e-alcohol screening and brief intervention (e-SBI)

2. How many units of alcohol do you drink on a typical day when you are drinking? (Please indicate the type and amount of alcoholic beverages in the option below)

• Type of drinks (Alcohol Content*)
  Volume per container or per usual serving
  Number of "alcohol unit" * (Per container)
  Alcohol unit calculator
• Beer/Alcopops

     (5%)
  1 glass(180ml)
  0.7 units
  glass
• Beer/Alcopops

     (5%)
  1 can(330ml)
  1.3 units
  can
• Beer/Alcopops

     (5%)
  1 bottle(330ml)
  1.3 units
  bottle
• Beer/Alcopops

     (5%)
  1 can(500ml)
  2.0 units
  can
• Beer/Alcopops

     (5%)
  1 bottle(640ml)
  2.5 units
  bottle
• Red/White wine/
  Champagne

     (12%)
  1 glass(125ml)
  1.2 units
  glass
• Spirits

     (40%)
  1 peg(40-50ml)
  1.3 units
  peg
• Spirits

     (40%)
  1 glass(shot)(22ml)
  0.7 units
  glass
• Rice wine

     (40%)
  1 glass(180ml)
  5.7 units
  glass
• Rice wine

     (40%)
  1 small glass(20ml)
  0.6 units
  Small
  glass
• Maotai

     (52%)
  1 maotai glass(20ml)
  0.8 units
  Maotai
  glass
• Japanese Sake

     (16%)
  1 small cup(20ml)
  0.3 units
  Small
  cup

You may choose to fill in the volume (ml) and alcohol content (% by volume)* of your drink:
*Alcohol content is printed on the label of the container

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3. How often do you have at least 5 cans of beer/5 glasses of table wine/5 peg of spirits on one occasion? (i.e. 60 g pure alcohol)

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

• The following amounts of alcoholic drinks contain about 60 g pure alcohol.
• (330ml)
  Beer/Alcopops
• (125ml)
  Red/White wine/
  Champagne
• (40-50ml)
  Spirits

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4. How often during the last year have you found that you were not able to stop drinking once you had started?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

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5. How often during the last year have you failed to do what was normally expected from you because of your drinking?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

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6. How often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

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7. How often during the last year have you had a feeling of guilt or remorse after drinking?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

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8. How often during the last year have you been unable to remember what happened the night before because you had been drinking?

• Never
• Less than monthly
• Monthly
• Weekly
• Daily or almost daily

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9. Have you or somebody else been injured as a result of your drinking?

• No
• Yes, but not in the last year
• Yes, during the last year

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10. Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut down?

• No
• Yes, but not in the last year
• Yes, during the last year

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