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Alcohol Use Questionnaire

Alcohol Use Questionnaire: Part 1

To help us assess your level of alcohol dependence, please complete Part 1 and Part 2 of the Alcohol Use Questionnaire. This will help achieve the most benefit from your initial consultation 

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Important: Please now complete Part 2 of the questionnaire below

Alcohol Use Questionnaire: Part 2

To help us assess your level of alcohol dependence, please complete Part 1 and Part 2 of the Alcohol Use Questionnaire. This will help achieve the most benefit from your initial consultation 
I am happy to be contacted by the Addressing Addictions team. My contact preference(s) is/are

Thanks for submitting, we will contact you shortly via the contact details provided. For further enquires please get in touch via our 'Contact Us' page 

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