HLTH 6205 Week 5 Drinking Patterns Survey Instrument Example

Assessing Health and Wellness Needs for Communities Walden University Free custom sample in 24 to 48h

This HLTH 6205 Week 5 instrument draft example builds a twelve-item survey for what Calumet County's published binge drinking estimate cannot show: how often adults binge drink, how much, where and how they get home. Walden HLTH 6205 brings in instrument design once published sources run out, and the draft shows aspiring MS in Health Education and Promotion survey designers justifying a gap before writing a single question. The first half cites the source review and national data on episode frequency and intensity. The second half lays out the instrument as a respondent would see it, with an introductory statement, numbered items, printed response options and marked skips. A section explains why supper clubs and lake sites appear in the setting list and which two items were cut. The administration note covers mailed and web modes, Spanish, reading level and review.

CourseHLTH 6205 Assessing Health and Wellness Needs for Communities
WeekWeek 5
Paper typeInstrument draft
LengthAbout 930 words, 6 pages
FormatAPA 7 student paper
SchoolWalden University
ProgramMS in Health Education and Promotion
UpdatedOctober 2026

Free sample paper for HLTH 6205 Week 5

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Twelve Questions for What the County Estimate Cannot Show: A Draft Instrument on How Often, How Much and Where Calumet County Adults Binge Drink, With Its Justification and Administration Note

Student Name

Walden University

HLTH 6205: Assessing Health and Wellness Needs for Communities

Instructor Name

Month Day, Year

What this page is doingThe title names the gap first and the instrument second, because an instrument is only worth drafting if it measures something no published source already reports.
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Twelve Questions for What the County Estimate Cannot Show: A Draft Instrument on How Often, How Much and Where Calumet County Adults Binge Drink, With Its Justification and Administration Note

The Gap This Instrument Fills

Published data give one number for Calumet County: about one adult in five binge drank in the past 30 days in 2023, with a modeled interval of 17.1% to 24.1% (Centers for Disease Control and Prevention [CDC], 2025). The source review for this assessment found no source that reports, for county adults, how often binge episodes happen, how many drinks an episode involves, where drinking takes place or how people get home afterward. Those are not details. Nationally, binge drinkers averaged 53 episodes a year at seven drinks per episode, and the yearly total of binge drinks per binge drinker was substantially higher among adults with less education and lower household income (Kanny et al., 2018). A county where one adult in five binge drinks once a month has a different need from one where the same share does so every weekend.

The draft below is built for that gap only. It does not repeat the prevalence question already answered by the published estimate, except as a screening item that routes respondents.

What this page is doingThe justification cites the earlier source review as evidence that the gap is real, so the instrument is not duplicating a published survey.
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The Instrument

Calumet County Adult Drinking Patterns Survey (Draft)

This survey asks about alcohol use in the past 30 days. It is voluntary. You may skip any question. Your answers are not linked to your name or address. It takes about five minutes.

1. In the past 30 days, on how many days did you have at least one drink of any alcoholic beverage? A drink is one 12-ounce beer, one 5-ounce glass of wine or one shot of liquor. Response: number of days, 0 to 30. If 0, skip to question 11.

2. On the days you drank, about how many drinks did you usually have? Response: number of drinks.

3. What is the largest number of drinks you had on any one occasion in the past 30 days? Response: number of drinks.

4. Are you male or female? This is used only to apply the drink count that defines binge drinking. Response: male; female; prefer not to say.

5. In the past 30 days, on how many occasions did you have four or more drinks (if female) or five or more drinks (if male) within about two hours? Response: number of occasions. If 0, skip to question 9.

6. Thinking of those occasions, where did they most often take place? Mark one. Response: my home or someone else's home; a bar, tavern or supper club; a restaurant; a community event, festival or fair; outdoors, such as a lake, campground or hunting site; somewhere else.

7. On the most recent of those occasions, how did you get to where you were going afterward? Mark one. Response: I stayed where I was; I walked; someone who had not been drinking drove; I drove; someone who had been drinking drove; other.

8. On the most recent of those occasions, was it a day you had to work or care for someone the next day? Response: yes; no; not sure.

9. How much do you think people risk harming themselves if they have five or more drinks once or twice a week? Response: no risk; slight risk; moderate risk; great risk.

10. In the past 12 months, has a doctor, nurse or other health worker asked you how much you drink? Response: yes; no; I have not seen a health worker in the past 12 months.

11. What is your age? Response: 18 to 24; 25 to 34; 35 to 44; 45 to 54; 55 to 64; 65 or older.

12. What is the ZIP code where you live most of the year? Response: five-digit ZIP code.

What this page is doingItems are numbered, each measures one thing, response options are printed with every item and skip patterns are marked, as a respondent would see them.
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Choices Behind the Items

The consumption items follow the logic of short screening questions validated in primary care, which ask about frequency, typical quantity and frequency of heavy occasions (Bradley et al., 2007), but they are worded for a 30-day window to match the period behind the county estimate. Question 5 uses the sex-specific threshold so that its answers can be set beside the published prevalence. The setting list in question 6 includes supper clubs, community events and outdoor sites because those are ordinary places to drink in this part of Wisconsin, and a list built for a city would miss them. Question 10 is included because most adults who binge drink do not meet criteria for alcohol dependence (Esser et al., 2014), so whether health workers ask about drinking at all is a meaningful gap separate from treatment.

Two items were cut from an earlier draft. "Do you drink too much and too often?" asked about two things and assumed a problem. A question asking whether respondents had "ever" binge drunk was dropped because it measured a lifetime and could not be compared with anything.

