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Submitted URL: https://forms.gle/APhvn394pem2qvfi6
Effective URL: https://docs.google.com/forms/d/e/1FAIpQLSdzafnsI_gfo5KDRdvYckw56UQ4twTOZA5EKszZucCIbTA0iw/viewform?usp=send_form
Submission: On September 28 via manual from CA — Scanned from CA
Effective URL: https://docs.google.com/forms/d/e/1FAIpQLSdzafnsI_gfo5KDRdvYckw56UQ4twTOZA5EKszZucCIbTA0iw/viewform?usp=send_form
Submission: On September 28 via manual from CA — Scanned from CA
Form analysis 1 forms found in the DOM
POST https://docs.google.com/forms/d/e/1FAIpQLSdzafnsI_gfo5KDRdvYckw56UQ4twTOZA5EKszZucCIbTA0iw/formResponse
<form action="https://docs.google.com/forms/d/e/1FAIpQLSdzafnsI_gfo5KDRdvYckw56UQ4twTOZA5EKszZucCIbTA0iw/formResponse" target="_self" method="POST" id="mG61Hd" jsmodel="TOfxwf Q91hve CEkLOc" data-shuffle-seed="7129301143872871353"
data-clean-viewform-url="https://docs.google.com/forms/d/e/1FAIpQLSdzafnsI_gfo5KDRdvYckw56UQ4twTOZA5EKszZucCIbTA0iw/viewform?usp=send_form" data-response="%.@.]" data-dlp-data="%.@.null,false]" data-first-entry="0" data-last-entry="16"
data-is-first-page="true">
<div jscontroller="yUS4Lc" jsaction="rcuQ6b:rcuQ6b;UxRBlf:rcuQ6b;">
<div jsname="o6bZLc"><input type="hidden" name="entry.1791084455" value=""><input type="hidden" name="entry.1448814313" value=""><input type="hidden" name="entry.748355057" value=""></div>
</div>
<div class="RH5hzf RLS9Fe">
<div class="lrKTG">
<div class="Dq4amc">
<div class="m7w29c O8VmIc tIvQIf"><noscript>
<div class="HB1eCd-X3SwIb-haAclf">
<div class="HB1eCd-X3SwIb-i8xkGf">
<div class="tk3N6e-cXJiPb tk3N6e-cXJiPb-TSZdd tk3N6e-cXJiPb-GMvhG">JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.</div>
</div><br>
</div>
</noscript>
<div class="JH79cc RVEQke b33AEc"></div>
<div class="N0gd6">
<div class="ahS2Le">
<div class="F9yp7e ikZYwf LgNcQe" dir="auto" role="heading" aria-level="1">Survey on Substance Use</div>
</div>
<div class="cBGGJ OIC90c" dir="auto">Hello everyone, <br>First of all, please be assured that your answers will be treated as confidential information, and will be used solely for research purposes. Secondly, while we respect your
will to remain anonymous as a respondent, we would like to encourage you to share your name and contact details (an optional request, it's completely your choice) in the last question, after your answer.</div>
<div jsname="F0H8Yc" class="liS6Hc"></div>
</div>
<div class="zAVwcb"></div>
<div class="DqBBlb">
<div class="Oh1Vtf">
<div class="kesdnc" id="SMMuxb">
<a jscontroller="A2m8uc" jsaction="rcuQ6b:npT2md; click:mAWTmb;" href="https://accounts.google.com/Login?continue=https%3A%2F%2Fdocs.google.com%2Fforms%2Fd%2Fe%2F1FAIpQLSdzafnsI_gfo5KDRdvYckw56UQ4twTOZA5EKszZucCIbTA0iw%2Fviewform%3Ffbzx%3D7129301143872871353" aria-describedby="SMMuxb">Sign in to Google</a>
to save your progress. <a class="TYUeKb" jscontroller="rmdjlf" jsaction="rcuQ6b:npT2md; click:xdDXgc;" role="button" tabindex="0">Learn more</a></div>
</div>
<div class="zAVwcb"></div>
<div class="md0UAd" aria-hidden="true" dir="auto">* Indicates required question</div>
</div>
</div>
</div>
<div class="o3Dpx" role="list">
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[2077958259,"Age",null,2,[[1099614551,[["16-18",null,null,null,false],["19-21",null,null,null,false],["22-24",null,null,null,false],["25+",null,null,null,false]],true,null,null,null,null,null,false,null,[]]],null,null,null,null,null,null,[null,"Age"]],"i1","i2","i3",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i1" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i4"><span class="M7eMe">Age</span><span class="vnumgf" id="i4" aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i2"></div>
</div>
</div>
<div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.1099614551_sentinel" jsname="DTMEae">
<div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb">
<div class="lLfZXe fnxRtf cNDBpf" jscontroller="wPRNsd" jsshadow="" jsaction="keydown:I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i1" aria-describedby="i2 i3" aria-required="true" role="radiogroup"><span
jsslot="" role="presentation" jsname="bN97Pc" class="H2Gmcc tyNBNd">
<div class="SG0AAe">
<div class="nWQGrd zwllIb"><label for="i5" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i5" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="16-18" data-value="16-18" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="4" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">16-18</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i8" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i8" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="19-21" data-value="19-21" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="4" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">19-21</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i11" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i11" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="22-24" data-value="22-24" role="radio" aria-checked="false" aria-posinset="3" aria-setsize="4" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">22-24</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i14" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i14" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="25+" data-value="25+" role="radio" aria-checked="false" aria-posinset="4" aria-setsize="4" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">25+</span></div>
</div>
</div>
</label></div>
</div>
</span></div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i3" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[25821944,"Gender",null,2,[[1226516841,[["Male",null,null,null,false],["Female",null,null,null,false],["Non-binary",null,null,null,false],["Prefer not to say",null,null,null,false],["",null,null,null,true]],true,null,null,null,null,null,false,null,[]]],null,null,null,null,null,null,[null,"Gender"]],"i17","i18","i19",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i17" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i20"><span class="M7eMe">Gender</span><span class="vnumgf" id="i20" aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i18"></div>
