Most of the questionnaires used to assess college students’ thoughts about their drinking are developed by researchers and are passively responded to by participants. Such researcher-generated measures, however, may not accurately reflect college students’ thoughts about their drinking. In contrast, the current study used participants’ own words in response to an open-ended measure to evaluate advantages and disadvantages college students perceive in maintaining their current drinking behaviors. Participants were college students (N=760) at the University of Washington who reported at least one heavy drinking episode in the past thirty days. The Decisional Balance Worksheet (DBW), an open-ended measure of motivation to change, was used to record the pros and cons of current drinking behaviors. Conventional content analysis methods were used to extract common themes. Findings indicated that social, “fun,” and psychological effects of drinking were the most commonly mentioned advantages of drinking, whereas physical side effects, money, and calories/weight gain were the most commonly mentioned disadvantages of drinking. These findings show that college students use alcohol to achieve certain kinds of psychological states, enhance social interactions, and ease day-to-day stress. Further, many college students report experiencing physical side effects of drinking as well as more minor inconveniences, such as concerns about calories. In contrast, previous researcher-generated decisional balance measures have emphasized very different categories for advantages (e.g., coping, social, and excitement) and disadvantages (e.g., health effects, lack of control, and legal problems) (Migneault et al., 1997). Our findings therefore suggest that using open-ended questionnaires may result in a more accurate representation of what college students perceive as advantages and disadvantages to drinking.