Page 245 - PhD GT

Appendix 3
Part 1 of three parts
Please tick the alternative that best describes how often the following items have applied to you during
the past three months.
If you have any difficulties filling in this form, please ask the questionnaire administrator to help you.
The Impaired Control Scale (ICS)
Never
1 During the past three months, I tried to limit the amount I drank.
Rarely .........
.........
.........
.........
.........
Sometimes ...............
...............
...............
...............
...............
Often ........
........
........
........
........
Always
2 During the past three months, I tried to resist the opportunity to start drinking.
3 During the past three months, I tried to slow down my drinking.
4 During the past three months, I tried to cut down my drinking (i.e. to drink less).
........
..........
........
..........
........
..........
........
..........
5 During the past three months, I tried to stop drinking for a period of time.
........
..........
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