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It is important to answer all of these questions honestly. All the answers are confidential.

 
 
 
What grade are you in currently?
 
9th
 
10th
 
11th
 
12th
 
 
 
How often do you party on the weekends?
 
Never
 
On occasion
 
Every other weekend
 
Every weekend (always)
 
 
 
Have you ever consumed alcohol?
 
Yes
 
No
 
 
 
If answered yes to question 3, about how many days a week on average do you drink?
 
1-2
 
3-4
 
5+
 
 
 
Do you ever feel pressured to drink by your peers?
 
Not really, no
 
Only sometimes
 
Yes, Always
 
 
 
Do you believe peer pressure goes on among teens?
 
Yes
 
No
 
 
 
Do you believe people fall into peer pressure in order to feel accepted?
 
Yes
 
No
 
 
 
Do you believe people who choose not to drink arn't as cool as those who choose to do so?
 
Yes
 
No