2.
1 Stress and Anxiety Always Sometimes Often Never
1. I have a headache
2. If I'm feeling restricted in any way,
drinking makes me feel better.
3. I have a hard time sleeping
4. I feel stressed lately
5. I feel scared without any good
reason.
6. I felt I was close to panic.
7. I worry too much
8. Drinking makes me inefficient.
2.2 Mood
1. I find myself getting upset by trivial
things
2. I find myself getting impatient when I
was delayed in any way, like by
elevators, traffic lights, or people who
kept me waiting.
3. I find myself that I was very irritable.
4. I find myself moody from time to time
2.3 Self Control
1. Alcohol makes me careless about my
actions.
2. Drinking increases my aggressiveness
3. Drinking makes it hard for me to
concentrate
4. I feel uncoordinated
5. I find it hard to calm down after
something upset me.
6. I likely get into an argument
7. I feel irresponsible
8. I can't act as quickly when I've been
drinking.
9. I get clumsy when I drink
2.4 Memory
1. I can’t think quickly
2. I tend to forget important things
3. I forget what I do when I drink
Sources:
Sutton D. March 28, [Link] Motivation for Change in
Substance Treatment of the National Center for Biotechnology
Information, U.S. National Library of Medicine. Retrieved on August 25,
2019. Retrieved from
[Link]
3jLmwY-UrM28_yc2KW4ZnzO3Wbi8R8EDP0OtkcsL9ilWYR3e8BAu07_o8
Lovibond, P. F, & Lovibond, S. H. (1995). “The structure of negative
emotional states: Comparison of the Depression Anxiety Stress Scales
(DASS) with the Beck Depression and Anxiety Inventories.” Behaviour
Research and Therapy, 33, 335-342. Retrieved on August 2
Carylle Kaye B. Mindalano; Wiezll Mae Briones; Ron Adriel Lauron
The Effects of Drinking Alcohol towards Teenagers’ Mental Health
Questionnaire:
1. Gender
o Male
o Female
2. How old are you?
o 13-14
o 15-16
o 17-18
o 19
3. How long have you been drinking?
o Less than one year
o One year
o More than a year
4. How often do you drink alcohol?
o Always
o Often
o Sometimes
o Never
5. How many drinks do you usually consume in drinking alcohol?
o Half a bottle
o One bottle
o More than two bottles
6. Why did you start consuming alcohol?
o Peer pressure
o Curiosity
o For celebrations or parties
o Adult influence