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This document is a self-monitoring form designed to help individuals track their alcohol consumption and related behaviors to evaluate and improve their drinking habits under the guidance of a therapist.
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How to fill out daily alcohol monitoring form

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How to fill out Daily Alcohol Monitoring Form

01
Obtain a Daily Alcohol Monitoring Form from your administrator or designated authority.
02
Start by filling in your personal information at the top of the form, including your name, date of birth, and any identification number if required.
03
Next, indicate the date for which you are completing the form.
04
Record your alcohol consumption for that day in the designated section, specifying the type and amount of alcohol consumed.
05
If there were any missed drinking times or incidents of non-compliance, document them in the relevant section.
06
Finally, sign and date the form at the bottom to certify that the information provided is accurate.

Who needs Daily Alcohol Monitoring Form?

01
Individuals participating in alcohol rehabilitation programs.
02
Individuals on probation or parole related to alcohol-related offenses.
03
People involved in court-ordered alcohol monitoring.
04
Anyone required to keep track of their alcohol consumption for health reasons or personal accountability.
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Alcohol between 24-70 percent ABV, or 48-140 proof You are limited to containers of 3.4 ounces or less that can fit comfortably in one quart-sized, clear, zip-top bag per the TSA's 3-1-1 directive. Please remember, one bag per customer.
Zero: There are occasions when the only safe choice is zero drinks, such as when you plan to drive or operate machinery. One: Drink up to one drink per hour. Two: Drink up to two drinks per occasion. Three: Never drink more than three drinks per occasion.
The AUDIT-C is a modified version of the 10 question AUDIT instrument. The AUDIT-C has 3 questions and is scored on a scale of 0-12. Each AUDIT-C question has 5 answer choices valued from 0 points to 4 points.
ing to the US Coast Guard, the 1-2-3 rule is: No more than one standard drink per hour. No more than two standard drinks per occasion. No more than three drinks a day (more than three constitutes binge drinking, ing to the National Institute on Alcohol Abuse and Alcoholism)
Daily Drinking Questionnaire (DDQ) The DDQ (Collins, Parks, & Marlatt, 1985) measures the quantity and frequency of alcohol use by asking students to estimate the typical number of drinks consumed on each day of the week, averaged over the previous 3 months.

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The Daily Alcohol Monitoring Form is a document used to track and record an individual's alcohol consumption on a daily basis, often required in legal or treatment contexts.
Individuals who are under court order or supervision for alcohol-related offenses, or those participating in rehabilitation programs, are typically required to file the Daily Alcohol Monitoring Form.
To fill out the Daily Alcohol Monitoring Form, individuals should accurately record their alcohol consumption each day, including the type and amount of alcohol consumed, and submit it to the designated authority.
The purpose of the Daily Alcohol Monitoring Form is to ensure accountability, track progress in sobriety, and provide evidence of compliance with treatment or legal requirements.
The information required includes the date, type of alcohol consumed, quantity, time of consumption, and potentially any accompanying observations or notes relevant to the individual's sobriety.
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