Alcohol

1. Many teens experiment with alcohol. Do any of your friends drink?
   Yes No
   
2. In the past month, did any of your close friends get drunk on alcohol?
   Yes No
   
3. How often do you drink alcohol?
   Never
   Once a Month
   Once Every 1 to 2 Weeks
   2 to 3 Times a Week
   4 or More Times a Week
   Every Day
   
4. How many drinks do you have in a typical day when you are drinking?
   None
   1 to 2
   3 to 4
   5 to 6
   7 to 9
   10 or More
   
5. Have you ever ridden in a car driven by someone (including yourself) who was high or had been using alcohol or drugs?
   Yes No
   
6. Do you ever use alcohol or drugs to relax, feel better about yourself, or fit in?
   Yes No
   
7. Do you ever use alcohol or drugs while you are by yourself (alone)?
   Yes No
   
8. Do you ever forget things you did while using alcohol or drugs?
   Yes No
   
9. Do your family or friends ever tell you to cut down on your drinking or drug use?
   Yes No
   
10. Have you ever gotten into trouble while you were using drugs or alcohol?
    Yes No
    
11. Have you ever done something you regretted while using alcohol?
    Yes No
    
12. Does anyone in your family have a problem with alcohol?
    Yes No
    
13. Would you like information about confidential alcohol (or drug) counseling?
    Yes No
    

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