Alcohol: Self-Efficacy

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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