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Drug and Alcohol Use Survey
Please complete the survey. Your responses will remain anonymous.
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* Indicates required question
Gender
*
Male
Female
What grade are you in?
*
9
10
11
12
Have you ever been pressured into doing drugs or alcohol?
*
Yes
No
How many times a week do you use alcohol?
*
0 times
1-2 times
3-5 times
6+
How many times a week do you use drugs?
*
0 times
1-2 times
3-5 times
6+
Do you know a lot of people in school who use alcohol?
*
Yes
No
Do you know a lot of people in school who use drugs?
*
Yes
No
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