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)
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.
Statistical data collected throughout the site is used for research purposes only. Individual statistics are not collected or distributed and we do not collect or distribute email addresses or any other personal information. Please read this important legal information.