Drinking+Age_2009

Joel, Josh, Evan, Russ

Student Alcohol consumption survay 1.   Are you **__male__** or **__female__** (please circle one) 2.   What is your age a.   15 under b.   16-17 c.   18-21 3.   Have you ever consumed alcohol **__Yes__** or **__No__** 4.   How much do you drink a.   0-2 drinks b.   3-6 drinks c.   7-12 drinks 5.   What do you drink ( circle all that apply) a.   Beer b.   Champaine/ wine c.   Hard liquor d.   Mixed drinks 6.   Have you ever drove drunk 7.   How often do you drink a.   Twice a week b.   Twice a month c.   Once a month d.   Other__________________________. 8.   When do you drink a.   Socially b.   Alone c.   With family 9.   How much do you spend on alcohol a month a.   0-15 dollars b.   15-25 dollars c.   25-50 dollars d.   50-over dollars 10.   Have you ever been caught **__Yes__** or **__NO__** (please circle one) 11.   How old were you when you frist started drinking ________________. 12.   What was your best experience while drinking. ( please use provided space and or back) a.   ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________