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HOME
ABOUT
About Adial
Management
Board of Directors
ADDICTION
Alcohol Addiction
Limitations of Current AUD Therapies
Our Proposed Solution
TECHNOLOGY
Overview
Phase 2b Clinical Trial Results
History of Ondansetron Use for AUD
Strengths and Competitive Advantages
Newsroom
Press Releases
Media
INVESTORS
Overview
Analyst Coverage
News / Events
Company Information
Financial Information
Stock Data
SEC Filings
Corporate Governance
CONTACT
Contact Us
Sign up for email alerts
Adial Survey 2018
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Adial Survey 2018
Adial Alcohol Survery 2018
What is your gender?
*
A) Male
B) Female
How old are you?
*
A) 18 - 21 years
B) 21- 25 years
C) 25 years to 35 years
D) 35 years to 50 years
E) Over 50 years
If you drink alcohol, at what age did you first notice you may have a problem with drinking excessively that has interfered negatively with your relationship(s), work, or school?
*
A) 18 years to 21 years
B) 21 years to 25 years
C) Over 25 years
D) I have never had a problem
E) less than 18 years
Do you have any type of relative who has had a problem with excessive drinking?
*
A) Mother
B) Father
C) Mother and Father
D) Grandparent
E) None of he above
How many times do you drink alcohol in a week?
*
A) none or once
B) 2 or more times
C) 3 or more times
4) 4 or more times
E) 5 or more times
What is the maximum amount of alcohol you typically drink at one time?
*
A) more than 2 cans of beer or 2 glasses of wine or 2 single shots of liquor
B) more than 3 cans of beer or 3 glasses of wine or 3 single shots of liquor
C) less than 1 can of beer or 1 glass of wine or 1single shot of liquor
D) more than 4 cans of beer or 4 glasses of wine or 4 single shots of liquor
E) more than 5 cans of beer or 5 glasses of wine or 5 single shots of liquor
Have you had any problems at all with any of the following?
*
Select All
A) Domestic violence against self
B) Domestic violence towards others
C) Assault on self
D) Assault towards others
E) More than one DUI
F) None of the above
How strong is your craving to drink alcohol?
*
A) None at all
B) I could resist drinking my favorite beverage when presented for a few minutes
C) I could resist drinking my favorite beverage when presented for at least an hour
D) I could resist drinking my favorite beverage when presented for several hours
E) I could resist drinking my favorite beverage when presented for at least a day
If you have a sudden impulse to do something pleasurable, how much time could you hold off doing it?
*
A) A few minutes
B) Never
C) At least an hour
D) Several hours
E) Indefinitely
Do you think drinking alcohol excessively is harmful?
*
A) No
B) Sometimes
C) All the time
D) Only if I am alone
E) Only if I am in the company of others
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