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General Information
 
 
 
What is your current year in school?
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
Graduate Student
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
How would you classify your body type?
 
Underweight
 
Normal
 
Overweight
 
 
 
One drink is defined as....
 
(1) 12oz beer
 
4oz of wine
 
1.25oz of liquor
 
1 wine cooler
 
 
 
Alcohol Consumption
 
 
 
On average how many times a week do you consume an alcoholic drink?
 
Once a week
 
Twice a week
 
Three or more
 
None
 
 
 
When you go out to a party or downtown, how many drinks do you typically consume?
 
0
 
1-2
 
3-4
 
4-6
 
6+
 
 
 
Over the past two week how many times have you consumed alcohol? [if you check the 6+ category please list the number below]
 
0
 
1-2 times
 
3-4 times
 
5-6 times
 
6+
 
 
 
The following questions focus on how many drinks you had the last time you drank within time increments.
 
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