Haverford College
Department of Psychology

Senior Thesis Project by Clara Gruen & Karen Hooker
Doug Davis, Faculty Advisor

Thank you for participating in this study. This is the preliminary survey, which consists of questions regarding background information and alcohol use, as well as questions concerning how accurately certain statements describe you. The second part of this study is a weekly questionnaire, in which you will be asked to log your choices of social activities, including use of alcohol, for approximately ten weeks. Please be aware that this is a very important part of the study, and while it will not take a significant amount of time, it is necessary that you complete all questionnaires. (**Note that this also means that you need to be on campus next semester. Students going abroad second semester are not eligible to participate.) At the completion of the study, there will be a lottery for numerous prizes to thank you for your participation. You will be eligible for the lottery when you have completed all parts of the study.

Confidentiality: All responses will be completely confidential. The researchers will not know the names of the people in the study. All identifying information will be coordinated through a secretary who is not involved in the study. There is no way for the researchers to trace the submission of the forms to you as an individual. We take these precautions because we want your complete and honest responses. Please direct any questions or concerns to Merleen MacDonald (mmacdona@haverford.edu),who will be coordinating e-mail with participants.

 

Alcohol Study Questionnaire

Survey ID Number:

Class: First-year Sophomore Junior Senior

Sex: Male Female

Age:

What kind of computer operating system are you completing the questionnaires on?

What type of computer are you using?

Do you participate in any of the following activities this school year? Check all that apply.

Intercollegiate athletics
Intramural club sports
Religious group
Student Government (SC, HC, JSAAPP)
Music or performing arts groups
Customs (Customs person, HCO, UCA)
Other College Organization

How often have you consumed alcoholic beverages during this academic year?

Never
Less than once a month
Once a month
Two-three times a month
Once a week
Two-three times a week
Four-five times a week
Daily

What is your usual quantity of alcoholic beverages consumed at any one drinking occasion?

**Note: 1 drink=one 12 oz beer or 4 oz glass of wine or one oz shot or one oz alcohol in a mixed drink

None
One drink
Two drinks
Three -four drinks
Five-six drinks
Seven-eight drinks
Nine or more

How many times, this academic year, did you drink five or more drinks (see note above for equivalencies) on a single occasion?

**Note: 1 drink=one 12 oz beer or 4 oz glass of wine or one oz shot or one oz alcohol in a mixed drink

Never
Less than once a month
Once a month
Two-three times a month
Once a week
Two-three times a week
Four-five times a week
Daily

To what extent has your amount of alcohol use changed since starting your first year of college?

I have not used alcohol since coming to college
decreased greatly
decreased somewhat
stayed the same
increased somewhat
increased greatly

Have you ever done anything out of character (i.e. done something you wouldn't normally do) as a result of drinking alcohol?

Yes No
optional: what did you do?

Have you ever had a bad experience as a result of drinking, or while under the influence of alcohol?

Yes No
optional: what happened?

How many times have you used marijuana this academic year?

Never
Less than once a month
Once a month
Two-three times a month
Once a week
Two-three times a week
Four-five times a week
Daily

How many times have you used other drugs during this academic year?

Never
Less than once a month
Once a month
Two-three times a month
Once a week
Two-three times a week
Four-five times a week
Daily

If you do drink, even occasionally, to what extent do the following reasons explain why you choose to drink? (If you always abstain from drinking, please click here to skip to the next question.)

**Please rate each reason on a scale of 1 to 5 where 1 means it is not at all a reason why you choose to drink, 3 means it is somewhat a reason why you choose to drink and 5 means that it is very much a reason why you choose to drink.

Because I want to relax.
Not at all 1 2 3 4 5 Very much

Because I want to change my personality (i.e. act differently).
Not at all 1 2 3 4 5 Very much

Because I want to have fun.
Not at all 1 2 3 4 5 Very much

Because I want to increase chances for sexual opportunities.
Not at all 1 2 3 4 5 Very much

Because the people I am with are drinking.
Not at all 1 2 3 4 5 Very much

Because I like the physical effects.
Not at all 1 2 3 4 5 Very much

Because I want to be more sociable.
Not at all 1 2 3 4 5 Very much

Because I am stressed about schoolwork.
Not at all 1 2 3 4 5 Very much

Because I am stressed about my personal life.
Not at all 1 2 3 4 5 Very much

Because I feel shy or uncomfortable.
Not at all 1 2 3 4 5 Very much

Because I am angry or irritable.
Not at all 1 2 3 4 5 Very much

Because I am sad or lonely.
Not at all 1 2 3 4 5 Very much

Because I am bored.
Not at all 1 2 3 4 5 Very much

Because I want to escape or forget.
Not at all 1 2 3 4 5 Very much

Other:
Not at all 1 2 3 4 5 Very much

 

If you abstain from drinking alcohol, to what extent do the following reasons explain why you choose not to drink? (If you do drink alcohol, please click here to skip to the next question.)

