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What is your gender?
 
Male
 
Female
 
 
 
What is your age?
   
 
 
 
What is your current grade?
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
 
 
Where do you live?
 
On Campus Dorms
 
On Campus Townhouses
 
Off Campus
 
At Home
 
 
 
How many miles is your home from college?
 
Less than 5
 
5-10 miles
 
10-20 miles
 
20-30 miles
 
30-40 miles
 
50-100 miles
 
100-200 miles
 
200-500 miles
 
Other
 
 
 
 
In your average week while at school, how many days a week do you drink alcohol?
 
I don't drink
 
1-3 days
 
4-5 days
 
6-7 days
 
 
 
On days you consume alcohol, on average how many drinks do you generally have in one sitting?
   
 
 
 
How often do you go home from school?
 
Daily
 
Weekly
 
Monthly
 
Only for holidays
 
Only during semester breaks
 
Only at the end of the school year
 
 
 
Are you involved in a Greek Organization in college?
 
Yes
 
No
 
 
 
Are you involved in sports in college?
 
Varsity Sport
 
Club Sport
 
Intramurals
 
No
 
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