Alcohol Consumption Review

Many of our usual procedures have been amended in response to the current Coronavirus pandemic. Please check our Coronavirus Updates page for the most up to date guidance.

If you have been invited to submit an alcohol consumption review, please complete this form.

Alcohol Consumption Review

About You

Please use this date format: DD/MM/YYYY.

Alcohol Consumption

This is one unit of alcohol:

And each one of these, is more than one unit:

Alcohol Consumption - Part 2

A total of 5+ indicated increasing or higher risk of drinking. As you have scored 5 or more, please now fill in the questions below.

Please note that the details you give will be used to update your medical records.