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Screening Form
Please complete the screening form below
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What city do you live in?
What state do you currently live in?
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What category best describes you?
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What is your gender?
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Please select your current educational status:
High school senior
High school student (other grade)
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Did you graduate high school within the past 3 months?
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Do you anticipate graduating from high school this year?
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No
Have you consumed alcohol at least once in the past year?
Yes
No
Are you interested in decreasing or avoiding an increase in your alcohol consumption?
Yes
No
You agree that BuildClinical may provide your personal information to the research site to help determine if you are eligible for this study. Please refer to BuildClinical's Terms of Service and Privacy Policy for more information.
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BCFS00606