
1996 Indiana University -
The Center for Adolescent Studies 

1. Have you had any alcohol to drink in the last 30 days?YES - just a few sips YES - more than a few sips NO
2. Have you smoked one or more cigarettes in the last 30 days?
YES NO
3. Have you smoked one or more marijuana cigarettes in the last 30 days?
YES NO
4. Have you been drunk or felt drunk from drinking alcohol in the past 30 days?
YES NO
5. Do you think you might drink at least some alcohol every month two years from now?
YES NO
6. Do you think you might try smoking cigareetes two years from now?YES NO
7. Do you think you might try smoking marijuana two years form now?
YES NO

1996 Indiana University -
Center for Adolescent Studies, all rights reserved.