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Do either of your parents have a problem with using alcohol or drugs?
Yes, No, or No answer
Do any of your friends (peers) have a problem with drugs or alcohol?
Yes, No, or No answer
Does your partner have a problem with drug or alcohol use?
Yes, No, or No answer
Before you knew you were pregnant (past) how often did you drink beer,
wine, wine coolers, or liquor?
Not at all, rarely, sometimes, frequently
In the past month (present) how often did you drink beer, wine, wine
coolers or liquor?
Not at all, rarely, sometimes, frequently
Kennedy C, Finkelstein N, Hutchins E, Mahoney Improving screening for alcohol use during pregnancy: the Massachusetts ASAP program. Matern Child Health J. 2004 Sep;8(3):137-47.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15503394
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