INSTRUCTIONS- Please circle "Yes" or "No" if any of these things have or have not ever happened to you IN YOUR ENTIRE LIFE. If you need any help ask me for assistance.

In your entire life have you ever....

7. Done things when drinking that could have caused you to be hurt?

Column 2: In you Entire Life have you ever.....

7. Done things when drinking that could have caused you to be hurt?

INSTRUCTIONS- Please circle "Yes" or "No" if any of these things have or have not ever happened to you IN YOUR ENTIRE LIFE. If you need any help ask me for assistance.

In your entire life have you ever....

7. Done things when drinking that could have caused you to be hurt?

Column 2: In your Entire Life have you ever.....

7. Done things when drinking that could have caused you to be hurt?