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Are you alcoholic?

We are DUT TC students' and we want to do a survey about alcohol consumption among students.

mandatory answer

Question 1

What is your gender ?

uncheck

mandatory answer

Question 2

How old are you ?

mandatory answer

Question 3

Do you consume alcohol ?

uncheck

If Yes:

mandatory answer

Question 4

How many times ?

uncheck

mandatory answer

Question 5

During which occasions do you drink alcool ?

mandatory answer

Question 6

What kind of alcool do you drink ?

mandatory answer

Question 7

Do you match alcohol with party games ?

uncheck

mandatory answer

Question 8

How many times have you been unable to remember the previous night ?

uncheck

mandatory answer

Question 9

During parties do you need alcohol to have fun ?

uncheck

mandatory answer

Question 10

Do you think that you are addicted ?

uncheck



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