Administration Note

Mode: a mailed questionnaire to a random sample of residential addresses in the county, with a web option printed on the cover letter, so that adults without reliable internet are reached. Language: English, with a Spanish version reviewed by a native speaker. Reading level: written to about the sixth-grade level; the drink definition in question 1 is the only long sentence. Time: about five minutes. Respondents: one adult per household, chosen as the adult with the next birthday, to avoid always reaching whoever opens the mail. Approvals: the draft has not been fielded and would require review by an institutional review board before use. No results are reported because none exist.

References

Bradley, K. A., DeBenedetti, A. F., Volk, R. J., Williams, E. C., Frank, D., & Kivlahan, D. R. (2007). AUDIT-C as a brief screen for alcohol misuse in primary care. Alcoholism: Clinical and Experimental Research, 31(7), 1208-1217. https://doi.org/10.1111/j.1530-0277.2007.00403.x

Centers for Disease Control and Prevention. (2025). PLACES: Local data for better health, county data, 2025 release [Data set]. https://data.cdc.gov/d/swc5-untb

Esser, M. B., Hedden, S. L., Kanny, D., Brewer, R. D., Gfroerer, J. C., & Naimi, T. S. (2014). Prevalence of alcohol dependence among US adult drinkers, 2009-2011. Preventing Chronic Disease, 11, Article E206. https://doi.org/10.5888/pcd11.140329

Kanny, D., Naimi, T. S., Liu, Y., Lu, H., & Brewer, R. D. (2018). Annual total binge drinks consumed by U.S. adults, 2015. American Journal of Preventive Medicine, 54(4), 486-496. https://doi.org/10.1016/j.amepre.2017.12.021

Reading the HLTH 6205 Week 5 instructions

The fifth week asks students to draft a short instrument for one gap that published data cannot fill. The document begins with a justification naming exactly what existing sources fail to report for the population, citing earlier work as evidence. The instrument follows in the form a respondent would see: a statement about purpose and voluntariness, numbered items, response options under each item and skip patterns. Items should each measure one thing, avoid leading wording and offer a truthful answer for every respondent. Students then add an administration note covering language versions, reading level, mode, time required and who would answer. Because nothing has been fielded, no results appear. Instructors may also ask for a sentence on the approvals needed before use. Sources cover the gap, any validated items the draft adapts and the population estimates.

Inside the HLTH 6205 Week 5 example

The draft opens with the county estimate and the source review's finding that no source reports frequency, intensity, setting or transport home. It uses national data on 53 episodes a year at seven drinks each to show why those details change the need. The instrument, titled as a county drinking patterns survey, starts with a voluntary, anonymous, five-minute statement. Twelve items follow, from drinking days and usual quantity to a sex-specific binge count, the usual setting, the trip home, next-day responsibilities, perceived risk, whether a health worker asked about drinking, age group and ZIP code. A choices section links the consumption items to a primary care screen and explains the local setting list. Two discarded items are shown with reasons. The administration note describes an address-based mailed sample with a web option and next-birthday selection.

HLTH 6205 Week 5 rubric: what earns full marks

Item wording settles most of the grade on an instrument draft. Faculty reward questions that measure one idea, avoid leading phrasing and give every respondent an honest option, and they deduct heavily for double-barreled items. The justification earns the next block, because an instrument that repeats a published survey has found no gap. Response options are judged for balance and full coverage, including options such as "prefer not to say" or "not sure" where relevant. Skip patterns should be clear enough that a respondent never answers a question that does not apply. The administration note is graded too, since it shows who would actually be reached. Mentioning required ethics review shows awareness. References for adapted items and for the evidence behind the gap complete the expectations in APA format.

HLTH 6205 Week 5 help: mistakes that cost marks

Instrument drafts are often marked down for double-barreled items, such as asking whether someone drinks "too much and too often" in one question. Another common issue is writing items that duplicate a national survey, so the draft fills no gap. Students also forget skip logic, leaving non-drinkers to answer questions about binge occasions. To avoid these, write the gap in one sentence and test every item against it. Say each question out loud and listen for an "and" or "or" that splits it. Give every item a full set of response options. Mark skips after screening questions. Add an administration note that names mode, language, reading level and time. Our team can draft a short instrument for your own population's data gap, with the justification and administration note your section requires.

Get a HLTH 6205 Week 5 example written to your instructions

Send the prompt and rubric and a sample instrument arrives within 24-48h, free on a first request, formatted the way a respondent would see it. The items your population would actually answer, and every response that would come back, belong to your project alone, and nothing produced here is ever presented as data collected from anybody.

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HLTH 6205 Week 5 questions, answered

Where can I find a free HLTH 6205 Week 5 sample paper?

A full Week 5 instrument draft with twelve survey items on binge drinking frequency, quantity, setting and transport, plus its justification and administration note, is on this page.

What gap does the HLTH 6205 Week 5 instrument fill?

Published data give only the share of Calumet County adults who binge drink; the instrument asks how often, how many drinks, where and how people get home afterward.

How many items does the Week 5 draft contain?

Twelve, including a screening item on drinking days, a sex-specific binge count, a setting question, a transport question and two demographic items.

Which items were cut from the draft and why?

A question about drinking "too much and too often" was double-barreled and assumed a problem, and a lifetime binge question could not be compared with anything.

Has the Week 5 instrument been piloted?

No. It has not been fielded, reports no results and would need institutional review board approval before use.