Teenagers and Alcohol

Have you ever consumed alcohol?

• Yes, I drink daily.
• Yes, I have it on special occasions.
• Yes, a couple times.
• Yes, just once.
• No.

Have you ever gotten drunk?

• Yes.
• No.

Why do you drink?

Please select all that apply.

• It makes me look cool.
• My friends influenced me.
• It tastes good.
• It makes me feel better.
• It's fun.
• I don't drink.

Have you ever been arrested for underage drinking?

• Yes.
• Almost.
• No.

Has drinking had positive or negative effects on you?

• Positive.
• Somewhat positive.
• Negative.
• Somewhat negative.
• Both positive and negative.

How long have you been drinking?

• A few days.
• A few weeks.
• A few months.
• A few years.
• I just started today.
• I don't drink.

How old were you when you first started drinking?

• 12
• 13
• 14
• 15
• 16
• 17
• 18
• 19
• None of the above.

How many of your friends drink?

• All of them.
• Most of them.
• A small amount.
• A couple or a few.
• None of them.

Are you an alcoholic?

• Yes.
• No.

If you were asked to stop drinking, could you?

• Most definitely.
• Probably not.
• No way.
• I don't drink.