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Were you able to perform well at school after using marijuana?
Yes
No
 
 
 
State the purpose for the use of this substance to you.
To relieve stress
Popularity
Stimulant
Other
 
 
 
Was it always possible to have a clear mind when using marijuana?
Yes
No
 
 
 
Were physically able to perform at sporting/ extra curricular activities after using marijuana?
Yes
No
 
 
 
Do you still engage in the use of this substance?
Yes
No
 
 
 
Would you encourage your peers to use this substance?
Yes
No
 
 
 
Have you ever had any complaints by your subject teachers or classmates as regards to your performance level at school because of your use of marijuana?
Yes
No
 
 
 
Have you had any ailments resulting from your use of this substance?
Yes
No
 
 
 
Has your use of marijuana become an addiction?
Yes
No
 
 
 
If you are currently using marijuana, do you have any desire to withdraw from your use of it?
Yes
No
 
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