How many standard drinks of any alcoholic beverage did you have on Friday?
How many standard drinks of any alcoholic beverage did you have on Saturday?
How many standard drinks of any alcoholic beverage did you have on Sunday?
How many servings of fruit do you eat on a typical day?
Overall in the last 30 days overall how much difficulty did [name of the person] have with concentrating or remembering things?
In the last 30 days, how much difficulty did [name of person] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)?
Overall in the last 30 days overall how much difficulty did [name of the person] have with concentrating or remembering things?
In the last 30 days, how much difficulty did [name of person] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)?
Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself?
In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance(e.g. grooming, looking neat and tidy etc.)
Overall in the last 30 days overall how much difficulty did [name of the person] have with concentrating or remembering things?
In the last 30 days, how much difficulty did [name of person] have in learning a new task (for example, learning how to get to a new place, learning a new game, learning a new recipe etc.)?
Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself?
In the last 30 days, how much difficulty did [name of person] have in taking care of and maintaining his/her general appearance (e.g. grooming, looking neat and tidy etc.)
Overall in the last 30 days, how much difficulty did [name of person] have with self-care, such as washing or dressing himself/herself?
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