Thank you for your willingness to complete the following survey on alcohol use. Regardless of whether or not you use alcohol regularly or never, we’d like to hear from you. For questions about the survey, please contact Recovree at

Name *
Phone *
Have you ever thought you should cut back on your alcohol use? *
Have people annoyed you by criticizing your drinking? *
Have you ever felt bad or guilty about your drinking? *
Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover? *