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Do you thnk that more than one drink per day for women is heavy drinking?
 
Yes
 
No
 
 
 
Why did you start consuming alcohol?
 
Never consumed alcohol
 
Peer Pressure
 
Curiosity
 
Influence of an adult
 
Because 'You felt like it' (bored)
 
 
 
Do you think that more than two alcoholic drinks per day for men is heavy drinking?
 
Yes
 
No
 
 
 
Are you under 21 years of age?
 
Yes
 
No
 
 
 
Are you male or female?
 
Male
 
Female
 
 
 
Do you feel you are a 'normal' drinker?
 
Yes
 
No
 
 
 
How many drinks per day do you drink on average?
 
0
 
1-2
 
3-4
 
more than 4
 
 
 
Do you feel that you are at risk for developing an alcohol related illness?
 
Yes
 
No
 
 
 
Have you ever recieved a DUI or DWI?
 
Yes
 
No
 
 
 
Do you believe that heavy alcohol consumption can have negative affects on your health?
 
Yes
 
No
 
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