Empathy for Children Scale

 

 

 

Principal Investigator

Camille Ragin, PhD, MPH

Associate Professor, Cancer Prevention and Control Program Associate Professor, Department of Epidemiology and Biostatistics PI, African Caribbean Cancer Consortium

Fox Chase Cancer Center -Temple Health/Temple University College of Public Health

 

AC3 Consortium Manager/Contact

Elizabeth Blackman, MPH

Cancer Prevention and Control Program

333 Cottman Avenue, Philadelphia, PA, USA Phone: 215-214-1417

Email: [email protected]

 

1. Alcohol Intake and Duration

1a. How long has it been since you last had a drink containing any kind of alcohol (this includes beer, wine, and liquor)?

Never drank any alcohol in lifetime                       Go to next section

Within the last 24 hours One to 6 days ago

One to 4 weeks ago One to 11 months ago

One year or more ago                   Go to question 1b

 

1b. Thinking about the period in your life when you drank alcohol the most, about how often did you drink then?

Every day Nearly every day 3-4 times a week 2 times a week once a week

2-3 times a month once a month

7-11 times a year 3-6 times a year

1-2 times a year or less

 

1c. Thinking about the period in your life when you drank alcohol the most, about how many drinks did you have on a typical occasion, counting all types of alcohol?

 

number of drinks

 

 

 

 

2. Alcohol Products

 

Light Beer  How many beers did you have on a typicaloccasion?  Regular Beer, ale, malt liquor, orstout  White wine or white wine coolers How many glasses did you have on a typical occasion?  Red wine or red wine coolers How many glasses did you have on a typical occasion?   Liquor or Mixed Drinks  How many glasses did you have on a typical occasion?

2a. Over the past year, how often did you drink: