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Queensferry Medical Practice NHS GP Surgery in Deeside

Alcohol consumption review

Alcohol Consumption Review

Required fields are labelled

About You

Full Name: Required

Date of Birth: Required

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

Phone Number:

Email Address: Required

Any responses we send will go to this email address.

This is one unit of alcohol:

Amount of different types of drink representing one unit of alcohol

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

Amount of different types of drink representing more than one unit of alcohol

How often do you have a drink containing alcohol? Required

Never

Monthly or less

2-4 times per month

2-3 times per week

4+ times per week

How many units of alcohol do you drink on a typical day when you are drinking? Required

1-2

3-4

5-6

7-9

10+

How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year? Required

Never

Less than monthly

Monthly

Weekly

Daily or almost daily

If you are human, leave this field blank.

The Practice is currently closed

The Practice is now closed and this form is not available during out of hours. If you need non-urgent medical assistance then please ring the Practice between 8.00am - 6.00pm Monday to Friday (excluding bank holidays)

If you need help out of hours please speak to your local pharmacist or contact NHS 111

You can also visit our Wellbeing Centre for more available help & information

Pierce Street
Queensferry
Deeside
Flintshire
CH5 1SY

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01244 813340

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