|
1. What year are you in college? (Required) |
|
|
| Freshman |
6 |
8% |
| Sophmore |
12 |
15% |
| Junior |
16 |
20% |
| Senior |
46 |
57% |
| Total Number of Choices | 80 | |
|
2. How old are you? (Required) |
|
|
| 18 |
2 |
3% |
| 19 |
11 |
14% |
| 20 |
9 |
11% |
| 21 |
18 |
23% |
| 22 |
37 |
46% |
| 23 |
3 |
4% |
| Total Number of Choices | 80 | |
|
3. What is your sex? (Required) |
|
|
| Female |
46 |
58% |
| Male |
33 |
42% |
| Intersexed |
0 |
0% |
| Transgender |
0 |
0% |
| Total Number of Choices | 79 | |
|
4. What is your race? (Required) |
|
|
| Caucasian |
78 |
96% |
| African American |
2 |
2% |
| Hispanic |
0 |
0% |
| Native American |
0 |
0% |
| Asian |
0 |
0% |
| Biracial |
1 |
1% |
| Multiracial |
0 |
0% |
| Total Number of Choices | 81 | |
|
5. One drink is considered 1 12oz beer, 1 oz 80 proof hard alcohol. What would you consider to be binge drinking? (Required) |
|
|
| 2-3/hour |
11 |
13% |
| 4-5/hour |
37 |
44% |
| 6-7/hour |
27 |
32% |
| 7 +/hour |
10 |
12% |
| Total Number of Choices | 85 | |
|
6. How many nights per week would you say you drink? (Required) |
|
|
| none |
8 |
10% |
| 1-3 |
65 |
79% |
| 4-7 |
9 |
11% |
| Total Number of Choices | 82 | |
|
7. Where do you most often drink? (Required) |
|
|
| Dorms |
4 |
4% |
| Apartment/House |
50 |
48% |
| Bar/Club |
45 |
43% |
| Sorority/Fraternity |
6 |
6% |
| Total Number of Choices | 105 | |
|
8. At what age did you start drinking? (Required) |
|
|
| 12-15 |
22 |
28% |
| 16-18 |
48 |
60% |
| 19-21 |
10 |
13% |
| Total Number of Choices | 80 | |
|
9. Do you drink with your family members? (Required) |
|
|
| Yes |
60 |
76% |
| No |
19 |
24% |
| Total Number of Choices | 79 | |
|
10. Do you drink with your co-workers? (Required) |
|
|
| Yes |
45 |
57% |
| No |
34 |
43% |
| Total Number of Choices | 79 | |
|
11. Do you drink with your roommates? (Required) |
|
|
| Yes |
72 |
92% |
| No |
6 |
8% |
| Total Number of Choices | 78 | |
|
12. Do you drink with your friends? (Required) |
|
|
| Yes |
79 |
100% |
| No |
0 |
0% |
| Total Number of Choices | 79 | |
|
13. Do you drink with you classmates? (Required) |
|
|
| Yes |
62 |
78% |
| No |
17 |
22% |
| Total Number of Choices | 79 | |
|
14. Do you drink when you are stressed? (Required) |
|
|
| Yes |
35 |
44% |
| No |
45 |
56% |
| Total Number of Choices | 80 | |
|
15. Do you drink when you are bored and have free time? (Required) |
|
|
| Yes- on the weekends |
40 |
48% |
| Yes- on the week days |
3 |
4% |
| Yes-on the weekends and week days |
24 |
29% |
| No/Never |
16 |
19% |
| Total Number of Choices | 83 | |
|
16. Do you drink at parties? (Required) |
|
|
| Yes |
76 |
96% |
| No |
3 |
4% |
| Total Number of Choices | 79 | |
|
17. Do you drink on special occasions? (weddings, birthday, family gathering, holidays, etc) (Required) |
|
|
| Yes |
74 |
94% |
| No |
5 |
6% |
| Total Number of Choices | 79 | |
|
18. Do you drink when you get angry? (Required) |
|
|
| Yes |
6 |
8% |
| No |
73 |
92% |
| Total Number of Choices | 79 | |
|
19. Do you drink when you are sad or depressed? (Required) |
|
|
| Yes |
0 |
0% |
| No |
79 |
100% |
| Total Number of Choices | 79 | |
|
20. Do you drink to socialize? (Required) |
