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During the past 12 months did you drink any alcohol (more than a few sips)? (Do not counts sips of alcohol taken during family or religious events.)*

Yes

During the past 12 months did you smoke any marijuana or hashish?*

Yes

During the past 12 months did you use anything else to get high? ("anything else" includes illegal drugs, over the counter and prescription drugs, and things that you sniff or "huff".)*

Yes

Have you ever ridden in a car driven by someone (including yourself) who was "high" or had been using alcohol or drugs?*

Yes

Do you ever use alcohol or drugs to relax, feel better about yourself or to fit in?*

Yes

Do you ever use alcohol or drugs while you are by yourself or alone?*

Yes

Do you ever forget things you did while using alcohol or drugs?*

Yes

Do your family and friends ever tell you that you should cut down on your drinking and drug use?*

Yes

Have you ever gotten in trouble while you were using alcohol or drugs?*

Yes

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