Att F_Activity Worksheet: Profile of an Excessive Drinker

GROUP: _____________ ID: ____________ Attachment F: Activity Worksheet Profile of an Excessive Drinker

Form Approved

OMB No. 0920-xxxx

Expiration date: xx/xx/xxxx

What they’re thinking when drinking:

PROFILE OF A TYPICAL EXCESSIVE DRINKER

When NOT drinking?

When drinking?

What they’re doing…

How they feel when drinking:
(draw their face)

DEMOGRAPHICS

AGE: ________

Circle responses below

	Race/Ethnicity:	White	Black
		Hispanic	Asian	Other:_________
	Gender:	Male	Female
	Married?	Yes	No
	Kids?	Yes	No

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Caitlin Krulikowski
File Modified	0000-00-00
File Created	2021-01-23