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Drinking practices among teenagers in

Mondragon, Northern Samar

PRE TEST
Name:
Sex:
Age:
Address:
Education attainment:
__ Elementary level
__ Elementary graduate
__ High school level
__ High school graduate
__ College level
__ College graduate
__ Others, please specify

Do you experience drinking alcohol?


__ yes __no
__if yes, why do you drinking alcohol?
What is your purpose in drinking liquor?
(you may check more than one)

__ avoid boredom
__ curiosity
__ ignorance
__ modelling parent’s behavior
__ peer pressure
__ rebellion
__ self-medication
__ to feel more confident
__ to forget personal and family
problems
__ to relax

The common problems encountered in drinking


practices of teenagers. Please indicate
your agreement/disagreement to the
following statements.

(1 agree 2 strongly agree 3 uncertain 4


disagree 5 strongly disagree)
a. Family Problem 1 2 3 4 5
b. Alcohol Addicted 1 2 3 4 5
c. Peer Pressure 1 2 3 4 5
d. Influence 1 2 3 4 5
e. Depression 1 2 3 4 5

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