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Are you or a friend coping with a family conflict like separated, divorced, drug addicted, abused or abusive parents?
family
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Are you or a friend coping with a problem friendship, boyfriend, girlfriend, authority figure, cult or gang?
relationships
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Are you or a friend coping with poor self-esteem, stress, anxiety, loneliness, grief, anger or depression?
feelings
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Are you or a friend coping with depression or thoughts of suicide?
suicide
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Are you or a friend coping with a lack of basic needs like food, clothing, housing, employment, or trouble at school?
basic needs
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Are you or a friend coping with prejudice, neglect, emotional, physical or sexual abuse, survival sex, prostitution, domestic violence or crime?
abuse
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Are you or a friend coping with a physical disability, sexually transmitted disease (STD), HIV/AIDS, self-harm, a psychiatric or eating disorder?
health
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Are you or a friend coping with questions about sexuality, sexual hygiene, a pregnancy, sexually transmitted disease (STD) or HIV/AIDS?
sex
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Are you or a friend coping with tobacco, alcohol, street drugs or prescription drugs?
drugs & alcohol
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Are you or a friend coping with thoughts of leaving home, running away or are you already homeless?
running away
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1. Have you missed school (or work) due to substance use?
2. Have you ever drank or used drugs before going to a party or club?
3. Have you ever felt guilty or ashamed after drinking or using drugs?
4. Do you hang out with a crowd that drinks or uses drugs a lot?
5. Do you feel more able to talk to other people, especially people you don't know well, after a drink or drug use?
6. Do you have any drugs hidden in your room at home, or a stash hidden someplace else or held for you by a friend?
7. Do you drink or use drugs until your supply is gone?
8. Have you ever gotten into trouble at school or work due to drug/alcohol use?
9. Do you feel a sense of power when drinking or using drugs?
10. Have you ever had a "hang-over" due to drinking or drug use?
11. Has there ever been someone in your family with a drinking or drug use problem?
12. Do you get withdrawal symptoms when you stop drinking or using drugs?