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* 1. In the past 30 days, I have driven a car or other vehicle while I was drinking alcohol.

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* 2. In the past 30 days, I have ridden in the car or other vehicle with someone that was drinking alcohol.

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* 3. How wrong do you think your friends would feel if you were to drink alcohol?

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* 4. How wrong do you think your parents would feel if you were to drink alcohol?

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* 5. In the past 30 days, I have driven a car or other vehicle while I was smoking marijuana.

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* 6. In the past 30 days, I have ridden in the car or other vehicle with someone that was smoking marijuana.

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* 7. How wrong do you think your friends would feel if you were to smoke marijuana?

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* 8. How wrong do you think your parents would feel if you were to smoke marijuana?

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* 9. Would you say "no" if someone tries to get you to smoke a cigarette?

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* 10. Would you say "no" if someone tries to get you to vape?

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* 11. How wrong do you think your friends would feel if you were to use nicotine products?

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* 12. How wrong do you think your parents would feel if you were to use nicotine products?

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* 13. Would you say "no" if someone tried to get you to take a prescription drug that is not yours?

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* 14. Would you let a friend take a prescription drug that is not theirs?

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* 15. How wrong do you think your friends would feel if you were to use a prescription drug that is not prescribed to you?

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* 16. How wrong do you think your parents would feel if you were to use a prescription drug that is not prescribed to you?

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* 17. Gender

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* 18. Age

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* 19. Race

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