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  1. Surveys
  2. 2014
  3. November
  4. R
  5. Responsible Drinking
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Hello:
You are invited to participate in our survey, Drinking Responsibly. This survey will take 10 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Dylan Webster by email at [email protected] Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
How many times a week do you consume alcohol?
 
0
 
1-2
 
3-4
 
5-6
 
7
 
 
 
If answered 1 or more times a week, how many times likely are you to drink to excess or classify yourself as "drunk"? (if answered 0 times a week, skip to question number 3)
 
1. Never
 
2. Not Likely
 
3. Likely
 
4. Very Likely
 
5. Always
 
 
 
When drinking alcohol, how likely are you to make plans to get a safe ride home before you are intoxicated?
 
1. Never
 
2. Not Likely
 
3. Likely
 
4. Very Likely
 
5. Always
 
 
 
Have you every had a night where you remember some events, but not all of them because of drinking to much alcohol (blacking out)?
 
Yes
 
No
 
 
 
How often do you use your cell phone while you are drinking alcohol?
 
1. Never
 
2. Sometimes
 
3. Frequently
 
4. Always
 
 
 
If there was an app that could help you remember your night, and help you stay safe when intoxicated, would you be interested in downloading it?
 
1. Not interested
 
2. Somewhat interested
 
3. Neutral
 
4. Interested
 
5. Very Interested
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your age?
 
19-21
 
22-24
 
25-27
 
27-29
 
30+
 
 
 
Are you currently in College/University? If so, please indicate where you attend and what year you are in.
   
 
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