This questionnaire assesses alcohol consumption, drinking behaviors, and alcohol-related problems.

Please fill out all required fields and click the "Submit" button at the end of the questionnaire. 

Following completion, an email will be sent to you with results and how to follow up.

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How often during the last year have you...

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© 2018 Refined Transitions

Please call during our hours of contact to schedule an appointment. If you call after hours, we will return your phone call during our hours of contact.

Monday - Friday

8:00am - 4:00pm

HOURS OF CONTACT

4445 Eastgate Mall Rd #200

San Diego, CA 92121