Alcohol survey
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What grade are you in? *
How do you identify your gender? *
How do you identify your race? *
How much do you think people harm themselves (physically or in other ways) if they have five or more drinks once or twice  each weekend? *
Are you planning on attending college? *
On how many occasions (if any) have you used alcohol in your lifetime? *
On how many occasions (if any) have you used alcohol during the last 12 months? *
On how many occasions (if any) have you used alcohol during the last 30 days? *
How  many times (if any) have you had five or more drinks in a row over the past two weeks? *
Do you disapprove of people who have five or more drinks once or twice  each weekend? *
How difficult do you think it would be for you to get alcohol if you wanted some? *
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這份表單是在 Chicago Public Schools 中建立。 檢舉濫用情形