</div>
</div>
<div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.1226516841_sentinel" jsname="DTMEae">
<div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb">
<div class="lLfZXe fnxRtf cNDBpf" jscontroller="wPRNsd" jsshadow="" jsaction="keydown:I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i17" aria-describedby="i18 i19" aria-required="true" role="radiogroup"><span
jsslot="" role="presentation" jsname="bN97Pc" class="H2Gmcc tyNBNd">
<div class="SG0AAe">
<div class="nWQGrd zwllIb"><label for="i21" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i21" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Male" data-value="Male" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="5" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Male</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i24" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i24" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Female" data-value="Female" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="5" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Female</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i27" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i27" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Non-binary" data-value="Non-binary" role="radio" aria-checked="false" aria-posinset="3" aria-setsize="5" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Non-binary</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i30" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i30" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Prefer not to say" data-value="Prefer not to say" role="radio" aria-checked="false" aria-posinset="4" aria-setsize="5" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Prefer not to say</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb zfdaxb" jsname="MaDKvc"><label for="i33" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i33" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" data-value="__other_option__" role="radio" aria-checked="false" aria-posinset="5" aria-setsize="5" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc">Other:</span></div>
</div>
</div>
</label>
<div class="pIDwKe" jsaction="keydown:npT2md" jsshadow=""><span jsslot="">
<div class="RWzxl yqQS1 SjlgO" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="R6ztRd">
<div class="KzNPgc oJeWuf">
<div class="JGptt"><input type="text" class="Hvn9fb zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-label="Other response" dir="auto" data-initial-dir="auto" data-initial-value="" aria-disabled="false">
</div>
<div class="SPcBRc mIZh1c"></div>
<div jsname="XmnwAc" class="kPBwDb cXrdqd"></div>
</div>
</div>
</span></div>
</div>
</div>
</span></div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i19" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[1984958011,"Education?",null,2,[[1238273702,[["No formal education",null,null,null,false],["High school diploma or equivalent",null,null,null,false],["Currently pursuing Bachelor's",null,null,null,false],["Bachelor's degree",null,null,null,false],["Master's degree",null,null,null,false],["Professional degree (e.g., JD, MD)",null,null,null,false],["Doctoral degree (e.g., PhD, EdD)",null,null,null,false],["Prefer not to answer",null,null,null,false]],true,null,null,null,null,null,false,null,[]]],null,null,null,null,null,null,[null,"Education?"]],"i36","i37","i38",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i36" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i39"><span class="M7eMe">Education?</span><span class="vnumgf" id="i39" aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i37"></div>
</div>
</div>
<div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.1238273702_sentinel" jsname="DTMEae">
<div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb">
<div class="lLfZXe fnxRtf cNDBpf" jscontroller="wPRNsd" jsshadow="" jsaction="keydown:I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i36" aria-describedby="i37 i38" aria-required="true" role="radiogroup"><span
jsslot="" role="presentation" jsname="bN97Pc" class="H2Gmcc tyNBNd">
<div class="SG0AAe">
<div class="nWQGrd zwllIb"><label for="i40" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i40" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="No formal education" data-value="No formal education" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="8" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">No formal education</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i43" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i43" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="High school diploma or equivalent" data-value="High school diploma or equivalent" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="8" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">High school diploma or equivalent</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i46" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i46" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Currently pursuing Bachelor's" data-value="Currently pursuing Bachelor's" role="radio" aria-checked="false" aria-posinset="3" aria-setsize="8" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Currently pursuing Bachelor's</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i49" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i49" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Bachelor's degree" data-value="Bachelor's degree" role="radio" aria-checked="false" aria-posinset="4" aria-setsize="8" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Bachelor's