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  • 77
    Difficulties in school, specific subjects, speech, etc
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  • 78
    TextSizeCreated with Sketch.
    • Huge
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    • Normal
    • Small
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    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 79
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 80
    Press
    Enter
  • 81
    Press
    Enter
  • 82
    Press
    Enter
  • 83
    Press
    Enter
  • 84
    Press
    Enter
  • 85
    Press
    Enter
  • 86
    Press
    Enter
  • 87
    Press
    Enter
  • 88
    Press
    Enter
  • 89
    Press
    Enter
  • 90
    Press
    Enter
  • 91
    Press
    Enter
  • 92
    Press
    Enter
  • 93
    Press
    Enter
  • 94
    Press
    Enter
  • 95
    Press
    Enter
  • 96
    Press
    Enter
  • 97
    Press
    Enter
  • 98
    Press
    Enter
  • 99
    Press
    Enter
  • 100
    1-2
    • 0
    • 1-2
    • 3-4
    • 5-6
    • >6
    Press
    Enter
  • 101
    Indicate past or current use, non-medicinally
    1 of 10
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  • 102
    How often do you consume alcohol?
    Never
    • Never
    • A few times a year
    • A few times a month
    • A few times a week
    • Daily
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    Enter
  • 103
    How much alcohol do you consume when you drink, on average?
    1-2 servings
    • 1-2 servings
    • 3-4 servings
    • 5-6 servings
    • 7-8 servings
    • 9-10 servings
    • >10 servings
    Press
    Enter
  • 104
    Press
    Enter
  • 105
    Press
    Enter
  • 106
    Press
    Enter
  • 107
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 108
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
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