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1. How old are you? (Required.)

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2. What is your gender? (Required.)

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3. Which city do you live in? (Required.)

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4. Are you sexually active?

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5. If yes, do you use protection?

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6. Do you use substances (drugs or alcohol)?

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7. True or false: “The SANCA Central Rand Centre can help with drug prevention, but not with alcohol abuse”.

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8. True or false: “Ithemba Alcohol and Drug Rehabilitation Clinic offers in-patient treatment for free.”

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9. True or false: “Stabilis Treatment Centre offers free, multi-dimensional treatment service to drug users and their families.”

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10. Does “Narcotics Anonymous (NA)” exist in South Africa?

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11. How old does someone need to be, in order to get help at Elim Clinic for substance use disorders and behaviour addiction?

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12. True or false: “Ithemba Alcohol and Drug Rehabilitation Clinic offer therapeutic and medical treatment services to people struggling with substance abuse and addiction.”

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13. Do you know about Choma? (Required.)

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14. If you answered yes, have you used the Choma platforms (Website, Social Media)? (Required.)

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15. How long have you used the Choma platforms? (Required.)

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