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Alcohol
Self-Efficacy
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"CPRC - A research organization dedicated to helping people change their behavior for living longer, healthier lives"

 
Alcohol: Self-Efficacy

How tempted you may be to drink in each situation?

Enter the number in the box that best describes the feelings of temptation in each situation at the present time according to the following scale:

1 = Not at all tempted
2 = Not very tempted
3 = Moderately tempted
4 = Very tempted
5 = Extremely tempted

1.

When I am concerned about someone

2.

When I see others drinking at a bar or at a party

3.

When I am very worried

4.

When I am in agony because of stopping or withdrawing from alcohol use

5.

When I have the urge to try just one drink to see what happens

6.

When I dream about taking a drink

7.

When people I used to drink encourage me to drink

8.

When I sense everything is going wrong for me

9.

When I am physically tired

10.

When I am feeling depressed

11.

When I feel like blowing up because of frustration

12.

When I experience an urge or impulse to take a drink that catches me unprepared

13.

When I am feeling angry inside

14.

When I am experiencing some physical pain or injury

15.

When I want to test my willpower over drinking

16.

When I am being offered a drink in a social situation

17.

When I am excited or celebrating with others

18.

When I am on vacation and want to relax 

19.

When I am feeling a physical need or craving for alcohol

20.

When I have a headache

 

How confident are you that you would not drink in each situation?

Enter the number in the box that best describes the feeling of confidence in each situation at the present time according to the following:

1 = Not at all confident
2 = Not very confident
3 = Moderately confident
4 = Very confident
5 = Extremely confident

1.

When I am in agony because of stopping or withdrawing from alcohol use

2.

When I have a headache

3.

When I am feeling depressed

4.

When I am on vacation and want to relax

5.

When I am concerned about someone

6.

When I am very worried

7.

When I have the urge to try just one drink to see what happens

8.

When I am being offered a drink in a social situation

9.

When I dream about taking a drink

10.

When I want to test my willpower over drinking

11.

When I am feeling a physical need or craving for alcohol

12.

When I am physically tired

13.

When I am experiencing some physical health or injury

14.

When I feel like blowing up because of frustration

15.

When I see others drinking at a bar or at a party

16.

When I sense everything is going wrong for me

17.

When people I used to drink with encourage me to drink

18.

When I am feeling angry inside

19.

When I experience an urge or impulse to take a drink that catches me unprepared