degree</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i52" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i52" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Master's degree" data-value="Master's degree" role="radio" aria-checked="false" aria-posinset="5" aria-setsize="8" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Master's degree</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i55" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i55" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Professional degree (e.g., JD, MD)" data-value="Professional degree (e.g., JD, MD)" role="radio" aria-checked="false" aria-posinset="6" aria-setsize="8" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Professional degree (e.g., JD, MD)</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i58" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i58" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Doctoral degree (e.g., PhD, EdD)" data-value="Doctoral degree (e.g., PhD, EdD)" role="radio" aria-checked="false" aria-posinset="7" aria-setsize="8" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Doctoral degree (e.g., PhD, EdD)</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i61" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i61" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Prefer not to answer" data-value="Prefer not to answer" role="radio" aria-checked="false" aria-posinset="8" aria-setsize="8" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Prefer not to answer</span></div>
</div>
</div>
</label></div>
</div>
</span></div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i38" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[1189692679,"Annual household income?",null,2,[[1068535640,[["\u003c5,00,000 INR",null,null,null,false],["5,00,000-10,00,000 INR",null,null,null,false],["10,00,000\u003c INR",null,null,null,false]],true,null,null,null,null,null,false,null,[]]],null,null,null,null,null,null,[null,"Annual household income?"]],"i64","i65","i66",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i64" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i67"><span class="M7eMe">Annual household income?</span><span class="vnumgf" id="i67" aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i65"></div>
</div>
</div>
<div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.1068535640_sentinel" jsname="DTMEae">
<div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb">
<div class="lLfZXe fnxRtf cNDBpf" jscontroller="wPRNsd" jsshadow="" jsaction="keydown:I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i64" aria-describedby="i65 i66" aria-required="true" role="radiogroup"><span
jsslot="" role="presentation" jsname="bN97Pc" class="H2Gmcc tyNBNd">
<div class="SG0AAe">
<div class="nWQGrd zwllIb"><label for="i68" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i68" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="<5,00,000 INR" data-value="<5,00,000 INR" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="3" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c"><5,00,000 INR</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i71" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i71" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="5,00,000-10,00,000 INR" data-value="5,00,000-10,00,000 INR" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="3" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">5,00,000-10,00,000 INR</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i74" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i74" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="10,00,000< INR" data-value="10,00,000< INR" role="radio" aria-checked="false" aria-posinset="3" aria-setsize="3" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">10,00,000< INR</span></div>
</div>
</div>
</label></div>
</div>
</span></div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i66" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[1309486827,"Are any members of your family or close relatives involved in substance use?",null,2,[[1411407431,[["Yes",null,null,null,false],["No",null,null,null,false],["Maybe",null,null,null,false],["Prefer not to say",null,null,null,false]],true,null,null,null,null,null,false,null,[]]],null,null,null,null,null,null,[null,"Are any members of your family or close relatives involved in substance use?"]],"i77","i78","i79",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i77" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i80"><span class="M7eMe">Are any members of your family or close relatives involved in substance use?</span><span class="vnumgf" id="i80"
aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i78"></div>
</div>
</div>
<div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.1411407431_sentinel" jsname="DTMEae">
<div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb">
<div class="lLfZXe fnxRtf cNDBpf" jscontroller="wPRNsd" jsshadow="" jsaction="keydown:I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i77" aria-describedby="i78 i79" aria-required="true" role="radiogroup"><span
jsslot="" role="presentation" jsname="bN97Pc" class="H2Gmcc tyNBNd">
<div class="SG0AAe">
<div class="nWQGrd zwllIb"><label for="i81" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i81" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Yes" data-value="Yes" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="4" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Yes</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i84" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i84" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="No" data-value="No" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="4" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">No</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i87" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i87" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Maybe" data-value="Maybe" role="radio" aria-checked="false" aria-posinset="3" aria-setsize="4" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Maybe</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i90" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i90" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Prefer not to say" data-value="Prefer not to say" role="radio" aria-checked="false" aria-posinset="4" aria-setsize="4" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Prefer not to say</span></div>
