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Appendix 1 Letter of Confidence

Survey Questionnaire based on Teenage Alcoholism

Dear Student, I am presently doing my Bachelor in Education at the Mauritius Institute of Education (MIE) and University of Mauritius. In partial fulfilment of the requirement of the course, we need to conduct a research on any problem encountered at school. The theme that has been chosen is Teenage Alcoholism and your collaboration is of great importance. I would be much grateful if you could fill in the attached questionnaire as truthfully as possible. All information will be dealt with utmost confidentiality and anonymity. Thanking you in anticipation for your kind assistance and cooperation.

Yours sincerely,

Mandary Yushreen (MRS)

Survey Questionnaire
1. Class: .. 2. Age: ..

3. Address: . 4. Sex : .

5. Family situation: . 6. Occupation of . Parents:

7. Average monthly household income: 8. How often do you consume alcohol? Daily 2 3 days per week Less than once weekly Less than once monthly Very Rarely Never Drank 9. Type of alcohol you usually drink: Beer Wine Whisky Rum others

10. With whom do you usually drink? Family members Friends Alone With persons I have just met

11. If one of your friends offered you a drink of alcohol, would you drink it? Definitely NOT Probably YES I Dont Know Definitely YES Probably NO

12. Why do you drink? Fun My Parents let me All my friend do I dont know Stress others (specify)

13. How old were you when you first consume alcohol? Age 10 Age 15 Age 11 Age 16 Age 12 Age 17 Age 13 Age 18 Age 14

14. How much money do you spend (on average) on alcoholic drinks every month? 150 500 200 600 250 1000 300 1200 400 6000 450

15. Are you aware about the dangers of taking alcohol? YES NO

16. What are the effects alcohol has on you? I feel tired and do not want to attend school I feel no effects I feel very aggressive and want to beat others around me Sometimes, I want to commit suicide

17. Do your parents consume alcohol? YES NO

18. Do you know where to get help to stop taking alcohol? YES NO

19. Are you a member of any youth club?

YES NO

20. Do you practice any sport?

YES NO

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