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Have you ever been abused or molested as a youth? |
Have you ever undergone treatment for alchohol or substance abuse? |
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Do you currently use alcohol, drugs, or tobacco? |
Have you ever been treated or hospitalized for a mental condition? | ||||
drugs | |||||
Have you ever been arrested? If so, please explain below. |
What challenges do you think young people face today that they need help with the most? |