SECTION: Health Care Coverage and Utilization Survey Entry ...
SECTION: Health Care Coverage and Utilization Survey Entry ...
SECTION: Health Care Coverage and Utilization Survey Entry ...
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<strong>Survey</strong> <strong>Entry</strong> - 2011 College Student <strong>Health</strong> <strong>Survey</strong>http://internetstudy.cbsol.com/<strong>Survey</strong>/B<strong>Survey</strong>.asp<strong>SECTION</strong>: Chemical <strong>Health</strong>14 SURVEY PAGE: 14 of 26 pages You have completed 0 of 19 Items on this page7 Please indicate how often youhave experienced the following dueto your drinking or drug use duringthe past 12 months**(Mark one for each line)**Never Once Twice3 - 5times6 - 9times10 ormoretimesHad a hangoverPerformed poorly on a test or importantprojectBeen in trouble with police, residence hall,or other college authoritiesDamaged property, pulled fire alarm, etc.Got into an argument or fightGot nauseated or vomitedDriven a car while under the influenceMissed a classBeen criticized by someone I knowThought I might have a drinking or otherdrug problemHad a memory lossDone something I later regrettedBeen arrested for DWI/DUIHave been taken advantage of sexuallyHave taken advantage of another sexuallyTried unsuccessfully to stop usingSeriously thought about suicideSeriously tried to commit suicideBeen hurt or injuredSUBMIT RESPONSES - Updates will be saved. You will be taken to the ANSWER REVIEW PAGE.SKIP THIS PAGE - No updates will be saved. You will be taken to the OVERALL SURVEY SUMMARYPAGE.1 of 1 5/10/11 3:02 PM
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