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* 1. What is your gender

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* 2. What is your age

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* 3. What year are you

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* 4. How often do you have a drink containing alcohol?

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* 5. How many alcoholic beverages do you consume in one sitting?

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* 6. At what age did you have your first drink?

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* 7. How often have you experienced memory loss or blacked-out due to drinking?

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* 8. what is the longest duration of time you have gone without alcohal

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* 9. please enter your initials and favorite color (put the same as what you indicated on nonsense syllable task)

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