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Where you roofied at a bar in Austin Texas?

Has your drink ever been spiked?

What is your gender?

How old were you at the time of the incident? (N/A if not applicable)

Did you leave your drink unattended?

Were you brought a drink from someone else?

Did you order the drink from a bartender?

Did you visit one or multiple bars?

What is your race?

Did you end up in another location you do not remember going to?

Was someone unknown nearby?

Where you physically touched?

What was the name of the bar? (N/A if not applicable)