CONFIDENTIAL eCHECKUP MARIJUANA POST SURVEY QUESTIONS *

First Initial:     

Last Initial:     

Student Id#:   

Today's Date:      

1.  How many days in the previous month did you use Marijuana?    

2.  How important is it to you to make any changes in your personal use of marijuana?

(1=Not at all Important; 10=Very Important)

3.  How confident are you that you could quit using using marijuana today, if you wanted to?

(1=Not at all Confident; 10=Very Confident)

* Please note, the eCHECKUP post-survey is confidential and only CAPS staff and admin have access to your responses.