Adolescents Wanted - This is a survey about you! (1 Viewer)

[mnbvcxz60]

I need to survey about 25 adolescents on alcohol use in adolescents. Thank you all those who participate in the survey.

Age:
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why ____________________________________________________________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? ______________________________________)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

WOHOOOO, end of the survey.

Thank you for your time in participating in this survey, really much appreciated.

 

[ur_inner_child]

Age: 19 and a half
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

I think the male one might be wrong but I know they are able to handle a bit more than women. I hear its 0-10 units a week for healthy alcohol consumption, thats about it.

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d
Sorry, none of the above - I bought it?

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

18 is fine, even though you did not give me an option to say so

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why) a glass of wine for dinner

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

WITH A REAL ID

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why __________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? No If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No - only in excess it is
(If YES, why? ______________________________________)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

You're not giving me very many options, unless you specify that when you meant adolescent drinking, you meant people under 18.

 

[mnbvcxz60]

Thank you for doing the survey, there was a lot to type and it looks like I forgot to mention that its for those who are under 18 years of age. However, if someone just turned 18, I guess that they could fill it in as a 17 year old and answer the questions from the time they were 17. Thank you ur_inner_child for those results.

 

[w00dy.]

Age: 16
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)
if i go to a party, because they think that i am mature enough to cosume it wisely and not stupidly
6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why __________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name: popular magazines like Cleo and Cosmo?)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? alot of the time it depends on the type of person and how much alcohol they have consumed. )
13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

WOHOOOO, end of the survey.

 

[priesty]

Age:17
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE 17)

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why __________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
YesNo
(If YES, why? lose control of self)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

 

[Joohlie]

Age: 16
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why __________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________CLEO____________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? Some become rowdy and lose self control.)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

 

[mnbvcxz60]

Hello,
I'd just like to thank all those who have participated in this survey. I've filled up all my survey papers, thus I won't be needing anymore responses. However, if you wish, you can still fill it out for fun here. Once again, thanks to all who have particpated here.

 

[Forbidden.]

I need to survey about 25 adolescents on alcohol use in adolescents. Thank you all those who participate in the survey.

Age: 16
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE _____17___ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why ____________________________________________________________________-

8.When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? _____They become highly unpredictable__________________________)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

WOHOOOO, end of the survey.

Thank you for your time in participating in this survey, really much appreciated. [/QUOTE]

 

[Riviet]

Age:
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why ____________________________________________________________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
No it doesn't.
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? ______________________________________)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

 

[bubbly]

Age:18 & a 1/2
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d
*other-i purchased it

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

They allow me 2 drink bcoz i am ova the legal drinkin age. Wen i was underage, they allowed me 2 drink on special occassions or wen it went 2 a party.

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place eg. pub
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why ____________________________________________________________________-

8. When you consume alcoholic drinks, what type are they? if you consume more than one type of these alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
wine
straight spirits
*depends on where i am wen i am drinkin as 2 what type of alcoholic beverage i am goin 2 consume

9. Does advertising infleuce what you drink?No If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet
*consumed whole drink myself. Did try it wen i was <10
11. While consuming alcoholic beverages have you ever participated in anything that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? It can lead 2 them doin sumthin that is undesirable & they may not act in that way when they r not under the influence.)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness
*in my opinion
15. have you ever recieved a fine for underage drinking?
Yes
No

Hope that helps. I do feel that sum of ur questions r very vague, or do need another option as a answer. There were also manmy spellin mistakes. (My mistakes r just shortenin of words.)

 

[bernard89]

Age: 17
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE 17______ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why) Where- Wherever. Why- They say I'm old enough to decide for myself

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why __________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? ______________________________________)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

WOHOOOO, end of the survey.

Thank you for your time in participating in this survey, really much appreciated.

 

[~shinigami~]

Age: 17
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

Only wine which is healthy for your heart.

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why __________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (i.e. Bourbon & Coke)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
Sometimes
No
(If YES, why? ______________________________________)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

 

[xoxo]

Age:16
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 1 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES...my parents have always wanted me to try out stuff ever since i was a little kid and as a result, i dont feel the need to drink at every party...but when i do they definitely wouldnt approve....
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why ____________________________________________________________________

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio
None

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? cant think properly like u normally would....influences easily etc)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

 

[meritta36]

Adolescents Wanted - This is a survey about you!

--------------------------------------------------------------------------------

I need to survey about 25 adolescents on alcohol use in adolescents. Thank you all those who participate in the survey.

Age: 17
Sex: F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10- this one
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8- this one
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0
Tuesday 0
Wednesday 0
Thursday 0
Friday 2 + (depends)
Saturday 0
Sunday 0

3. Where or from whom did you get your last alcholic drink.
Parents gave to you- yep
From house without permission
brother or sister
friends
got someone to buy it- yep
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged


5. Do your parents allow yout o drink
YES
On special occassions such as birthdays, etc. and I only drink the alcohol i bring, I dont drink anyone elses.
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
house parites


7. do you drink because you
because I want to__________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)


9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
nope.

