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You've drank to lift your spirits
 
Yes
 
No
 
 
 
Do you currently have a job?
 
Yes
 
No
 
 
 
How old are you?
   
 
 
 
What is your gender?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Do you attend college?
 
Yes
 
No
 
 
 
Do you spend more time alone or with friends?
 
Alone
 
With friends
 
 
 
How important is exercise to you?
 
Extremely important
 
Very important
 
Moderately important
 
Slightly important
 
Not at all important
 
 
 
Have you gone to a party where alcohol or drugs were present?
 
Yes
 
No
 
Unsure
 
 
 
Do you enjoy viewing works of art?
 
Yes
 
No
 
Indifferent
 
 
 
Do you drink alcohol or smoke marijuana?
 
No
 
Yes, I drink alcohol
 
Yes, I smoke marijuana
 
Yes, I drink alcohol and I smoke marijuana
 
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