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Still in High School
High School Graduate or GED
Some College
College Graduate
Advanced Degree

Questionnaire Section 1:

Yes
No
yes
no
yes
no
yes
no
yes
no
yes- me
yes- someone close to me
no
yes- me
yes- someone close to me
no
yes- me
yes- someone close to me
no
yes
no
yes- currently
yes- previously
no
yes
no
yes
no
Yes
No
N/A
Yes
No
I have been impacted by addiction in another way (described below)
N/A
I agree

Section 2:

Section 3:

Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Option 1
Option 2
Option 3
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
Disagree Strongly
Disagree
Neutral
Agree
Agree Strongly
I agree
I agree
I agree
I agree
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