European Workplace and
Alcohol Follow Up
Questionnaire
www.ewaproject.eu
[email protected]
European Workplace and Alcohol Questionnaire
Over the past X months (name of organisation) has been participating in the European
Workplace and Alcohol (EWA) project ("include here, too, the name of the project delivered
by the company if available"). Managers and staff within your workplace have been
engaged to raise awareness and spread knowledge about alcohol, the harm that it can cause
and how to respond to alcohol-related issues in the workplace. This questionnaire is an
important part of the project’s activities. You or your colleagues might have completed a
similar questionnaire some time ago: this is to allow us to compare results and assess any
possible improvements after the activities have been carried out.
For the reliability and usefulness of the data generated, it is obviously very important that
all those completing the questionnaire do so as accurately and honestly as they can,
choosing just one answer to each question.
It is important to emphasise that it is NOT the purpose of this questionnaire to provide a
profile of specific individuals or to use it to assess an individual employee’s alcohol intake
or their health. Indeed, we stress the importance of ANONYMITY and it will not be
possible to link completed questionnaires with specific individuals. Statistical information
about each company will remain confidential.
If you have any queries or concerns about this questionnaire, or about the alcohol-related
issues that it touches on, you can call (appropriate contact number) and we will be very
pleased to talk with you, preserving confidentiality.
We appreciate your time and effort in completing this questionnaire.
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European Workplace and Alcohol Questionnaire
1. Did you fill in a baseline questionnaire x months ago, before the (name of the
programme) activities started at your workplace?
Yes
No
Not sure
Exposure to prevention programme
The following questions ask about your involvement in alcohol-related topics in your workplace
during the previous X months
2. Over the past x months:
Yes
No
Not sure
2a) have you attended a (name of event) event or
presentation
2b) have you received any alcohol-related information i.e.
leaflets or promotional materials? (specify examples
that have been disseminated)
2c) have you attended a training session about alcohol
and the workplace?
2d) have you had a personal consultation with an advisor
(or other appropriate title) about alcohol and
reducing alcohol-related harm?
2e) Have you completed a self-audit alcohol tool?
Thinking about your involvement with the activities carried out at your workplace (name of the
programme if available?),
3. to what extent:
Very
Somewhat
Not at all
3a) do you think that they were helpful/useful for you
3b) do you think that they were helpful/useful for your
workplace
3c) are you satisfied with the activities
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European Workplace and Alcohol Questionnaire
Impact of the prevention programme
As a result of your participation in the activities carried out in your workplace
4. Has your knowledge about alcohol improved?
Yes, it improved my
knowledge a lot
Yes, it improved my
knowledge a little
No, it did not change
the level of my knowledge
5. Have you changed how much or how often you drink alcohol?
No, I am actually drinking
more than before
No, I am drinking the
same as before
Yes, I am drinking a
little less than before
Yes, I am drinking a
lot less than before
6. Have you sought help and/or advice:
Yes
No
No, but planning
to do
6a) from your nurse or doctor at an Occupational
Health and Safety Service?
6b) from your nurse or doctor at a Primary Health
Care Centre (GP)?
6c) from other professionals (social services, drug
specialist, etc)
Describe type of professional approached:
___________________________
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European Workplace and Alcohol Questionnaire
A Awareness
The following questions ask about the health impacts of drinking alcohol.
Would you agree or disagree that the consumption of alcoholic beverages can increase the risk
of the following health conditions? (please tick box)
HEALTH CONDITIONS
totally
agree
tend to
agree
neither agree
nor disagree
tend to
disagree
totally
disagree
don’t
know
A1 Liver diseases
A2 Heart diseases
A3 Cancers
A4 Asthma
A5 Depression
A6 Birth defects
A7 Injuries from accidents
(work, traffic, etc)
B Attitudes
The following questions will help us to build up a picture of attitudes to alcohol. To what
extent would you agree or disagree with the following statements? (please tick box)
THE STATEMENTS
strongl
y agree
tend to
agree
neither
agree nor
disagree
tend to
disagree
strongly
disagree
I don’t
drink
alcohol
B1 It’s ok for me to have an
alcoholic drink during my
lunch break from work
B2 I think that alcohol should
be available at social
events for staff, that are
organised by my
workplace, when the
event is outside of normal
working hours
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European Workplace and Alcohol Questionnaire
B3 I think that alcohol should
be available at corporate
events for
clients/customers, that are
organised by my
workplace, when the event
is during normal working
hours
B4 Generally, I am likely to
drink more alcoholic
drinks, than I would
normally, when they are
provided free or at a
special discounted rate
C Consumption
For all the following questions, please tick the box for the answer that is correct for you.
C1
How often do you have a drink containing alcohol?
Never
Go to Section D
Monthly or less
2 - 4 times a month
2 - 3 times a week
4 or more times a week
C2
How many standard drinks containing alcohol do you have on a typical day when you
are drinking?
1 or 2
3 or 4
5 or 6
7 to 9
10 or more
C3
How often do you have six or more drinks on one occasion?
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European Workplace and Alcohol Questionnaire
Never
Less than monthly
Monthly
Weekly
Daily or almost daily
C4
In the last 4 weeks, have you arrived in work with a hangover?
No
C5
In the last 4 weeks, have you been late for work as a result of drinking alcohol?
No
C6
Yes If yes, please specify how many times. ___________
Yes
If yes, please specify how many times. ___________
In the last 4 weeks have you been off work as a result of drinking alcohol?
No
Yes
If yes, please specify how many times. ___________
D Alcohol and Your Workplace
D1
Does your employer have an alcohol policy?
Yes Yes
D1a
Not sure
If you answered “yes” to QD1, do you think having an alcohol policy is a good thing?
If you answered “no” or “not sure”, do you think it would be a good idea?
Yes
D2
No
No
Does your employer provide a support service, or access to a support service, for
employees with alcohol problems?
Yes
No
Not sure
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European Workplace and Alcohol Questionnaire
The next 3 questions refer to the effect that drinking by your co-workers may have had on
you.
D3
Because of your co-worker(s) drinking, how many times in the past 12 months . . .
please specify the
number of times (if
none write 0)
QUESTIONS
D3.1 Have you had to cover for them?
D3.2 Have you had to work extra hours?
D3.3 Were you involved in an accident or a close call at work?
E Personal Information
E1
Which of the following categories best describes the type of your current job?
Manual worker
Managerial
Other white collar job
None of the above: Please specify the type of your job
________________________
E2
Which gender are you?
Female
E3
Male
Which of these age categories applies to you?
16-24
25-34
35-44
45-54
55-64
65 or older
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European Workplace and Alcohol Questionnaire
E4
Finally, to what extent would you say that you are satisfied or dissatisfied with your life
as a whole?
Very
Dissatisfied
dissatisfied
Slightly
Neither
dissatisfied satisfied nor
dissatisfied
Slightly
satisfied
Satisfied
Very
satisfied
Thank you for completing this questionnaire
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