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Gender
 
Female
 
Male
 
 
 
Age:
 
17-21
 
21-25
 
25-30
 
30 or older
 
 
 
Currently living in:
 
Northern Beaches
 
Inner West
 
Eastern Suburbs
 
Western Suburbs
 
Other
 
 
 
 
List two of your closest friends
   
a)
   
b)
   
 
 
 
What age were you when you first consumed alcohol?
 
Have never consumed Alcohol
 
10-15 years
 
15-18 years
 
18-21 years
 
21 years or older

 
 
 
How often do you drink from Monday to Thursday?
 
Often
 
Very Often
 
Sometimes
 
Never

 
 
 
Do you drink at any time from Friday to Sunday?
 
Never
 
Occasionally
 
Frequently
 
Always
 
 
 
How many drinks would you consume on your average "Night Out"?
 
0 drinks
 
1-3 drinks
 
3-6 drinks
 
6-8 drinks
 
10 and more drinks
 
 
 
Do you ever drink alone?
 
No
 
Yes
 
Sometimes
 
 
 
When you drink do you become: (Select all that apply)
 
loud
 
shy
 
depressed
 
happy
 
extremely sociable