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High School 2022-2023 Pre-Assessment Alcohol Abuse Education
The information you provide is confidential and will be used for data purposes only. Please submit your answers so that we may have an accurate record of alcohol use among our youth in NC.
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* Indicates required question
What is your county / ABC Board district? If you're not sure make an educated guess.
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Blowing Rock ABC
Canton ABC
Cherokee Central ABC
Clay County ABC
Durham County ABC
High County ABC
Jackson County ABC
Lincolnton County ABC
Maggie Valley ABC
Marion ABC
Mockseville-Coolemee ABC
Mt. Airy ABC
North Wilkesboro ABC
Roseboro ABC
Sparta ABC
Town of Hertford ABC
Wayne County ABC
Waynesville
West Jefferson ABC
Wake County ABC
Davidson County ABC
Other:
Blue Ridge Driving School
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Your answer
Grade:
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Freshman
Sophomore
Junior
Senior
Required
Are you Male or Female ?
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Female
Male
Required
Are you influenced by advertisers or reality shows pertaining to alcohol use.
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Yes
No
Required
Have you ever consumed alcohol ? If no continue to the next required question. Thank you. (*)
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Yes
No
Required
At what age did you first consume alcohol ?
Under 12 years of age
After 13.9 years of age
How often do you drink ?
Once a month
Once a week
Daily
Only at social events
Do you drink more than five drinks at one sitting ?
Yes
No
Why do you feel you began drinking or trying alcohol ?
Peer Pressure
Bored
An adult offered it to me
Curiosity
Are you :
drinking alone
with others
only at parties or socials
Do you find yourself looking for high percentage of alcoholic drinks ?
Yes
No
Do you think your parents know you drink ?
Yes
No
Do member(s) of your family consume alcohol ?
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Yes
No
Required
Have you ever discussed drinking alcoholic beverages with your parents ?
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Yes
No
Required
Have you every thought that drinking alcohol would help you escape your problems ?
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Yes
No
Required
Have you had friends discuss what a good time they had at a party or social event when drinking, but couldn't tell you what they did or what time they got home ?
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Yes
No
Required
Have you ever given positive advice to a friend who was wanting to try alcohol (drink) ?
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Yes
No
Required
Have you thought of telling a friend's parent that your friend may have a drinking problem ?
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Yes
No
Required
Have you ever had a friend die from the use of alcohol ?
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Yes
No
Required
Have you ever let peer pressure prevail in your decision to consume alcohol ?
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Yes
No
Required
Do think having special programs on alcohol awareness can make a difference in the final discissions most young people are making ?
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Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Required
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