The Check Your Drinking (CYD) Survey

The 18 question CYD survey is anonymous and has been designed to help you, your loved ones or your health care professional answer some questions about drinking. When you have finished the test you can print your Final Report or email your Final Report directly to yourself or your health care professional.

Please begin the survey by filling in the following anonymous information.

Your First name:  (to protect your privacy please only use your first name or a nickname)

You are:

Your date of birth:

Are you or were you a new comer to Canada within the last 6 years?
According to the map what area do you live in?




How much do you weigh?

What kind of housing do you live in?
What is your income source?
The Government considers individuals that make less than $28,000 a year to be low-income. If this applies to you, how long would you consider yourself to be low-income?
What kind of Food Access Program do you use?
Do you have a family doctor?
Do you have a diagnosed mental health condition?
You are taking this test:
How much would you say that each drink costs you?  (example: 3.75)

Please Note: By clicking "Start the Survey" you acknowledge that this test is for educational puposes only and is not to be used as a substitute for a consultation or visit with your family physician or other healthcare provider.




CheckYourDrinking.net v. 2.0 is for educational purposes only and is not to replace the advice of a healthcare professional. Copyright 2001-9 by Evolution Health Systems Inc. All Rights Reserved. All worldwide patent rights reserved.