survey is a quick preliminary screener which allows us to determine if you will
be eligible for our study.
decline to answer any questions you feel uncomfortable answering, although it
may affect your eligibility for our study. All of your responses are
strictly confidential and this is a secure website.
Your answers will
only be used to assess your eligibility for this study and to contact
If you have
any questions about this survey, call or text (203) 464-6015. If you prefer, you can
complete a similar screening process by phone.
This is NOT a treatment
study. If you are seeking to stop or cut back on your drinking, please contact
us and we will give you a referral for treatment.
HIC # 1011007710