your consumption score.

Name: *
Email: *
Date of Birth(DD-MM-YYYY): *
Phone:
Which Surgery are you registered at?

How often do you have a drink containing alcohol? *

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

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? *