Dietary Behavior
Dark green vegetables available at home
Fruits available at home
Salty snacks available at home
Soft drinks available at home
Fat-free/low fat milk available at home
Money spent at grocery store per month
Money spent on carryout/delivered foods per month
Money spent on eating out per month
Sexual Behavior
Number of sex partners five years older per year
Number of sex partners five years younger per year
Number of times had sex without condom per year
Number of times had vaginal or anal sex per year
Had sex with new partner every year
How old when first had sex
Total number of sex partners per year
Substance Use
Number of days used marijuana or hashish per month
Number of days used methamphetamine per month
Number of days used cocaine per month
Number of days used heroin per month
Age started smoking cigarettes regularly
Average alcoholic drinks per day for the past 12 months
Average cigarettes per day for the past 30 days
Do you now smoke cigarettes
Ever been in rehabilitation program
Ever have 5 or more drinks every day
Ever use any form of cocaine
Ever used heroin
Ever used marijuana or hashish
Ever used methamphetamine
Had at least 12 alcohol drinks per year
Smoked at least 100 cigarettes in life