**Please rate each reason on a scale of 1 to 5 where 1 means it is not at all a reason why you choose not to drink, 3 means it is somewhat a reason why you choose not to drink and 5 means that it is very much a reason why you choose not to drink.

Because it is against my religious beliefs.
Not at all 1 2 3 4 5 Very much

Because it is against my personal values.
Not at all 1 2 3 4 5 Very much

Because I had a bad experience.
Not at all 1 2 3 4 5 Very much

Because my friends don't drink.
Not at all 1 2 3 4 5 Very much

Because I dislike the taste of alcohol.
Not at all 1 2 3 4 5 Very much

Because it is bad for my health.
Not at all 1 2 3 4 5 Very much

Because I don't want to lose control.
Not at all 1 2 3 4 5 Very much

Because I've seen others drink to excess.
Not at all 1 2 3 4 5 Very much

Because I have more fun without drinking.
Not at all 1 2 3 4 5 Very much

Because I don't like the effects of alcohol.
Not at all 1 2 3 4 5 Very much

Because it is against the law.
Not at all 1 2 3 4 5 Very much

Because I have a family member or close friend with a drinking problem.
Not at all 1 2 3 4 5 Very much

Other:
Not at all 1 2 3 4 5 Very much

 

In what situations do you drink?

Restaurants
Never Rarely Sometimes Often

Bars/Clubs
Never Rarely Sometimes Often

My room alone
Never Rarely Sometimes Often

My room with friends
Never Rarely Sometimes Often

Small party (3-10 people)
Never Rarely Sometimes Often

As part of a drinking game
Never Rarely Sometimes Often

Pre-party before large party/event
Never Rarely Sometimes Often

Campus party
Never Rarely Sometimes Often

With my athletic team
Never Rarely Sometimes Often

With a social organization (clubs, etc.)
Never Rarely Sometimes Often

With my family
Never Rarely Sometimes Often

Other:
Never Rarely Sometimes Often

What social activities have you chosen to do on the weekends which don't involve consuming alcohol? Check all that apply.

On-Campus movies
Campus dances
Campus concerts
Hanging out with friends
Going to campus parties but not consuming alcohol
Getting off campus (i.e. going to Philadelphia, movies, dinner, play, museum, etc.)
 

Personal Rating Form

Instructions: On the right side of your screen, there are phrases describing behaviors and attitudes. Please use the rating scale below to describe how accurately each statement describes you. Describe yourself as you generally are now, not as you wish to be. Describe yourself as you honestly see yourself, in relation to other people you know of the same sex as you are, and roughly your same age. So that you can describe yourself in an honest manner, your responses will be kept in absolute confidence. Please read each statement carefully, and then fill in the bubble that corresponds to the number on the scale.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am the life of the party.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Feel little concern for others.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am always prepared.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Get stressed out easily.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Have a rich vocabulary.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Don't talk a lot.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am interested in people.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Leave my belongings around.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am relaxed most of the time.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Have difficulty understanding abstract ideas.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Feel comfortable around people.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Insult people.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Pay attention to details.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Worry about things.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Have a vivid imagination.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Keep in the background.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Sympathize with others' feelings.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Make a mess of things.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Seldom feel blue.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am not interested in abstract ideas.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Start conversations.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am not interested in other people's problems.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Get chores done right away.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am easily disturbed.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Have excellent ideas.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Have little to say.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Have a soft heart.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Often forget to put things back in their proper place.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Get upset easily.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Do not have a good imagination.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Talk to a lot of different people at parties.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am not really interested in others.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Like order.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Change my mood a lot.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am quick to understand things.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Don't like to draw attention to myself.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Take time out for others.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Shirk my duties.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Have frequent mood swings.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Use difficult words.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Don't mind being the center of attention.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Feel others' emotions.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Follow a schedule.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Get irritated easily.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Spend time reflecting on things.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am quiet around strangers.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Make people feel at ease.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am exacting in my work.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Often feel blue.

Very Inaccurate Moderately Inaccurate Neither Inaccurate nor Accurate Moderately Accurate Very Accurate

Am full of ideas.

Click the SUBMIT button only once to submit your responses