How many dependents, other than yourself live with you?
Your age when you... ...began drinking ...were arrested for first offense ...were arrested for first alcohol-related offense
If charged with DWI, what was the BAC? Present Arrest Others
(Name ) (Explain: )
Please read each questions carefully, and then check the most correct answer in the box provided.
1. How many times have you been arrested on charges involving alcohol? (Do not count the present DWI arrest.) (Times)