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This survey is a questionnaire about alcohol consumption and how it effects your decisions. It is for an anthropology research project and is completely anonymous. Please be as honest as you feel comfortable wit., This survey will not reflect you individually.

Age:

Male Female

Freshman Sophomore Junior Senior

* On a scale from 1 to 5, 1 being not often and 5 being very often, please indicate the

correct number when answering these questions.

1 Never 2 Not often 3 Sometimes 4 Often 5 Always

1. On a scale of one to five, do you feel pressure to drink when your friends are drinking?

1 2 3 4 5

2. Do you tend to drink more when your friends drink more?

1 2 3 4 5

3. When you are not sure if you want to drink more, does a friend insisting you have another

drink with them lead you to drinking more?

1 2 3 4 5

4. Do you tend to make bad decisions more often when you drink?

1 2 3 4 5

5. Do you find yourself forgetting events after a night of drinking?

Yes No

If so, how often?

1 2 3 4 5

6. How often do you have sex while intoxicated?

1 2 3 4 5

7. How often do you use contraceptives while intoxicated?

1 2 3 4 5

8. How often do you find yourself forgetting a sexual encounter with an individual while

intoxicated?

1 2 3 4 5

9. How often do you engage in sexual activities with strangers while intoxicated?

1 2 3 4 5

10. Do you smoke cigarettes?

Yes No

If Yes:

1. Do you find yourself smoking more when intoxicated?

1 2 3 4 5

If No:

1. Do you find yourself smoking while intoxicated?

1 2 3 4 5

2. Do you find yourself smoking when you are surrounded by people who smoke?

1 2 3 4 5