</div>
</div>
</label></div>
</div>
</span></div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i79" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
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<div class="YEVVod">
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<div id="i109" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i112"><span class="M7eMe"><span>How often do you currently consume alcohol?</span><br></span><span class="vnumgf" id="i112"
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<div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.1982937044_sentinel" jsname="DTMEae">
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<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i113" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Never</span></div>
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Ocassionally</span></div>
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</label></div>
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<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Weekly</span></div>
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Daily</span></div>
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<div jsmodel="CP1oW"
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<div id="i125" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i128"><span class="M7eMe">How often do you use substances other than alcohol?</span><span class="vnumgf" id="i128"
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<div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.249809422_sentinel" jsname="DTMEae">
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<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i129" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Never</span></div>
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</label></div>
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<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Occasionally</span></div>
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Weekly</span></div>
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<div class="AB7Lab Id5V1">
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Daily</span></div>
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<div jsmodel="CP1oW"
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<div id="i141" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i144"><span class="M7eMe">What kind of substances do you use? (select all that apply)</span><span class="vnumgf" id="i144"
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<div jscontroller="sW52Ae" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:sEDvJ;JIbuQc:d3sQLd(MPu53c);" class="Y6Myld"><input type="hidden" name="entry.408737949_sentinel" jsname="DTMEae">
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<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
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<div class="Ii6cVc oyD5Oc"></div>
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Alcohol</span></div>
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</div>
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<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i149" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
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<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Tobaccoo</span></div>
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<div class="bzfPab wFGF8">
<div id="i152" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
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<div class="Ii6cVc oyD5Oc"></div>
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</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Marijuana</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i155" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i155" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Prescription drugs</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i158" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i158" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" jsname="FkQz1b" aria-label="Cocaine" data-answer-value="Cocaine" role="checkbox" aria-checked="false" tabindex="0">
<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Cocaine</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i161" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i161" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" jsname="FkQz1b" aria-label="Heroin" data-answer-value="Heroin" role="checkbox" aria-checked="false" tabindex="0">
<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Heroin</span></div>
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</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i164" class="docssharedWizToggleLabeledContainer Yri8Nb">
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<div id="i164" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Ecstacy</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i167" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i167" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Prescribed medication</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i170" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i170" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Never used before</span></div>
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</div>
