The Check Your Drinking (CYD) Survey

The 18 question CYD survey is anonymous and has been designed to help you, your loved ones or your health care professional answer some questions about drinking. When you have finished the test you can print your Final Report or email your Final Report directly to yourself or your health care professional.

Please begin the survey by filling in the following anonymous information.

Your First name: (to protect your privacy please only use your first name or a nickname)

You are:

malefemale

Your date of birth:

What country do you live in?

How much do you weigh?

You are taking this test:
For yourself
For someone you know
You are just checking out the CYD test to see what the results look like

How much would you say that each drink costs you?

(example: 3.75)

Please Note: By clicking "Start the Survey" you acknowledge that this test is for educational puposes only and is not to be used as a substitute for a consultation or visit with your family physician or other healthcare provider.

Statistical data collected throughout the site is used for research purposes only. Individual statistics are not collected or distributed and we do not collect or distribute email addresses or any other personal information. Please read this important legal information.

Please check this box to acknowledge that your non-personal information will be used for purposes of improving this program. Your use of this program is subject to your data being used for research puposes. We do not collect or analyze individual statistics and no one will contact you at any time.

Check this box if you are a health care professional or a researcher so we can remove your data from research analysis. Please note that use of this program is for your personal, non-professional use.