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* 1. Gender

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* 2. Grade

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* 3. Age

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

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* 5. During the past 30 days, did you drink one or more drinks of an alcohol beverage?

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* 6. During the past 30 days, did you smoke part or all of a cigarette?

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* 7. During the past 30 days, have you used marijuana or hashish?

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* 8. During the past 30 days have you used prescription drugs not prescribed to you?

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* 9. During the pat 30 days, did you use a prescription painkiller (such as Vicodin, Oxycontin, or Percocet) that was not prescribed to you?

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* 10. During the past 30 days, what is the largest number of alcohol drinks you had in a row, that is, within a couple of hours?

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* 11. During the past 30 days, where did you usually drink alchohol?

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* 12. How much do you think people risk harming themselves physically or in other ways when they have five or more drinks of an alcoholic beverage once or twice a week?

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* 13. How much do you think people risk harming themselves physically or in other ways when they smoke one or more packs of cigarettes per day?

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* 14. How much do you think people risk harming themselves physically or in other ways when they smoke marijuana once or twice a week?

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* 15. How much do you think people risk harming themselves physically or in other ways when they use prescription drugs that are not prescribed to them?

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* 16. Think about all the students in your grade. How many of them do you think drank alcohol sometime in the past month?

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* 17. Think about all the students in your grade. How many of them do you think used marijuana sometime in the past month?

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* 18. If you wanted to, how easy would it be for you to get some alcohol (beer, wine, or hard liquor)?

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* 19. If you wanted to, how easy would it be for you to get some marijuana?

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* 20. During the past 12 months, has anyone offered, sold or given you an illegal drug on school property?

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* 21. How many of your closest friends do you think have been drunk during the past 30 days?

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* 22. How many of your closest friends do you think have used marjiuana during the past 30 days?

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* 23. How wrong do your friends feel it would be for you to have one or two drinks of an alcoholic beverage nearly every day?

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* 24. How wrong do your friends feel it would be for you to smoke tobacco?

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* 25. How wrong do your friends feel it would be for you to smoke marijuana?

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* 26. How wrong do your friends feel it would be for you to use prescription drugs not prescribed to you?

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* 27. How wrong do your parents feel it would be for you to have one or two drinks of an alcoholic beverage nearly every day?

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* 28. How wrong do your parents feel it would be for you to smoke tobacco?

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* 29. How wrong do your parents feel it would be for you to smoke marijuana?

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* 30. How wrong do your parents feel it would be for you to use prescription drugs not prescribed to you?

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* 31. Have your parents or other adults in your family ever talked with you about what they expect you to do or not do when it comes to alcohol or other drug use?

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* 32. Do your parents ask you what you think before making family decisions that affect you?

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* 33. Do your parents give you lots of chances to do fun things with them?

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* 34. Do you enjoy spending time with your parents?

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