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Gender
 
Yes
 
No
 
 
 
Current Grade
 
9
 
10
 
11
 
12
 
13
 
 
 
Have you ever consumed Alcohol?
 
Yes
 
No
 
 
 
Have you ever consumed 5 or more alcoholic beverages in a night?
 
Yes
 
No
 
 
 
Have you ever been in a vehicle with a driver who is under the influence of alcohol?
 
Yes
 
No
 
 
 
Have you ever while under the influence of alcohol, experienced one of these things? (Select all that apply)?
 
Vomiting from too much drinking
 
Something you regret
 
Forgetting part of a night
 
Forgetting all of a night
 
Waking up feeling nauseous or ill
 
Injuring to yourself or others
 
Arrest or confrontation with police

 
 
 
When did you begin drinking?
 
10-12
 
13-15
 
16-19
 
Other
 
Do not Drink
 
 
 
How often do you drink?
 
Every day
 
A few times a week
 
Once a week
 
A few times a month
 
Once a month
 
Less than once a month
 
 
 
In your opinion, does drinking make someone more popular?
 
Yes
 
No
 
Doesn't Matter
 
 
 
Is it seen as “uncool” to have a party without alcohol?
 
Yes
 
No
 
Doesn't Matte
 
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