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G24. Driving under the influence of alcohol. (MARK ALL THAT APPLY) <br /> a. I have committed it <br /> b. I have been arrested for it <br /> c. I have been tried in court for it <br /> d. I have been convicted of it,or pleaded guilty or no contest <br /> e. None of the above <br /> G25. Causing injury or death while driving under the influence of alcohol. (MARK ALL THAT APPLY) <br /> a. I have committed it <br /> b. I have been arrested for it <br /> c. I have been tried in court for it <br /> d. I have been convicted of it, or pleaded guilty or.no contest <br /> e. None of the above <br /> G26. Reckless driving causing injury or death to another person. (MARK ALL THAT APPLY) <br /> a. I have committed it <br /> b. I have been arrested for it <br /> c. I have been tried in court for it • <br /> d. I have been convicted of it, or pleaded guilty or no contest <br /> e. None of the above <br /> G27. Vehicular manslaughter(criminal homicide while driving). (MARK ALL THAT APPLY) <br /> a. I have committed it <br /> b. I have been arrested for it <br /> c. I have been tried in court for it <br /> d. I have been convicted of it, or pleaded guilty or no contest <br /> e. None of the above <br /> SUBSTANCE USE <br /> Note: Your answers to the following questions about substance use may be verified by checks of <br /> police and court records, and through interviews with persons acquainted with you. You may also <br /> be asked to take a polygraph examination and/or a hair drug analysis to verify your <br /> answers. If you deliberately give false or misleading answers, you may be disqualified. <br /> The questions about drug use do not refer to prescription drugs or treatment legally prescribed to <br /> you by a physician or other authorized professional health care worker. <br /> H1. On the average, about how much alcohol do you drink?(COUNT ONE DRINK FOR EACH BOTTLE <br /> OF BEER,GLASS OF WINE,OR SHOT OF LIQUOR.MARK ONE ANSWER ONLY.) <br /> a. I never drink alcohol <br /> b. Less than 1 drink a week <br /> c. 1-2 drinks a week <br /> d. 3-5 drinks a week <br /> e. 1-2 drinks a day <br /> f. 3-5 drinks a day <br /> g. 6 or more drinks a day <br /> PSS/LEPS PLLC 76 <br />