</label></div>
<div class="eBFwI RVLOe" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c">
<div class="pzmVo"><label for="i173" class="docssharedWizToggleLabeledContainer Yri8Nb">
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jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="TCA6qd">
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<div class="Ii6cVc oyD5Oc"></div>
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf">Other:</span></div>
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</label>
<div class="xVfcde">
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<div jsname="XmnwAc" class="kPBwDb cXrdqd"></div>
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</div>
</div>
</div>
</div>
</div>
<div id="i145" class="fKfAyc">Required</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i143" role="alert"></div>
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</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
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<div class="z12JJ">
<div class="M4DNQ">
<div id="i176" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i179"><span class="M7eMe">What are the factors that pushed you towards substance use?</span><span class="vnumgf" id="i179"
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<div jscontroller="sW52Ae" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:sEDvJ;JIbuQc:d3sQLd(MPu53c);" class="Y6Myld"><input type="hidden" name="entry.1917392096_sentinel" jsname="DTMEae">
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<div class="bzfPab wFGF8">
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<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Stress relief</span></div>
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</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i184" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i184" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Peer Pressure</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i187" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i187" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Medical Prescription</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i190" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i190" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" jsname="FkQz1b" aria-label="Curiosity" data-answer-value="Curiosity" role="checkbox" aria-checked="false" tabindex="0">
<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Curiosity</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i193" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i193" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
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<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Escapism</span></div>
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<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Recreational</span></div>
</div>
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</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i202" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i202" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" jsname="FkQz1b" aria-label="Media Influence" data-answer-value="Media Influence" role="checkbox" aria-checked="false" tabindex="0">
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<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Media Influence</span></div>
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<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i205" class="docssharedWizToggleLabeledContainer Yri8Nb">
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<div id="i205" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">I don't use substances</span></div>
</div>
</div>
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<div class="eBFwI RVLOe" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c">
<div class="pzmVo"><label for="i208" class="docssharedWizToggleLabeledContainer Yri8Nb">
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<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
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<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf">Other:</span></div>
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</div>
</label>
<div class="xVfcde">
<div class="RWzxl yqQS1 IpuEke" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="R6ztRd">
<div class="KzNPgc oJeWuf">
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<div jsname="XmnwAc" class="kPBwDb cXrdqd"></div>
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<div id="i180" class="fKfAyc">Required</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i178" role="alert"></div>
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<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
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<div class="M4DNQ">
<div id="i211" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i214"><span class="M7eMe">How do you usually obtain substances?</span><span class="vnumgf" id="i214" aria-label="Required question"> *</span>
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<div class="gubaDc OIC90c RjsPE" id="i212"></div>
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</div>
<div jscontroller="sW52Ae" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:sEDvJ;JIbuQc:d3sQLd(MPu53c);" class="Y6Myld"><input type="hidden" name="entry.1108365568_sentinel" jsname="DTMEae">
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<div class="bzfPab wFGF8">
<div id="i216" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Friends</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i219" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i219" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Dealers</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i222" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i222" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="TCA6qd">
