Question Title * 1. How old are you? 15-18 19-21 22-24 25+ OK Question Title * 2. What is your gender? Female Male Prefer not to say OK Question Title * 3. Which city do you live in? Johannesburg Pretoria Durban Cape Town Other (please specify) OK Question Title * 4. Do you use substances? Yes No Rather not say OK Question Title * 5. Do you drink alcohol? Yes No OK Question Title * 6. Have you noticed that you’re drinking more than you used to? Yes No OK Question Title * 7. Do you have constant alcohol cravings and enjoy spending most of your time under the influence? Yes No OK Question Title * 8. Are you usually thinking about alcohol or trying to find excuses to drink? Yes No OK Question Title * 9. Do you find yourself drinking to feel good or to cope with stress or anxiety? Yes, I do No, I don’t OK Question Title * 10. Are your loved ones starting to complain or express concerns about your drinking? Yes No OK Question Title * 11. Is your alcohol use causing issues at school, at work or in your relationships, or has it changed your behaviour? Yes No OK Question Title * 12. Do you know about Choma? Yes No OK Question Title * 13. If you answered yes, have you used the Choma platforms (Website, Social Media)? Yes No OK Question Title * 14. How long have you used the Choma platforms? Less than 6 months 6 months to a year For more than a year OK CALCULATE YOUR RESULTS