10. How young were you when you had your first alcoholic drink?
nearly 16

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?

No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes

(If YES, why? _____it can change ppls behaviour but this shouldnt be an excuse for being irresponsible of your own actions_________________________________)

13. Have you ever consumed so much alcohol that you were sick?

No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis


15. have you ever recieved a fine for udnerage drinking?

no

 

[karoooh]

Age:17
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why __________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? Because they start acting like fucking tards - Drink in moderation. Lets them release all their inhibitions and though it might'nt be so bad, it can get quite horrible.)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

 

[finishline]

I need to survey about 25 adolescents on alcohol use in adolescents. Thank you all those who participate in the survey.

Age:
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking should be lower or higher?
Unchanged
Higher ---> (AGE __25______)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why
i dont drink but if i did itd be because of, peer pressure and curiosity

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? it leads them 2 do things they could later regret, they could do things to harm themsleves or others if consumed above moderation

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

 

[clare22]

Re: Adolescents Wanted - This is a survey about you!

Hey, glad I could help you out! I love answering surveys!! xx
Age:16
Sex: Female

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )
Althought I would love it to be legal for me to drink, I think the age is about right!

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why
I love the feeling of being totally uninhibited and sociable. Drinking makes me happy and my friends and I enjoy ourselves

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio
No advertising doesn't affect my choices on what to drink

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? ______________________________________)
It differs from person to person because some people can react differently to others. If the alcohol makes them angry, aggressive, depressed or violent then obviously it is having a negative affect, but if the person just becomes more sociable and outgoing and they do not abuse it then it can be a positive influence on their behavior.

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

xoxoxoxoxox

 

[PrettyVacant]

Age: 15
Sex: FEMALE

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE 21)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why __________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
No it doesn't.
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes
No
(If YES, why? Sex that people can't remember)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degenerationmental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

 

[noir.]

Age: 16
Sex: M/F

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking should be lower or higher?
Unchanged
Higher ---> (AGE __25______)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why)

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why
i dont drink but if i did itd be because of, peer pressure and curiosity

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
wine
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio
nothing.

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes Alcohol can cause individuals to do things that they will later regret.
No
(If YES, why? it leads them 2 do things they could later regret, they could do things to harm themsleves or others if consumed above moderation

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no

 

[shinji]

Age:
Sex: M

1. Tick what you believe to be the recommended intake of alcholic drinks for adult males and females per week.
MALES
a) <10
b) 11-14
c) 15-18
d) 19-25

FEMALES
a) 5-8
b) 9-12
c) 14-17
d) 18-22

2. Circle how many alcoholic drinks you consumed on each day/night of the week on average.
Monday 0 2 4 6 8 10+
Tuesday 0 2 4 6 8 10+
Wednesday 0 2 4 6 8 10+
Thursday 0 2 4 6 8 10+
Friday 0 2 4 6 8 10+
Saturday 0 2 4 6 8 10+
Sunday 0 2 4 6 8 10+

3. Where or from whom did you get your last alcholic drink.
Parents gave to you
From house without permission
brother or sister
friends
got someone to buy it
purchased with a fake i.d

4. do you believe the legal age for dirnking sould be lower or higher?
Unchanged
Higher ---> (AGE ________)
Lower ---> (AGE ________ )

5. Do your parents allow yout o drink
YES
NO
SOMETIMES
(If YES, where and why) special occcasions. eg; new year.. sometimes at home just for the fun of it.

6. When you consume alcoholic beverage, where are you most likely to consume them?
at home
in a public place
house parites
in licensed premises with fake I.D

7. do you drink because you
like the taste
peer pressure
curiousity
other
all of the above
If other, please write why __________________________________________________ __________________-

8. When you consume alcoholic drinks, what tpye are they? if you consume more than one type of tehse alcoholic drinks when you are drinking, please tick the ones you drink.
pre-mixed and packaged (ie cruisers)
individually mixed drinks (made by you or your friends)
beer
winne
straight spirits

9. Does advertising infleuce what you drink? If so, what form of advertising infleuces you the most?
television
magazines/newspaper (name:_________________________)
billboards
radio

10. How young were you when you had your first alcoholic drink?
<10
10-12
13-15
16-18
havent had one yet

11. While consuming alcoholic beverages have you ever participated ina ynthing that you regret?
Yes
No

12. Do you believe that alcohol is a bad infeluce on a persons behavior? If so, why?
Yes - makes them do things they normally wouldn't
No
(If YES, why? ______________________________________)

13. Have you ever consumed so much alcohol that you were sick?
Yes
No

14. Please tick the illnesses of which alcohool causes or contributes to.
cardiovasuclar conditions
kidney failure
brain degeneration
mental illnesses
liver cirrhosis
lung cancer
blindness

15. have you ever recieved a fine for udnerage drinking?
Yes
no