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<div class="Ii6cVc oyD5Oc"></div>
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</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Family</span></div>
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</div>
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<div class="bzfPab wFGF8">
<div id="i225" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Prescription</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i228" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i228" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">Online</span></div>
</div>
</div>
</label></div>
<div class="eBFwI" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c"><label for="i231" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i231" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf OIC90c">I don't use substances</span></div>
</div>
</div>
</label></div>
<div class="eBFwI RVLOe" role="listitem" jsaction="JIbuQc:aj0Jcf" jscontroller="lWjoT" jsname="MPu53c">
<div class="pzmVo"><label for="i234" class="docssharedWizToggleLabeledContainer Yri8Nb">
<div class="bzfPab wFGF8">
<div id="i234" class="uVccjd aiSeRd FXLARc wGQFbe BJHAP oLlshd" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
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<div class="PkgjBf MbhUzd"></div>
<div class="uHMk6b fsHoPb"></div>
<div class="rq8Mwb">
<div class="TCA6qd">
<div class="MbUTNc oyD5Oc"></div>
<div class="Ii6cVc oyD5Oc"></div>
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</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac n5vBHf">Other:</span></div>
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</label>
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<div class="SPcBRc mIZh1c"></div>
<div jsname="XmnwAc" class="kPBwDb cXrdqd"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="i215" class="fKfAyc">Required</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i213" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[1335248324,"Do you feel you have someone to talk to if you feel that you're struggling with substance use? If yes, then what suggestions have you received?",null,0,[[1791084455,null,false,null,null,null,null,null,null,null,[]]],null,null,null,null,null,null,[null,"Do you feel you have someone to talk to if you feel that you're struggling with substance use? If yes, then what suggestions have you received?"]],"i237","i238","i239",false]">
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<div class="z12JJ">
<div class="M4DNQ">
<div id="i237" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3"><span class="M7eMe">Do you feel you have someone to talk to if you feel that you're struggling with substance use? If yes, then what suggestions have you
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<div class="gubaDc OIC90c RjsPE" id="i238"></div>
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</div>
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<div class="aCsJod oJeWuf">
<div class="aXBtI Wic03c">
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<div class="i9lrp mIZh1c"></div>
<div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
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</div>
<div class="LXRPh">
<div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
</div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i239" role="alert"></div>
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<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[1447619073,"What stereotypes and myths have you heard around substance use?",null,1,[[1448814313,null,false,null,null,null,null,null,null,null,[]]],null,null,null,null,null,null,[null,"What stereotypes and myths have you heard around substance use?"]],"i241","i242","i243",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i241" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3"><span class="M7eMe">What stereotypes and myths have you heard around substance use?</span></div>
<div class="gubaDc OIC90c RjsPE" id="i242"></div>
</div>
</div>
<div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
<div class="edhGSc zKHdkd kRy7qc RdH0ib yqQS1" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
<div class="RpC4Ne oJeWuf">
<div class="F1pOBe snByac" aria-hidden="true" jsname="LwH6nd">Your answer</div>
<div class="Pc9Gce Wic03c"><textarea class="KHxj8b tL9Q4c" jsname="YPqjbf" data-rows="1" tabindex="0" aria-label="Your answer" jscontroller="gZjhIf" jsaction="input:Lg5SV;ti6hGc:XMgOHc;rcuQ6b:WYd;" dir="auto"
data-initial-dir="auto" data-initial-value="" aria-labelledby="i241" aria-describedby="i242 i243" style="height: 24px;" aria-disabled="false"></textarea></div>
<div class="z0oSpf mIZh1c"></div>
<div jsname="XmnwAc" class="Bfurwb cXrdqd"></div>
</div>
<div class="jE8NUc">
<div jsname="ty6ygf" class="YElZX Is7Fhb"></div>
</div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i243" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[1129840908,"If you were experiencing problems related to substance use, how likely are you to seek help from a professional?",null,5,[[1009551749,[["1"],["2"],["3"],["4"],["5"]],true,["not likely","very likely"],null,null,null,null,null,null,[]]],null,null,null,null,null,null,[null,"\u003cspan\u003eIf you were experiencing problems related to substance use, how likely are you to seek help from a professional?\u003c/span\u003e\u003cbr\u003e"]],"i245","i246","i247",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i245" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i248"><span class="M7eMe"><span>If you were experiencing problems related to substance use, how likely are you to seek help from a
professional?</span><br></span><span class="vnumgf" id="i248" aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i246"></div>
