This project was significant in that it administered the National College Health Risk Behavior Survey (NCHRBS), a health risk assessment, to a sample of students at three public universities in Virginia. Virginia was never included in the original or subsequent nationwide assessments using this instrument. This health risk assessment is comprehensive, easy to administer, and free. The NCHRBS assesses risk behaviors in six categories including: (1) behaviors that contribute to unintentional and intentional injuries; (2) tobacco use; (3) alcohol and other drug use; (4) sexual behaviors that contribute to unintended pregnancy and STDs, including the HIV infection; (5) unhealthy dietary behaviors; and (6) physical inactivity. This article focuses on student responses to questions about alcohol and other drugs and sexual behaviors linked to the use of these substances. It provided baseline data on health risk behaviors of college students which can help determine wellness/health education course objectives and health promotion programming and services provided to the students within the universities. In addition, this project provided protocol to expand use of the survey statewide. (Contains 5 tables.)