|
|
| Yes |
73 |
92% |
| No |
6 |
8% |
| Total Number of Choices | 79 | |
|
21. Do you drink on the weekends? (Required) |
|
|
| Yes |
77 |
97% |
| No |
2 |
3% |
| Total Number of Choices | 79 | |
|
22. Do you feel influenced by your friends to partake in drinking? (Required) |
|
|
| Yes |
34 |
43% |
| No |
45 |
57% |
| Total Number of Choices | 79 | |
|
23. Do you feel influenced by your family members to drink? (Required) |
|
|
| Yes |
4 |
5% |
| No |
75 |
95% |
| Total Number of Choices | 79 | |
|
24. Do you use cigarettes when you drink? (Required) |
|
|
| Yes |
30 |
38% |
| No |
49 |
62% |
| Total Number of Choices | 79 | |
|
25. Do you use marijuana when you drink? (Required) |
|
|
| Yes |
23 |
29% |
| No |
56 |
71% |
| Total Number of Choices | 79 | |
|
26. Do you use stimulants when you drink? (Required) |
|
|
| Yes |
4 |
5% |
| No |
75 |
95% |
| Total Number of Choices | 79 | |
|
27. Do you use depressants when you drink? (Required) |
|
|
| Yes |
1 |
1% |
| No |
78 |
99% |
| Total Number of Choices | 79 | |
|
28. Do you use opiates when you drink? (Required) |
|
|
| Yes |
2 |
3% |
| No |
77 |
97% |
| Total Number of Choices | 79 | |
|
29. Do you use hallucinogens when you drink? (Required) |
|
|
| Yes |
0 |
0% |
| No |
79 |
100% |
| Total Number of Choices | 79 | |
|
30. Do you parents drink? (Required) |
|
|
| Yes |
57 |
71% |
| No |
23 |
29% |
| Total Number of Choices | 80 | |
|
31. Due to drinking, how many classes would you say you have missed within the past semester? (Required) |
|
|
| None |
39 |
49% |
| 1-3 classes |
26 |
33% |
| 4-6 classes |
8 |
10% |
| 7-9 classes |
3 |
4% |
| 9 + classes |
4 |
5% |
| Total Number of Choices | 80 | |
|
32. Do you feel that your grades have suffered because of your drinking habits? (Required) |
|
|
| Yes |
19 |
24% |
| No |
60 |
76% |
| Total Number of Choices | 79 | |
|
33. Do you feel that you get less sleep when you drink? (Required) |
|
|
| Yes |
48 |
60% |
| No |
32 |
40% |
| Total Number of Choices | 80 | |
|
34. How many days of work do you typically miss in a week because of drinking? (Required) |
|
|
| None |
72 |
91% |
| 1-2 days |
7 |
9% |
| 3-4 days |
0 |
0% |
| 5-6 days |
0 |
0% |
| 7 days |
0 |
0% |
| Total Number of Choices | 79 | |
|
35. Have you ever been hospitalized due to drinking? (Required) |
|
|
| Yes |
5 |
6% |
| No |
74 |
94% |
| Total Number of Choices | 79 | |
|
36. Have you had any unplanned sexual contact when drinking? (Required) |
|
|
| Yes |
53 |
67% |
| No |
26 |
33% |
| Total Number of Choices | 79 | |
|
37. Have you ever had any unwanted sexual/physical contact when drinking? (Required) |
|
|
| Yes |
19 |
24% |
| No |
61 |
76% |
| Total Number of Choices | 80 | |
|
38. When you drink do you experience hangover symptoms? (nausea, vomiting , dizziness, headache, etc) (Required) |
|
|
| Yes |
61 |
75% |
| No |
20 |
25% |
| Total Number of Choices | 81 | |
|
39. How much money do you spend on a typical night of drinking? (Required) |
|
|
| No money spent |
2 |
2% |
| $1-$20 |
52 |
60% |
| $21-$40 |
26 |
30% |
| $41-$60 |
2 |
2% |
| $61-$80 |
4 |
5% |
| $81-$100 |
0 |
0% |
| $100 + |
0 |
0% |
| Total Number of Choices | 86 | |