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<div jscontroller="FYWcYb" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="PY6Xd" jsname="skjTt">
<div class="lLfZXe fnxRtf BpKDyb" jscontroller="wPRNsd" jsshadow="" jsaction="keydown:I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="cnAzRb" aria-labelledby="i245" aria-describedby="i246 i247" aria-required="true" role="radiogroup"><span
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<div class="N9Qcwe">
<div class="Bpfcyc">
<div class="OdvqYb"></div>
<div class="XlZoHb">
<div jsname="NfjK7" class="g4s2gf OIC90c">not likely</div>
</div>
</div><label class="T5pZmf">
<div class="Zki2Ve" dir="auto">1</div>
<div class="eRqjfd" dir="auto">
<div class="d7L4fc bJNwt aomaEc ECvBRb">
<div class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="1" data-value="1" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="5" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
</div>
</label><label class="T5pZmf">
<div class="Zki2Ve" dir="auto">2</div>
<div class="eRqjfd" dir="auto">
<div class="d7L4fc bJNwt aomaEc ECvBRb">
<div class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="2" data-value="2" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="5" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
</div>
</label><label class="T5pZmf">
<div class="Zki2Ve" dir="auto">3</div>
<div class="eRqjfd" dir="auto">
<div class="d7L4fc bJNwt aomaEc ECvBRb">
<div class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="3" data-value="3" role="radio" aria-checked="false" aria-posinset="3" aria-setsize="5" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
</div>
</label><label class="T5pZmf">
<div class="Zki2Ve" dir="auto">4</div>
<div class="eRqjfd" dir="auto">
<div class="d7L4fc bJNwt aomaEc ECvBRb">
<div class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="4" data-value="4" role="radio" aria-checked="false" aria-posinset="4" aria-setsize="5" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
</div>
</label><label class="T5pZmf">
<div class="Zki2Ve" dir="auto">5</div>
<div class="eRqjfd" dir="auto">
<div class="d7L4fc bJNwt aomaEc ECvBRb">
<div class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="5" data-value="5" role="radio" aria-checked="false" aria-posinset="5" aria-setsize="5" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
</div>
</label>
<div class="Bpfcyc">
<div class="OdvqYb"></div>
<div class="XlZoHb">
<div jsname="jq1lEb" class="g4s2gf OIC90c">very likely</div>
</div>
</div>
</div>
</span></div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i247" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[1793920436,"How do you feel about drug use among students?",null,2,[[730641231,[["Strongly opposed",null,null,null,false],["Somewhat opposed",null,null,null,false],["Neutral",null,null,null,false],["Somewhat accepting",null,null,null,false],["Strongly accepting",null,null,null,false]],true,null,null,null,null,null,false,null,[]]],null,null,null,null,null,null,[null,"\u003cspan\u003eHow do you feel about drug use among students?\u003c/span\u003e\u003cbr\u003e"]],"i249","i250","i251",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i249" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i252"><span class="M7eMe"><span>How do you feel about drug use among students?</span><br></span><span class="vnumgf" id="i252"
aria-label="Required question"> *</span></div>
<div class="gubaDc OIC90c RjsPE" id="i250"></div>
</div>
</div>
<div jscontroller="UmOCme" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;JIbuQc:RgMCxe(YlCLKb);sPvj8e:d3sQLd;TYy3Ne:RgMCxe;" class="oyXaNc" jsname="GCYh9b"><input type="hidden" name="entry.730641231_sentinel" jsname="DTMEae">
<div jscontroller="eFy6Rc" jsaction="sPvj8e:Gh295d" jsname="cnAzRb">
<div class="lLfZXe fnxRtf cNDBpf" jscontroller="wPRNsd" jsshadow="" jsaction="keydown:I481le;JIbuQc:JIbuQc;rcuQ6b:rcuQ6b" jsname="wCJL8" aria-labelledby="i249" aria-describedby="i250 i251" aria-required="true" role="radiogroup">
<span jsslot="" role="presentation" jsname="bN97Pc" class="H2Gmcc tyNBNd">
<div class="SG0AAe">
<div class="nWQGrd zwllIb"><label for="i253" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i253" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Strongly opposed" data-value="Strongly opposed" role="radio" aria-checked="false" aria-posinset="1" aria-setsize="5" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Strongly opposed</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i256" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i256" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Somewhat opposed" data-value="Somewhat opposed" role="radio" aria-checked="false" aria-posinset="2" aria-setsize="5" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Somewhat opposed</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i259" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i259" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Neutral" data-value="Neutral" role="radio" aria-checked="false" aria-posinset="3" aria-setsize="5" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Neutral</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i262" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i262" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Somewhat accepting" data-value="Somewhat accepting" role="radio" aria-checked="false" aria-posinset="4" aria-setsize="5" tabindex="-1">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Somewhat accepting</span></div>
</div>
</div>
</label></div>
<div class="nWQGrd zwllIb"><label for="i265" class="docssharedWizToggleLabeledContainer ajBQVb">
<div class="bzfPab wFGF8">
<div class="d7L4fc bJNwt FXLARc aomaEc ECvBRb">
<div id="i265" class="Od2TWd hYsg7c" jscontroller="EcW08c"
jsaction="keydown:I481le;dyRcpb:dyRcpb;click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue; focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;"
