This free survey is powered by QUESTIONPRO.COM
0%
Exit Survey »
 
 
How old are you?
 
11
 
12
 
13
 
14
 
 
 
Have you ever had a drink before?
 
Yes
 
No
 
 
 
If you have, where were you?
 
Party
 
At Home
 
With Friends
 
Alone
 
 
 
Do you think that you look cool when you drink?
 
Yes
 
No
 
 
 
Do you lie about your drinking?
 
Yes
 
No
 
 
 
Are your grades dropping because of your drinking?
 
Yes
 
No
 
 
 
If you don't drink, do you feel left out?
 
Yes
 
No
 
 
 
If you don't drink, do you want to?
 
Yes
 
No
 
Survey Software Powered by QuestionPro Survey Software