1. All answers are anonymous and confidential.

* 1. How old are you?

* 2. I identify my gender as ?

* 3. What is your class standing?

* 4. Are you a full-time student?

* 5. How would you define your race?

* 6. Where will you be living this semester?

* 7. How many hours a week do you plan to work?

* 8. How often do you wear a seat belt?

* 9. When you rode a bicycle during the past 12 months, how often did you wear a helmet?

* 10. When you participated in water sports during the past 12 months, how often did you drink alcohol?

* 11. During the past 30 days, how many times did you ride in a car or other vehicle when you had been drinking alcohol?

* 12. During the past 30 days, how many times did you drive a car or other vehicle when you had been drinking alcohol?

* 13. During the past 12 months, on how many days did you carry a weapon such as a gun, knife or club? Do not count carrying a weapon as part or your job.

* 14. During the past 12 months, how many times were you in a physical fight?

* 15. During the past 12 months, how many times were you in a physical fight in which you were injured and had to be treated by a doctor or nurse?

* 16. During the past 12 months, how many times were you in a physical fight in which you were injured and had to be treated by a doctor or nurse and alcohol was involved?

* 17. How many times in the past 3 months have you felt moderately or severely angry?

* 18. How many times in the past 12 months have you felt moderately or severely depressed?

* 19. During the past 12 months, did you ever seriously consider suicide?

* 20. During the past 12 months, did you make a plan about how you would attempt suicide?

* 21. During the past 12 months, how many times did you actually attempt suicide?

* 22. During the past 30 days, on the days you smoked how many cigarettes did you smoke per day?

* 23. How old were you when you first started smoking cigarettes regularly?

* 24. How many times have you tried to quit smoking?

* 25. During the past 30 days, on how many days did you use chewing tobacco or snuff?

* 26. Have you ever tried e-cigarettes or vaping?

* 27. Do you think that e-cigarettes are safer than smoking regular cigarettes?

* 28. How old were you when you had your first drink of alcohol other than a few sips?

* 29. During the past 30 days, on how many days did you have at least one drink of alcohol?

* 30. During the past 30 days, on how many days did you have 5 or more drinks of alcohol in a row, that is, within a couple of hours?

* 31. During the past 30 days, how many drinks containing alcohol did you have on the days in which you drank?

* 32. During the last 30 days, what is the highest number of drinks that you drank on any one occasion?

* 33. Did you drink until you felt drunk or intoxicated at least once in the last month?

* 34. How old were you when you tried marijuana for the first time?

* 35. During the past 30 days, how many times did you use marijuana?

* 36. During your life, how many times have you used any form of cocaine including powder, or crack?

* 37. During your life, how many times have you used nitrous oxide, whippets, or breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high?

* 38. During your life, how many times have you used prescription medication such as pain killers, anti-anxiety medication, sleeping pills, anti-depressant, appetite suppressants, ADD/ADHD medication, etc. without a doctor's prescription?

* 39. During your life, how many times have you used any other type of recreational drug, such as Molly, Special K, shrooms, acid, bath salts, K2, Spice or smack?

* 40. During the past 30 days, how many times have you used any recreational drug in combination with drinking alcohol?

* 41. Do you use any type of supplements or body enhancing substances?

* 42. During your life, how many times have you used a needle to inject any recreational drugs into your body?

* 43. How old were you when you first engaged in sexual activity?

* 44. During the past 3 months, how many partners did you engage in sexual activity with?

* 45. During the past 3 months, how many times did you engage in sexual activity?

* 46. During the past 3 months, how often did you or your partner use a barrier method (i.e., condom, etc.), oral contraceptives, or other birth control method (including withdrawal or "pull-out method"?

* 47. The last time you engaged in sexual activity, did you or your partner use a barrier method (i.e., condom, etc.)?

* 48. In the last 3 months did you drink alcohol or use drugs before you engaged in sexual activity?

* 49. The last time you had sexual intercourse, what method did you or your partner use to prevent pregnancy and sexually transmitted infections?

* 50. How many times have you been pregnant or gotten someone pregnant?

* 51. During your life, have you ever been forced to engage in sexual activity against your will?

* 52. Have you ever had your blood tested for HIV/AIDS?

* 53. Do you feel you have had sufficient education regarding sexually transmitted diseases?

* 54. Practicing safer sex means using condoms and/or abstinence to minimize the chance of spreading or contracting a sexually transmitted infection.  I do

* 55. Have you ever had a sexually transmitted disease?

* 56. Have or would you intervene to protect a friend/stranger from sexual violence?

* 57. My level of self-esteem is?

* 58. How do you describe your body?

* 59. Which of the following are you trying to do about your body?

* 60. Have you ever dieted or exercised to lose weight or to keep from gaining weight?

* 61. Have you ever vomited or taken laxatives to lose weight or keep from gaining weight?

* 62. Have you ever taken diet pills to lose weight or keep from gaining weight?

* 63. Do you feel you have an eating problem or disorder of some kind?

* 64. Yesterday, how many times did you eat a piece of fruit or drink fruit juice?

* 65. Yesterday, how many times did you eat green salad or vegetables?

* 66. Yesterday, how many times did you drink milk, eat cheese, yogurt, or other dairy products?

* 67. Do you eat a vegetarian diet?

* 68. On how many of the past 7 days did you do exercises to strengthen or tone your muscles, such as push-ups, sit-ups, or weight lifting?

* 69. On how many of the past 7 days did you do exercise or participate in sport activities for at least 20 minutes?

* 70. During the past year, in how many sports teams (intramural or extramural) did you participate?

* 71. When making behavioral choices, who and/or what has the greatest influence on your decision-making?

* 72. On which of the following health topics would you like Health Services to provide information.

* 73. On an average night, how many hours of sleep do you get?

* 74. I am satisfied with my life in the past.

* 75. I am satisfied with my current life.

* 76. I will be satisfied with my life in the future.

* 77. Life does not have much meaning.

* 78. I do not enjoy much about life.

* 79. I feel unsettled about the future.

* 80. I am unable to cope with difficult situations.

* 81. I successfully solve problems that come up.

* 82. I use the following coping strategies to deal with stress:

* 83. I feel pressured by others.

* 84. I feel overwhelmed.

* 85. The cause of stress in my life comes from:

* 86. My social support system from my FRIENDS is ...

* 87. My social support system from my FAMILY is ...

* 88. My current feelings about my own self worth are...

* 89. The following members of my family abused alcohol or drugs before I was 18 years old.

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