jsshadow="" aria-label="Strongly accepting" data-value="Strongly accepting" role="radio" aria-checked="false" aria-posinset="5" aria-setsize="5" tabindex="0">
<div class="x0k1lc MbhUzd"></div>
<div class="uyywbd"></div>
<div class="vd3tt">
<div class="AB7Lab Id5V1">
<div class="rseUEf nQOrEb"></div>
</div>
</div>
</div>
</div>
<div class="YEVVod">
<div class="ulDsOb"><span dir="auto" class="aDTYNe snByac OvPDhc OIC90c">Strongly accepting</span></div>
</div>
</div>
</label></div>
</div>
</span></div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i251" role="alert"></div>
</div>
</div>
</div>
<div class="Qr7Oae" role="listitem">
<div jsmodel="CP1oW"
data-params="%.@.[374753408,"Do you have any personal experiences or insights regarding substance use that you would like to share?",null,1,[[748355057,null,false,null,null,null,null,null,null,null,[]]],null,null,null,null,null,null,[null,"\u003cspan\u003eDo you have any \u003c/span\u003e\u003cspan\u003epersonal experiences\u003c/span\u003e\u003cspan\u003e or insights \u003c/span\u003e\u003cspan\u003eregarding\u003c/span\u003e\u003cspan\u003e substance use that you would like to share?\u003c/span\u003e\u003cbr\u003e"]],"i268","i269","i270",false]">
<div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
<div class="z12JJ">
<div class="M4DNQ">
<div id="i268" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3"><span class="M7eMe"><span>Do you have any </span><span>personal experiences</span><span> or insights </span><span>regarding</span><span> substance use that you
would like to share?</span><br></span></div>
<div class="gubaDc OIC90c RjsPE" id="i269"></div>
</div>
</div>
<div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
<div class="edhGSc zKHdkd kRy7qc RdH0ib yqQS1" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
<div class="RpC4Ne oJeWuf">
<div class="F1pOBe snByac" aria-hidden="true" jsname="LwH6nd">Your answer</div>
<div class="Pc9Gce Wic03c"><textarea class="KHxj8b tL9Q4c" jsname="YPqjbf" data-rows="1" tabindex="0" aria-label="Your answer" jscontroller="gZjhIf" jsaction="input:Lg5SV;ti6hGc:XMgOHc;rcuQ6b:WYd;" dir="auto"
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<div class="z0oSpf mIZh1c"></div>
<div jsname="XmnwAc" class="Bfurwb cXrdqd"></div>
</div>
<div class="jE8NUc">
<div jsname="ty6ygf" class="YElZX Is7Fhb"></div>
</div>
</div>
</div>
<div jsname="Rfh2Tc" class="SL4Sz" id="i270" role="alert"></div>
</div>
</div>
</div>
</div>
<div class="ThHDze" jscontroller="lSvzH" jsaction="rcuQ6b:npT2md;JIbuQc:qV61Ff(X5DuWc),Gl574d(QR6bsb),V3upec(GeGHKb),HiUbje(M2UYVd),NPBnCf(OCpkoe); keydown:duASZc" data-shuffle-seed="7129301143872871353"
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<div class="lRwqcd">
<div role="button" class="uArJ5e UQuaGc Y5sE8d VkkpIf QvWxOd" jscontroller="VXdfxd"
jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;"
jsshadow="" jsname="M2UYVd" aria-label="Submit" tabindex="0">
<div class="Fvio9d MbhUzd" jsname="ksKsZd"></div>
<div class="e19J0b CeoRYc"></div><span jsslot="" class="l4V7wb Fxmcue"><span class="NPEfkd RveJvd snByac">Submit</span></span>
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<div class="nYdzXd">
<div role="button" class="uArJ5e UQuaGc kCyAyd l3F1ye TFBnVe" jscontroller="VXdfxd"
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JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload. Survey on Substance Use Hello everyone, First of all, please be assured that your answers will be treated as confidential information, and will be used solely for research purposes. Secondly, while we respect your will to remain anonymous as a respondent, we would like to encourage you to share your name and contact details (an optional request, it's completely your choice) in the last question, after your answer. Sign in to Google to save your progress. Learn more * Indicates required question Age * 16-18 19-21 22-24 25+ Gender * Male Female Non-binary Prefer not to say Other: Education? * No formal education High school diploma or equivalent Currently pursuing Bachelor's Bachelor's degree Master's degree Professional degree (e.g., JD, MD) Doctoral degree (e.g., PhD, EdD) Prefer not to answer Annual household income? * <5,00,000 INR 5,00,000-10,00,000 INR 10,00,000< INR Are any members of your family or close relatives involved in substance use? * Yes No Maybe Prefer not to say Have you ever experimented with drugs or alcohol? * Yes No Maybe Prefer not to say How often do you currently consume alcohol? * Never Ocassionally Weekly Daily How often do you use substances other than alcohol? * Never Occasionally Weekly Daily What kind of substances do you use? (select all that apply) * Alcohol Tobaccoo Marijuana Prescription drugs Cocaine Heroin Ecstacy Prescribed medication Never used before Other: Required What are the factors that pushed you towards substance use? * Stress relief Peer Pressure Medical Prescription Curiosity Social presence Escapism Recreational Media Influence I don't use substances Other: Required How do you usually obtain substances? * Friends Dealers Family Prescription Online I don't use substances Other: Required Do you feel you have someone to talk to if you feel that you're struggling with substance use? If yes, then what suggestions have you received? Your answer What stereotypes and myths have you heard around substance use? Your answer If you were experiencing problems related to substance use, how likely are you to seek help from a professional? * not likely 1 2 3 4 5 very likely How do you feel about drug use among students? * Strongly opposed Somewhat opposed Neutral Somewhat accepting Strongly accepting Do you have any personal experiences or insights regarding substance use that you would like to share? Your answer Submit Clear form Never submit passwords through Google Forms. This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms