Attachment 2

2020 NSDUH Redesign Field Test
Attachment FT-2 – CAI Questionnaire

2020 NATIONAL SURVEY ON DRUG
USE AND HEALTH (NSDUH):
REDESIGN FIELD TEST CAI
SPECIFICATIONS (ENGLISH
VERSION)

Substance Abuse and Mental Health Services Administration
Center for Behavioral Health Statistics and Quality
Rockville, Maryland 20857
Last Revised: August 15, 2019

2020 NATIONAL SURVEY ON DRUG
USE AND HEALTH (NSDUH):
REDESIGN FIELD TEST CAI
SPECIFICATIONS (ENGLISH
VERSION)

For questions about this report, please email Peter.Tice@samhsa.hhs.gov.
Prepared for Substance Abuse and Mental Health Services Administration,
Rockville, Maryland
Prepared by RTI International, Research Triangle Park, North Carolina
Last Revised: August 15, 2019
Recommended Citation: Center for Behavioral Health Statistics and Quality.
(2019). 2020 National Survey on Drug Use and Health (NSDUH): Redesign
Field Test CAI Specifications (English Version). Substance Abuse and Mental
Health Services Administration, Rockville, MD.

Content of 2019 NSDUH Instrument
#
1.
2.
3.
4.

Module
Introduction
Core Demographics
Military
Beginning ACASI Section

5.

Tutorial

6.

Calendar
(30-day and 12-month reference dates)
Tobacco Nicotine
Alcohol
Marijuana
Inhalants
Hallucinogens
Cocaine
Crack
Heroin
Methamphetamine
Pain Relievers Screener
Tranquilizers Screener
Stimulants Screener
Sedatives Screener
Tranquilizers and Sedatives Screener
Pain Relievers Main Module
Tranquilizers and Sedatives Main Module
Sedatives Main Module
Special Drugs
Definitions for Use in the Drugs Module
DSM-5 SUD
Risk/Availability Section
Alcohol and Drug Treatment
Drug Treatment
Adult Depression
Adult Mental Health
Adult Mental Health Service Utilization

7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.

33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.

Health
Special Topics
Parenting Experiences
Youth Experiences
Characteristics of Underage Drinking
Market Information for Marijuana
Back End Demographics
Employment
Household Roster
Proxy Information
Health Insurance
Income
Verification
Methamphetamine
Blunts
Prior Substance Use
Social Environment
Youth Mental Health Service Utilization
Definitions for Use in Consumption of Alcohol
Module
Consumption of Alcohol

Mode of Administration
CAPI*
CAPI

Required Aids
None
Showcards 1-5

FI reads description of keyboard and
None
helps respondent adjust headphones.
Respondent completes computer practice None
session with FI help.
ACASI**
None
ACASI
ACASI
ACASI

None
None
None

ACASI
ACASI
ACASI
ACASI
ACASI
ACASI
ACASI
ACASI
ACASI
ACASI

None
None
None
None
None
None
None
None
None
None

ACASI
ACASI

None
None

ACASI

None

ACASI
ACASI: 18+ year-olds only
ACASI: parents of 12-17-year-olds
ACASI: 12-17-year-olds only

None
None
None
None

ACASI
ACASI
ACASI
CAPI
CAPI
CAPI (Proxy allowed)
CAPI (Proxy allowed)
FI & respondent complete form.

None
None
None
Showcards 6&7
None
Showcards 8&9
Showcards 10-12
Verification Form

Page
3
5
11
21
23
27
29
69
93
109
124
191
202
213
224
235
242
246
251
254
259
401
440
477
496
499
673
682
693
722
741
Error!
Book
mark
not
define
d.
795
817
830
836
854
856
4
10
16
28
41
49
62
66
78
86
144
146
160
162

53.
54.
`*
**

Education
List of Contributors

178
185

CAPI (computer-assisted personal interviewing): FI reads questions and records responses.
ACASI (audio computer-assisted self-interviewing): Respondent reads questions on screen or listens to questions through headphones and then records answers into computer.

2020 NATIONAL SURVEY ON DRUG USE AND HEALTH
REDESIGN FIELD TEST CAI INSTRUMENT REVISIONS
Changes made to the CAI instrument for the 2020 NSDUH Redesign Field Test are
based on the 2019 NSDUH.
•

New additions or deletions are highlighted in blue.

•

Items that were moved from one place in the instrument to a new location are
highlighted in green.

•

Deletions are shown using the appropriate highlight and strikeout.

i

ii

2020 National Survey on Drug Use and Health:
Redesign Field Test
Specifications for Programming

Introduction
FIIDCON INTERVIEWER: THE FIELD INTERVIEWER ID NUMBER FOR THIS LAPTOP
IS [FIIDFILL]. IS THIS YOUR FI ID?
1
2

YES
NO

FIIDENT [IF FIIDCON=2] PLEASE ENTER YOUR 6-DIGIT FI ID BELOW.
____________
lang

INTERVIEWER: SELECT THE LANGUAGE TO BE USED FOR THIS
INTERVIEW.
1
2

ENGLISH
SPANISH

NSDUH CAI Instrument Version:
xx.xx
OMB Control #: 0930-0110
Expiration Date: 08/31/2020

3

4

Core Demographics
note1 FI: DO NOT READ ALOUD UNLESS RESPONDENT QUESTIONS THE BURDEN
(OR TIME) ASSOCIATED WITH THIS INTERVIEW.
NOTICE: Public reporting burden for this collection of information is estimated to
average 60 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate
or any other aspect of this collection of information, including suggestions for reducing
this burden, to SAMHSA Reports Clearance Officer, Paperwork Reduction Project
(0930-0110); Center for Behavioral Health Statistics and Quality; 5600 Fishers Lane;
Room 15E57B; Rockville, MD 20857. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number. The OMB control number for this project is 09300110.

remindfi INTERVIEWER: HAVE YOU READ THE “INTRO TO CAI” IN YOUR
SHOWCARD BOOKLET ALOUD TO THE RESPONDENT?
1
2
introcai

age1

YES
NO

[IF REMINDFI = 2] YOU MUST READ THE “INTRO TO CAI” IN YOUR
SHOWCARD BOOKLET ALOUD TO THE RESPONDENT BEFORE YOU
CONTINUE WITH THE INTERVIEW! DO SO NOW. WHEN YOU ARE
FINISHED, PRESS “1" TO CONTINUE.

What is your date of birth?
ENTER MM/DD/YYYY OR MM-DD-YYYY
DOB: ________________ [CALENDAR ICON]
DK/REF
DEFINE CALCAGE:
CALCAGE = AGE CALCULATED BY "SUBTRACTING" DATE OF BIRTH FROM
DATE OF INTERVIEW.

confdob

[IF AGE1 NE DK OR REF] I have entered your date of birth as [AGE1]. Is this
correct?
1
2

YES
NO

5

DK/REF
HARD ERROR: [IF CONFDOB=2] INTERVIEWER: PRESS [ENTER] TO GO BACK
AND CORRECT THE RESPONDENT’S DATE OF BIRTH.
[NOTE: DO NOT DEFINE CALCAGE UNTIL CONFDOB=YES]
confirm

[IF AGE1 NE DK/REF AND CONFDOB NE DK/REF] That would make you
[CALCAGE] years old. Is this correct?
1
YES
2
NO
DK/REF

HARD ERROR: [IF CONFIRM = 2] INTERVIEWER: PRESS [ENTER] TO GO BACK
AND CORRECT THE RESPONDENT’S DATE OF BIRTH.
under12 [IF CONFIRM = 1 OR DK/REF AND CALCAGE < 12] Since you are
[CALCAGE] years old, we cannot interview you for this study. Thank you for your
cooperation.
PRESS [ENTER] TO CONTINUE. PROGRAM SHOULD ROUTE TO FIEXIT.
dkrefage [IF (CALCAGE IS 12 OR OLDER AND CONFIRM = DK/REF) OR AGE1 =
DK/REF OR CONFDOB = DK/REF] I need your correct age so I can ask you the
right questions. What is your correct age?
years old [RANGE: 1 - 110]
DK/REF
IF DKREFAGE NOT (BLANK OR DK/REF) THEN CALCAGE = DKREFAGE
under12b [IF DKREFAGE < 12] Since you are [CALCAGE] years old, we cannot interview
you for this study. Thank you for your cooperation.
PRESS [ENTER] TO CONTINUE. PROGRAM SHOULD ROUTE TO FIEXIT
lastchance [IF DKREFAGE = DK/REF] Since I am not certain what your age is, I cannot
interview you for this study. Thank you for your cooperation.
PRESS [ENTER] TO CONTINUE. PROGRAM SHOULD ROUTE TO FIEXIT
DEFINE CURNTAGE:
IF CALCAGE > 11 AND CONFIRM = 1, CURNTAGE = CALCAGE
IF CALCAGE > 11 AND CONFIRM = DK/REF AND DKREFAGE > 11,
CURNTAGE = DKREFAGE

6

IF AGE1= DK/REF AND DKREFAGE > 11, CURNTAGE = DKREFAGE
ELSE RESPONDENT IS INELIGIBLE; ROUTE TO FIEXIT
FIPE1 INTERVIEWER: WERE 2 PERSONS SELECTED FOR AN INTERVIEW AT THIS
SDU?
1
2

YES
NO

FIPE2 [IF FIPE1 = 1 AND CURNTAGE = 18 OR OLDER] INTERVIEWER: WAS A 12 - 17
YEAR OLD CHILD SELECTED FOR AN INTERVIEW AT THIS SDU?
1
2

YES
NO

FIPE3 [IF FIPE2 = 1] INTERVIEWER: IS THIS RESPONDENT THE PARENT OR LEGAL
GUARDIAN OF THE 12 - 17 YEAR OLD CHILD WHO WAS SELECTED FOR AN
INTERVIEW? (VERIFY THIS WITH THE RESPONDENT IF YOU ARE UNSURE.)
1
2

YES
NO

NOTE: IF FIPE3 = 1, SET THE FLAG TO ADMINISTER THE PARENTING
EXPERIENCES MODULE DURING ACASI.
FIPE4 INTERVIEWER: IN WHAT STATE IS THIS SAMPLE DWELLING UNIT (SDU)
LOCATED?
TYPE IN THE TWO-DIGIT STATE NAME (NC, TN, MT…) OR SELECT FROM THE LIST.
[DROP-DOWN]
INTERVIEWER: IN WHAT STATE IS THIS SAMPLE DWELLING UNIT (SDU)
LOCATED?
1
2
3
4
5
6
7
8
9
10

ALABAMA
27
MONTANA
ALASKA
28
NEBRASKA
ARIZONA
29
NEVADA
ARKANSAS
30
NEW HAMPSHIRE
CALIFORNIA
31
NEW JERSEY
COLORADO
32
NEW MEXICO
CONNECTICUT
33
NEW YORK
DELAWARE
34
NORTH CAROLINA
THE DISTRICT OF COLUMBIA (WASHINGTON, DC)
35
NORTH DAKOTA
FLORIDA
36
OHIO

7

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI

37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING

FIPE5 INTERVIEWER: THE STATE YOU ENTERED IS:
FIPE4 STATE NAME FILL

IS THIS CORRECT?
1
2

YES
NO

HARD ERROR: [IF FIPE5 = 2] INTERVIEWER: PRESS [ENTER] TO GO BACK-AND
CORRECT THE STATE WHERE YOU ARE CONDUCTING THIS INTERVIEW.

QD01 INTERVIEWER: RECORD RESPONDENT’S GENDER.
5
9

MALE
FEMALE

QD01a

INTERVIEWER: YOU HAVE ENTERED THAT THE RESPONDENT IS
[FILL QD01]. IS THIS CORRECT?
4
6

YES
NO

QD03 The first few questions are for statistical purposes only, to help us analyze the results of
the study.
Are you of Hispanic, Latino, or Spanish origin or descent?

8

(That is, do any of these groups describe (your/his/her) national origin or ancestry – Puerto Rican,
Cuban, Cuban-American, Mexican, Mexican-American, Chicano, Central or South American, or
origin in some other Spanish-speaking country?)

1
YES
2
NO
DK/REF
QD04 [IF QD03 = 1] HAND R SHOWCARD 1 Which of these Hispanic, Latino, or Spanish
groups best describes you? Just give me the number or numbers from the card.
TO SELECT MORE THAN ONE CATEGORY, PRESS THE SPACE BAR BETWEEN
EACH CATEGORY YOU SELECT.SELECT ALL THAT APPLY.
1
MEXICAN, MEXICAN AMERICAN, MEXICANO, OR CHICANO
2
PUERTO RICAN
3
CENTRAL OR SOUTH AMERICAN
4
CUBAN ORCUBAN AMERICAN
5
DOMINICAN (FROM DOMINICAN REPUBLIC)
6
SPANISH (FROM SPAIN)
7
OTHER (SPECIFY)
DK/REF
QD04othr [IF QD04 = 7] Please tell me which other Hispanic, Latino or Spanish group best
describes you.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN QD04othr.
QD05 HAND R SHOWCARD 2 Which of these groups describes you? Just give me the
number or numbers from the card.
SELECT ALL THAT APPLY.
TO SELECT MORE THAN ONE CATEGORY, PRESS THE SPACE BAR BETWEEN
EACH CATEGORY YOU SELECT.
RESPONDENTS WHO REPORT THEIR RACE AS NATIVE AMERICAN SHOULD
BE INCLUDED IN RESPONSE CATEGORY 3.
1
2
3

4

WHITE
BLACK OR AFRICAN AMERICAN
AMERICAN INDIAN OR ALASKA NATIVE (AMERICAN INDIAN
INCLUDES NORTH AMERICAN, CENTRAL AMERICAN, AND SOUTH
AMERICAN INDIANS)
NATIVE HAWAIIAN

9

5
6
7
8

GUAMANIAN OR CHAMORRO
SAMOAN
OTHER PACIFIC ISLANDER
ASIAN (INCLUDING: ASIAN INDIAN, CHINESE, FILIPINO, JAPANESE,
KOREAN, AND VIETNAMESE)
9
OTHER (SPECIFY)
DK/REF
QD05ASIA

[IF QD05 = 8] HAND R SHOWCARD 3 Which of these Asian groups describes
you? Just give me the number or numbers from the card.

SELECT ALL THAT APPLY.
TO SELECT MORE THAN ONE CATEGORY, PRESS THE SPACE BAR BETWEEN EACH
CATEGORY YOU SELECT.
1
ASIAN INDIAN
2
CHINESE
3
FILIPINO
4
JAPANESE
5
KOREAN
6
VIETNAMESE
7
OTHER (SPECIFY)
DK/REF
QD05OTHA [IF QD05ASIA = 7] Please tell me which other Asian group or groups describes
you.
OTHER ASIAN GROUP: _____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN QD05OTHA.
QD05OTHR [IF QD05 = 9] Please tell me which other racial group or groups describes you.
OTHER RACIAL GROUP: _____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN QD05OTHR.
QD12

This question is about your overall health. Would you say your health in general is
excellent, very good, good, fair, or poor?
1
2
3
4
5

EXCELLENT
VERY GOOD
GOOD
FAIR
POOR

10

DK/REF
QD07 [IF CURNTAGE = 15 OR OLDER] Are you now married, widowed, divorced or
separated, or have you never married?
1
MARRIED
2
WIDOWED
3
DIVORCED OR SEPARATED
4
HAVE NEVER MARRIED
DK/REF
INTERVIEWER NOTE:
If the respondent is divorced but currently remarried, code as
married.
IF THE RESPONDENT IS DIVORCED BUT CURRENTLY
REMARRIED, CODE AS MARRIED.
By “divorce” we mean a legal cancellation or annulment of a
marriage.
By “separated” we mean legally or informally separating due to
marital discord.
QD07a [IF CURNTAGE = 18 OR OLDER AND (QD07 = 2 OR 3 OR 4)] Are you now living
with a partner?
1
YES
2
NO
DK/REF

QD08 [IF QD07 = 1 OR 2 OR 3] How many times have you been married?
times [RANGE: 1 - 9]
DK/REF

Military
QD09

[IF CURNTAGE = 17 OR OLDER] Have you ever been in the United States
Armed Forces?
1
YES
2
NO
DK/REF

QD10

[IF QD09 = 1 OR DK/REF] Are you currently on active duty in the United
States Armed Forces, are you in a Reserve component, or are you now separated
or retired from the military?

11

1
ON ACTIVE DUTY IN THE ARMED FORCES
2
IN A RESERVE COMPONENT
3
NOW SEPARATED OR RETIRED FROM THE MILITARY
DK/REF
V2a

[IF QD10 = 1] Are you a member of a Reserve component currently serving fulltime in an active duty status?
1
YES
2
NO
DK/REF

V2b

[IF QD10 = 2] Are you currently serving full-time in a Reserve component? Fulltime service does not include annual training for the Reserves or National Guard.
1
YES
2
NO
DK/REF

MILTERM1 [IF QD10 = 1] I need to verify what I just entered into the computer. You said
you are currently on active duty in the armed forces. Is this correct?
1
YES
2
NO
DK/REF
HARD ERROR: [IF MILTERM1 = 2 OR DK/REF] INTERVIEWER: PRESS [ENTER]
TO GOGO BACK AND CORRECT THE RESPONDENT’S CURRENT MILITARY
STATUS.
MILTERM2 [IF MILTERM1 = 1] People who are currently on active duty in the armed forces
are not eligible to be interviewed in this study. I appreciate you taking the time to
speak with me. Thank you.
PRESS [ENTER] TO CONTINUE
[ROUTE TO FIEXIT]
QD10a

[IF QD09 = 1 or DK/REF] Have you ever served on active duty in the United
States Armed Forces or Reserve components? Active duty does not include
training for the Reserves or National Guard, but does include activation, for
example, for a national emergency or military conflict.
1
YES
2
NO
DK/REF

12

QD10b1

[IF (QD10a=1)] HAND R SHOWCARD 4.
When did you serve on active duty in the United States Armed Forces or Reserve
components? Just give me the number or numbers from the card.
SELECT ALL THAT APPLY.
TO SELECT MORE THAN ONE CATEGORY, PRESS THE SPACE BAR
BETWEEN EACH CATEGORY YOU SELECT.
1
2
3
4
5
6
7
8
9

QD10c

SEPTEMBER 2001 OR LATER
AUGUST 1990 TO AUGUST 2001 (INCLUDING PERSIAN GULF
WAR)
MAY 1975 TO JULY 1990
VIETNAM ERA (MARCH 1961 TO APRIL 1975)
FEBRUARY 1955 TO FEBRUARY 1961
KOREAN WAR (JULY 1950 TO JANUARY 1955)
JANUARY 1947 TO JUNE 1950
WORLD WAR II (DECEMBER 1941 TO DECEMBER 1946)
NOVEMBER 1941 OR EARLIER

[IF QD10a=1] Did you ever serve on active duty in the United States Armed
Forces or Reserve components in a military combat zone or an area where you
drew imminent danger pay or hostile fire pay?
1
YES
2
NO
DK/REF

MILSPOUS [IF QD07 = 1] Is your spouse now in the United States Armed Forces, Reserves,
or National Guard?
1
YES
2
NO
DK/REF

MILSTYPE [IF MILSPOUS=1] HAND R SHOWCARD 5. In which branch of the United
States military does your spouse now serve? Just give me the number from the
card.
1
2
3
4

ARMY, ARMY RESERVE, OR ARMY NATIONAL GUARD
AIR FORCE, AIR FORCE RESERVE, OR AIR NATIONAL GUARD
NAVY OR NAVY RESERVE
MARINE CORPS OR MARINE CORPS RESERVE

13

5
COAST GUARD OR COAST GUARD RESERVE
DK/REF

MILPARNT [IF CURNTAGE = 12-25] Do you have a parent or guardian now in the United
States Armed Forces, Reserves, or National Guard?
1
YES
2
NO
DK/REF
INTERVIEWER NOTE:
By parents, we mean either your biological
parents, adoptive parents, stepparents, or
adult guardians, even if they do not live with
you.
MILPTYPE [IF MILPARNT=1] HAND R SHOWCARD 5. In which branch or branches of
the United States military do any of your parents or guardians now serve? Just
give me the number or numbers from the card for all your military parents or
guardians.
1
ARMY, ARMY RESERVE, OR ARMY NATIONAL GUARD
2
AIR FORCE, AIR FORCE RESERVE, OR AIR NATIONAL GUARD
3
NAVY OR NAVY RESERVE
4
MARINE CORPS OR MARINE CORPS RESERVE
5
COAST GUARD OR COAST GUARD RESERVE
DK/REF

Education
EDINTRO

The next questions are about school. By “school,” we mean homeschool,
elementary school, junior high or middle school, high school, or a college or
university.

QD11 HAND R SHOWCARD 6. The next questions are about school. By “school,” we mean
elementary school, junior high or middle school, high school, or a college or university.
What is the highest grade or level year of school you have completed? Just give me the
number from the card.
INCLUDE JUNIOR OR COMMUNITY COLLEGE ATTENDANCE; DO NOT
INCLUDE TECHNICAL SCHOOLS (BEAUTICIAN, MECHANIC, ETC.).

14

0

NO SCHOOLING COMPLETED

1
2
3
4
5
6
7
8
9
10
11
12

COMPLETED 1ST GRADE COMPLETED
COMPLETED 2ND GRADE COMPLETED
COMPLETED 3RD GRADE COMPLETED
COMPLETED 4TH GRADE COMPLETED
COMPLETED 5TH GRADE COMPLETED
COMPLETED 6TH GRADE COMPLETED
COMPLETED 7TH GRADE COMPLETED
COMPLETED 8TH GRADE COMPLETED
COMPLETED 9TH GRADE COMPLETED
COMPLETED 10TH GRADE COMPLETED
COMPLETED 11TH GRADE COMPLETED
12TH GRADE, NO DIPLOMA

12 13 REGULAR HIGH SCHOOL DIPLOMA
13
12TH GRADE, NO DIPLOMA
14
GED CERTIFICATE OF HIGH SCHOOL COMPLETION
15
16
17

SOME COLLEGE CREDIT, BUT NO DEGREE
ASSOCIATE’S DEGREE (FOR EXAMPLE, AA, AS)
BACHELOR’S DEGREE (FOR EXAMPLE, BA, BS)

18

MASTER’S DEGREE (FOR EXAMPLE, MA, MS, MENG, M. ED, MSW,
MBA)
DOCTORATE DEGREE (FOR EXAMPLE, PHD, EDD)
PROFESSIONAL DEGREE BEYOND A BACHELOR’S DEGREE (FOR
EXAMPLE, MD, DDS, DVM, LLB, JD)
DK/REF

19
20

QD17 The next questions are about school. Please include home schooling as well. Do you go
to school, including homeschooling?
If you are on a holiday or break from school, such as spring break or summer vacation,
but plan to return when the break is over, please answer yes.
1
YES
2
NO
DK/REF
INTERVIEWER NOTE:
IF THE RESPONDENT IS ON A HOLIDAY OR SUMMER
BREAK FROM SCHOOL, BUT PLANS TO RETURN WHEN
THE BREAK IS OVER, THEN HE/SHE SHOULD BE CODED
AS GOING TO SCHOOL.

15

IF THE RESPONDENT IS ENROLLED IN SCHOOL BUT HAS
NOT STARTED YET, THEN HE/SHE SHOULD BE CODED AS
GOING TO SCHOOL.

QD17a

[IF CURNTAGE=12-25 AND (QD17=2 OR DK/REF) AND QD11 = 1 - 16] Are
you currently on a holiday or vacation break from school?
1
YES
2
NO
DK/REF

QD17b

[IF QD17a = 1] Do you plan to return to school when your holiday or vacation is
over?
1
YES
2
NO
DK/REF

YE09 [IF CURNTAGE = 12 – 17 AND QD17 = 2] The next questions are about school. By
“school,” we mean elementary school, junior high or middle school, high school, or a
college or university. Please include home schooling as well.
Have you attended any type of school at any time during the past 12 months, that is
since [DATEFILL]?
1
YES
2
NO
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE09a [IF YE09 = 2 OR DK/REF] Some parents families decide to educate their children at
home rather than send them to school. Have you been home-schooled at any time during
the past 12 months, that is since [DATEFILL]?
1
YES
2
NO
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
QD18 [IF QD17 = 1] What grade or year of school are you now attending?
[IF QD17b = 1] What grade or year of school will you be attending when your vacation is
over?
1

1st grade

16

2
2nd grade
3
3rd grade
4
4th grade
5
5th grade
6
6th grade
7
7th grade
8
8th grade
9
9th grade
10
10th grade
11
11th grade
12
12th grade
13
College or university/1st year
14
College or university/2nd year
15
College or university/3rd year
16
College or university/4th year
17
College or university/5th or higher year
DK/REF

QD18CC01

[IF (QD11=17 AND QD18<=16 AND QD17=1) OR (QD11=12
AND QD18<=12 AND QD17=1) OR (QD11=13 AND
QD18<=11 AND QD17=1) OR (QD11=14 AND QD18<=12
AND QD17=1) ] The computer recorded that you are now
attending [QD18]. Is this correct?
[IF (QD11=17 AND QD18<=16 AND QD17b=1) OR (QD11=12
AND QD18<=12 AND QD17b=1) OR (QD11=13 AND
QD18<=11 AND QD17b=1) OR (QD11=14 AND QD18<=12
AND QD17b=1) ] The computer recorded that you will be
attending [QD18] when your vacation is over. Is this correct?
4
Yes
6
No
DK/REF

QD18CC02

[IF QD18CC01=4] The answers for the last question and an
earlier question disagree. Which answer is correct?
1

2
3

[IF QD17=1]I am now attending [QD18] [IF
QD17b=1] I will be attending [QD18] when my
vacation is over
The highest grade or degree that I completed is
[QD11]
Neither answer is correct
DK/REF

17

QD18CC03 [IF QD18CC02=2 OR QD18CC02=3 OR QD18CC01=6] Please
answer this question again. [IF QD17 = 1] What grade or year of
school are you now attending?
[IF QD17b = 1] What grade or year of school will you be
attending when your vacation is over?
1
1st grade
2
2nd grade
3
3rd grade
4
4th grade
5
5th grade
6
6th grade
7
7th grade
8
8th grade
9
9th grade
10
10th grade
11
11th grade
12
12th grade
13
College or university/1st year
14
College or university/2nd year
15
College or university/3rd year
16
College or university/4th year
17
College or university/5th or higher year
DK/REF
QD18CC04

[IF QD18CC02=1 OR QD18CC02=3]
Please answer this question again. What is the highest grade or
year of school you have completed?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

No schooling completed
1st grade completed
2nd grade completed
3rd grade completed
4th grade completed
5th grade completed
6th grade completed
7th grade completed
8th grade completed
9th grade completed
10th grade completed
11th grade completed
Regular high school diploma
12th grade, NO DIPLOMA
GED certificate of high school completion
Some college credit, but no degree

18

16
17
18
19
20

Associate’s degree (for example, AA, AS)
Bachelor’s degree (for example, BA, BS)
Master’s degree (for example, MA, MS, MEng, M. Ed,
MSW, MBA)
Doctorate degree (for example, PhD, EdD)
Professional degree beyond a bachelor’s degree (for
example, MD, DDS, DVM, LLB, JD)
DK/REF

QD19 [IF QD17 = 1] Are you a full-time student or a part-time student?
[IF QD17b = 1] Will you be a full-time student or a part-time student?
1
FULL-TIME
2
PART-TIME
DK/REF
QD20 [IF QD19 = 1 AND CURNTAGE <= 18 AND QD11 < 16] During the past 30 days, that
is, from [DATEFILL] up to and including today, how many whole days of school did
you miss because you were sick or injured? Please do not include days you missed
because you stayed home with a sick child or other family member.
INTERVIEWER NOTE:
IF SCHOOL WAS NOT IN
SESSION DURING THE PAST 30
DAYS, ENTER 90.
days in the past 30 days [RANGE: 0-30, 90]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
QD20DKRE

[IF QD20 = DK/REF] What is your best estimate of the number of
whole days of school you missed because you were sick or injured during
the past 30 days? Was it 0 days, 1 day, 2 days, 3 to 5 days, or 6 or more or
days?
01
12
23
34
45
56

0 DAYS
1 DAY
2 DAYS
3 TO 5 DAYS
6 OR MORE DAYS
SCHOOL WAS NOT IN SESSION DURING THE PAST
30 DAYS
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

19

QD21 [IF (QD19 = 1 AND CURNTAGE <= 18 AND QD11 < 16) AND QD20 NE 90 AND
QD20DKRE NE 6] During the past 30 days, that is, since [DATEFILL], how many
whole days of school did you miss because you skipped or “cut” or just didn’t want to be
there? Please do not include days you missed because you stayed home with a sick child
or other family member.
INTERVIEWER NOTE:
IF SCHOOL WAS NOT IN
SESSION DURING THE PAST 30
DAYS, ENTER 90
days in the past 30 days [RANGE: 0 – 30, 90]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
QD21DKRE

[IF QD21 = DK/REF] What is your best estimate of the number of
whole days of school you missed because you skipped or “cut” or just
didn’t want to be there during the past 30 days? Was it 0 days, 1 day, 2
days, 3 to 5 days, or 6 or more or days?
01
0 DAYS
12
1 DAY
23
2 DAYS
34
3 TO 5 DAYS
45
6 OR MORE DAYS
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

QD12

This question is about your overall health. Would you say your health in general is
excellent, very good, good, fair, or poor?
1
EXCELLENT
2
VERY GOOD
3
GOOD
4
FAIR
5
POOR
DK/REF

20

Beginning ACASI Section
IntroAcasi1 You will do an important part of this interview on your own, using the computer
and headphones.
Before you start, we’ll go through a short practice session so you can learn how to
use this computer and our interview program. Let me quickly point out the keys
you will use. The computerized practice session that follows will go through
what each key does in greater detail.
MOVE COMPUTER SO RESPONDENT CAN SEE THE KEYBOARD.
[POINT TO ON/OFF SWITCH] This button up here turns the machine on and
off. Please do not press it! It will turn the machine off, and we’ll lose the
interview.
[POINT TO THE ROW OF FUNCTION KEYS] First, these are the function
keys. The function keys and what they do are labeled for you.
[POINT TO F3] If you don’t know the answer to a question, press F3.
[POINT TO F4] If you don’t want to answer a question, press F4.
CLICK NEXT TO CONTINUE
AND POINT OUT THE FOLLOWING:
[POINT TO THE ROW OF FUNCTION KEYS] First, these are the function
keys. The function keys and what they do are labeled for you.
[POINT TO F3] If you don’t know the answer to a question, press F3.
[POINT TO F4] If you don’t want to answer a question, press F4.
PRESS [ENTER] TO CONTINUE.
IntroAcasi3 These next items will help you enter your answers into the
computer.
[POINT TO THE ROW OF NUMBER KEYS] These are the number keys.
[POINT TO THE ENTER KEY] The Enter key is here,
[POINT TO THE SPACE BAR] the space bar is here,
[POINT TO THE BACKSPACE KEY] and the Backspace key is here.

21

[POINT TO THE BOTTOM OF THE SCREEN] The answers that you enter will
show up here at the bottom of the screen.
PRESS [ENTER] TO CONTINUE.
IntroAcasi4 There are a couple of computer features that you will not use.
[POINT TO ON/OFF SWITCH] This button up here turns the machine on
and off. Please do not press it! It will turn the machine off, and we’ll lose the
interview.
[POINT TO TOUCHPAD] Also, please do not touch this pad. This might disrupt
the interview.
PRESS [ENTER] TO CONTINUE.
IntroAcasi2 These headphones will allow you to listen while the computer voice reads the
interview questions.
HAND HEADPHONES TO RESPONDENT.
You can adjust the volume here [DEMONSTRATE VOLUME ADJUSTMENT
ON THE HEADPHONE CORD].
Please put on your headphones. When you are ready, let me know.
MOVE COMPUTER SO RESPONDENT CAN USE IT.
ONCE RESPONDENT HAS HEADPHONES ON, ENTERTYPEPRESS“1"
AND[ENTER]CLICK NEXT SO R CAN BEGIN PRACTICE SESSION.

HeadPhone

This screen will play while you adjust the volume in your headphones. When you
have adjusted the volume to a level that is comfortable to you, press the large
[ENTER] key on the right side of the keyboard to continueclick the Next button to
continue with the practice session. The [ENTER] key is the one with the ↵
symbol on it.

22

Tutorial
INTRO1 Welcome to RTI’s self-interviewing system, which lets you control the interview and
answer in complete privacy.
First, y You will learn how to use the system and complete some practice questions.
You will learn how to enter answers and how to back-up if you make a mistake and
want to change an answer.
Press the large [ENTER] key on the right side of the keyboard to move to the next
screen. The [ENTER] key is the one that says ENTER and has a ↵ symbol on it.
INTRO2 In this system you can read the questions on the computer screen and hear them read
through the headphones. If you would like to just see the questions on the screen, you
can turn down the voice.
Press [ENTER] to continue.

GOTDOG You answer questions by putting in the number that is shown next to your answer.
The numbers are located in the second row of the keyboard.
To answer a question, you first press the correct number and then press [ENTER].
Practice Question #1: Do you have a dog?
1
Yes
2
No
DK/REF
EYECOLOR The last question was a Yes-No question. Other questions will have more
answers to choose from, and you will pick your answer from a list. To answer a
question, you first select the correct answer and then click on the Next button.
Practice Question #12: What color are your eyes? Put in the number that best fits
you and press [ENTER].
1
Blue
2
Brown
3
Gray
4
Green
5
Some other color
DK/REF
ALLAPPLY Some questions will let you choose more than one answer. For these questions,
you will use the space bar to separate the answers you type in. Practice this now.

23

Practice Question #23: What kinds of music do you listen to?
Select all that apply.
To select more than one kind of music from the list, press the space bar between
each number you type. When you have finished, press [ENTER] to go to the next
question.
1
Classical
2
Country
3
Hip Hop
4
Jazz
5
Latin American/Spanish
6
Folk/Traditional
7
Pop/Rock
8
Soul/R&B
9
Something Else
DK/REF
NOTUSED For some questions, you may want to answer that you have not might not have
done any of the things listed. In these questions, select the answer at the bottom of
the list indicating In these questions, the computer will instruct you to enter ‘95’
to indicate that you have not done these things. Try this now.
Practice Question #34: In the past 12 months, which, if any, of these musical
instruments have you played?
Select all that apply.
1
Banjo
2
Tuba Harpsichord
3
Bagpipes
95
I have not played any of these musical instruments in the past 12 months.
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2,
OR 3.
NUMBER

Other questions will ask you to type in a number instead of choosing a number
from a list.
Practice Question #45: In the past 30 days, on how many days did you eat
breakfast? Type in the number of days you ate breakfast and press [ENTER].
________________ days in the past 30 days
[2-CHARACTER BOX]
[RANGE: 0 – 30; OTHERWISE, “Enter a number between 0 and 30.”]

24

DK/REF

GRID

In some cases, there will be more than one question to answer on a screen. For
these questions, you will enter your answers one at a time in the order the
questions are shown on the screen.
Practice Question #5: Have you eaten the following types of fruit in the past 7
days?
Yes
1
1

GRID1 Apples
GRID2 Bananas

No
2
2

PROGRAMMER: USE STATIC GRID
DK/REF
BACKUP

If you want to change or see your answer to a previous question, you can back up
using the [F9] key. Each time you press the [F9] key, the computer will go back
one question.
You can tell the computer to repeat a question by pressing [F10]. Try this now.

When you are finished, press [ENTER] to continue.
PLAYINFO In some questions, you can click on a question mark button use the [F2] key to
see and hear extra information to help you answer a question.
First listen to the question.
Practice Question #68: In the past 30 days, on how many days did you eat any
kind of fried potatoes?
Now click on the question mark button to see examples of fried potatoes.
Examples of fried potatoes:
• French fries
• Home fries
• Hash brown potatoes
Now, type in your response to the question.
________________ days in the past 30 days
[2-CHARACTER BOX]
[RANGE: 0 – 30; Otherwise, “Please enter a number between 0 and 30.”]
DK/REF

25

Now press [F2] to see and hear examples of
fried potatoes.
• French fries
• Home fries
• Hash brown potatoes
Press [ENTER] to close this box. Then, type in your response to the question.rangeerr For
some questions, the computer can only accept certain answers. For example, in
the question below, the only numbers the computer will accept are 1 for YES or 2
for NO.
If you try to enter some other number, an instruction box will appear. To correct
your answer, you must press [ENTER] to make the box disappear. You can then
answer the question again.
Try this with the question below. Type a 3 as your answer. Press [ENTER] to
remove the instruction box, then type in a valid answer.
Practice Question #7: Do you have a cat?
1
Yes
2
No
DK/REF

26

Calendar (for use with 3 month Youth Distress specs in Field Test)
CALENDAR Throughout the rest of this interview, the computer will ask you questions about
four time periods, the past 30 days, the past 3 months, the past 12 months, and your
lifetime. To help you remember the first three time periods, the computer will record
the beginning dates for each one of them.
PROGRAMMER: 30 DAY CALENDAR WILL DISPLAY
Now please think about the past 30 days. According to the calendar [DATEFILL]
was 30 days ago. That will be your 30-day reference date, and can be found in blue
on the calendar. The entire 30-day period is highlighted in yellow.
PROGRAMMER: Fill date on 30 day reference date field and highlight the 30-day
reference date. CIRCLE DAY; HIGHLIGHT ENTIRE 30-DAY PERIOD. MAKE
TEXT THAT SAYS ‘BLUE’ BLUE IN COLOR.
Press [ENTER] to continue.
calendr3MCALEND3M
Some questions will ask about the past 3 months. According to the
calendar [DATEFILL] was 3 months ago. That will be your 3 month reference date
and can be found in orange on the calendar.
CIRCLE DAY; MAKE TEXT THAT SAYS ‘ORANGE’ ORANGE IN COLOR.
calendr2CALENDPY
A number of questions will ask about the past 12 months, that is
since this date last year. According to the calendar [DATEFILL] was 12 months
ago. That will be your 12-month reference date and can be found in red on the
calendar. Today’s date can be found in green.
PROGRAMMER: Fill date on 12 month reference date field and highlight the 12
month reference date. CIRCLE DAY. MAKE TEXT THAT SAYS ‘RED’ RED IN
COLOR AND THE SAME FOR GREEN TEXT.
Press [ENTER] to continue.
calendr3CALENDR2
Please use the calendar as you go through the interview to help you
remember when different things happened. The calendars will pop up to remind you
to think about your 30-day, 3 month, and 12 month reference dates when you answer
questions. You can also look at the calendar at any time by pressing [F1]the calendar
icon. Press [F1]the calendar icon again to close the calendar.
Press [ENTER] to continue.

27

ANYQUES

If you have any questions, please ask your interviewer now. If not, press
[ENTER]click the Next button to begin.

28

Tobacco Nicotine
LEADCIG These next questions are about cigarette smoking your use of nicotine or tobacco
products. This includes cigarettes, chewing tobacco, snuff, cigars, and pipe tobacco.
The first questions are about cigarettes only.
Press [ENTER] to continue.
CG01 Have you ever smoked part or all of a cigarette made only of tobacco?
1
Yes
2
No
DK/REF
CGREF1 [IF CG01 = REF] The answers that people give us about their cigarette smoking are
important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: Have you ever smoked part or all
of a cigarette?
1
Yes
2
No
DK/REF
CG02 [IF CURNTAGE = 12 - 17 AND (CG01 = 2 OR CGREF1 = 2)] If one of your best
friends offered you a cigarette, would you smoke it?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
DK/REF
CG03 [IF CURNTAGE = 12 - 17 AND (CG01 = 2 OR CGREF1 = 2)] At any time during the
next 12 months do you think you will smoke a cigarette?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
DK/REF
CG04 [IF CG01 = 1 OR CGREF1 = 1] How old were you the first time you smoked part or all
of a cigarette?

29

years old [(RANGE: 1 - 110]
DK/REF
DEFINE AGE1STCG:
IF CG04 NE (BLANK OR DK/REF) THEN AGE1STCG = CG04
ELSE AGE1STCG = BLANK
IF CURNTAGE < AGE1STCG
CGCC01 The computer recorded that you were [AGE1STCG] years old when
you first smoked part or all of a cigarette. Is this correct?
4
Yes
6
No
DK/REF
CGCC02 [IF CGCC01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [AGE1STCG] years old the first time I smoked part or
all of a cigarette
3
Neither answer is correct
DK/REF

CGCC03 [IF CGCC02 = 2 OR CGCC02 = 3] Please answer this question
again. What is your current age?
years old [RANGE: 1 - 110]
DK/REF
CGCC03a [IF CGCC03 < 12] Since you have indicated that
you are [CGCC03 AGE] years old, we cannot
interview you for this study. Please tell your
interviewer that you have finished the survey. Thank
you for your cooperation. PROGRAM SHOULD
ROUTE PENTER1.
CGCC04 [IF CGCC02 = 1 OR CGCC02 = 3 OR CGCC01 = 6] Please answer
this question again. How old were you the first time you smoked part
or all of a cigarette?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CGCC04 NOT(BLANK OR DK/REF) THEN AGE1STCG = CGCC04

30

UPDATE: IF CGCC03 NOT(BLANK OR DK/REF) THEN CURNTAGE = CGCC03
IF AGE1STCG = CURNTAGE OR AGE1STCG < 10:
CGCC05 The computer recorded that you were [AGE1STCG] years old the first
time you smoked part or all of a cigarette. Is this correct?
4
Yes
6
No
DK/REF
CGCC06 [IF CGCC05 = 6] Please answer this question again. How old were
you the first time you smoked part or all of a cigarette?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CGCC06 NOT(BLANK OR DK/REF) THEN AGE1STCG = CGCC06
CG04a

[IF CGCC05 NE DK/RE AND CGCC06 NE DK/REF AND AGE1STCG =
CURNTAGE AND DATE OF INTERVIEW < DOB OR IF AGE1STCG = CURNTAGE
- 1 AND DATE OF INTERVIEW ≥ DOB] Did you first smoke part or all of a cigarette
in [CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

CG04b
[IF AGE1STCG = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first smoke part or all of a cigarette in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
CG04c [IF CGCC05 NE DK/RE AND CGCC06 NE DK/REF AND AGE1STCG =
CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT
YEAR] did you first smoke part or all of a cigarette?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

31

8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CG04c > CURRENT MONTH] The month in [CURRENT YEAR]
you entered has not begun yet. THE MONTH IN [CURRENT YEAR] YOU ENTERED
HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR, PRESS THE [ENTER]
KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. Please answer the question
again. PRESS [ENTER] TO CONTINUE.
CG04d

[IF CG04a = 1 OR 2 OR CG04b = 1 OR 2] In what month in [YEAR FROM
CG04a or CG04b] did you first smoke part or all of a cigarette?

1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CG04d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STCG:
MYR1STCG = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (CG04a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STCG IS BLANK.
IF MYR1STCG NE 0 AND NE AGE1STCG:
CGCC19 The computer recorded that you first smoked part or all of a cigarette
in [CG04a-d fill]. That would make you [MYR1STCG] years old
when you first smoked part or all of a cigarette. Is this correct?
4

Yes

32

6
No
DK/REF
CGCC20 [IF CGCC19 = 4] Earlier, the computer recorded that you were
[AGE1STCG] years old when you first smoked part or all of a
cigarette. Which answer is correct?
1

I first smoked part or all of a cigarette in [CG04a-d fill] when I
was [MYR1STCG] years old
2
I was [AGE1STCG] years old the first time I smoked part or
all of a cigarette
3
Neither answer is correct
DK/REF

UPDATE: IF CGCC20 = 1, THEN AGE1STCG = MYR1STCG
CGCC21 [IF CGCC20=2 OR CGCC20=3 OR CGCC19=6] Please answer this
question again. Did you first smoke part or all of a cigarette in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
CGCC21a [IF CGCC21 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [CGCC21] did you first smoke part or all of
a cigarette?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CGCC21a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX

33

DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
UPDATE: IF CGCC21a NE (0 OR DK/RE) THEN UPDATE MYR1STCG.
MYR1STCG = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (CGCC21 AND CGCC21a). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STCG IS BLANK. IF
MYR1STCG = AGE1STCG THEN MYR1STCG = BLANK
CGCC22 [IF CGCC20 NE 1 AND MYR1STCG NE 0 AND (CGCC21 AND
CGCC21a NE CG04a-d)] The computer recorded that you first
smoked part or all of a cigarette in [CGCC21-CGCC21a fill]. That
would make you [MYR1STCG] years old when you first smoked part
or all of a cigarette. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF CGCC22 NE (6, BLANK OR DK/REF) AND (CGCC21 AND CGCC21a NE
CG04a-d) THEN AGE1STCG = MYR1STCG
CG05 [IF CG01 = 1 OR CGREF1 = 1] Now think about the past 30 days, that is, from
[DATEFILL] up to and including today. During the past 30 days, have you smoked part
or all of a cigarette?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG06 [IF CG05 = 2] How long has it been since you last smoked part or all of a cigarette?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF
CG06DK [IF CG06 = DK] What is your best guess of how long it has been since you last
smoked part or all of a cigarette?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF

34

CG06RE [IF CG06 = REF] The answers that people give us about their cigarette smoking are
important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you
last smoked part or all of a cigarette?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF
CG07 [IF CG05 = 1] During the past 30 days, that is, since [DATEFILL], on how many days
did you smoke part or all of a cigarette?
# OF DAYS:
days in the past 30 days [RANGE: 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG07DKRE [IF CG07 = DK/REF] What is your best estimate of the number of days you
smoked part or all of a cigarette during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE CIGDKRE FILL:
IF CG07DKRE = 1, THEN CIGDKRE = “1 or 2 days”
IF CG07DKRE = 2, THEN CIGDKRE = “3 to 5 days”
IF CG07DKRE = 3, THEN CIGDKRE = “6 to 9 days”
IF CG07DKRE = 4, THEN CIGDKRE = “10 to 19 days”
IF CG07DKRE = 5, THEN CIGDKRE = “20 to 29 days”
IF CG07DKRE = 6, THEN CIGDKRE = “30 days”
CG08 [IF CG07 > 1 OR CG07DKRE = 1 - 6]) On the [CG07 days / CIGDKRE] you smoked
cigarettes during the past 30 days, how many cigarettes did you smoke per day, on
average?
1
2
3

Less than one cigarette per day
1 cigarette per day
2 to 5 cigarettes per day

35

4
6 to 15 cigarettes per day (about ½ pack)
5
16 to 25 cigarettes per day (about 1 pack)
6
26 to 35 cigarettes per day (about 1 ½ packs)
7
More than 35 cigarettes per day (about 2 packs or more)
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG10 [IF CG07 = 1] On the one day you smoked cigarettes during the past 30 days, how many
cigarettes did you smoke?
1
Less than one cigarette
2
1 cigarette
3
2 to 5 cigarettes
4
6 to 15 cigarettes (about ½ pack)
5
16 to 25 cigarettes (about 1 pack)
6
26 to 35 cigarettes (about 1 ½ packs)
7
More than 35 cigarettes (about 2 packs or more)
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG11 [IF CG05 = 1] The next questions are about the brand of cigarettes you smoke -- the
brand is the name that is on the pack. During the past 30 days, what brand of cigarettes
did you smoke most often?
1
American Spirit
14
2
Basic
15
3
Benson & Hedges
16
4
Camel
17
5
Capri
18
6
Carlton
19
7
Doral
20
8
GPC
21
9
Kent
22
10
Kool
23
11
Liggett Select
24
12
Marlboro
25
13
Merit
26
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

Misty
Monarch
More
Newport
Pall Mall
Parliament
Salem
USA Gold
Vantage
Viceroy
Virginia Slims
Winston
A brand not on this list

CG11a

[IF CG11 = 26] Please think again about the brand of cigarettes you smoke.
During the past 30 days, what brand of cigarettes did you smoke most often?
1
2
3

Alpine
Barclay
Belair

15
16
17

Magna
Maverick
Max

36

29
30
31

Sterling
Tareyton
Top (roll-your-own)

4
Best Value
18
Montclair
32
5
Bristol
19
Now
33
6
Bugler (roll-your-own)20
Old Gold
7
Cambridge
21
Players
8
Century
22
Private Label
9
Chesterfield
23
Pyramid
10
Eve
24
Raleigh
11
Harley Davidson
25
Richland
12
Lark
26
Saratoga
13
L&M
27
Satin
14
Lucky Strike
28
State Express
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

True
A brand not on this list

CG12 [IF CG11a = 33] Please type in the name of the brand of cigarettes you smoked most
often during the past 30 days. If you’re not sure how to spell the brand, just make your
best guess.
BRAND SMOKED: _____________________
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
PROGRAMMER: DO NOT ALLOW BLANKS IN CG12.
CG13 [IF CG11 NE (DK/REF OR 26) OR CG11a NE (DK/REF OR 33)] The computer
recorded that during the past 30 days, the cigarette brand you smoked most often was
[CG11 OR CG11a FILL]. Is this correct?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
RCG11

[IF CG13 = 2] Please review this list again. During the past 30 days, what brand of
cigarettes did you smoke most often?
1
2
3
4
5
6
7
8
9
10

American Spirit
Basic
Benson & Hedges
Camel
Capri
Carlton
Doral
GPC
Kent
Kool

14
15
16
17
18
19
20
21
22
23

37

Misty
Monarch
More
Newport
Pall Mall
Parliament
Salem
USA Gold
Vantage
Viceroy

11
Liggett Select
24
Virginia Slims
12
Marlboro
25
Winston
13
Merit
26
A brand not on this list
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
RCG11a [IF RCG11 = 26] Please review this list [IF CG11a = BLANK] again. During the
past 30 days, what brand of cigarettes did you smoke most often?
1
Alpine
15
Magna
29
2
Barclay
16
Maverick
30
3
Belair
17
Max
31
4
Best Value
18
Montclair
32
5
Bristol
19
Now
33
6
Bugler (roll-your-own) 20
Old Gold
7
Cambridge
21
Players
8
Century
22
Private Label
9
Chesterfield
23
Pyramid
10
Eve
24
Raleigh
11
Harley Davidson 25
Richland
12
Lark
26
Saratoga
13
L&M
27
Satin
14
Lucky Strike
28
State Express
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
RCG12

Sterling
Tareyton
Top (roll-your-own)
True
A brand not on this list

[IF RCG11a = 33] Please type in the name of the brand of cigarettes you smoked
most often during the past 30 days. If you’re not sure how to spell the brand, just
make your best guess.
BRAND SMOKED: __________________
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
PROGRAMMER: DO NOT ALLOW BLANKS IN RCG12.

RCG13

[IF RCG11 NE (DK/REF OR 26) OR RCG11a NE (DK/REF OR 33)] The computer
recorded that during the past 30 days, the cigarette brand you smoked most often was
[RCG11 OR RCG11a FILL]. Is this correct?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

RRCG11 [IF RCG13 = 2] Please review this list again. During the past 30 days, what brand of

38

cigarettes did you smoke most often?
1
American Spirit
14
Misty
2
Basic
15
Monarch
3
Benson & Hedges
16
More
4
Camel
17
Newport
5
Capri
18
Pall Mall
6
Carlton
19
Parliament
7
Doral
20
Salem
8
GPC
21
USA Gold
9
Kent
22
Vantage
10
Kool
23
Viceroy
11
Liggett Select
24
Virginia Slims
12
Marlboro
25
Winston
13
Merit
26
A brand not on this list
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
RRCG11a [IF RRCG11 = 26] Please review this list [IF CG11a AND RCG11a = BLANK]
again. During the past 30 days, what brand of cigarettes did you smoke most often?
1
Alpine
15
Magna
29
2
Barclay
16
Maverick
3
Belair
17
Max
31
4
Best Value
18
Montclair
5
Bristol
19
Now
33
6
Bugler (roll-your-own) 20
Old Gold
7
Cambridge
21
Players
8
Century
22
Private Label
9
Chesterfield
23
Pyramid
10
Eve
24
Raleigh
11
Harley Davidson
25
Richland
12
Lark
26
Saratoga
13
L&M
27
Satin
14
Lucky Strike
28
State Express
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

Sterling
30
Tareyton
Top (roll-your-own)
32
True
A brand not on this list

RRCG12 [IF RRCG11a = 33] Please type in the name of the brand of cigarettes you smoked
most often during the past 30 days. If you’re not sure how to spell the brand, just
make your best guess.
BRAND SMOKED: __________________
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

39

PROGRAMMER: DO NOT ALLOW BLANKS IN RRCG12.
RRCG13 [IF RRCG11 NE (DK/REF OR 26) OR RRCG11a NE (DK/REF OR 33)] The
computer recorded that during the past 30 days, the cigarette brand you smoked most
often was [RRCG11 OR RRCG11a FILL]. Is this correct?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CGTAR1 [IF ( CG11 = 1 – 25 AND CG13 = 1) OR IF (RCG11 = 1 – 25 AND RCG13 = 1) OR
IF (RRCG11 = 1 – 25 and RRCG13 = 1) OR IF (CG11a =1 – 32 AND CG13 = 1) OR
IF (RCG11a = 1 – 32 AND RCG13 = 1) OR IF (RRCG11a = 1 – 32 AND RRCG13 =
1)] During the past 30 days, what type of
[CG11/CG11a/RCG11/RCG11a/RRCG11/RRCG11a FILL] cigarettes did you
smoke most often?
1
Lights
2
Ultra Lights
3
Mediums
4
Full Flavor
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CGTAR2 [IF CG12 NE BLANK OR DK/REF OR IF RCG12 NE BLANK OR DK/REF OR IF
RRCG12 NE BLANK OR DK/REF] During the past 30 days, what type of cigarettes
did you smoke most often?
1
Lights
2
Ultra Lights
3
Mediums
4
Full Flavor
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CGMENTH1 [IF CG05 = 1 (CG11 = 1 – 25 AND CG13 = 1) OR IF (RCG11 = 1 – 25 AND
RCG13 = 1) OR IF (RRCG11 = 1 – 25 AND RRCG13 = 1) OR IF (CG11a =1 –
32 AND CG13 = 1) OR IF (RCG11a = 1 – 32 AND RCG13 = 1) OR IF
RRCG11a = 1 – 32 AND RRCG13 = 1)] Were the
[CG11/CG11a/RCG11/RCG11a/RRCG11/RRCG11a FILL] cigarettes you
smoked most often during the past 30 days menthol?
1
Yes
2
No
DK/REF

40

PROGRAMMER: SHOW 30 DAY CALENDAR
CGMENTH2 [IF CG12 NE BLANK OR DK/REF OR IF RCG12 NE BLANK OR DK/REF
OR IF RRCG12 NE BLANK OR DK/REF] Were the cigarettes you smoked
during the past 30 days menthol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CGLNTH

[IF (CG11 = 12 AND CG13 = 1) OR (RCG11 = 12 AND RCG13 = 1) OR
(RRCG11 = 12 AND RRCG13 = 1)] What length were the Marlboro cigarettes
you smoked most often during the past 30 days? Were they shorts, regulars (also
known as king-sized), or 100s?
1
Shorts
2
Regulars or king-sized
3
100s
PROGRAMMER: SHOW 30 DAY CALENDAR

CG14 [IF CG05 = 1 (CG11a NE 6 OR 31) AND (RCG11a NE 6 OR 31) AND (RRCG11a NE 6
or 31)] During the past 30 days, that is, since [DATEFILL], have you smoked part or all
of a roll-your-own tobacco cigarette?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG15 [IF CG05 = DK/REF OR (CG06 = 1-3 OR DK/REF) OR (CG06DK = 1-3 OR DK/REF)
OR (CG06RE = 1-3 OR DK/REF) OR (CG07 = 1 - 29 OR DK/REF) OR (CG07DKRE =
1 - 5 OR DK/REF)] Has there ever been a period in your life when you smoked cigarettes
every day for at least 30 days?
1
Yes
2
No
DK/REF
CG16 [IF CG07 = 30 OR CG07DKRE = 6 OR CG15 = 1] How old were you when you first
started smoking cigarettes every day?
years old [RANGE: 1-110]
DK/REF
DEFINE DAILYCIG:

41

DAILYCIG = CG16
IF DAILYCIG < AGE1STCG
CGCC07 The computer recorded that you were [DAILYCIG] years old when
you first started smoking cigarettes every day. Is this correct?
4
Yes
6
No
DK/REF
CGCC08 [IF CGCC07 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1

I was [DAILYCIG] years old when I first started smoking
cigarettes every day
2
I was [AGE1STCG] years old the first time I smoked part or
all of a cigarette
3
Neither answer is correct
DK/REF
CGCC09 [IF CGCC08 = 1 OR CGCC08 = 3] Please answer this question
again. How old were you the first time you smoked part or all of a
cigarette?
years old [RANGE: 1-110]
DK/REF
CGCC10 [IF CGCC08 = 2 OR CGCC08 = 3 OR CGCC07 = 6] Please answer
this question again. How old were you when you first started smoking
cigarettes every day?
years old [RANGE: 1-110]
DK/REF
UPDATE: IF CGCC09 NOT (BLANK OR DK/REF) THEN AGE1STCG = CGCC09
UPDATE: IF CGCC10 NOT (BLANK OR DK/REF) THEN DAILYCIG = CGCC10
IF DAILYCIG > CURNTAGE:
CGCC11 The computer recorded that you were [DAILYCIG] years old when
you first started smoking cigarettes every day. Is this correct?
4
Yes
6
No
DK/REF
CGCC12 [IF CGCC11 = 4] The answers for the last question and an earlier

42

question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [DAILYCIG] years old when I first started smoking
cigarettes every day
3
Neither answer is correct
DK/REF
CGCC13 [IF CGCC12 = 2 OR CGCC12 = 3] Please answer this question
again. What is your current age?
years old [RANGE: 1 - 110]
DK/REF
CGCC13a [IF CGCC13 < 12] Since you have indicated that you are [CGCC13]
years old, we cannot interview you for this study. Please tell your
interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
CGCC14 [IF CGCC11 = 6 OR CGCC12 = 1 OR CGCC12 = 3] Please answer
this question again. How old were you when you first started smoking
cigarettes every day?
years old [RANGE: 1- 110]
DK/REF
UPDATE: IF CGCC13 NOT (BLANK OR DK/REF) THEN CURNTAGE = CGCC13
UPDATE: IF CGCC14 NOT (BLANK OR DK/REF) THEN DAILYCIG = CGCC14
CG16y1

[IF DAILYCIG = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
DAILYCIG = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you first
start smoking cigarettes every day in [CURRENT YEAR -1] or [CURRENT
YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

CG16y2

[IF DAILYCIG = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you
first start smoking cigarettes every day in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

43

CG16m1 [IF DAILYCIG = CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what
month in [CURRENT YEAR] did you first start smoking cigarettes every day?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CG16m1 > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.

CG16m2 [IF CG16y1 = 1 OR 2 OR CG16y2 = 1 OR 2] In what month in [YEAR FROM
CG16y1 or CG16y2] did you first start smoking cigarettes every day?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CG16m2 > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.

44

DEFINE MYR1STDC:
MYR1STDC = AGE AT FIRST DAILY USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF FIRST USE (CG16y1-m2). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STCG IS BLANK.
IF MYR1STDC NE 0 AND NE DAILYCIG:
CGCC15 The computer recorded that you first started smoking cigarettes every
day in [CG16y1-m2 fill]. That would make you [MYR1STDC] years
old when you first started smoking cigarettes every day. Is this
correct?
4
Yes
6
No
DK/REF
CGCC16 [IF CGCC15 = 4] Earlier, the computer recorded that you were
[DAILYCIG] years old when you first started smoking cigarettes
every day. Which answer is correct?
1

I first started smoking cigarettes every day in [CG16y1-m2 fill]
when I was [MYR1STDC] years old
2
I was [DAILYCIG] years old the first time I started smoking
cigarettes every day
3
Neither answer is correct
DK/REF

UPDATE: IF CGCC16 = 1, THEN DAILYCIG = MYR1STDC
CGCC17 [IF CGCC16=2 OR CGCC16=3 OR CGCC15=6] Please answer this
question again. Did you first start smoking cigarettes every day in
[CURRENT YEAR -2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
CGCC17a [IF CGCC17 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [CGCC17] did you first start smoking
cigarettes every day?
1
2
3
4

January
February
March
April

45

5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CGCC17a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
UPDATE: IF CGCC17a NE (0 OR DK/REF) THEN UPDATE MYR1STDC.
MYR1STDC = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (CGCC17 AND CGCC17a). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STDC IS BLANK. IF
MYR1STDC = DAILYCIG THEN MYR1STDC = BLANK
CGCC18 [IF CGCC16 NE 1 AND MYR1STDC NE 0 AND (CGCC17 AND
CGCC17a NE CG16y1-CG16m2)] The computer recorded that you
first started smoking cigarettes every day in [CGCC17-CGCC17a fill].
That would make you [MYR1STDC] years old when you first started
smoking cigarettes every day. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF CGCC18 NE (6, BLANK OR DK/REF) AND (CGCC17 AND CGCC17a NE
CG16y1-CG16m2) THEN DAILYCIG = MYR1STDC
CG16a

[IF (CG05 = 2 OR DK/REF) OR ((CG08 < 4) OR (CG08 = 4 AND CG07 <17)
OR (CG08 = 5 AND CG07 <7) OR (CG08 = 6 AND CG07 <4) OR (CG08 = 7 AND
CG07 <3 AND CG07DKRE NE BLANK)) Have you smoked at least 100 cigarettes in
your entire life?
1
Yes
2
No
DK/REF

VPINTRO The next questions are about vaping nicotine with e-cigarettes or other vaping
devices. These devices might also be called vapes, vape pens, personal vaporizers, or
mods. When answering, please include any device that heats a liquid containing nicotine

46

into a vapor.

VPLIF
[PROGRAMMER, SHOW IN GRAY FONT: The next questions are about
vaping nicotine with e-cigarettes or other vaping devices. These devices might also be
called vapes, vape pens, personal vaporizers, or mods. When answering, please include
any device that heats a liquid containing nicotine into a vapor.]
Have you ever, even once, vaped nicotine with an e-cigarette or other vaping device?
1
Yes
2
No
DK/REF

VPLIFREF [IF VPLIF = REF] The answers that people give us about vaping nicotine with ecigarettes or other vaping devices are important to this study’s success. We know
that this information is personal but remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, vaped
nicotine with an e-cigarette or other vaping device?
1
Yes
2
No
DK/REF
VPFT [IF VPLIF = 1 OR VPLIFREF = 1] How old were you the first time you vaped nicotine
with an e-cigarette or other vaping device?
years old [RANGE: 1 - 110]
DK/REF
DEFINE ENNICAGE:
IF VPFT NE (BLANK OR DK/REF) THEN ENNICAGE = VPFT
ELSE ENNICAGE = BLANK
IF CURNTAGE < ENNICAGE
CGEN01 The computer recorded that you were [ENNICAGE] years old when
you first vaped nicotine with an e-cigarette or other vaping device. Is
this correct?
4
Yes
6
No
DK/REF
CGEN02 [IF CGEN01=4] The answers for the last question and an earlier

47

question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [ENNICAGE] years old the first time I vaped nicotine
with an e-cigarette or other vaping device
3
Neither answer is correct
DK/REF
CGEN03 [IF CGEN02 = 2 OR CGEN02 = 3] Please answer this question
again. What is your current age?
years old [RANGE: 1 - 110]
DK/REF
CGEN03a [IF CGEN03 < 12] Since you have indicated that you are [CGEN03
AGE] years old, we cannot interview you for this study. Please tell
your interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
CGEN04 [IF CGEN02 = 1 OR CGEN 02 = 3 OR CGEN 01 = 6] Please answer
this question again. How old were you the first time you vaped
nicotine with an e-cigarette or other vaping device?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CGEN04 NE (BLANK OR DK/REF) THEN ENNICAGE = CGEN04
UPDATE: IF CGEN03 NE (BLANK OR DK/REF) THEN CURNTAGE = CGEN03
IF ENNICAGE < 10:
CGEN05 The computer recorded that you were [ENNICAGE] years old when
you first vaped nicotine with an e-cigarette or other vaping device. Is
this correct?
4
Yes
6
No
DK/REF
CGEN06 [IF CGEN05 = 6] Please answer this question again. How old were
you the first time you vaped nicotine with an e-cigarette or other
vaping device?
years old [RANGE: 1 - 110]
DK/REF

48

UPDATE: IF CGEN06 NOT (BLANK OR DK/REF) THEN ENNICAGE = CGEN06
VPFTYRa [IF CGEN05 NE DK/RE AND CGEN06 NE DK/REF AND ENNICAGE =
CURNTAGE AND DATE OF INTERVIEW < DOB OR IF ENNICAGE =
CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you first vape nicotine
with an e-cigarette or other vaping device in [CURRENT YEAR - 1] or [CURRENT
YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
VPFTYRb [IF ENNICAGE = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first vape nicotine with an e-cigarette or other vaping device in [CURRENT
YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
VPFTMOa [IF CGEN05 NE DK/RE AND CGEN06 NE DK/REF AND ENNICAGE =
CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT
YEAR] did you first vape nicotine with an e-cigarette or other vaping device?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF VPFTMOa > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. Please answer the
question again.
VPFTMOb [IF VPFTYRa = (1 OR 2) OR VPFTYRb = (1 OR 2)] In what month in [YEAR
FROM VPFTYRa or VPFTYRb] did you first vape nicotine with an e-cigarette or
other vaping device?

49

1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF VPFTYRa = 2 AND VPFTMOb > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. Please answer the
question again.
DEFINE MYR1STEN:
MYR1STEN = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (VPFTYRa-VPFTMOb). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STEN IS BLANK.
IF MYR1STEN NE 0 AND NE ENNICAGE:
CGEN07 The computer recorded that you first vaped nicotine with an ecigarette or other vaping device in [VPFTYRa-VPFTMOb fill]. That
would make you [MYR1STEN] years old when you first vaped
nicotine with an e-cigarette or other vaping device. Is this correct?
4
Yes
6
No
DK/REF
CGEN08 [IF CGEN07 = 4] Earlier, the computer recorded that you were
[ENNICAGE] years old when you first vaped nicotine with an ecigarette or other vaping device. Which answer is correct?
1

I first vaped nicotine with an e-cigarette or other vaping device
in [VPFTYRa-VPFTMOb fill] when I was [MYR1STEN]
years old
2
I was [ENNICAGE] years old the first time I vaped nicotine
with an e-cigarette or other vaping device
3
Neither answer is correct
DK/REF
UPDATE: IF CGEN08 = 1, THEN ENNICAGE = MYR1STEN.

50

CGEN09 [IF CGEN08=2 OR CGEN08=3 OR CGEN07=6] Please answer this
question again. Did you first vape nicotine with an e-cigarette or
other vaping device in [CURRENT YEAR-2], [CURRENT YEAR-1],
or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
CGEN09a [IF CGEN09 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [CGEN09] did you first vape nicotine with
an e-cigarette or other vaping device?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CGEN09 = 3 AND CGEN09a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. Please answer the
question again.
UPDATE: IF CGEN09a NE (BLANK OR DK/REF) THEN UPDATE MYR1STEN.
MYR1STEN = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (CGEN09 AND CGEN09a). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STEN IS BLANK. IF
MYR1STEN = ENNICAGE THEN MYR1STEN = 0
CGEN10 [IF CGEN08 NE 1 AND MYR1STEN NE 0 AND (YEAR FROM
CGEN09 NE YEAR FROM VPFTYRa OR VPFTYRb AND MONTH
FROM CGEN09a NE MONTH FROM VPFTMOa OR VPFTMOb)]
The computer recorded that you first vaped nicotine with an ecigarette or other vaping device in [CGEN09-CGEN09a fill]. That
would make you [MYR1STEN] years old when you first vaped
nicotine with an e-cigarette or other vaping device. Is this correct?

51

4
Yes
6
No
DK/REF
UPDATE: IF CGEN10 NE (6, BLANK OR DK/REF) AND ((CGEN09 NE VPFTYRa AND
VPFTYRa NE (BLANK OR DK/REF)) OR (CGEN09 NE VPFTYRb AND VPFTYRb NE
(BLANK OR DK/REF)) OR (CGEN09a NE VPFTMOa AND VPFTMOa NE (BLANK OR
DK/REF)) OR (CGEN09a NE VPFTMOb AND VPFTMOb NE (BLANK OR DK/REF)))
THEN ENNICAGE = MYR1STEN
VPPM [IF VPLIF = 1 OR VPLIFREF = 1] Now think about the past 30 days, that is, from
[DATEFILL] up to and including today. During the past 30 days, have you vaped
nicotine with an e-cigarette or other vaping device?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
VPREC
[IF VPPM = 2] How long has it been since you last vaped nicotine with an ecigarette or other vaping device?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF
VPRECDK [IF VPREC = DK] What is your best guess of how long it has been since you last
vaped nicotine with an e-cigarette or other vaping device?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF
VPRECREF [IF VPREC = REF] The answers that people give us about vaping nicotine with ecigarettes and other vaping devices are important to this study’s success. We know
that this information is personal, but remember your answers will be kept
confidential.
Please think again about answering this question: How long has it been since you
last vaped nicotine with an e-cigarette or other vaping device?
1
2

More than 30 days ago but within the past 12 months
More than 12 months ago but within the past 3 years

52

3
More than 3 years ago
DK/REF
VPPMNUM [IF VPPM = 1] During the past 30 days, that is, since [DATEFILL], on how
many days did you vape nicotine with an e-cigarette or other vaping device?
days in the past 30 days [RANGE: 1-30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
VPPMNUNR

[IF VPPMNUM = DK OR REF] What is your best estimate of the
number of days you vaped nicotine with an e-cigarette or other vaping device
during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

STSMINTRO The next questions are about your use of smokeless tobacco such as snuff, dip,
chewing tobacco, or snus.
CG25 [PROGRAMMER, SHOW IN GRAY FONT: The next questions are about your use of
“smokeless” tobacco such as snuff, dip, chewing tobacco, or “snus.”]
Have you ever, even once, used “smokeless” tobacco, even once?
1
Yes
2
No
DK/REF
CGREF3 [IF CG25 = REF] The answers that people give us about their use of “smokeless”
tobacco are important to this study’s success. We know that this information is
personal, but remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, used
“smokeless” tobacco, even once?
1
Yes
2
No
DK/REF

53

CG26 [IF CG25 = 1 OR CGREF3 = 1] How old were you the first time you used “smokeless”
tobacco?
years old [RANGE: 1 - 110]
DK/REF
DEFINE SNUFFAGE:
IF CG26 NE (BLANK OR DK/REF) THEN SNUFFAGE = CG26
ELSE SNUFFAGE = BLANK
IF CURNTAGE < SNUFFAGE
CGSN01 The computer recorded that you were [SNUFFAGE] years old when
you first used “smokeless” tobacco. Is this correct?
4
Yes
6
No
DK/REF
CGSN02 [IF CGSN01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [SNUFFAGE] years old the first time I used
“smokeless” tobacco
3
Neither answer is correct
DK/REF
CGSN03 [IF CGSN02 = 2 OR CGSN02 = 3] Please answer this question again.
What is your current age?
years old [RANGE: 1 - 110]
DK/REF
CGSN03a [IF CGSN03 < 12] Since you have indicated that you are [CGSN03
AGE] years old, we cannot interview you for this study. Please tell
your interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
CGSN04 [IF CGSN02 = 1 OR CGSN02 = 3 OR CGSN01 = 6] Please answer
this question again. How old were you the first time you used
“smokeless” tobacco?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CGSN04 NOT(BLANK OR DK/REF) THEN SNUFFAGE = CGSN04

54

UPDATE: IF CGSN03 NOT(BLANK OR DK/REF) THEN CURNTAGE = CGSN03
IF SNUFFAGE = CURNTAGE OR SNUFFAGE < 10:
CGSN05 The computer recorded that you were [SNUFFAGE] years old the
first time you used “smokeless” tobacco. Is this correct?
4
Yes
6
No
DK/REF
CGSN06 [IF CGSN05 = 6] Please answer this question again. How old were
you the first time you used “smokeless” tobacco?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CGSN06 NOT(BLANK OR DK/REF) THEN SNUFFAGE = CGSN06
CG26a

[IF CGSN05 NE DK/RE AND CGSN06 NE DK/REF AND SNUFFAGE =
CURNTAGE AND DATE OF INTERVIEW < DOB OR IF SNUFFAGE = CURNTAGE
- 1 AND DATE OF INTERVIEW ≥ DOB] Did you first use “smokeless” tobacco in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

CG26b
[IF SNUFFAGE = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use “smokeless” tobacco in [CURRENT YEAR - 2] or [CURRENT YEAR 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
CG26c [IF CGSN05 NE DK/RE AND CGSN06 NE DK/REF AND SNUFFAGE =
CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT
YEAR] did you first use “smokeless” tobacco?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

55

8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CG26c > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
CG26d
[IF CG26a = 1 - 2 OR CG26b = 1 - 2] In what month in [YEAR FROM CG26a
or CG26b] did you first use “smokeless” tobacco?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CG26d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STSN:
MYR1STSN = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (CG26a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STSN IS BLANK.
IF MYR1STSN NE 0 AND NE SNUFFAGE:
CGSN07 The computer recorded that you first used “smokeless” tobacco in
[CG26a-d fill]. That would make you [MYR1STSN] years old when
you first used “smokeless” tobacco. Is this correct?
4
6

Yes
No

56

DK/REF
CGSN08 [IF CGSN07 = 4] Earlier, the computer recorded that you were
[SNUFFAGE] years old when you first used “smokeless” tobacco.
Which answer is correct?
1

I first used “smokeless” tobacco in [CG26a-d fill] when I was
[MYR1STSN] years old
2
I was [SNUFFAGE] years old the first time I used
“smokeless” tobacco
3
Neither answer is correct
DK/REF
UPDATE: IF CGSN08 = 1, THEN SNUFFAGE = MYR1STSN.
CGSN09 [IF CGSN08=2 OR CGSN08=3 OR CGSN07=6] Please answer this
question again. Did you first use “smokeless” tobacco in [CURRENT
YEAR-2], [CURRENT YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
CGSN09a [IF CGSN09 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [CGSN09] did you first use “smokeless”
tobacco?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CGSN09a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.

57

UPDATE: IF CGSN09a NE (0 OR DK/REF) THEN UPDATE MYR1STSN.
MYR1STSN = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (CGSN09 AND CGSN09a). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STSN IS BLANK. IF MYR1STSN =
SNUFFAGE THEN MYR1STSN = BLANK.
CGSN10 [IF CGSN08 NE 1 AND MYR1STSN NE 0 AND (CGSN09 AND
CGSN09a NE CG26a-d)] The computer recorded that you first used
“smokeless” tobacco in [CGSN09-CGSN09a fill]. That would make
you [MYR1STSN] years old when you first used “smokeless” tobacco.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF CGSN10 NE (6, BLANK OR DK/REF) AND (CGSN09 AND CGSN09a NE
CG26a-d) THEN SNUFFAGE = MYR1STSN
CG27 [IF CG25 = 1 OR CGREF3 = 1] Now think about the past 30 days, that is, from
[DATEFILL] up to and including today. During the past 30 days, have you used
“smokeless” tobacco, even once?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG28 [IF CG27 = 2] How long has it been since you last used “smokeless” tobacco?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF
CG28DK [IF CG28 = DK] What is your best guess of how long it has been since you last used
“smokeless” tobacco?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF
CG28RE [IF CG28 = REF] The answers that people give us about their use of “smokeless”
tobacco are important to this study’s success. We know that this information is

58

personal, but remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you
last used “smokeless” tobacco?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF
CG29 [IF CG27 = 1] During the past 30 days, that is, since [DATEFILL], on how many days
did you use “smokeless” tobacco?
days in the past 30 days[RANGE: 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG29DKRE [IF CG29 = DK/REF] What is your best estimate of the number of days you
used “smokeless” tobacco during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CRINTRO The next questions are about smoking cigars made only of tobacco, such as
cigarillos, big cigars, and little cigars that look like cigarettes.
CG34 [PROGRAMMER, SHOW IN GRAY FONT: The next questions are about smoking
cigars made only of tobacco, such as cigarillos, big cigars, and little cigars that look like
cigarettes.]
Have you ever smoked part or all of any type of a cigar or cigarillo?
1
Yes
2
No
DK/REF
CGREF4 [IF CG34 = REF] The answers that people give us about their cigar or cigarillo
smoking are important to this study’s success. We know that this information is
personal, but remember your answers will be kept confidential.

59

Please think again about answering this question: Have you ever smoked part or all
of a cigar or cigarillo?
1
Yes
2
No
DK/REF
CG35 [IF CG34 = 1 OR CGREF4 = 1] How old were you the first time you smoked part or all
of any type of a cigar or cigarillo?
years old [RANGE: 1 - 110]
DK/REF
DEFINE CIGARAGE:
IF CG35 NE (BLANK OR DK/REF) THEN CIGARAGE = CG35
ELSE CIGARAGE = BLANK
IF CURNTAGE < CIGARAGE
CGCR01 The computer recorded that you were [CIGARAGE] years old when
you first smoked part or all of a cigar or cigarillo. Is this correct?
4
Yes
6
No
DK/REF
CGCR02 [IF CGCR01=4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [CIGARAGE] years old the first time I smoked part or
all of a cigar or cigarillo
3
Neither answer is correct
DK/REF
CGCR03 [IF CGCR02 = 2 OR CGCR02 = 3] Please answer this question
again. What is your current age?
years old [RANGE: 1 - 110]
DK/REF
CGCR03a [IF CGCR03 < 12] Since you have indicated that you are [CGCR03
AGE] years old, we cannot interview you for this study. Please tell
your interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
CGCR04 [IF CGCR02 = 1 OR CGCR02 = 3 OR CGCR01 = 6] Please answer

60

this question again. How old were you the first time you smoked part
or all of a cigar or cigarillo?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CGCR04 NOT(BLANK OR DK/REF) THEN CIGARAGE = CGCR04
UPDATE: IF CGCR03 NOT(BLANK OR DK/REF) THEN CURNTAGE = CGCR03
IF CIGARAGE = CURNTAGE OR CIGARAGE < 10:
CGCR05 The computer recorded that you were [CIGARAGE] years old when
you first smoked part or all of a cigar or cigarillo. Is this correct?
4
Yes
6
No
DK/REF
CGCR06 [IF CGCR05 = 6] Please answer this question again. How old were
you the first time you smoked part or all of a cigar or cigarillo?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CGCR06 NOT(BLANK OR DK/REF) THEN CIGARAGE = CGCR06
CG35a

[IF CGCR05 NE DK/RE AND CGCR06 NE DK/REF AND CIGARAGE =
CURNTAGE AND DATE OF INTERVIEW < DOB OR IF CIGARAGE = CURNTAGE
- 1 AND DATE OF INTERVIEW ≥ DOB] Did you first smoke part or all of a cigar or
cigarillo in [CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

CG35b
[IF CIGARAGE = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first smoke part or all of a cigar or cigarillo in [CURRENT YEAR - 2] or
[CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
CG35c [IF CGCR05 NE DK/RE AND CGCR06 NE DK/REF AND CIGARAGE =
CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT
YEAR] did you first smoke part or all of a cigar or cigarillo?

61

1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CG35c > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
CG35d
[IF CG35a = 1 - 2 OR CG35b = 1 - 2] In what month in [YEAR FROM CG35a
or CG35b] did you first smoke part or all of a cigar or cigarillo?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CG35d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STCR:
MYR1STCR = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (CG35a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STCR IS BLANK.

62

IF MYR1STCR NE 0 AND NE CIGARAGE:
CGCR07 The computer recorded that you first smoked part or all of a cigar or
cigarillo in [CG35a-d fill]. That would make you [MYR1STCR] years
old when you first smoked part or all of a cigar or cigarillo. Is this
correct?
4
Yes
6
No
DK/REF
CGCR08 [IF CGCR07 = 4] Earlier, the computer recorded that you were
[CIGARAGE] years old when you first smoked part or all of a cigar
or cigarillo. Which answer is correct?
1

I first smoked part or all of a cigar or cigarillo in [CG35a-d
fill] when I was [MYR1STCR] years old
2
I was [CIGARAGE] years old the first time I smoked part or
all of a cigar or cigarillo
3
Neither answer is correct
DK/REF
UPDATE: IF CGCR08 = 1, THEN CIGARAGE = MYR1STCR.
CGCR09 [IF CGCR08=2 OR CGCR08=3 OR CGCR07=6] Please answer this
question again. Did you first smoke part or all of a cigar or cigarillo
in [CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
CGCR09a [IF CGCR09 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [CGCR09] did you first smoke part or all of
a cigar or cigarillo?
1
2
3
4
5
6
7
8

January
February
March
April
May
June
July
August

63

9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CGCR09a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
UPDATE: IF CGCR09a NE (0 OR DK/REF) THEN UPDATE MYR1STCR.
MYR1STCR = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (CGCR09 AND CGCR09a). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STCR IS BLANK. IF
MYR1STCR = CIGARAGE THEN MYR1STCR = BLANK
CGCR10 [IF CGCR08 NE 1 AND MYR1STCR NE 0 AND (CGCR09 AND
CGCR09a NE CG35a-d)] The computer recorded that you first
smoked part or all of a cigar or cigarillo in [CGCR09-CGCR09a fill].
That would make you [MYR1STCR] years old when you first smoked
part or all of a cigar or cigarillo. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF CGCR10 NE (6, BLANK OR DK/REF) AND (CGCR09 AND CGCR09a NE
CG35a-d) THEN CIGARAGE = MYR1STCR
CG36 [IF CG34 = 1 OR CGREF4 = 1] Now think about the past 30 days, that is, from
[DATEFILL] up to and including today. During the past 30 days, have you smoked part
or all of any type of a cigar or cigarillo?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG37 [IF CG36 = 2] How long has it been since you last smoked part or all of any type of a
cigar or cigarillo?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF

64

CG37DK [IF CG37 = DK] What is your best guess of how long it has been since you last
smoked part or all of any type of a cigar or cigarillo?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF
CG37RE [IF CG37 = REF] The answers that people give us about their cigar or cigarillo
smoking are important to this study’s success. We know that this information is
personal, but remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you
last smoked part or all of any type of a cigar or cigarillo?
1
More than 30 days ago but within the past 12 months
2
More than 12 months ago but within the past 3 years
3
More than 3 years ago
DK/REF
CG38 [IF CG36 = 1] During the past 30 days, that is, since [DATEFILL], on how many days
did you smoke part or all of a cigar or cigarillo?
days in the past 30 days [RANGE: 1-30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG38DKRE [IF CG38 = DK OR REF] What is your best estimate of the number of days you
smoked part or all of a cigar or cigarillo during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG39 [IF CG36 = 1] During the past 30 days, what brand of cigars did you smoke most often?
1
2
3
4

Al Capone
Antonio y Cleopatra
Arturo Fuente
Backwoods

13
14
15
16

Havatampa
King Edward
La Corona
Little Nippers

65

25
26
27
28

Thompson
Tijuana Smalls
White Owl
Winchester

5
Black & Mild
17
Macanudo
6
Blackstone
18
Montecristo
7
Captain Black
19
Muriel
8
Cohiba
20
Partagas
9
Cuesta-Rey
21
Phillies
10
Dutch Masters
22
Punch
11
El Producto
23
Romeo y Julieta
12
Garcia y Vega
24
Swisher Sweets
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

29

A brand not on this list

CG40 [IF CG39 = 29] Please type in the name of the brand of cigars you smoked most often
during the past 30 days. If you’re not sure how to spell the brand, just make your best
guess.
BRAND SMOKED: __________________
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
PROGRAMMER: DO NOT ALLOW BLANKS IN CG40.
CG41 [IF CG39 NE (DK/REF OR 29)] The computer recorded that during the past 30 days the
cigar brand you smoked most often was [CG39 FILL]. Is this correct?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
RCG39
[IF CG41 = 2] Please review this list again. During the past 30 days, what brand
of cigars did you smoke most often?
1
Al Capone
13
Havatampa 25
2
Antonio y Cleopatra 14
King Edward 26
3
Arturo Fuente
15
La Corona
27
4
Backwoods
16
Little Nippers 28
5
Black & Mild
17
Macanudo
29
6
Blackstone
18
Montecristo
7
Captain Black
19
Muriel
8
Cohiba
20
Partagas
9
Cuesta-Rey
21
Phillies
10
Dutch Masters
22
Punch
11
El Producto
23
Romeo y Julieta
12
Garcia y Vega
24
Swisher Sweets
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

66

Thompson
Tijuana Smalls
White Owl
Winchester
A brand not on this list

RCG40
[IF RCG39 = 29] Please type in the name of the brand of cigars you smoked most
often during the past 30 days. If you’re not sure how to spell the brand, just make your
best guess.
BRAND SMOKED: __________________
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
PROGRAMMER: DO NOT ALLOW BLANKS IN RCG40.
RCG41
[IF RCG39 NE (DK/REF OR 29)] The computer recorded that during the past 30
days the cigar brand you smoked most often was [RCG39 FILL]. Is this correct?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
RRCG39 [IF RCG41 = 2] Please review this list again. During the past 30 days, what brand of
cigars did you smoke most often?
1
Al Capone
13
Havatampa 25
2
Antonio y Cleopatra 14
King Edward 26
3
Arturo Fuente
15
La Corona
27
4
Backwoods
16
Little Nippers 28
5
Black & Mild
17
Macanudo
29
6
Blackstone
18
Montecristo
7
Captain Black
19
Muriel
8
Cohiba
20
Partagas
9
Cuesta-Rey
21
Phillies
10
Dutch Masters
22
Punch
11
El Producto
23
Romeo y Julieta
12
Garcia y Vega
24
Swisher Sweets
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

Thompson
Tijuana Smalls
White Owl
Winchester
A brand not on this list

RRCG40 [IF RRCG39 = 29] Please type in the name of the brand of cigars you smoked most
often during the past 30 days. If you’re not sure how to spell the brand, just make
your best guess.
BRAND SMOKED: __________________
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
PROGRAMMER: DO NOT ALLOW BLANKS IN RRCG40.

67

RRCG41 [IF RRCG39 NE (DK/REF OR 29)] The computer recorded that during the past 30
days the cigar brand you smoked most often was [RRCG39 FILL]. Is this correct?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CG42 The last questions on tobacco products are about using a pipe to smoke tobacco. Have
you ever, even once, smoked tobacco in a pipe, even once?
1
Yes
2
No
DK/REF
CGREF5 [IF CG42 = REF] The answers that people give us about their pipe smoking are
important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: Have you ever smoked tobacco in a
pipe?
1
Yes
2
No
DK/REF
CG43 [IF CG42 = 1 OR CGREF5 = 1] During the past 30 days, that is, since [DATEFILL],
have you smoked tobacco in a pipe, even once?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

68

Alcohol
ALCINTR1 The next questions are about alcoholic beverages, such as beer, wine, brandy, and
mixed drinks. Listed on the next screen are examples of the types of beverages
we are interested in. For these questions, by a “drink,” we means a can or bottle of
beer, a glass of wine or a wine cooler, a shot of liquor, or a mixed drink with
liquor in it. We are not asking about times when you only had a sip or two from a
drink.
Click the question mark button to see Press F2 for examples of alcoholic
beverages. we are interested in.
IF F2 IS PRESSED, PLEASE DISPLAY
Beer
Regular Bbeer, Malt liquor, Lager, Llite or
light beer, hard cider, Ale, Low-alcohol
(LA) beer, Stout or malt liquor.
Wine
Red or white wine, rosé, Champagne,
Sherry, Ffortified wines, such as Cisco, W
or wine coolers.or Homemade wines,
Champagne. such as muscadine,
scuppernong, or fruit wines
Liquor
Bourbon, Scotch, Homemade liquor, such as
moonshine, Gin, Tequila, Rum, or Vodka.
Liqueurs, Cordials, and Brandy
Brandy, Drambuie, Schnapps, Cassis, Grand
Marnier, Tia Maria, Cognac, Kahlua, or
Triple sec., Creme de menthe, Port,
Vermouth
Mixed Drinks and Cocktails
Bloody Mary, Irish coffee,Manhattan, Rob
Roy, Bourbon and water, Margarita, Rum
and cola, Daiquiri, or Martini., Scotch and
soda, Gin and tonic, Piña colada, Whiskey
sour
Please review this list carefully before you answer these questions.
Press [ENTER] to continue.

69

CARD3a

Types of Alcoholic Beverages
Beer
Regular Beer
Lite or light beer
Low-alcohol (LA) beer

Malt liquor
Ale
Stout

Wine
Red, white, blush wine

Sherry

Wine coolers
Champagne

Lager

Fortified wines, such
as Cisco
Homemade wines,
such as muscadine,
scuppernong, or fruit
wines

Liquor
Bourbon

Scotch

Gin
Rum

Tequila
Vodka

Liqueurs, Cordials, and Brandy
Brandy
Drambuie
Cassis
Grand Marnier
Cognac
Kahlua
Creme de menthe
Port
Mixed Drinks and Cocktails
Bloody Mary
Manhattan
Bourbon and water Margarita
Daiquiri
Martini
Gin and tonic
Piña colada

Homemade liquor,
such as moonshine

Schnapps
Tia Maria
Triple sec
Vermouth

Rob Roy
Rum and cola
Scotch and soda
Whiskey sour

Press [ENTER] to continue.

ALCINTR2 These questions are about drinks of alcoholic beverages. Throughout these
questions, by a “drink,” we mean a can or bottle of beer, a glass of wine or a wine
cooler, a shot of liquor, or a mixed drink with liquor in it. We are not asking
about times when you only had a sip or two from a drink.
Press [ENTER] to continue.
AL01 [PROGRAMMER, SHOW IN GRAY FONT: The next questions are about alcoholic
beverages. For these questions, a “drink” means a can or bottle of beer, a glass of wine or
a wine cooler, a shot of liquor, or a drink with liquor in it.]

70

Have you ever, even once, had a drink of any type of alcoholic beverage? Please do not
include times when you only had a sip or two from a drink.
Click the question mark button to see examples of alcoholic beverages.
1
Yes
2
No
DK/REF
ALREF
[IF AL01 = REF] The answers that people give us about their use of alcohol are
important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, had a drink
of any type of alcoholic beverage? Please do not include times when you only had a sip
or two from a drink.
1
Yes
2
No
DK/REF
AL02 [IF AL01 = 1 OR ALREF = 1] Think about the first time you had a drink of an
alcoholic beverage. How old were you the first time you had a drink of an alcoholic
beverage? Please do not include any time when you only had a sip or two from a drink.
years old [RANGE: 1 - 110]
DK/REF
DEFINE AGE1STAL:
IF AL02 NE (BLANK OR DK/REF) THEN AGE1STAL = AL02
ELSE AGE1STAL = BLANK
IF CURNTAGE < AGE1STAL:
ALCC01 The computer recorded that you were [AGE1STAL] years old when
you first drank an alcoholic beverage. Is this correct?
4
Yes
6
No
DK/REF
ALCC02 [IF ALCC01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [AGE1STAL] years old the first time I drank an
alcoholic beverage

71

3
Neither answer is correct
DK/REF
ALCC03 [IF ALCC02=2 OR ALCC02=3] Please answer this question again.
What is your current age?
years old [RANGE: 1 - 110]
DK/REF
ALCC03a [IF ALCC03 < 12] Since you have indicated that you are [ALCC03]
years old, we cannot interview you for this study. Please tell your
interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
ALCC04 [IF ALCC02=1 OR ALCC02=3 OR ALCC01=6] Please answer this
question again. Think about the first time you had a drink of an
alcoholic beverage. How old were you the first time you had a drink
of any alcoholic beverage? Please do not include times when you only
had a sip or two from a drink.
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF ALCC04 NOT (BLANK OR DK/REF) THEN AGE1STAL = ALCC04
UPDATE: IF ALCC03 NOT (BLANK OR DK/REF) THEN CURNTAGE = ALCC03
IF AGE1STAL = CURNTAGE OR AGE1STAL < 10:
ALCC05 The computer recorded that you were [AGE1STAL] years old the first
time you had a drink of any alcoholic beverage. Is this correct?
4
Yes
6
No
DK/REF
ALCC06 [IF ALCC05=6] Please answer this question again. Think about the
first time you had a drink of an alcoholic beverage. How old were you
the first time you had a drink of any alcoholic beverage? Please do
not include times when you only had a sip or two from a drink.
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF ALCC06 NOT (BLANK OR DK/REF) THEN AGE1STAL = ALCC06
AL02a [IF ALCC05 NE DK/RE AND ALCC06 NE DK/REF AND AGE1STAL = CURNTAGE

72

AND DATE OF INTERVIEW < DOB OR IF AGE1STAL = CURNTAGE - 1 AND
DATE OF INTERVIEW ≥ DOB] Did you first have a drink of an alcoholic beverage in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
AL02b [IF AGE1STAL = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you first
have a drink of an alcoholic beverage in [CURRENT YEAR - 2] or [CURRENT YEAR
- 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
AL02c IF ALCC05 NE DK/RE AND ALCC06 NE DK/REF AND AGE1STAL = CURNTAGE
AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you
first have a drink of an alcoholic beverage?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF AL02c > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.

AL02d [IF AL02a = 1 OR 2 OR AL02b = 1 OR 2] In what month in [YEAR FROM AL02a or
AL02b] did you first have a drink of an alcoholic beverage?
1
2
3

January
February
March

73

4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF AL02d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.

DEFINE MYR1STAL:
MYR1STAL = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (AL02a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STAL IS BLANK.
IF MYR1STAL NE 0 AND NE AGE1STAL:
ALCC31 The computer recorded that you first had a drink of an alcoholic
beverage in [AL02a-d fill]. That would make you [MYR1STAL] years
old when you first had a drink of an alcoholic beverage. Is this
correct?
4
Yes
6
No
DK/REF
ALCC32 [IF ALCC31 = 4] Earlier, the computer recorded that you were
[AGE1STAL] years old when you first had a drink of an alcoholic
beverage. Which answer is correct?
1

I first had a drink of an alcoholic beverage in [AL02a-d fill]
when I was [MYR1STAL] years old
2
I was [AGE1STAL] years old the first time I had a drink of an
alcoholic beverage
3
Neither answer is correct
DK/REF
UPDATE: IF ALCC32 = 1, THEN AGE1STAL = MYR1STAL.
ALCC33 [IF ALCC32=2 OR ALCC32=3 OR ALCC31=6] Please answer this

74

question again. Did you first have a drink of an alcoholic beverage in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
ALCC33a [IF ALCC33 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [ALCC33] did you first have a drink of an
alcoholic beverage?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF ALCC33a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
UPDATE: IF ALCC33a NE (0 OR DK/REF) THEN UPDATE MYR1STAL.
MYR1STAL = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (ALCC33 AND ALCC33a). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STAL IS BLANK. IF MYR1STAL =
AGE1STAL THEN MYR1STAL = BLANK
ALCC34 [IF ALCC32 NE 1 AND MYR1STAL NE 0 AND (ALCC33 AND
ALCC33a NE AL02a-d)] The computer recorded that you first had a
drink of an alcoholic beverage in [ALCC33-ALCC33a fill]. That
would make you [MYR1STAL] years old when you first had a drink of
an alcoholic beverage. Is this correct?
4
6

Yes
No

75

DK/REF
UPDATE: IF ALCC34 NE (6, BLANK OR DK/REF )AND (ALCC33 AND ALCC33a NE
AL02a-d) THEN AGE1STAL = MYR1STAL
ALLAST3

[IF AL01 = 1 OR ALREF = 1] How long has it been since you last drank an
alcoholic beverage?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ALRECDK

[IF ALLAST3 = DK] What is your best guess of how long it has been since you
last drank an alcoholic beverage?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ALRECRE

[IF ALLAST3 = REF] The answers that people give us about their use of alcohol
are important to this study’s success. We know that this information is personal,
but remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you
last drank an alcoholic beverage?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ALFRAME3 [IF ALLAST3 = 1 OR 2 OR ALRECDK = 1 OR 2 OR ALRECRE = 1 OR 2]
Now think about the past 12 months, from [DATEFILL] through today. We
want to know how many days you’ve had a drink of an alcoholic beverage during
the past 12 months.
What would be the easiest way for you to tell us how many days you drank
alcoholic beverages?
1

Average number of days per week during the past 12 months

76

2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

ALYRAVE

[IF ALFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did
you drink an alcoholic beverage?
TOTAL # OF DAYS:
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ALMONAVE [IF ALFRAME3 = 2 OR ALYRAVE = DK/REF] On average, how many days
did you drink an alcoholic beverage each month during the past 12 months?
AVG # OF DAYS PER MONTH:
days per month, on average [RANGE:
1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ALWKAVE [IF ALFRAME3 = 1 OR ALMONAVE = DK/REF] On average, how many days
did you drink an alcoholic beverage each week during the past 12 months?
AVG # OF DAYS PER WEEK:
days per week, on average [RANGE: 1
- 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE TOTDRINK:
IF ALYRAVE NOT (BLANK OR DK/REF) THEN TOTDRINK=ALYRAVE
ELSE IF ALMONAVE NOT(BLANK OR DK/REF) THEN
TOTDRINK=ALMONAVE*12
ELSE IF ALWKAVE NOT (BLANK OR DK/REF) THEN TOTDRINK =
ALWKAVE*52
ELSE TOTDRINK=DK/REF
DEFINE FILL1:
IF ALYRAVE > 1, THEN FILL1 = “[ALYRAVE] days”
ELSE IF ALYRAVE = 1, THEN FILL1 = “1 day”
ELSE IF ALMONAVE > 1, THEN FILL1 = “[ALMONAVE] days per month”
ELSE IF ALMONAVE = 1, THEN FILL1 = “1 day per month”
ELSE IF ALWKAVE > 1, THEN FILL1 = “[ALWKAVE] days per week”
ELSE IF ALWKAVE = 1, THEN FILL1 = “1 day per week”
DEFINE FILL1A:
IF FILL1 = “[ALMONAVE] day(s) per month” OR “[ALWKAVE] day(s) per week”

77

THEN FILL1A = “for a total of [TOTDRINK] days”
ELSE FILL1A = BLANK
AL06 [IF ALLAST3 = 1 OR ALRECDK = 1 OR ALRECRE = 1] Think specifically about the
past 30 days, from [DATEFILL], up to and including today. During the past 30 days, on
how many days did you drink one or more drinks of an alcoholic beverage?
days in the past 30 days[RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
AL06DKRE [IF AL06 = DK/REF] What is your best estimate of the number of days you
drank alcohol during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE ALC30DAY
ALC30DAY = AL06
DEFINE ALCEST30
ALCEST30 = AL06DKRE
DEFINE ESTIALC
IF ALCEST30 = 1, THEN ESTIALC = 1
IF ALCEST30 = 2, THEN ESTIALC = 3
IF ALCEST30 = 3, THEN ESTIALC = 6
IF ALCEST30 = 4, THEN ESTIALC = 10
IF ALCEST30 = 5, THEN ESTIALC = 20
IF ALCEST30 = 6, THEN ESTIALC = 30
ELSE ESTIALC = BLANK
DEFINE ALCESTFL
IF AL06DKRE = 1 ALCESTFL = “1 or 2"
IF AL06DKRE = 2 ALCESTFL = “3 to 5"
IF AL06DKRE = 3 ALCESTFL = “6 to 9"
IF AL06DKRE = 4 ALCESTFL = “10 to 19"
IF AL06DKRE = 5 ALCESTFL = “20 to 29"
IF AL06DKRE = 6 ALCESTFL = “all 30"
ELSE ALCESTFL FILL = BLANK

78

IF TOTDRINK NOT DK/REF AND (ALC30DAY > TOTDRINK OR ESTIALC >
TOTDRINK):
ALCC17a [IF ALC30DAY > TOTDRINK] For the last question, the computer
recorded that you drank one or more alcoholic beverages on
[ALC30DAY] of the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
ALCC17b [IF ESTIALC > TOTDRINK] For the last question, the computer
recorded that you drank one or more alcoholic beverages on
[ALCESTFL] of the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
ALCC18 [IF ALCC17a = 4 OR ALCC17b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?
1
2

I drank alcohol on [FILL1] in the past 12 months [FILL1A]
I drank alcohol on [ALC30DAY / ALCESTFL] days in the
past 30 days
3
Neither answer is correct
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ALCC19 [IF ALCC18 = 2 OR ALCC18 = 3] Please answer this question again.
Think about the past 12 months, from [DATEFILL] through today.
We want to know how many days you’ve had a drink of an alcoholic
beverage during the past 12 months.
What would be the easiest way for you to tell us how many days you
drank alcoholic beverages?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
ALCC20 [IF ALCC19 = 3] On how many days in the past 12 months did you
drink an alcoholic beverage?

79

days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ALCC21 [IF ALCC19 = 2] On average, how many days did you drink an
alcoholic beverage each month during the past 12 months?
days per month, on average [RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ALCC22 [IF ALCC19 = 1] On average, how many days did you drink an
alcoholic beverage each week during the past 12 months?
days per week, on average [RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
UPDATE TOTDRINK:
IF ALCC20 NOT(BLANK OR DK/REF) THEN TOTDRINK = ALCC20
ELSE IF ALCC21 NOT(BLANK OR DK/REF) THEN TOTDRINK = ALCC21*12
ELSE IF ALCC22 NOT(BLANK OR DK/REF) THEN TOTDRINK = ALCC22*52
ELSE TOTDRINK=DK/REF
ALCC23a [IF (ALCC17a =6 OR ALCC18 = 1 OR ALCC18 =3) AND
ALC30DAY NE (BLANK OR DK/REF)] Please answer this question
again. Think specifically about the past 30 days, from [DATEFILL],
up to and including today. During the past 30 days, on how many
days did you drink one or more drinks of an alcoholic beverage?
days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
ALCC23b [IF (ALCC17b =6 OR ALCC18 = 1 OR ALCC18 =3) AND ALCEST30
NE (BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL], up to and
including today. What is your best estimate of the number of days you
drank alcohol during the past 30 days?
1
2
3
4
5

1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days
20 to 29 days

80

6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
UPDATE: IF ALCC23a NOT (BLANK OR DK/REF) THEN ALC30DAY = ALCC23a
UPDATE: IF ALCC23b NOT (BLANK OR DK/REF) THEN ALCEST30 = ALCC23b
UPDATE ESTIALC
IF ALCC23b = 1 THEN ESTIALC = 1
IF ALCC23b = 2 THEN ESTIALC = 3
IF ALCC23b = 3 THEN ESTIALC = 6
IF ALCC23b = 4 THEN ESTIALC = 10
IF ALCC23b = 5 THEN ESTIALC = 20
IF ALCC23b = 6 THEN ESTIALC = 30
ELSE ESTIALC = BLANK
DEFINE ESTIALC2
IF ESTIALC = 1 THEN ESTIALC2 = 2
IF ESTIALC = 3 THEN ESTIALC2 = 5
IF ESTIALC = 6 THEN ESTIALC2 = 9
IF ESTIALC = 10 THEN ESTIALC2 = 19
IF ESTIALC = 20 THEN ESTIALC2 = 29
IF ESTIALC = 30 THEN ESTIALC2 = 30
UPDATE ALCESTFL
IF ALCC23b = 1 THEN ALCESTFL = “1 or 2"
IF ALCC23b = 2 THEN ALCESTFL = “3 to 5"
IF ALCC23b = 3 THEN ALCESTFL = “6 to 9"
IF ALCC23b = 4 THEN ALCESTFL = “10 to 19"
IF ALCC23b = 5 THEN ALCESTFL = “20 to 29"
IF ALCC23b = 6 THEN ALCESTFL = “all 30"
ELSE ALCESTFL = BLANK
IF ALC30DAY = 0:
ALCC24 The computer recorded that you drank alcoholic beverages on 0 days
during the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
ALCC26 [IF ALCC24 = 6] Please answer this question again. During the past
30 days, that is, since [DATEFILL], on how many days did you drink
one or more drinks of an alcoholic beverage?

81

days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
UPDATE: IF ALCC26 NOT (BLANK OR DK/REF) THEN ALC30DAY = ALCC26
DEFINE ALC30USE:
IF (ALLAST3 = 1 OR ALRECDK = 1 OR ALRECRE = 1) AND (ALCC24 = EMPTY OR
ALCC26 > 0 OR ALCC26 = DK/REF) THEN ALC30USE = 1
ELSE ALC30USE = 2
AL07 [IF ALC30DAY = 2 - 30 OR ALCEST30 = 1 - 6] [SHOW IN GRAY FONT: Count as a
drink a can or bottle of beer, a glass of wine or a wine cooler, a shot of liquor, or a drink
with liquor in it.] a can or bottle of beer; a wine cooler or a glass of wine, champagne, or
sherry; a shot of liquor or a mixed drink or cocktail.
On the [ALC30DAY / ALCESTFL] days that you drank during the past 30 days, how
many drinks did you usually have each day?
[IF ALC30DAY = 1] Count as a drink a can or bottle of beer, a glass of wine or a wine
cooler, a shot of liquor, or a drink with liquor in it.
On the 1 day that you drank during the past 30 days, how many drinks did you have?
Count as a drink a can or bottle of beer; a wine cooler or a glass of wine, champagne, or
sherry; a shot of liquor or a mixed drink or cocktail.
[IF ALCEST30 = DK/REF] Count as a drink a can or bottle of beer, a glass of wine or a
wine cooler, a shot of liquor, or a drink with liquor in it.
On the days that you drank during the past 30 days, how many drinks did you usually
have each day? Count as a drink a can or bottle of beer; a wine cooler or a glass of wine,
champagne, or sherry; a shot of liquor or a mixed drink or cocktail.
# OF DRINKS:
[RANGE: 1 - 90]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

AL08 [IF ALC30DAY = 1 – 30 OR ALCEST30 = (1 – 6, DK OR REF)] During the past 30
days, that is, since [DATEFILL], on how many days did you have [IF QD01=5 THEN
FILL 5 IF QD01=9 THEN FILL 4] or more drinks on the same occasion? By
‘occasion,’ we mean at the same time or within a couple of hours of each other.
# OF DAYS:
DK/REF

[RANGE: 0 - 30]

82

PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE BINGEFLAG:
IF AL08 = 1-30 THEN BINGEFLAG = 1
ELSE BINGEFLAG=0
IF AL08 > ALC30DAY OR AL08 > ESTIALC2:
ALCC27 The computer recorded that in the past 30 days you drank [IF QD01=5
THEN FILL 5 IF QD01=9 THEN FILL 4] or more alcoholic
beverages on [AL08] days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

ALCC28 [IF ALCC27 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1

I drank one or more alcoholic beverages on [ALC30DAY /
ALCESTFL] days in the past 30 days
2
I drank [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL
4]or more alcoholic beverages on [AL08] days in the past 30
days
3
Neither answer is correct
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

ALCC29a [IF ALCC28 = 2 OR 3 AND ALC30DAY NE (BLANK OR DK/REF)]
Please answer this question again. Think specifically about the past
30 days, that is from [DATEFILL] through today. During the past 30
days, on how many days did you drink one or more drinks of an
alcoholic beverage?
# OF DAYS:
[RANGE: 0 1-30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
ALCC29b [IF ALCC28 = 2 OR 3 AND ALCEST30 NE (BLANK OR DK/REF)]
Please answer this question again. Think specifically about the past
30 days, that is from [DATEFILL] through today. What is your best
estimate of the number of days you drank alcohol during the past 30
days?

83

1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
ALCC30 [(IF ALCC27 = 6 OR ALCC28 = 1 OR ALCC28 = 3) AND ALCC29a
NE DK/REF AND ALCC29b NE DK/REF] Please answer this
question again. During the past 30 days, on how many days did you
drink [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4]or more
alcoholic beverages on the same occasion? By ‘occasion’ we mean at
the same time or within a couple of hours of each other.
# OF DAYS:
[RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
UPDATE BINGEFLAG:
IF ALCC30 = 1-30 THEN BINGEFLAG = 1
ELSE IF ALCC30=0 OR DK/REF THEN BINGEFLAG=0
CA01

[IF ALC30USE = 1] Earlier, the computer recorded that you drank at least one
alcoholic beverage within the past 30 days, that is, since [FILLDATE].
Please think about the last time you drank any alcoholic beverage. How many drinks
did you have that time?
# OF DRINKS: __________ [1 - 90]
DK/REF

CA02a

[IF ALC30USE = 1 AND CALCAGE = 12-20] This last time you drank, were you
alone or were you with one or more other people?
1
I was alone the last time I drank
2
I was with one other person the last time I drank
3
I was with more than one other person the last time I drank
DK/REF

CANEW1 [IF ALC30USE = 1] During the past 30 days, have you had any of the following
alcoholic beverages?
Yes

84

No

CANEW1a Beer
CANEW1b Wine or champagne
CANEW1c Mixed drink or cocktail, such as margarita,
martini, or spiked punch
CANEW1d Hard cider, hard lemonade, hard seltzer, a
wine cooler, or other flavored malt beverage
CANEW1e Liquor, such as vodka, rum, tequila, or
whiskey
CANEW1f Liqueurs or cordials, such as schnapps,
Kahlua, or Triple sec.
CANEW1g Some other type of alcoholic beverage

1
1
1

2
2
2

1

2

1

2

1

2

1

2

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR
CAOTH

[IF CANEW1g = 1] Please type in one or more of the other types of alcohol
beverages you drank during the past 30 days.

[PROGRAMMER: PROVIDE 5 ROWS.]
____________________________________________________________
DK/REF
ALNEW1

[IF AL01 = 1 OR ALREF = 1] Have you ever, even once, had [IF QD01=5
THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on the same occasion?
By occasion, we mean at the same time or within a couple of hours.
1
Yes
2
No
DK/REF

ALBAGE

[IF ALNEW1 = 1] [IF AL02 NE DK OR REF = Earlier you reported you were
[FILL FROM AL02] when you first had a drink of an alcoholic beverage.] How
old were you the first time you had [IF QD01=5 THEN FILL 5 IF QD01=9
THEN FILL 4] or more drinks on the same occasion?
years old [RANGE: 1 - 110]
DK/REF

ALNEW2

[IF (ALNEW1 = 1 OR DK/REF) AND (ALLAST3 OR ALRECDK OR
ALRECRE = 1 OR 2)] How long has it been since you last drank [IF QD01=5
THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on the same occasion?
1
2
3
4

[IF ALLAST3 OR ALRECDK OR ALRECRE = 1]Within the past 30
days — that is, since [DATEFILL]
More than 30 days ago but within the past 12 months
More than 12 months ago but within the past 3 years
More than 3 years ago

85

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE BINGE30FLAG:
IF ALNEW2 = 1 THEN BINGE30FLAG = 1
ELSE BINGE30FLAG=0
ALNEW3

[IF ALNEW2 = 1 OR DK/REF] On how many days in the past 30 days did you
drink [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on
the same occasion?

days in the past 30 days [RANGE: 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CA02b

[IF ALC30USE = 1 AND CALCAGE = 12 - 20] Where did you drink alcoholic
beverages this last time you drank?
To select more than one place from the list, press the space bar after each number that
you type. When you have finished, press [ENTER]Select all that apply.
1
I drank in a car or other vehicle
2
I drank at my home
3
I drank at someone else’s home
4
I drank at a park, on a beach, or in a parking lot
5
I drank in a restaurant, bar or club
6
I drank at a concert or sports game
7
I drank at school
8
I drank at some other place
DK/REF

CA02SP [IF CA02b = 8] Please type in the other place you drank the last alcoholic beverages
that you drank. You do not need to give a detailed description — just a few words
will be okay. When you have finished typing your answer, press the [ENTER] key to
go to the next question.click the Next button to go to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN CA02SP.
CA03

[IF ALC30USE = 1 AND CALCAGE = 12 - 20] Did you pay for the last alcoholic
beverage that you drank?
1
2

Yes
No

86

DK/REF
CA04

[IF CA03 = 1] Did you buy this last alcoholic beverage yourself, or did you give
money to someone else to buy it for you?
1 I bought it myself
2 I gave money to someone else who bought it for me
DK/REF

CA05

[IF CA04 = 1] People often buy alcoholic beverages at stores, restaurants, bars, clubs,
or events. Sometimes they buy alcohol from other people. Which of these statements
describes the way you bought the last alcoholic beverage that you drank?
1 I bought it at a store, restaurant, bar, club or event
2 I bought it from another person.
DK/REF

CA05a

[IF CA05 = 1] At which of these places did you buy the last alcoholic beverage that
you drank?
1
I bought it at a liquor store, convenience store, grocery store, or gas station
2
I bought it at a restaurant, bar or club
3
I bought it at a concert, sports or other event
DK/REF

CA05b

[IF CA05 = 2] Did you buy this last alcoholic beverage from someone who was
under age 21, or were they 21 or older?
1
Under age 21
2
Age 21 or older
DK/REF

CA06

[IF CA04 = 2] Who bought the alcoholic beverage for you?
1 My parent or guardian bought it for me
2 Another family member who is 21 or older bought it for me
3 Someone not related to me who is 21 or older bought it for me
4 Someone under age 21 bought it for me
DK/REF

CA07

[IF CA03 = 2] How did you get the last alcoholic beverage that you drank?
1
2
3

My parent or guardian gave it to me
Another family member who is 21 or older gave it to me
Someone not related to me who is 21 or older gave it to me

87

4 Someone under age 21 gave it to me
5 I took it from home
6 I took it from someone else’s home
7 I got it some other way
DK/REF
CA07SP [IF CA07 = 7] Please type in the other way you got the last alcoholic beverage that
you drank. You do not need to give a detailed description — just a few words will be
okay. When you have finished typing your answer, press the [ENTER] key to go to
the next questionclick the Next button to go to the next question
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN CA07SP.
CA10 [IF ((AL01 = 1 OR ALREF = 1) AND ALC30USE = 2) OR (ALC30USE = 1 AND
BINGEFLAG=0 AND ((CA01 NE 5-90 AND QD01=5) OR (CA01 NE 4-90 AND
QD01=9)))]
[IF ALC30USE = 2: Earlier the computer recorded that you have had at least one drink of
an alcoholic beverage in your lifetime.] Have you ever had [IF QD01=5 THEN FILL 5
IF QD01=9 THEN FILL 4] or more drinks on the same occasion? By ‘occasion,’ we
mean at the same time or within a couple of hours of each other.
1
Yes
2
No
DK/REF
CA11 [IF CA10 = 1 OR BINGEFLAG=1 OR (CA01 = 5-90 AND QD01=5) OR (CA01 = 4-90
AND QD01=9)]
[IF BINGEFLAG=1 OR (CA01 = 5-90 AND QD01=5) OR (CA01 = 4-90 AND
QD01=9): Earlier the computer recorded that you had [IF QD01=5 THEN FILL 5 IF
QD01=9 THEN FILL 4] or more drinks on the same occasion in the past 30 days.] How
old were you the first time you had [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL
4] or more drinks on the same occasion?
AGE: __________ [1 - 110]
DK/REF
DEFINE AGE1STBA:
IF CA11 NE (BLANK OR DK/REF) THEN AGE1STBA = CA11
ELSE AGE1STBA = BLANK
IF CURNTAGE < AGE1STBA OR AGE1STBA < 10 OR AGE1STBA < AGE1STAL:
BACC01 The computer recorded that you were [AGE1STBA] years old when
you first had [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4]
or more drinks on the same occasion. Is this correct?

88

4
Yes
6
No
DK/REF

BACC02 [IF BACC01=6] Please answer this question again. Think about the
first time you had [IF QD01=5 THEN FILL 5 IF QD01=9 THEN
FILL 4] or more drinks on the same occasion. How old were you the
first time you had [IF QD01=5 THEN FILL 5 IF QD01=9 THEN
FILL 4] or more drinks on the same occasion?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF BACC02 NOT (BLANK OR DK/REF) THEN AGE1STBA = BACC02
CA11a [IF AGE1STBA = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STBA = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you first
have [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on the same
occasion in [CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
CA11b

[IF AGE1STBA = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first have [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on
the same occasion in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

CA11c IF AGE1STBA = CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month
in [CURRENT YEAR] did you first have [IF QD01=5 THEN FILL 5 IF QD01=9
THEN FILL 4] or more drinks on the same occasion?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

89

8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CA11c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR,
PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN.
PLEASE ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
CA11d

[IF CA11a = 1 OR 2 OR CA11b = 1 OR 2] In what month in [YEAR FROM
CA11a or CA11b] did you first have [IF QD01=5 THEN FILL 5 IF QD01=9 THEN
FILL 4] or more drinks on the same occasion?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF

HARD ERROR: [IF CA11d > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR,
PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN.
PLEASE ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STBA:
MYR1STBA = AGE AT FIRST BINGE USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF FIRST BINGE USE (CA11a-d).
IF MONTH OF FIRST BINGE USE = MONTH OF BIRTH, THEN MYR1STBA IS
BLANK.
IF MYR1STBA NE 0 AND NE AGE1STBA:
BACC03 The computer recorded that you first had [IF QD01=5 THEN FILL 5
IF QD01=9 THEN FILL 4] or more drinks on the same occasion in
[CA11a-d fill]. That would make you [MYR1STBA] years old when
you first had [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4]

90

or more drinks on the same occasion. Is this correct?
4
Yes
6
No
DK/REF
BACC04 [IF BACC03 = 4] Earlier, the computer recorded that you were
[AGE1STBA] years old when you first had [IF QD01=5 THEN FILL
5 IF QD01=9 THEN FILL 4] or more drinks on the same occasion.
Which answer is correct?
1

I first had [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL
4] or more drinks on the same occasion in [CA11a-d fill] when
I was [MYR1STBA] years old
2
I was [AGE1STBA] years old the first time I had [IF QD01=5
THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on
the same occasion
3
Neither answer is correct
DK/REF
UPDATE: IF BACC04 = 1, THEN AGE1STBA = MYR1STBA.
BACC05 [IF BACC04=2 OR BACC04=3 OR BACC03=6] Please answer this
question again. Did you first have [IF QD01=5 THEN FILL 5 IF
QD01=9 THEN FILL 4] or more drinks on the same occasion in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
BACC05a [IF BACC05 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [BACC05] did you first have [IF QD01=5
THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on the same
occasion?
1
2
3
4
5
6
7
8

January
February
March
April
May
June
July
August

91

9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF BACC05a > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR,
PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN.
PLEASE ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF BACC05a NE (0 OR DK/REF) THEN UPDATE MYR1STBA.
MYR1STBA = AGE AT FIRST BINGE USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST BINGE USE (BACC05 AND BACC05a).
IF MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STBA IS BLANK. IF
MYR1STBA = AGE1STBA THEN MYR1STBA = BLANK
BACC06 [IF BACC04 NE 1 AND MYR1STBA NE 0 AND (BACC05 AND
BACC05a NE CA11a-d)] The computer recorded that you first had [IF
QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on
the same occasion in [BACC05-BACC05a fill]. That would make you
[MYR1STBA] years old when you first had [IF QD01=5 THEN FILL
5 IF QD01=9 THEN FILL 4] or more drinks on the same occasion. Is
this correct?
4
Yes
6
No
DK/REF
UPDATE: IF BACC06 NE (6, BLANK OR DK/REF )AND (BACC05 AND BACC05a NE
CA11a-d) THEN AGE1STBA = MYR1STBA

92

Marijuana
CBDINTRO The next questions are about CBD or hemp products made from hemp plants.
CBD and hemp products have no or small amounts of THC and are not intended
to cause a “high.” They come in many forms including oils, lotions, edibles, and
isolate. People sometimes use them to relieve pain, to reduce anxiety, or to help
them sleep.
CBDLIF

[PROGRAMMER, SHOW IN GRAY FONT: The next questions are about CBD
or hemp products made from hemp plants. CBD and hemp products have no or
small amounts of THC and are not intended to cause a “high.” They come in
many forms including oils, lotions, edibles, and isolate. People sometimes use
them to relieve pain, to reduce anxiety, or to help them sleep.]
Have you ever, even once, used any CBD or hemp products?
1
Yes
2
No
DK/REF

CBLAST

[IF CBDLIF=1] How long has it been since you last used any form of CBD or
hemp product?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago but within the past 3 years
4
More than 3 years ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MRJINTRO The next questions are about marijuana and hashish. Marijuana is also called pot
or grass. Marijuana is usually smoked, either in cigarettes, called joints, or in a
pipe. It is sometimes cooked in food. Hashish is a form of marijuana that is also
called “hash.” It is usually smoked in a pipe. Another form of hashish is hash
oil.cannabis products, sometimes called pot, weed, hashish, or concentrates. Some
of the ways these products can be used are smoking (such as in joints, pipes,
bongs, blunts, or hookahs), vaping (using vape pens, dab pens, tabletop
vaporizers, or portable vaporizers), dabbing, eating or drinking, or applying as a
lotion.
[Please consider all of these products when you answer the following questions
[IF CBDLIF=1, DK/REF: Please exclude your use of CBD or hemp products
when answering these questions.]
Press [ENTER] to continue.

93

MJ01 [PROGRAMMER, SHOW IN GRAY FONT: The next questions are about marijuana
and cannabis products, sometimes called pot, weed, hashish, or concentrates. Some of the
ways these products can be used are smoking (such as in joints, pipes, bongs, blunts, or
hookahs), vaping (using vape pens, dab pens tabletop vaporizers, or portable vaporizers),
dabbing, eating or drinking, or applying as a lotion.]
[IF CBDLIF=1, DK/REF: Please exclude your use of CBD or hemp products when
answering these questions.]Please consider all of these products when you answer the
following questions.]
Have you ever, even once, used marijuana or hashish any cannabis product?
1
Yes
2
No
DK/REF
MJREF

[IF MJ01 = REF] The answers that people give us about their use of marijuana and
hashish cannabis products are important to this study’s success. We know that this
information is personal, but remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, used
marijuana or hashish any cannabis product?
1
Yes
2
No
DK/REF

MJ02 [IF MJ01 =1 OR MJREF = 1] How old were you the first time you used marijuana or
hashish any cannabis product?
years old [RANGE: 1 - 110]
DK/REF

DEFINE AGE1STMJ:
IF MJ02 NE (BLANK OR DK/REF) THEN AGE1STMJ = MJ02
ELSE AGE1STMJ = BLANK
IF CURNTAGE < AGE1STMJ:
MJCC01 The computer recorded that you were [AGE1STMJ] years old when
you first used marijuana or hashish any cannabis product. Is this
correct?
4
Yes
6
No
DK/REF

94

MJCC02 [IF MJCC01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [AGE1STMJ] years old the first time I used marijuana
or hashish any cannabis product
3
Neither answer is correct
DK/REF
MJCC03 [IF MJCC02=2 OR MJCC02=3] Please answer this question again.
What is your current age?
years old [RANGE: 1 - 110]
DK/REF
MJCC03a [IF MJCC03 < 12] Since you have indicated that you are [MJCC03]
years old, we cannot interview you for this study. Please tell your
interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
MJCC04 [IF MJCC02=1 OR MJCC02=3 OR MJCC01=6] Please answer this
question again. Think about the first time you used marijuana or
hashish any cannabis product. How old were you the first time you
used marijuana or hashish any cannabis product?
AGE:
DK/REF

years old [RANGE: 1 - 110]

UPDATE: IF MJCC04 NOT NE(BLANK OR DK/REF) THEN AGE1STMJ = MJCC04
UPDATE: IF MJCC03 NOT NE(BLANK OR DK/REF) THEN CURNTAGE = MJCC03
IF AGE1STMJ = CURNTAGE OR AGE1STMJ <10:
MJCC05 The computer recorded that you were [AGE1STMJ] years old the first
time you used marijuana or or hashish any cannabis product. Is this
correct?
4
Yes
6
No
DK/REF
MJCC06 [IF MJCC05=6] Please answer this question again. Think about the
first time you used marijuana or or hashish any cannabis product.
How old were you the first time you used marijuana or or hashish any
cannabis product?

95

AGE:
DK/REF

years old [RANGE: 1 - 110]

UPDATE: IF MJCC06 NOT NE (BLANK OR DK/REF) THEN AGE1STMJ = MJCC06
MJ03a [IF MJCC05 NE DK/REF AND MJCC06 NE DK/REF AND AGE1STMJ =
CURNTAGE AND DATE OF INTERVIEW < DOB OR IF AGE1STMJ = CURNTAGE
- 1 AND DATE OF INTERVIEW ≥ DOB] Did you first use marijuana or hashish any
cannabis product in [CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
MJ03b

[IF AGE1STMJ = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use marijuana or hashish any cannabis product in [CURRENT YEAR - 2] or
[CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

MJ03c [IF MJCC05 NE DK/REF AND MJCC06 NE DK/REF AND AGE1STMJ =
CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT
YEAR] did you first use marijuana or hashish any cannabis product?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF MJ03c > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.

96

MJ03d

[IF (MJ03a = 1 OR 2) OR (MJ0O3b = 1 OR 2)] In what month in [YEAR
FROM MJ03a or MJ03b] did you first use marijuana or hashish any cannabis product?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF

HARD ERROR: [IF MJ03b=2 AND MJ03d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STMJ:
MYR1STMJ = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (MJ03a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STMJ IS BLANK.
IF MYR1STMJ NE 0 AND NE AGE1STMJ:
MJCC17 The computer recorded that you first used marijuana or hashish any
cannabis product in [FILL MONTH FROM MJ03c OR MJ03d]
[FILL YEAR FROM MJ03a-d fill] OR MJ03bMJ03a-d fill]. That
would make you [MYR1STMJ] years old when you first used
marijuana or hashish or any cannabis product. Is this correct?
4
Yes
6
No
DK/REF
MJCC18 [IF MJCC17 = 4] Earlier, the computer recorded that you were
[AGE1STMJ] years old when you first used marijuana or hashish any
cannabis product. Which answer is correct?
1

I first used marijuana or hashish any cannabis product in
[FILL MONTH FROM MJ03c OR MJ03d] [FILL YEAR
FROM MJ03a-d fill OR MJ03bMJ03a-d fill] when I was
[MYR1STMJ] years old

97

2

I was [AGE1STMJ] years old the first time I used marijuana
or hashish any cannabis product
3
Neither answer is correct
DK/REF
UPDATE: IF MJCC18 = 1, THEN AGE1STMJ = MYR1STMJ.
MJCC19 [IF MJCC18=2 OR MJCC18=3 OR MJCC17=6] Please answer this
question again. Did you first use marijuana or hashish any cannabis
product in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
MJCC19a [IF MJCC19 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [MJCC19] did you first use marijuana or
hashish any cannabis product?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF MJCC19=3 AND MJCC19a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
UPDATE: IF MJCC19a NE (0 BLANK OR DK/REF) THEN UPDATE MYR1STMJ.
MYR1STMJ = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (MJCC19 AND MJCC19a). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STMJ IS BLANK. IF MYR1STMJ =
AGE1STMJ THEN MYR1STMJ = BLANK

98

MJCC20 [IF MJCC18 NE 1 AND MYR1STMJ NE 0BLANK AND (YEAR FROM
MJCC19 NE YEAR FROM MJ03a OR MJ03b) AND (MONTH FROM
MJCC19a NE MJ03a-dMONTH FROM MJ03c OR MJ03d MJCC19
AND MJCC19a NE MJ03a-d)] The computer recorded that you first
used marijuana or hashish any cannabis product in [FILL MONTH
FROM MJCC19afill] [FILL YEAR FROM MJCC19-MJCC19a fill].
That would make you [MYR1STMJ] years old when you first used
marijuana or hashish any cannabis product. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF MJCC20 NE (6, BLANK OR DK/REF) AND ((MECC19 NE ME03a AND
MJCC19a NE MJ03a-d)ME03a NE (BLANK OR DK/REF)) OR (MECC19 NE ME03b AND
ME03b NE (BLANK OR DK/REF) OR (MECC19a NE ME03c AND ME03c NE (BLANK OR
DK/REF) OR (MECC19a NE ME03d AND ME03d NE (BLANK OR DK/REF))(MJCC19 AND
MJCC19a NE MJ03a-d) THEN AGE1STMJ = MYR1STMJ
MJLAST3

[IF MJ01 = 1 OR MJREF = 1] How long has it been since you last used
marijuana or hashish any cannabis product?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MJRECDK [IF MJLAST3 = DK] What is your best guess of how long it has been since you
last used marijuana or hashish any cannabis product?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MJRECRE

[IF MJLAST3 = REF] The answers that people give us about their use of
marijuana and hashish any cannabis product are important to this study’s success.
We know that this information is personal, but remember your answers will be
kept confidential.
Please think again about answering this question: How long has it been since you
last used marijuana or hashish any cannabis product?
1

Within the past 30 days — that is, since [DATEFILL]

99

2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MJFRAME3 [IF MJLAST3 = (1 OR 2) OR MJRECDK = (1 OR 2) OR MJRECRE = (1 OR 2)]
Now think about the past 12 months, from [DATEFILL] through today. We want
to know how many days you’ve used marijuana or hashish any cannabis product
during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
MJYRAVE

[IF MJFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did
you use marijuana or hashish any cannabis product?
TOTAL # OF DAYS:
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MJMONAVE[IF MJFRAME3 = 2 OR MJYRAVE = DK/REF] On average, how many days
did you use marijuana or hashish any cannabis product each month during the
past 12 months?
AVERAGE # OF DAYS PER MONTH:
days per month, on average
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MJWKAVE [IF MJFRAME3 = 1 OR MJMONAVE = DK/REF] On average, how many days
did you use marijuana or hashish any cannabis product each week during the past
12 months?
AVERAGE # OF DAYS PER WEEK:
days per week, on average
[RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MJ06 [IF MJLAST3=1 OR MJRECDK = 1 OR MJRECRE = 1] Think specifically about the
past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on
how many days did you use marijuana or hashish any cannabis product?

100

NUMBER OF DAYS:
days in the past 30 days [RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
MJ06DKRE [IF MJ06 = DK/REF] What is your best estimate of the number of days you
used marijuana or hashish any cannabis product during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE ESTIMJ
IF MJ06DKRE = 1, THEN ESTIMJ = 1
IF MJ06DKRE = 2, THEN ESTIMJ = 3
IF MJ06DKRE = 3, THEN ESTIMJ = 6
IF MJ06DKRE = 4, THEN ESTIMJ = 10
IF MJ06DKRE = 5, THEN ESTIMJ = 20
IF MJ06DKRE = 6, THEN ESTIMJ = 30
ELSE ESTIMJ = BLANK
DEFINE MJ30DAY
IF MJ06DKRE = 1, THEN MJ30DAY = “1 or 2"
IF MJ06DKRE = 2, THEN MJ30DAY = “3 to 5"
IF MJ06DKRE = 3, THEN MJ30DAY = “6 to 9"
IF MJ06DKRE = 4, THEN MJ30DAY = “10 to 19"
IF MJ06DKRE = 5, THEN MJ30DAY = “20 to 29"
IF MJ06DKRE = 6, THEN MJ30DAY = “all 30"
ELSE MJ30DAY = BLANK
DEFINE TOTMJ:
IF MJYRAVE NOTNE(BLANK OR DK/REF) THEN TOTMJ = MJYRAVE
ELSE IF MJMONAVE NOTNE(BLANK OR DK/REF) THEN TOTMJ =
MJMONAVE*12
ELSE IF MJWKAVE NOTNE (BLANK OR DK/REF) THEN TOTMJ =
MJWKAVE*52
ELSE TOTMJ = DK/REF
IF TOTMJ = DK/REF, SKIP TO COCINTRO
IF TOTMJ NOTNE DK/REF AND ((MJ06 NE DK/REF OR BLANK AND MJ06 >
TOTMJ) OR (MJ06 = DK/REF AND ESTIMJ > TOTMJ)):
MJCC07a [IF MJ06 > TOTMJ] For the last question, the computer recorded

101

that you used marijuana or hashish any cannabis product on [MJ06]
of the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
MJCC07b [IF ESTIMJ > TOTMJ] For the last question, the computer recorded
that you used marijuana or hashish any cannabis product on
[MJ30DAY] of the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLMJ:
IF MJYRAVE > 1, THEN FILLMJ = “[MJYRAVE] days”
ELSE IF MJYRAVE = 1, THEN FILLMJ = “1 day”
ELSE IF MJMONAVE > 1, THEN FILLMJ = “[MJMONAVE] days per month”
ELSE IF MJMONAVE = 1, THEN FILLMJ = “1 day per month”
ELSE IF MJWKAVE > 1, THEN FILLMJ = “[MJWKAVE] days per week”
ELSE IF MJWKAVE = 1, THEN FILLMJ = “1 day per week”
DEFINE FILLMJA:
IF FILLMJ = “[MJMONAVE] day(s) per month” OR “[MJWKAVE] day(s) per week”
FILLMJA = “for a total of [TOTMJ] days”
ELSE FILLMJA = BLANK
MJCC08 [IF MJCC07a = 4 OR MJCC07b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?
1

I used marijuana or hashish any cannabis product on
[FILLMJ] in the past 12 months [FILLMJA]
2
I used marijuana or hashish any cannabis product on [MJ06 /
MJ30DAY] days in the past 30 days
3
Neither answer is correct
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MJCC09 [IF MJCC08 = 2 OR MJCC08 = 3] Please answer this question
again. Think about the past 12 months, from [DATEFILL] through
today. We want to know how many days you’ve used marijuana or
hashish any cannabis product during the past 12 months.

102

What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
MJCC10 [IF MJCC09 = 3 ] On how many days in the past 12 months did you
use marijuana or hashish any cannabis product?
TOTAL # OF DAYS:
days in the past 12 months [RANGE: 1 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MJCC11 [IF MJCC09 = 2] On average, how many days did you use marijuana
or hashish any cannabis product each month during the past 12
months?
# OF DAYS/MONTH:
days each per month, on average
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MJCC12 [IF MJCC09 = 1] On average, how many days did you use marijuana
or hashish any cannabis product each week during the past 12
months?
# OF DAYS PER WEEK:
days each per week, on average
[RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
IF MJCC10 NOT(BLANK OR DK/REF) THEN TOTMJ = MJCC10
ELSE IF MJCC11 NOT(BLANK OR DK/REF) THEN TOTMJ = MJCC11*12
ELSE IF MJCC12 NOT(BLANK OR DK/REF) THEN TOTMJ = MJCC12*52
ELSE TOTMJ = DK/REF
MJCC13a [IF MJCC07a=6 OR ((MJCC08 = 1 OR MJCC08 = 3) AND
MJCC07a NE BLANK OR DK/REF)] Please answer this question
again. Think specifically about the past 30 days, from [DATEFILL],
up to and including today. During the past 30 days, on how many
days did you use marijuana or hashish any cannabis product?
# OF DAYS:

days in the past 30 days [RANGE: 0 1- 30]

103

DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
MJCC13b [IF MJCC07b = 6 OR ((MJCC08 = 1 OR 3) AND MJCC07b NE
BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. What is your best estimate of the number of days you
used marijuana or hashish any cannabis product during the past 30
days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
IF MJ06 = 0:
MJCC14 The computer recorded that you used marijuana or hashish any
cannabis product on 0 days during the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
MJCC16 [IF MJCC14 = 6] Please answer this question again. During the past
30 days, that is, since [DATEFILL], on how many days did you use
marijuana or hashish any cannabis product?
# OF DAYS:
days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

MJMODEPY [IF MJLAST3 = (1 OR 2) OR MJRECDK = (1 OR 2) OR MJRECRE = (1 OR 2)]
During the past 12 months, that is, since [DATEFILL], in which of the
following ways did you use marijuana or any cannabis product?
Select all that apply.
1
2
3

Smoking
Vaping
Dabbing waxes, shatter, or concentrates

104

4
5

Eating or drinking
Putting drops, strips, lozenges, or sprays in your mouth or under your
tongue Applying lotion or cream to your skin
6
Applying lotion, cream, or patches to your skin Taking pills
7
Taking pills Putting drops, strips, lozenges, or sprays in your mouth or
under your tongue”)
8
Some other way
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MJMDPYOa [IF MJMODEPY = 8] Please type in one or more of the other ways you used
marijuana or any cannabis product during the past 12 months.

[PROGRAMMER: PROVIDE 5 ROWS.]
____________________________________________________________
DK/REF
[PROGRAMMER NOTE: DON'T ALLOW BLANKS IN MJMDPYOa IF
MJMODEPY=8]
MJMDPYOb [IF MJMDPYOa NE (BLANK OR DK/REF)] Please type in any other way you
used marijuana or any cannabis product in the past 12 months.
If you have not used marijuana or any cannabis product in any other way in the
past 12 months, click Next.
____________________________________________________________
DK/REF
MJMDPYOc [IF MJMDPYOb NE (BLANK OR DK/REF)] Please type in any other way you
used marijuana or any cannabis product in the past 12 months.
If you have not used marijuana or any cannabis product in any other way in the
past 12 months, click Next.
______________
DK/REF
MJMDPYOd [IF MJMDPYOc NE (BLANK OR DK/REF)] Please type in any other way you
used marijuana or any cannabis product in the past 12 months.
If you have not used marijuana or any cannabis product in any other way in the
past 12 months, click Next.
______________

105

DK/REF
MJMDPYOe [IF MJMDPYOd NE (BLANK OR DK/REF)] Please type in any other way you
used marijuana or any cannabis product in the past 12 months.
If you have not used marijuana or any cannabis product in any other way in the
past 12 months, click Next.
______________
DK/REF
MJMODEPM [IF MJLAST3=1 OR MJRECDK = 1 OR MJRECREF = 1] During the past 30
days, that is, since [DATEFILL], in which of the following ways did you use
marijuana or any cannabis product?
Select all that apply.
1
2
3
4
5

Smoking
Vaping
Dabbing waxes, shatter, or concentrates
Eating or drinking
Putting drops, strips, lozenges, or sprays in your mouth or under your
tongue
Applying lotion or cream to your skin
Taking pills Applying lotion or cream to your skin
Taking pills
Putting drops, strips, lozenges, or sprays in your mouth or under your

6
7
6
7
tongue
8
Some other way
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

MJMDPMOa [IF MJMODEPM = 8] Please type in one or more of the other ways you used
marijuana or any cannabis product during the past 30 days.
[PROGRAMMER: PROVIDE 5 ROWS.]
__________________________________________________________________
DK/REF
[PROGRAMMER NOTE: DON'T ALLOW BLANKS IN MJMDPMOa IF
MJMODEPM=8]
MJMDPMOb[IF MJMDPMOa NE (BLANK OR DK/REF)] Please type in any other way you
used marijuana or any cannabis product in the past 30 days.
If you have not used marijuana or any cannabis product in any other way in the
past 30 days, click Next.

106

______________
DK/REF
MJMDPMOc [IF MJMDPMOb NE (BLANK OR DK/REF)] Please type in any other way you
used marijuana or any cannabis product in the past 30 days.
If you have not used marijuana or any cannabis product in any other way in the
past 30 days, click Next.
______________
DK/REF
MJMDPMOd[IF MJMDPMOc NE (BLANK OR DK/REF)] Please type in any other way you
used marijuana or any cannabis product in the past 30 days.
If you have not used marijuana or any cannabis product in any other way in the
past 30 days, click Next.
______________
DK/REF
MJMDPMOe [IF MJMDPMOd NE (BLANK OR DK/REF)] Please type in any other way you
used marijuana or any cannabis product in the past 30 days.
If you have not used marijuana or any cannabis product in any other way in the
past 30 days, click Next.
______________
DK/REF

MJMM01

[IF (MJLAST3 = (1 OR 2) OR MJRECDK = (1 OR 2) OR MJRECRE = (1 OR
2)] Earlier, you reported using marijuana or any cannabis product in the past 12
months. Was any of your marijuana or cannabis product use in the past 12 months
recommended by a doctor or other health care professional?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MJMM02

[IF MJMM01=1] Was all of your marijuana or cannabis product use in the past
12 months recommended by a doctor or other health care professional?
1
2

Yes
No
107

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

108

Inhalants
INHINTRO These next questions are about inhalants. Inhalants are liquids, sprays, and gases
that people sniff, huff, or inhale for fun or to get high or to make them feel good.
We are not interested in times when you inhaled a substance accidentally — such
as when painting, cleaning an oven, or filling a car with gasoline.
The questions use the word ‘inhalant’ to include all the things listed below, as
well as any other substances that people sniff or inhale for kicks or to get high.
Take a moment to look at the substances listed below so you know what kinds of
liquids, sprays, and gases these questions are about.
Amyl nitrite, ‘poppers,’ locker room odorizers, or ‘rush’
Correction fluid, degreaser, or cleaning fluid
Gasoline or lighter fluid
Glue, shoe polish, or toluene
Halothane, ether, or other anesthetics
Lacquer thinner, or other paint solvents
Lighter gases, such as butane or propane
Nitrous oxide or ‘whippits’
Felt-tip pens, felt-tip markers, or magic markers
Spray paints
Computer keyboard cleaner, also known as air duster
Other aerosol sprays
Press [ENTER] to continue.
INLIFQ Have you ever, even once, inhaled any of the following liquids, sprays, or gases for fun
or to get high?
Yes

No

INLIFQa

Felt-tip pens, felt-tip markers, or magic markers

1

2

INLIFQb

Amyl nitrite, “poppers”, locker room odorizers, or “rush”

1

2

INLIFQc

Nitrous oxide or “whippits”

1

2

INLIFQd

Computer keyboard cleaner, also known as air duster

1

2

INLIFQe

Correction fluid, degreaser, or cleaning fluid

1

2

INLIFQf

Gasoline or lighter fluid

1

2

INLIFQg

Glue, shoe polish, or toluene

1

2

109

Yes

No

INLIFQh

Halothane, ether, or other anesthetics

1

2

INLIFQi

Lacquer thinner, or other paint solvents

1

2

INLIFQj

Lighter gases, such as butane or propane

1

2

IN01h Nitrous oxide or “whippits”

1

2

IN01i Felt-tip pens, felt-tip markers, or magic markers

1

2

INLIFQk

1

2

IN01k Computer keyboard cleaner, also known as air duster

1

2

INLIFQl

1

2

1

2

IN01m

Spray paints

Other liquids, sprays, or gases inhalants or aerosol sprays
Other inhalants

DK/REF
PROGRAMMER NOTES: SHOW GRID ON ONE SCREEN
IN01a Have you ever, even once, inhaled amyl nitrite, ‘poppers,’ locker room odorizers, or
‘rush’ for kicks or to get high?
1
Yes
2
No
DK/REF
IN01b Have you ever, even once, inhaled correction fluid, degreaser, or cleaning fluid for
kicks or to get high?
1
Yes
2
No
DK/REF
IN01c Have you ever, even once, inhaled gasoline or lighter fluid for kicks or to get high?
1
Yes
2
No
DK/REF
IN01d Have you ever, even once, inhaled glue, shoe polish, or toluene for kicks or to get high?
1
Yes
2
No
DK/REF
110

IN01e Have you ever, even once, inhaled halothane, ether, or other anesthetics for kicks or to
get high?
1
Yes
2
No
DK/REF
IN01f Have you ever, even once, inhaled lacquer thinner or other paint solvents for kicks or
to get high?
1
Yes
2
No
DK/REF
IN01g Have you ever, even once, inhaled lighter gases, such as butane or propane for kicks
or to get high?
1
Yes
2
No
DK/REF
IN01h Have you ever, even once, inhaled nitrous oxide or ‘whippits’ for kicks or to get high?
1
Yes
2
No
DK/REF
IN01h1
Have you ever, even once, inhaled felt-tip pens, felt-tip markers, or magic
markers for kicks or to get high?
1
Yes
2
No
DK/REF
IN01i Have you ever, even once, inhaled spray paints for kicks or to get high?
1
Yes
2
No
DK/REF

IN01ii Have you ever, even once, inhaled computer keyboard cleaner, also known as air
duster, for kicks or to get high?
1

Yes

111

2
No
DK/REF

IN01j Have you ever, even once, inhaled some other aerosol spray for kicks or to get high?
1
Yes
2
No
DK/REF
IN01l Have you ever, even once, used any other inhalants for kicks or to get high besides the
ones that have been listed?
1
Yes
2
No
DK/REF

IN01OTH1

[IF INLIFQl OR IN01m = 1] Please type in the name of one or more of the other
inhalants or aerosol sprays liquids, sprays, or gases you have used. If you’re not
sure how to spell the name of the inhalant you used, just make your best guess.
When you have finished, press the [ENTER] key to go to the next question.click
the Next button to go to the next question. Remember, you do not need to type in
the names of any inhalants liquids, sprays, or gases that you already reported.
[PROGRAMMER: PROVIDE 5 ROWS.]
______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN IN01OTH1.

IN01OTH2

[IF (IN01l = 1 OR IN01m = 1) AND IN01OTH1 NE DK/REF] Please type in the
name of any other inhalant or aerosol spray liquids, sprays, gases you have
used. If you have not used any other inhalants liquids, sprays, or gases, press
[ENTER].
______________
DK/REF

IN01OTH3

[IF IN01OTH2 NE (BLANK OR DK/REF)] Please type in the name of any other
inhalant or aerosol spray liquids, sprays, or gases you have used. If you have
not used any other inhalants liquids, sprays, or gases, press [ENTER].
______________
DK/REF

112

IN01OTH4

[IF IN01OTH3 NE (BLANK OR DK/REF)] Please type in the name of any other
inhalant or aerosol spray liquids, sprays, or gases you have used. If you have
not used any other inhalants liquids, sprays, or gases, press [ENTER].
______________
DK/REF

IN01OTH5

[IF IN01OTH4 NE (BLANK OR DK/REF)] Please type in the name of any other
inhalant or aerosol spray liquids, sprays, or gases you have used. If you have
not used any other inhalants liquids, sprays, or gases, press [ENTER].
______________
DK/REF

INREF
[IF IN01a = REF AND IN01b = REF AND IN01c = REF AND IN01d = REF
AND IN01e = REF AND IN01f = REF AND IN01g = REF AND IN01h = REF AND
IN01h1 = REF AND IN01i = REF AND IN01ii = REF AND IN01j = REF AND IN01l =
REF] The answers people give about their use of inhalants are important to this study’s
success. We know that this information is personal, but remember your answers will be
kept confidential.
Please think again about answering this question: Have you ever, even once, used any
type of inhalant or aerosol spray for kicks or to get high?
1
Yes
2
No
DK/REF
DEFINE INLIF
IF (INLIFQa = 1 OR INLIFQb = 1 OR INLIFQc = 1 OR INLIFQd = 1 OR INLIFQe = 1 OR
INLIFQf = 1 OR INLIFQg = 1 OR INLIFQh = 1 OR INLIFQi = 1 OR INLIFQj = 1 OR
INLIFQk OR INLIFQl = 1) THEN INLIF=1
ELSE INLIF=2
IN02 [IF IN01a = 1 OR IN01b = 1 OR IN01c = 1 OR IN01d = 1 OR IN01e = 1 OR IN01f = 1
OR IN01g = 1 OR IN01h = 1 OR IN01h1=1 OR IN01i = 1 OR IN01ii = 1 OR IN01j = 1
OR IN01l = 1 OR INREF = 1INLIF=1] Liquids, sprays, or gases that are used for fun or
to get high are called inhalants.
How old were you the first time you used any inhalant for kicks fun or to get high?
years old [RANGE: 1 - 110]
DK/REF
DEFINE AGE1STIN:
IF IN02 NE (BLANK OR DK/REF) THEN AGE1STIN = IN02

113

ELSE AGE1STIN = BLANK
IF CURNTAGE < AGE1STIN:
INCC01 The computer recorded that you were [AGE1STIN] years old when
you first used an inhalant of any kind for kicks fun or to get high. Is
this correct?
4
Yes
6
No
DK/REF
INCC02

[IF INCC01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [AGE1STIN] years old the first time I used an inhalant
of any kind for kicks fun or to get high
3
Neither answer is correct
DK/REF
INCC03

[IF INCC02=2 OR INCC02=3] Please answer this question again.
What is your current age?
years old [RANGE: 1 - 110]
DK/REF

INCC03a [IF INCC03 < 12] Since you have indicated that you are [INCC03]
years old, we cannot interview you for this study. Please tell your
interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
INCC04

[IF INCC02=1 OR INCC02=3 OR INCC01=6] Please answer this
question again. Think about the first time you used an inhalant of any
kind for kicks fun or to get high. How old were you the first time you
used an inhalant for kicks fun or to get high?
years old [RANGE: 1 - 110]
DK/REF

UPDATE: IF INCC04 NOT(BLANK OR DK/REF) THEN AGE1STIN = INCC04
UPDATE: IF INCC03 NOT(BLANK OR DK/REF) THEN CURNTAGE = INCC03
IF AGE1STIN = CURNTAGE OR AGE1STIN < 10:
INCC05 The computer recorded that you were [AGE1STIN] years old the first
time you used an inhalant of any kind for kicks fun or to get high. Is

114

this correct?
4
Yes
6
No
DK/REF
INCC06

[IF INCC05=6] Please answer this question again. Think about the
first time you used an inhalant of any kind for kicks fun or to get high.
How old were you the first time you used an inhalant of any kind for
kicks fun or to get high?
years old [RANGE: 1 - 110]
DK/REF

UPDATE: IF IINCC06 NOT(BLANK OR DK/REF) THEN AGE1STIN = INCC06
IN03a [IF INCC05 NE DK/RE AND INCC06 NE DK/REF AND AGE1STIN = CURNTAGE
AND DATE OF INTERVIEW < DOB OR IF AGE1STIN = CURNTAGE - 1 AND
DATE OF INTERVIEW ≥ DOB] Did you first use an inhalant of any kind for kicks fun
or to get high in [CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
IN03b [IF AGE1STIN = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you first
use an inhalant of any kind for kicks fun or to get high in [CURRENT YEAR - 2] or
[CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
IN03c [IF INCC05 NE DK/RE AND INCC06 NE DK/REF AND AGE1STIN = CURNTAGE
AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you
first use an inhalant of any kind for kicks fun or to get high?
1
2
3
4
5
6
7
8
9

January
February
March
April
May
June
July
August
September

115

10
October
11
November
12
December
DK/REF
HARD ERROR: [IF IN03c > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
IN03d [IF IN03a = 1 OR 2 OR IN03b = 1 OR 2] In what month in [YEAR FROM IN03a or
IN03b] did you first use an inhalant of any kind for kicks fun or to get high?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF IN03d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STIN:
MYR1STIN = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (IN03a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STIN IS BLANK.
IF MYR1STIN NE 0 AND NE AGE1STIN:
INCC17 The computer recorded that you first used an inhalant of any kind for
kicks fun or to get high in [IN03a-d fill]. That would make you
[MYR1STIN] years old when you first used an inhalant of any kind for
kicks fun or to get high. Is this correct?
4
Yes
6
No
DK/REF

116

INCC18

[IF INCC17 = 4] Earlier, the computer recorded that you were
[AGE1STIN] years old when you first used an inhalant of any kind for
kicks fun or to get high. Which answer is correct?
1

I first used an inhalant of any kind for kicks fun or to get high
in [IN03a-d fill] when I was [MYR1STIN] years old
2
I was [AGE1STIN] years old the first time I used an inhalant
of any kind for kicks fun or to get high.
3
Neither answer is correct
DK/REF
UPDATE: IF INCC18 = 1, THEN AGE1STIN = MYR1STIN.
INCC19

[IF INCC18=2 OR INCC18=3 OR INCC17=6] Please answer this
question again. Did you first use an inhalant of any kind for kicks fun
or to get high in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

INCC19a [IF INCC19 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [INCC19] did you first use an inhalant of
any kind for kicks fun or to get high?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF INCC19a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.

117

UPDATE: IF INCC19a NE (0 OR DK/REF) THEN UPDATE MYR1STIN.
MYR1STIN = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (INCC19 AND INCC19a). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STIN IS BLANK. IF MYR1STIN =
AGE1STIN THEN MYR1STIN = BLANK
INCC20

[IF INCC18 NE 1 AND MYR1STIN NE 0 AND (INCC19 AND
INCC19a NE IN03a-d)] The computer recorded that you first used an
inhalant of any kind for kicks fun or to get high in [INCC19-INCC19a
fill]. That would make you [MYR1STIN] years old when you first
used an inhalant of any kind for kicks fun or to get high. Is this
correct?
4
Yes
6
No
DK/REF

UPDATE: IF INCC20 NE (6, BLANK OR DK/REF) AND (INCC19 AND INCC19a NE
IN03a-d) THEN AGE1STIN = MYR1STIN
INLAST

[IF INLIF = 1 IF IN01a = 1 OR IN01b = 1 OR IN01c = 1 OR IN01d = 1 OR
IN01e = 1 OR IN01f = 1 OR IN01g = 1 OR IN01h = 1 OR IN01h1=1 OR IN01i =
1 OR IN01ii=1 OR IN01j = 1 OR IN01L = 1 OR INREF = 1] How long has it
been since you last used any inhalant for kicks fun or to get high?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but with the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

INRECDK

[IF INLAST = DK] What is your best guess of how long it has been since you
last used any inhalant for kicks fun or to get high?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

INRECRE

[IF INLAST = REF] The answers that people give us about their use of inhalants
are important to this study’s success. We know that this information is personal,
but remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you

118

last used any inhalant for kicks fun or to get high?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
INFRAME3 [IF INLAST = 1 OR 2 OR INRECDK = 1 OR 2 OR INRECRE = 1 OR 2] Now
think about the past 12 months, from [DATEFILL] through today. We want to
know how many days you’ve used an inhalant of any kind for kicks fun or to get
high during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve done
this?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
INYRAVE

[IF INFRAME 3 = 3 OR DK/REF] On how many days in the past 12 months did
you use an inhalant of any kind for kicks fun or to get high?
TOTAL # OF DAYS:
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

INMONAVE [IF INFRAME3 = 2 OR INYRAVE = DK/REF] On average, how many days did
you use an inhalant of any kind for kicks fun or to get high each month during
the past 12 months?
AVERAGE # OF DAYS PER MONTH:
days per month, on average
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
INWKAVE

[IF INFRAME3 = 1 OR INMONAVE = DK/REF] On average, how many days
did you use an inhalant of any kind for kicks fun or to get high each week during
the past 12 months?
AVG # OF DAYS PER WEEK:
days per week, on average [RANGE: 1
- 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

119

IN06 [IF INLAST=1 OR INRECDK = 1 OR INRECRE = 1] Think specifically about the past
30 days, from [DATEFILL] up to and including today. During the past 30 days, on how
many days did you use any inhalant for kicks fun or to get high?
days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
IN06DKRE

[IF IN06 = DK/REF] What is your best estimate of the number of days you used
any inhalant for kicks fun or to get high during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DEFINE ESTIIN:
IF IN06DKRE = 1, THEN ESTIIN = 1
IF IN06DKRE = 2, THEN ESTIIN = 3
IF IN06DKRE = 3, THEN ESTIIN = 6
IF IN06DKRE = 4, THEN ESTIIN = 10
IF IN06DKRE = 5, THEN ESTIIN = 20
IF IN06DKRE = 6, THEN ESTIIN = 30
ELSE ESTIIN = BLANK
DEFINE INH30DAY
IF IN06DKRE = 1, THEN INH30DAY = “1 or 2"
IF IN06DKRE = 2, THEN INH30DAY = “3 to 5"
IF IN06DKRE = 3, THEN INH30DAY = “6 to 9"
IF IN06DKRE = 4, THEN INH30DAY = “10 to 19"
IF IN06DKRE = 5, THEN INH30DAY = “20 to 29"
IF IN06DKRE = 6, THEN INH30DAY = “all 30"
ELSE INH30DAY = BLANK
DEFINE TOTINHAL:
IF INYRAVE NOT(BLANK OR DK/REF) THEN TOTINHAL = INYRAVE
ELSE IF INMONAVE NOT(BLANK OR DK/REF) THEN
TOTINHAL=INMONAVE*12
ELSE IF INWKAVE NOT(BLANK OR DK/REF) THEN TOTINHAL=INWKAVE*52
ELSE TOTINHAL = DK/REF
IF TOTINHAL NOT DK/REF AND ((IN06 NE DK/REF OR BLANK AND IN06 >

120

TOTINHAL)) OR (IN06 = DK/REF AND ESTIIN > TOTINHAL:
INCC07a [IF IN06 > TOTINHAL] For the last question, the computer recorded
that you used an inhalant for kicks fun or to get high on [IN06] of the
past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
INCC07b [IF ESTIIN > TOTINHAL] For the last question, the computer
recorded that you used an inhalant for kicks fun or to get high on
[INH30DAY] of the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLINH:
IF INYRAVE > 1, THEN FILLINH = “[INYRAVE] days”
ELSE IF INYRAVE = 1, THEN FILLINH = “1 day”
ELSE IF INMONAVE > 1, THEN FILLINH = “[INMONAVE] days per month”
ELSE IF INMONAVE = 1, THEN FILLINH = “1 day per month”
ELSE IF INWKAVE > 1, THEN FILLINH = “[INWKAVE] days per week”
ELSE IF INWKAVE = 1, THEN FILLINH = “1 day per week”
ELSE IF INMONAVE NOT (BLANK OR DK/REF), THEN FILLINH =
“[INMONAVE] days per month”
ELSE IF INWKAVE NOT (BLANK OR DK/REF), THEN FILLINH = “[INWKAVE]
days per week”
DEFINE FILLINHA:
IF FILLINH = “[INMONAVE] day(s) per month” OR “[INWKAVE] day(s) per week”
THEN FILLINHA = “for a total of [TOTINHAL] days”
ELSE FILLINHA = BLANK
INCC08

[IF INCC07a = 4 OR INCC07b = 4] The answers for the last question
and an earlier question disagree. Which answer is correct?
1

I used an inhalant for kicks fun or to get high on [FILLINH]
days in the past 12 months [FILLINHA]
2
I used an inhalant for kicks fun or to get high on [IN06 /
INH30DAY] days in the past 30 days
3
Neither answer is correct
DK/REF

121

PROGRAMMER: SHOW 12 MONTH CALENDAR
INCC09

[IF INCC08 = 2 OR INCC08 = 3] Please answer this question again.
Think about the past 12 months, from [DATEFILL] through today. We
want to know how many days you’ve used an inhalant of any kind for
kicks fun or to get high during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

INCC10

[IF INCC09 = 3] On how many days in the past 12 months did you
use an inhalant of any kind for kicks fun or to get high?
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

INCC11

[IF INCC09 = 2] On average, how many days did you use an inhalant
of any kind for kicks fun or to get high each month during the past 12
months?
days per month, on average [RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

INCC12

[IF INCC09 = 1] On average, how many days did you use an inhalant
of any kind for kicks fun or to get high each week during the past 12
months?
days per week, on average [RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

IF INCC10 NOT(BLANK OR DK/REF) THEN TOTINHAL = INCC10
ELSE IF INCC11 NOT(BLANK OR DK/REF) THEN TOTINHAL= INCC11*12
ELSE IF INCC12 NOT(BLANK OR DK/REF) THEN TOTINHAL= INCC12*52
ELSE TOTINHAL = DK/REF
INCC13a [IF INCC07a = 6 OR ((INCC08 = 1 OR INCC08 = 3) AND INCC07a
NE BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL], up to and

122

including today. During the past 30 days, on how many days did you
use any inhalant for kicks fun or to get high?
days in the past 30 days [RANGE: 0 1 - 30]
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
INCC13b [IF INCC07b = 6 OR ((INCC08 = 1 OR 3) AND INCC07b NE BLANK
OR DK/REF)] Please answer this question again. Think specifically
about the past 30 days, from [DATEFILL] up to and including today.
What is your best estimate of the number of days you used any
inhalant for kicks fun or to get high during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
IF IN06 = 0:
INCC14

The computer recorded that you used an inhalant for kicks fun or to
get high on 0 days during the past 30 days. Is this correct?
4
Yes
6
No
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR

INCC16

[IF INCC14 = 6] Please answer this question again. During the past
30 days, that is, since [DATEFILL], on how many days did you use an
inhalant of any kind for kicks fun or to get high?
days in the past 30 days [RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

123

Hallucinogens
HALINTRO The next questions are about substances called substances called hallucinogens.
These drugs often cause people to have rapid, intense emotional swings or to see
images, hear sounds, and feel sensations that seem real but are not. . These drugs
often cause people to see or experience things that are not real.They can be
swallowed, inhaled, snorted, injected or placed under the tongue. They cause
people to see, feel, or experience things that are not real.
A list of some common hallucinogens is shown below. These and many other
substances that people use as hallucinogens are often known by street names, and
we can’t list them all. Please take a moment to look at the substances listed below
so you know what kind of drugs the next questions are about.
LSD, also called ‘acid’
PCP, also called ‘angel dust’ or phencyclidine
Peyote
Mescaline
Psilocybin
‘Ecstasy’ or ‘Molly’, also called MDMA
Ketamine, also called “Special K” or “Super K”
DMT, also called dimethyltryptamine
AMT, also called alpha-methyltryptamine
Foxy, also called 5-MeO-DIPT
Salvia divinorum
Press [ENTER] to continue.
HALIF

Have you ever, even once, used any of the following hallucinogens?
Yes No

HALIFQa

LSD or “acid”

1

2

HALIFQb

“Ecstasy”, “Molly”, or MDMA

1

2

HALIFQc

“Shrooms”, mushrooms, or psilocybin

1

2

HALIFQd

PCP, “angel dust”, or phencyclidine

1

2

HALIFQe

Ketamine, “Special K”, or “Super K”

1

2

HALIFQf

Mescaline or pPeyote

1

2

LS01d Mescaline

1

2

LS01e Psilocybin, found in mushrooms

1

2

124

Yes No
LS01f ‘Ecstasy’ or ‘Molly,’ also called MDMA

1

2

LS01g Ketamine, also called “Special K” or “Super K”

1

2

HALIFQg

Salvia Ddivinorum

1

2

LS01i AMT, also called alpha-methyltryptamine

1

2

LS01j Foxy, also called 5-MeO-DIPT

1

2

HALIFQh
Dimethyltryptamine (DMT), alphamethyltryptamine (AMT), Foxy, or 5-MeO-DIPT

1

2

HALIFQi Any other hallucinogens

1

2

DK/REF
PROGRAMMER NOTE: SHOW GRID ON ONE SCREEN
LS01hs1 [IF HALIFQiLS01h = 1] Please type in the name of one or more of the other
hallucinogens you have used. If you’re not sure how to spell the name of the
hallucinogen you used, just make your best guess.
When you have finished, press the [ENTER] key to go to the next question.click the
Next button to go to the next question Remember, you do not need to type in the
names of any hallucinogens that you already reported.
[PROGRAMMER: PROVIDE 5 ROWS.]DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN LS01hs1.
LS01hs2 [IF LS01HS1 NE (BLANK OR DK/REF)] Please type in the name of any other
hallucinogen you have used other than those you have already mentioned. If you
have not used any other hallucinogens, press the [ENTER] key to go to the next
question.
________________
DK/REF
LS01hs3 [IF LS01HS2 NE (BLANK OR DK/REF)] Please type in the name of any other
hallucinogen you have used other than those you have already mentioned. If you
have not used any other hallucinogens, press the [ENTER] key to go to the next
question.
________________
DK/REF
LS01hs4 [IF LS01HS3 NE (BLANK OR DK/REF)] Please type in the name of any other

125

hallucinogen you have used other than those you have already mentioned. If you
have not used any other hallucinogens, press the [ENTER] key to go to the next
question.
________________
DK/REF
LS01hs5 [IF LS01HS4 NE (BLANK OR DK/REF)] Please type in the name of any other
hallucinogen you have used other than those you have already mentioned. If you
have not used any other hallucinogens, press the [ENTER] key to go to the next
question.
________________
DK/REF
LS01a Have you ever, even once, used LSD, also called “acid”?
1
Yes
2
No
DK/REF
LSREF1 [IF LS01a = REF] The answers that people give us about their use of LSD are
important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, used
LSD, also called or “‘acid’”?
1
Yes
2
No
DK/REF
LS01b Have you ever, even once, used PCP, also called ‘angel dust’ or phencyclidine?
1
Yes
2
No
DK/REF
LSREF2 [IF LS01b = REF] The answers that people give us about their use of PCP are
important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, used
PCP, also called ‘angel dust’ or phencyclidine?
1

Yes

126

2
No
DK/REF
LS01c Have you ever, even once, used peyote?
1
Yes
2
No
DK/REF
LS01d Have you ever, even once, used mescaline?
1
Yes
2
No
DK/REF
LS01e Have you ever, even once, used psilocybin, found in mushrooms?
1
Yes
2
No
DK/REF
LS01f Have you ever, even once, used ‘Ecstasy’ or ‘Molly’, also known as MDMA?
1
Yes
2
No
DK/REF
LSREF3 [IF LS01f = REF] The answers that people give us about their use of ‘Ecstasy’ or
‘Molly’ are important to this study’s success. We know that this information is
personal, but remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, used
‘Ecstasy’ or ‘Molly’, also known as MDMA?
1
Yes
2
No
DK/REF
LS01i Have you ever, even once, used Ketamine, also called “Special K” or “Super K”?
1
Yes
2
No
DK/REF

LS01j Have you ever, even once, used any of the following:

127

DMT, also called dimethyltryptamine
AMT, also called alpha-methyltryptamine, or
Foxy, also called 5-MeO-DIPT?

1
Yes
2
No
DK/REF

LS01k Have you ever, even once, used Salvia divinorum?
1
Yes
2
No
DK/REF

LS01h Have you ever, even once, used any other hallucinogens besides the ones that have been
listed?
1
Yes
2
No
DK/REF
LS01hs1 [IF LS01h = 1] Please type in the name of the other hallucinogens you have used. If
you’re not sure how to spell the name of the hallucinogen you used, just make your
best guess.
When you have finished, press the [ENTER] key to go to the next question.
Remember, you do not need to type in the names of any hallucinogens that you
already reported.
________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN LS01hs1.
LS01hs2 [IF LS01HS1 NE (BLANK OR DK/REF)] Please type in the name of any other
hallucinogen you have used other than those you have already mentioned. If you
have not used any other hallucinogens, press the [ENTER] key to go to the next
question.
________________
DK/REF

128

LS01hs3 [IF LS01HS2 NE (BLANK OR DK/REF)] Please type in the name of any other
hallucinogen you have used other than those you have already mentioned. If you
have not used any other hallucinogens, press the [ENTER] key to go to the next
question.
________________
DK/REF
LS01hs4 [IF LS01HS3 NE (BLANK OR DK/REF)] Please type in the name of any other
hallucinogen you have used other than those you have already mentioned. If you
have not used any other hallucinogens, press the [ENTER] key to go to the next
question.
________________
DK/REF
LS01hs5 [IF LS01HS4 NE (BLANK OR DK/REF)] Please type in the name of any other
hallucinogen you have used other than those you have already mentioned. If you
have not used any other hallucinogens, press the [ENTER] key to go to the next
question.
________________
DK/REF
DEFINE LSFILL:
IF HALIFQa=1 AND HALIFQb=2 AND HALIFQc=2 AND HALIFQd=2 and
HALIFQe=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=2, LSFILL = LSD or “acid”
IF HALIFQa=1 AND HALIFQb=2 AND HALIFQc=2 AND HALIFQd=2 and
HALIFQe=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=1, LSFILL = LSD, “acid,” or any other hallucinogen
IF HALIFQb=1 AND HALIFQa=2 AND HALIFQc=2 AND HALIFQd=2 and
HALIFQe=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=2, LSFILL = “Ecstasy”, “Molly”, or MDMA
IF HALIFQb=1 AND HALIFQa=2 AND HALIFQc=2 AND HALIFQd=2 and
HALIFQe=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=1, LSFILL = “Ecstasy”, “Molly”, MDMA, or any other hallucinogen
IF HALIFQc=1 AND HALIFQa=2 AND HALIFQb=2 AND HALIFQd=2 and
HALIFQe=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=2, LSFILL = “Shrooms”, mushrooms, or psilocybin
IF HALIFQc=1 AND HALIFQa=2 AND HALIFQb=2 AND HALIFQd=2 and

129

HALIFQe=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=1, LSFILL = “Shrooms”, mushrooms, psilocybin, or any other hallucinogen
IF HALIFQd=1 AND HALIFQa=2 AND HALIFQb=2 AND HALIFQc=2 AND
HALIFQe=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=2, LSFILL = PCP, “angel dust”, or phencyclidine
IF HALIFQd=1 AND HALIFQa=2 AND HALIFQb=2 AND HALIFQc=2 AND
HALIFQe=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=1, LSFILL = PCP, “angel dust”, phencyclidine, or any other hallucinogen
IF HALIFQe=1 AND HALIFQa=2 AND HALIFQb=2 AND HALIFQc=2 AND
HALIFQd=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=2, LSFILL = Ketamine, “Special K”, or “Super K”
IF HALIFQe=1 AND HALIFQa=2 AND HALIFQb=2 AND HALIFQc=2 AND
HALIFQd=2 AND HALIFQf=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=1, LSFILL = Ketamine, “Special K”, “Super K,” or any other hallucinogen
IF HALIFQf=1 AND HALIFQa=2 AND HALIFQb=2 AND HALIFQc=2 AND
HALIFQd=2 AND HALIFQe=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=2, LSFILL = Mescaline or Peyote
IF HALIFQf=1 AND HALIFQa=2 AND HALIFQb=2 AND HALIFQc=2 AND
HALIFQd=2 AND HALIFQe=2 AND HALIFQg=2 AND HALIFQh=2 AND
HALIFQi=1, LSFILL = Mescaline, Peyote, or any other hallucinogen
IF HALIFQg=1 AND HALIFQa=2 AND HALIFQb=2 AND HALIFQc=2 AND
HALIFQd=2 AND HALIFQe=2 AND HALIFQf=2 AND HALIFQh=2 AND
HALIFQi=2, LSFILL = Salvia Divinorum
IF HALIFQg=1 AND HALIFQa=2 HALIFQb=2 AND AND HALIFQc=2 AND
HALIFQd=2 AND HALIFQe=2 AND HALIFQf=2 AND HALIFQh=2 AND
HALIFQi=1, LSFILL = Salvia Divinorum or any other hallucinogen
ELSE, LSFILL= any hallucinogen

IF (LS01a = 1 OR LSREF1 = 1) AND ((LS01b = 2 OR LSREF2 = 2) AND LS01c = 2
AND LS01d = 2 AND LS01e = 2 AND (LS01f = 2 OR LSREF3 = 2) AND LS01h = 2
AND LS01i=2 AND LS01j=2 AND LS01k=2), LSFILL = “LSD”
IF (LS01a = 1 OR LSREF1 = 1) AND ( LS01b NE 1 AND LSREF2 NE 1 AND
LS01c NE 1 AND LS01d NE 1 AND LS01e NE 1 AND LS01f NE 1 AND LSREF3 NE
1 AND LS01h NE 1 AND LS01i NE 1 AND LS01j NE 1 AND LS01k NE 1) AND (
(LS01b = DK OR (LS01b = REF AND LSREF2 = DK/REF) OR LS01c = DK/REF OR

130

LS01d = DK/REF OR LS01e = DK/REF OR LS01f = DK OR (LS01f = REF AND
LSREF3 = DK/REF) OR LS01h = DK/REF OR LS01i=DK/REF OR LS01j=DK/REF
OR LS01k=DK/REF) ) LSFILL = "LSD, or any other hallucinogen"
IF (LS01b = 1 OR LSREF2 = 1) AND ((LS01a = 2 OR LSREF1 = 2) AND LS01c = 2
AND LS01d = 2 AND LS01e = 2 AND (LS01f = 2 OR LSREF3 = 2) AND LS01h = 2
AND LS01i=2 AND LS01j=2 AND LS01k=2), LSFILL = “PCP”
IF (LS01b = 1 OR LSREF2 = 1) AND ( LS01a NE 1 AND LSREF1 NE 1 AND
LS01c NE 1 AND LS01d NE 1 AND LS01e NE 1 AND LS01f NE 1 AND LSREF3 NE
1 AND LS01h NE 1 AND LS01i NE 1 AND LS01j NE 1 AND LS01k NE 1) AND (
(LS01a = DK OR (LS01a = REF AND LSREF1 = DK/REF) OR LS01c = DK/REF OR
LS01d = DK/REF OR LS01e = DK/REF OR LS01f = DK OR (LS01f = REF AND
LSREF3 = DK/REF) OR LS01h = DK/REF OR LS01i=DK/REF OR LS01j=DK/REF
OR LS01k=DK/REF) ) LSFILL = "PCPor any other hallucinogen"

IF (LS01f = 1 OR LSREF3 = 1) AND ((LS01a = 2 OR LSREF1 = 2) AND (LS01b = 2
OR LSREF2 = 2) AND LS01c = 2 AND LS01d = 2 AND LS01e = 2 AND LS01h = 2
AND LS01i=2 AND LS01j=2 AND LS01k=2), LSFILL = “‘Ecstasy’ or ‘Molly’
Mescaline or Peyote”
IF (LS01f = 1 OR LSREF3 = 1) AND (LS01a NE 1 AND LSREF1 NE 1 AND LS01b
NE 1 AND LSREF2 NE 1 AND LS01c NE 1 AND LS01d NE 1 AND LS01e NE 1 AND
LS01h NE 1 AND LS01i NE 1 AND LS01j NE 1 AND LS01k NE 1) AND ( LS01a=DK
OR (LS01a=REF AND LSREF1=DK/REF) OR(LS01b = DK OR (LS01b = REF AND
LSREF2 = DK/REF) OR LS01c = DK/REF OR LS01d = DK/REF OR LS01e =
DK/REF OR LS01h = DK/REF OR LS01i=DK/REF OR LS01j=DK/REF OR
LS01k=DK/REF) ) LSFILL = "‘Ecstasy’ or ‘Molly’ "

IF (LS01i = 1) AND ((LS01a = 2 OR LSREF1 = 2) AND (LS01b = 2 OR LSREF2 = 2)
AND LS01c = 2 AND LS01d = 2 AND LS01e = 2 AND (LS01f=2 OR LSREF3=2)
AND LS01h = 2 AND LS01j=2 AND LS01k=2), LSFILL = “Ketamine”

IF (LS01i = 1) AND (LS01a NE 1 AND LSREF1 NE 1 AND LS01b NE 1
AND LSREF2 NE 1 AND LS01c NE 1 AND LS01d NE 1 AND LS01e NE 1 AND
LS01f NE 1 AND LSREF3 NE 1 AND LS01h NE 1 AND LS01j NE 1 AND LS01k NE
1) AND ( LS01a=DK OR (LS01a=REF AND LSREF1=DK/REF) OR(LS01b = DK OR
(LS01b = REF AND LSREF2 = DK/REF) OR LS01c = DK/REF OR LS01d = DK/REF
OR LS01e = DK/REF OR LS01f = DK OR (LS01f = REF AND LSREF3 = DK/REF)
OR LS01h = DK/REF OR LS01j=DK/REF OR LS01k=DK/REF) ) LSFILL = "Ketamine
or any other hallucinogen"

131

IF (LS01j = 1) AND ((LS01a = 2 OR LSREF1 = 2) AND (LS01b = 2 OR LSREF2 = 2)
AND LS01c = 2 AND LS01d = 2 AND LS01e = 2 AND (LS01f=2 OR LSREF3=2)
AND LS01h = 2 AND LS01i=2 AND LS01k=2), LSFILL = “DMT, AMT, or Foxy”
IF (LS01j = 1) AND (LS01a NE 1 AND LSREF1 NE 1 AND LS01b NE 1
AND LSREF2 NE 1 AND LS01c NE 1 AND LS01d NE 1 AND LS01e NE 1 AND
LS01f NE 1 AND LSREF3 NE 1 AND LS01h NE 1 AND LS01i NE 1 AND LS01k NE
1) AND ( LS01a=DK OR (LS01a=REF AND LSREF1=DK/REF) OR(LS01b = DK OR
(LS01b = REF AND LSREF2 = DK/REF) OR LS01c = DK/REF OR LS01d = DK/REF
OR LS01e = DK/REF OR LS01f = DK OR (LS01f = REF AND LSREF3 = DK/REF)
OR LS01h = DK/REF OR LS01i=DK/REF OR LS01k=DK/REF) ) LSFILL = "DMT,
AMT, Foxy or any other hallucinogen"
IF (LS01k = 1) AND ((LS01a = 2 OR LSREF1 = 2) AND (LS01b = 2 OR LSREF2 = 2)
AND LS01c = 2 AND LS01d = 2 AND LS01e = 2 AND (LS01f=2 OR LSREF3=2)
AND LS01h = 2 AND LS01i=2 AND LS01j=2), LSFILL = “Salvia divinorum”
IF (LS01k = 1) AND (LS01a NE 1 AND LSREF1 NE 1 AND LS01b NE 1
AND LSREF2 NE 1 AND LS01c NE 1 AND LS01d NE 1 AND LS01e NE 1 AND
LS01f NE 1 AND LSREF3 NE 1 AND LS01h NE 1 AND LS01i NE 1 AND LS01j NE
1) AND ( LS01a=DK OR (LS01a=REF AND LSREF1=DK/REF) OR(LS01b = DK OR
(LS01b = REF AND LSREF2 = DK/REF) OR LS01c = DK/REF OR LS01d = DK/REF
OR LS01e = DK/REF OR LS01f = DK OR (LS01f = REF AND LSREF3 = DK/REF)
OR LS01h = DK/REF OR LS01i=DK/REF OR LS01j=DK/REF) ) LSFILL = "Salvia
divinorum or any other hallucinogen"
ELSE, LSFILL = “any hallucinogen”
DEFINE HALIF
IF HALIFQa=1 OR HALIFQb=1 OR HALIFQc=1 OR HALIFQd =1 OR HALIFQe =1 OR
HALIFQf =1 OR HALIFQg =1 OR HALIFQh =1 OR HALIFQi =1 THEN HALIF=1
ELSE HALIF=2
DEFINE HALLFCOUNT:
INITIALIZE HALLFCOUNT TO 0
INCREMENT HALLFCOUNT BY 1 FOR EVERY CODE OF 1 IN HALIFQa-HALIFQi
LSFIRST

[IF HALLFCOUNT > 1] Please think about the first time you used a hallucinogen.
What was the first hallucinogen you used? If you used more than one hallucinogen
the first time, please choose only one.
1.
2.
3.
4.
5.

[IF HALIFQa = 1] LSD or “acid”
[IF HALIFQb = 1] “Ecstasy”, “Molly”, or MDMA
[IF HALIFQc = 1] “Shrooms”, mushrooms, or psilocybin
[IF HALIFQd = 1] PCP, “angel dust”, or phencyclidine
[IF HALIFQe = 1] Ketamine, “Special K”, or “Super K”

132

6. [IF HALIFQf = 1] Mescaline or Peyote
7. [IF HALIFQg = 1] Salvia divinorum
8. [IF HALIFQh = 1] Dimethyltryptamine (DMT), alpha-methyltryptamine
(AMT), Foxy, or 5-MeO-DIPT
9. [IF HALIFQi = 1] Any other hallucinogen
PROGRAMMER NOTES:
1. Display only the hallucinogens that were reported in LS01.
2. Allow only one response.
DEFINE HALLFILL:
IF HALLFCOUNT = 1 AND HALIFQi NE 1 THEN HALLFILL = "[DRUG NAME FROM
HALIFQa-HALIFQh]"
ELSE IF HALLFCOUNT > 1 AND LSFIRST = 1-8 THEN HALLFILL = "[DRUG NAME
FROM LSFIRST]"
ELSE HALLFILL = "a hallucinogen."
LS02 How old were you the first time you used [HALLFILL]?
years old [RANGE: 1 - 110]
DK/REF
DEFINE AGE1STLS:
IF LS03 NE (BLANK OR DK/REF) THEN AGE1STLS = LS03
ELSE AGE1STLS = BLANK
IF CURNTAGE < AGE1STLS:
LSCC01 The computer recorded that you were [AGE1STLS] years old when
you first used [HALFILL]. Is this correct?
4
Yes
6
No
DK/REF
LSCC02

[IF LSCC01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I am currently [CURNTAGE] years old
2
I was [AGE1STLS] years old the first time I used [HALFILL]
3
Neither answer is correct
DK/REF

LSCC03

[IF LSCC02=2 OR LSCC02=3] Please answer this question again.
What is your current age?
years old [RANGE: 1 - 110]

133

DK/REF
LSCC03a [IF LSCC03 < 12] Since you have indicated that you are [LSCC03]
years old, we cannot interview you for this study. Please tell your
interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
LSCC04

[IF LSCC01 =6 OR LSCC02=1 OR LSCC02=3] Please answer this
question again. Think about the first time you used [HALFILL]. How
old were you the first time you used [HALFILL]?
years old [RANGE: 1 - 110]
DK/REF

UPDATE: IF LSCC04 NOT(BLANK OR DK/REF) THEN AGE1STLS = LSCC04
UPDATE: IF LSCC03 NOT(BLANK OR DK/REF) THEN CURNTAGE = LSCC03
IF AGE1STLS <10:
LSCC05 The computer recorded that you were [AGE1STHO] years old the
first time you used [HALFILL]. Is this correct?
4
Yes
6
No
DK/REF
LSCC06

[IF LSCC05 =6] Please answer this question again. Think about the
first time you used [HALFILL]. How old were you the first time you
used [HALFILL]?
years old [RANGE: 1 - 110]
DK/REF

UPDATE: IF LSCC06 NOT(BLANK OR DK/REF) THEN AGE1STLS = LSCC06
ELSE IF LSCC05 = DK/REF OR LSCC06 = DK/REF THEN AGE1STLS = 0.
DEFINE LSYRINIT:
IF AGE1STLS = CURNTAGE THEN LSYRINIT = 1
ELSE LSYRINIT = 0
DEFINE LS30INIT:
LS30INIT = 0
IF (AGE1STLS = CURNTAGE) AND (# OF DAYS BETWEEN LAST BIRTHDAY AND
INTERVIEW DATE <= 30), THEN LS30INIT = 1

134

DEFINE LSYFU:
LSYFU = 0
DEFINE LSMFU:
LSMFU = 0
LS04LS03B [IF AGE1STLS = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STLS = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Earlier, the
computer recorded that you were [AGE1STLS] years old when you first used
[HALLFILL].
Did you first use [HALLFILL] in [CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LS05LS03C [IF AGE1STLS = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB]
Earlier, the computer recorded that you were [AGE1STLS] years old when you first used
[HALLFILL].
Did you first use [HALLFILL] in [CURRENT YEAR - 2] OR [CURRENT YEAR 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
UPDATE: IF LS04 LS03B = 2 OR (AGE1STLS = CURNTAGE AND DATE OF INTERVIEW
≥ DOB) THEN LSYFU = CURRENT YEAR
IF LS04 LS03B = 1 OR LS05 LS03C = 2 THEN LSYFU = CURRENT YEAR - 1
IF LS05 LS03C = 1 THEN LSYFU = CURRENT YEAR – 2
DEFINE LSJANFLAG:
LSJANFLAG = 0
IF LSYFU=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN LSJANFLAG
=1
UPDATE: IF LSJANFLAG = 1 THEN LSMFU = 1.
DEFINE LSDECFLAG:
LSDECFLAG = 0
IF AGE1STLS = CURNTAGE AND LSYFU=CURRENT YEAR-1 AND BIRTH MONTH=12
THEN LSDECFLAG = 1

135

UPDATE: IF LSDECFLAG=1 THEN LSMFU=12.
UPDATE: IF (AGE1STLS=CURNTAGE AND BIRTHDAY MONTH=INTERVIEW MONTH
AND DATE OF INTERVIEW ≥ DOB) THEN LSMFU=CURRENT MONTH
LS06LS03D [IF LSYFU NE 0 AND LSMFU = 0]
[IF LSYFU = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you reported that you first
used [HALLFILL] when you were [AGE1STLS] years old. Based on your date of birth, you
turned [AGE1STLS] in [FILL WITH MONTH/YEAR FOR AGE1STHR BASED ON DOB].
In what month in [LSYFU] did you first use [HALFILL]?
[IF DATE OF INTERVIEW < DOB AND AGE1STLS=CURRENT AGE AND
LSYFU=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]
IF AGE1STLS = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW MONTHS
FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STLS = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STLS =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (LSYFU = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF LSYFU=CURRENT YEAR AND AGE1STLS=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF LSYFU = CURRENT YEAR - 1 AND AGE1STLS = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF LS06 LS03D = 1-12 THEN LSMFU = LS06 LS03D

136

UPDATE: IF LSYRINIT NE 1 AND (LSYFU = CURRENT YEAR OR (LSYFU = CURRENT
YEAR - 1 AND LSMFU = 1-12 AND LSMFU > CURRENT MONTH)) THEN LSYRINIT = 1
UPDATE: IF LS30INIT NE 1 AND LSYFU = CURRENT YEAR AND LSMFU = CURRENT
MONTH THEN LS30INIT = 1
DEFINE MYR1STLS:
MYR1STLS = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (LS04 LS03B-LS06 LS03D).
IF MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STLS IS 0.
IF MYR1STLS NE 0 AND NE AGE1STLS:
LSCC57

Earlier, the computer recorded that you were [AGE1STLS] years old
when you first used [HALFILL].

Which answer is correct?
1

I was [MYR1STLS] years old in [LS04 LS03B-LS06 LS03D
fill] the first time I used [HALFILL]
2
I was [AGE1STLS] years old the first time I used [HALFILL]
3
Neither answer is correct
DK/REF
UPDATE: IF LSCC57 = 1, THEN AGE1STLS = MYR1STLS.
UPDATE: IF LSYRINIT NE 1 AND AGE1STLS = CURNTAGE THEN LSYRINIT = 1
ELSE IF LSYRINIT = 1 AND AGE1STLS NE CURNTAGE AND LSCC57 = DK/REF THEN
LSYRINIT = 0
UPDATE: IF LS30INIT NE 1 AND LSCC57 = 1 AND AGE1STLS IS WITHIN 30 DAYS OF
INTERVIEW DATE THEN LS30INIT = 1
UPDATE: IF LSYFU NE 0 AND LSCC57 = DK/REF THEN LSYFU = 0
UPDATE: IF LSMFU = 1-12 AND LSCC57 = DK/REF THEN LSMFU = 0
LSCC58

[IF LSCC56=2 OR LSCC56=3] Please answer this question again.
Did you first use [HALFILL] in [CURRENT YEAR-2], [CURRENT
YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

137

UPDATE: IF LSYFU NE 0 AND LSCC58 = DK/REF THEN LSYFU = 0
IF LSCC58 = 1 THEN LSYFU = CURRENT YEAR - 2
IF LSCC58 = 2 THEN LSYFU = CURRENT YEAR - 1
IF LSCC58 = 3 THEN LSYFU = CURRENT YEAR
UPDATE: IF LSMFU = 1-12 AND LSCC58 = DK/REF THEN LSMFU = 0
LSCC58A

[IF LSCC56 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LSCC58] did you first use
[HALFILL]?

IF LSCC58 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF LSCC58A = 1-12 THEN LSMFU = LSCC58A
IF LSCC58A = DK/REF THEN LSMFU = 0
UPDATE: IF LSCC58A NE (0 OR DK/REF) THEN UPDATE MYR1STLS.
MYR1STLS = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (LSCC58 AND LSCC58A). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STLS IS 0. IF MYR1STLS =
AGE1STLS THEN MYR1STLS = 0
UPDATE: IF LSYRINIT = 1 AND AGE1STLS NE CURNTAGE AND LSCC57 NE 1 AND
MYR1STLS NE 0 AND (LSCC58 AND LSCC58A = LS04 LS03B-LS06 LS03D) THEN
LSYRINIT = 0
UPDATE: IF LS30INIT = 1 AND AGE1STLS NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND LSCC57 NE 1 AND MYR1STLS NE 0 AND (LSCC58 AND LSCC58A =
LS04 LS03B-LS06 LS03D) THEN LS30INIT = 0

138

LSCC59

[IF LSCC57 NE 1 AND MYR1STLS NE 0 AND (LSCC58 AND
LSCC58A NE LS04 LS03B-LS06 LS03D] The computer recorded that
you first used [HALFILL] in [LSCC58-LSCC58A fill]. That would
make you [MYR1STLS] years old when you first used [HALFILL].
Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF LSCC59 NE (6, BLANK OR DK/REF) AND (LSCC58 AND LSCC58A NE
LS04 LS03B-LS06 LS03D) THEN AGE1STLS = MYR1STLS
UPDATE: IF LSYRINIT NE 1 AND AGE1STLS = CURNTAGE OR (LSCC59 = 4 AND
LSCC58 = 3 OR (LSCC58 = 2 AND LSCC58A NE DK/REF AND LSCC58A > CURRENT
MONTH) ) THEN LSYRINIT = 1
ELSE IF LSYRINIT = 1 AND AGE1STLS NE CURNTAGE AND LSCC59 = (6 OR DK/REF)
THEN LSYRINIT = 0
UPDATE: IF LS30INIT NE 1 AND AGE1STLS WITHIN 30 DAYS OF INTERVIEW DATE
OR (LSCC59 = 4 AND LSCC58 = 3 AND LSCC58A = CURRENT MONTH) THEN
LS30INIT1 = 1
ELSE IF LS30INIT1 = 1 AND AGE1STLS NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND LSCC59 = (6 OR DK/REF) THEN LS30INIT = 0
UPDATE: IF LSYFU NE BLANK AND LSCC59 = (6 OR DK/REF) THEN LSYFU = 0
IF LSCC59 = BLANK AND (LSCC58 AND LSCC58A EQ LS04 LS03B-LS06 LS03D) THEN
LSYFU = 0
UPDATE: IF LSMFU = 1-12 AND LSCC59 = (6 OR DK/REF) THEN LSMFU = 0
IF LSCC59 = BLANK AND (LSCC58 AND LSCC58A EQ LS04 LS03B-LS06 LS03D) THEN
LSMFU = 0
PYPREVa

[IF HALLFCOUNT > 1 AND LSYRINIT NE 1] During the past 12 months, that
is, from [DATEFILL] up to and including today, have you used any of the
following hallucinogens?

Yes No
LSPYa

[IF HALIFQa = 1] LSD or “acid”

LSPYfLSPYb
[IF HALIFQb = 1] “Ecstasy”,
“Molly”, or MDMA

139

1

2

1

2

Yes No
LSPYeLSPYc
[IF HALIFQc = 1] “Shrooms”,
mushrooms, or psilocybin
LSPYbLSPYd
[IF HALIFQd = 1] PCP, “angel dust”,
or phencyclidine
LSPYgLSPYe
[IF HALIFQe = 1] Ketamine, “Special
K”, or “Super K”

1

2

1

2

1

2

LSPYcLSPYf [IF HALIFQf = 1] Mescaline or Peyote

1

2

LSPYhLSPYg

[IF HALIFQg = 1] Salvia divinorum

1

2

LSPYkLSPYh
[IF HALIFQh = 1]
Dimethyltryptamine (DMT), alphamethyltryptamine (AMT), Foxy, or 5-MeODIPT

1

2

LSPYl LSPYi [IF HALIFQi = 1] Any other hallucinogen

1

2

DK/REF
PROGRAMMER NOTE: SHOW GRID ON ONE SCREEN
PYPREVb [IF HALLFCOUNT = 1 AND LSYRINIT NE 1] During the past 12 months, that
is, from [DATEFILL] up to and including today, have you used [HALFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSINITa [IF LSPYa = 1] Did you first use LSD or “acid” within in the past 12 months or more
than 12 months ago?
1
Within the past 12 months, that is since [DATEFILL]
2
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSINITbf [IF LSPYbf = 1] Did you first use “Ecstasy”, “Molly”, or MDMA within the past 12
months or more than 12 months ago?
1
Within the past 12 months, that is since [DATEFILL]
2
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSINITce [IF LSPYce = 1] Did you first use “shrooms”, mushrooms, or psilocybin within the

140

past 12 months or more than 12 months ago?
1
Within the past 12 months, that is since [DATEFILL]
2
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSINITdb [IF LSPYdb = 1] Did you first use PCP, “angel dust”, or phencyclidine within the
past 12 months or more than 12 months ago?
1
Within the past 12 months, that is since [DATEFILL]
2
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSINITeg [IF LSPYeg = 1] Did you first use ketamine, “Special K”, or “Super K” within the
past 12 months or more than 12 months ago?
1
Within the past 12 months, that is since [DATEFILL]
2
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSINITfc [IF LSPYfc = 1] Did you first use mescaline or peyote within the past 12 months or
more than 12 months ago?
1
Within the past 12 months, that is since [DATEFILL]
2
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSINITgh [IF LSPYgh = 1] Did you first use Salvia divinorum within the past 12 months or
more than 12 months ago?
1
Within the past 12 months, that is since [DATEFILL]
2
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSINIThk [IF LSPYhk = 1] Did you first use dimethyltryptamine (DMT), alphamethyltryptamine (AMT), Foxy, or 5-MeO-DIPT within the past 12 months or more
than 12 months ago?
1
Within the past 12 months, that is since [DATEFILL]
2
More than 12 months ago
DK/REF

141

PROGRAMMER: SHOW 12 MONTH CALENDAR
LSINITil [IF LSPYil = 1] Did you first use any other hallucinogen within the past 12 months
or more than 12 months ago?
1
Within the past 12 months, that is since [DATEFILL]
2
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE HALYRCOUNT:
INITIALIZE HALYRCOUNT TO 0.
INCREMENT HALYRCOUNT BY 1 FOR EVERY CODE OF 1 IN LSPYa-LSPYil.
ELSE IF PYPREVb = 1 THEN HALYRCOUNT = 1.
ELSE IF LSYRINIT = 1 THEN HALYRCOUNT = HALLFCOUNT.
DEFINE HALYRFILL:
IF HALYRCOUNT = 1 AND LSPYa-LSPYhk = 1 THEN HALYRFILL = "[DRUG NAME
FROM LSPYa-LSPYhk]"
ELSE IF HALYRCOUNT = 1 AND PYPREVb = 1 AND HALFILL NE "a hallucinogen"
THEN HALYRFILL = HALFILL
ELSE IF HALYRCOUNT = 1 AND LSYRINIT = 1 THEN HALYRFILL = HALFILL
ELSE HALYRFILL = "a hallucinogen"
LSLAST

[IF HALYRCOUNT > 0 AND LS30INIT NE 1 AND LSYRINIT = 1] The next
questions are about substances called hallucinogens. These drugs often cause
people to have rapid, intense emotional swings or to see images, hear sounds, and
feel sensations that seem real but are not.
[IF HALYRCOUNT > 0 AND LS30INIT NE 1] How long has it been since you
last used [HALYRFILL]?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LS02 [IF HALIF=1 (ANY IN 1LS01a TO LS01f =1 OR LS01h = 1 OR LS01i=1 OR LS01j=1
OR LS01k=1 OR LSREF1 = 1 OR LSREF2 = 1 OR LSREF3 = 1] How old were you the
first time you used [LSFILL]?
AGE:
DK/REF

[RANGE: 1 - 110]

DEFINE AGE1STHA:
IF LS02 NE (BLANK OR DK/REF) THEN AGE1STHA = LS02

142

ELSE AGE1STHA = BLANK
IF CURNTAGE < AGE1STHA:
LSCC01 The computer recorded that you were [AGE1STHA] years old when
you first used [LSFILL]. Is this correct?
4
Yes
6
No
DK/REF
LSCC02

[IF LSCC01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I am currently [CURNTAGE] years old
2
I was [AGE1STHA] years old the first time I used [LSFILL]
3
Neither answer is correct
DK/REF

LSCC03

[IF LSCC02=2 OR LSCC02=3] Please answer this question again.
What is your current age?
AGE:
DK/REF

[RANGE: 1 - 110]

LSCC03a [IF LSCC03 < 12] Since you have indicated that you are [LSCC03]
years old, we cannot interview you for this study. Please tell your
interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
LSCC04

[IF LSCC02=1 OR LSCC02=3 OR LSCC01=6] Please answer this
question again. Think about the first time you used [LSFILL]. How
old were you the first time you used [LSFILL]?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC04 NOT(BLANK OR DK/REF) THEN AGE1STHA = LSCC04
UPDATE: IF LSCC03 NOT(BLANK OR DK/REF) THEN CURNTAGE = LSCC03
IF AGE1STHA =CURNTAGE OR AGE1STHA <10:
LSCC05 The computer recorded that you were [AGE1STHA] years old the first
time you used [LSFILL]. Is this correct?
4
6

Yes
No

143

DK/REF
LSCC06

[IF LSCC05=6] Please answer this question again. Think about the
first time you used [LSFILL]. How old were you the first time you
used [LSFILL]?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC06 NOT(BLANK OR DK/REF) THEN AGE1STHA = LSCC06
LS03a [IF LSCC05 NE DK/RE AND LSCC06 NE DK/REF AND AGE1STHA = CURNTAGE
AND DATE OF INTERVIEW < DOB OR IF AGE1STHA = CURNTAGE - 1 AND
DATE OF INTERVIEW ≥ DOB] Did you first use [LSFILL] in [CURRENT YEAR - 1]
or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LS03b [IF AGE1STHA = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you
first use [LSFILL] in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LS03c [IF LSCC05 NE DK/RE AND LSCC06 NE DK/REF AND AGE1STHA = CURNTAGE
AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you
first use [LSFILL]?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LS03c > CURRENT MONTH] THE MONTH IN [CURRENT YEAR]

144

YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR, PRESS
THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. PLEASE
ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LS03d [IF LS03a = 1 OR 2 OR LS03b = 1 OR 2] In what month in [YEAR FROM LS03a or
LS03b] did you first use [LSFILL]?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LS03d > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR,
PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN.
PLEASE ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STHA:
MYR1STHA = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (LS03a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STHA IS BLANK.
IF MYR1STHA NE 0 AND NE AGE1STHA:
LSCC56 The computer recorded that you first used [LSFILL] in [LS03a-d fill].
That would make you [MYR1STHA] years old when you first used
[LSFILL]. Is this correct?
4
Yes
6
No
DK/REF
LSCC57

[IF LSCC56 = 4] Earlier, the computer recorded that you were
[AGE1STHA] years old when you first used [LSFILL]. Which answer
is correct?
1

I first used [LSFILL] in [LS03a-d fill] when I was
[MYR1STHA] years old

145

2
I was [AGE1STHA] years old the first time I used [LSFILL]
3
Neither answer is correct
DK/REF
UPDATE: IF LSCC57 = 1, THEN AGE1STHA = MYR1STHA
LSCC58

[IF LSCC57=2 OR LSCC57=3 OR LSCC56=6] Please answer this
question again. Did you first use [LSFILL] in [CURRENT YEAR-2],
[CURRENT YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

LSCC58a [IF LSCC58 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [LSCC58] did you first use [LSFILL]?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LSCC58a > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR,
PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN.
PLEASE ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LSCC58a NE (0 OR DK/REF) THEN UPDATE MYR1STHA.
MYR1STHA = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (LSCC58 AND LSCC58a). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STHA IS BLANK. IF MYR1STHA =
AGE1STHA THEN MYR1STHA = BLANK
LSCC59

[IF LSCC57 NE 1 AND MYR1STHA NE 0 AND (LSCC58 AND
LSCC58a NE LS03a-d)] The computer recorded that you first used
[LSFILL] in [LSCC59-LSCC59a fill]. That would make you

146

[MYR1STHA] years old when you first used [LSFILL]. Is this
correct?
4
Yes
6
No
DK/REF
UPDATE: IF LSCC59 NE (6, BLANK OR DK/REF) AND (LSCC58 AND LSCC58a NE
LS03a-d) THEN AGE1STHA = MYR1STHA
LSLAST [IF HALIF=1 LS01a = 1 OR LSREF1 = 1 OR LS01b = 1 OR LSREF2 = 1 OR LS01c
= 1 OR LS01d = 1 OR LS01e = 1 OR LSREF3 = 1 OR LS01f = 1 OR LS01h = 1 OR
LS01i=1 OR LS01j=1 OR LS01k=1] How long has it been since you last used
[LSFILL]?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSRECDK [IF LSLAST = DK] What is your best guess of how long it has been since you
last used [LSFILLHALYRFILL]?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSRECRE [IF LSLAST = REF] The answers that people give us about their use of
hallucinogens are important to this study’s success. We know that this information is
personal, but remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you
last used [HALYRFILLLSFILL]?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE HALYRFILL2:
HALYRFILL2 = HALYRFILL
IF HALYRFILL = "a hallucinogen" THEN HALYRFILL2 = "hallucinogens."

147

DEFINE HALLREC:
IF LSLAST = 1 OR LSRECDK = 1 OR LSRECRE = 1, THEN HALLREC = 1
IF LSLAST = 2 OR LSRECDK = 2 OR LSRECRE = 2, THEN HALLREC = 2
IF LSLAST = 3 OR LSRECDK = 3 OR LSRECRE = 3, THEN HALLREC = 3
ELSE HALLREC = BLANK
LSFRAME3 [IF HALYRCOUNT > 0 HALLREC = 1 OR 2] For these next questions, please
Now think about the past 12 months, from [DATEFILL] through today. We want
to know how many days you’ve used [HALYRFILL2LSFILL] during the past 12
months.
What would be the easiest way for you to tell us how many days you’ve used [IF
HALYRFILL2="hallucinogens" THEN ADD "them"; OTHERWISE, ADD
"it"]it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
LSYRAVE

[IF LSFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did
you use [HALYRFILL2LSFILL]?
TOTAL # OF DAYS:
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LSMONAVE [IF LSFRAME3 = 2 OR LSYRAVE = DK/REF] On average, how many days did
you use [HALYRFILL2LSFILL] each month during the past 12 months?
AVERAGE # OF DAYS PER MONTH:
days per month, on average
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSWKAVE [IF LSFRAME3 = 1 OR LSMONAVE = DK/REF] On average, how many days
did you use [HALYRFILL2LSFILL] each week during the past 12 months?
AVG # OF DAYS PER WEEK:
days per week, on average [RANGE: 1
- 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LS04 [IF LSLAST=1 OR LSRECDK = 1 OR LSRECRE = 1 OR LS30INIT = 1] Think
specifically about the past 30 days, from [DATEFILL] up to and including today.

148

During the past 30 days, on how many days did you use [HALYRFILL2LSFILL]?
days int the past 30 days [RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

LS04DKRE [IF LS04 = DK/REF] What is your best estimate of the number of days you used
[HALYRFILL2LSFILL] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE ESTILS:
IF LS04DKRE = 1, THEN ESTILS = 1
IF LS04DKRE = 2, THEN ESTILS = 3
IF LS04DKRE = 3, THEN ESTILS = 6
IFLS04DKRE = 4, THEN ESTILS = 10
IF LS04DKRE =5, THEN ESTILS = 20
IF LS04DKRE = 6, THEN ESTILS = 30
ELSE ESTILS = BLANK
DEFINE HAL30DAY
IF LS04DKRE = 1, THEN HAL30DAY = “1 or 2"
IF LS04DKRE = 2, THEN HAL30DAY = “3 to 5"
IF LS04DKRE = 3, THEN HAL30DAY = “6 to 9"
IF LS04DKRE = 4, THEN HAL30DAY = “10 to 19"
IF LS04DKRE = 5, THEN HAL30DAY = “20 to 29"
IF LS04DKRE = 6, THEN HAL30DAY = “all 30"
ELSE HAL30DAY = BLANK
DEFINE TOTHALL:
IF LSYRAVE NOT(BLANK OR DK/REF) THEN TOTHALL = LSYRAVE
ELSE IF LSMONAVE NOT(BLANK OR DK/REF) AND (LSLAST = 1 OR LSRECDK
= 1 OR LSRECRE = 1) THEN TOTHALL = LSMONAVE*12
ELSE IF LSMONAVE NOT(BLANK OR DK/REF) AND LS30INIT = 1 THEN
TOTHALL = LSMONAVE
ELSE LSMONAVE NOT(BLANK OR DK/REF) AND (LSLAST = 2 OR LSRECDK =
2 OR LSRECRE = 2) THEN TOTHALL = LSMONAVE*11

149

ELSE IF LSWKAVE NOT(BLANK OR DK/REF) AND (LSLAST = 1 OR LSRECDK
= 1 OR LSRECRE = 1) THEN TOTHALL = LSWKAVE*52
ELSE IF LSWKAVE NOT(BLANK OR DK/REF) AND LS30INIT = 1 THEN
TOTHALL = LSWKAVE*4
ELSE IF LSWKAVE NOT(BLANK OR DK/REF) AND (LSLAST = 2 OR LSRECDK
= 2 OR LSRECRE = 2) THEN TOTHALL = LSWKAVE*48
ELSE TOTHALL = DK/REF
IF TOTHALL NOT DK/REF AND ((LS04 NE DK/REF OR BLANK AND LS04 >
TOTHALL) OR (LS04 = DK/REF AND ESTILS > TOTHALL)):
LSCC07a [IF LS04 > TOTHALL] For the last question, the computer recorded
that you used [HALYRFILL2LSFILL] on [LS04] of the past 30 days.
Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
LSCC07b [IF ESTILS > TOTHALL] For the last question, the computer
recorded that you used [HALYRFILL2LSFILL] on [HAL30DAY] of
the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLHAL:
IF LSYRAVE > 1, THEN FILLHAL = “[LSYRAVE] days”
ELSE IF LSYRAVE = 1, THEN FILLHAL = “1 day”
ELSE IF LSMONAVE > 1, THEN FILLHAL = “[LSMONAVE] days per month”
ELSE IF LSMONAVE = 1, THEN FILLHAL = “1 day per month”
ELSE IF LSWKAVE > 1, THEN FILLHAL = “[LSWKAVE] days per week”
ELSE IF LSWKAVE = 1, THEN FILLHAL = “1 day per week”
DEFINE FILLHALA
IF FILLHAL = “[LSMONAVE] day(s) per month OR “[LSWKAVE] day(s) per week”
THEN FILLHALA = “for a total of TOTHALL days”
ELSE FILLHALA = BLANK
LSCC08

[IF LSCC07a = 4 OR LSCC07b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?
1

I used [HALYRFILL2LSFILL] [FILLHAL] in the past 12
months [FILLHALA]

150

2

I used [HALYRFILL2LSFILL] [LS04 / HAL30DAY] days in
the past 30 days
3
Neither answer is correct
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSCC09

[IF LSCC08 = 2 OR LSCC08 = 3] Please answer this question again.
Think about the past 12 months, from [DATEFILL] through today. We
want to know how many days you’ve used [HALYRFILL2LSFILL]
during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

LSCC10

[IF LSCC09 = 3] On how many days in the past 12 months did you
use [HALYRFILL2LSFILL]?

days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSCC11

[IF LSCC09 = 2] On average, how many days did you use
[HALYRFILL2LSFILL] each month during the past 12 months?

days per month, on average [RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSCC12

[IF LSCC09 = 1] On average, how many days did you use
[HALYRFILL2LSFILL] each week during the past 12 months?

days per week, on average [RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
IF LSCC10 NOT(BLANK OR DK/REF) THEN TOTHALL = LSCC10
ELSE IF LSCC11 NOT(BLANK OR DK/REF) THEN TOTHALL=LSCC11*12
ELSE IF LSCC12 NOT(BLANK OR DK/REF) THENTOTHALL=LSCC12*52
ELSE TOTHALL = DK/REF
LSCC13a [IF LSCC07a = 6 OR ((LSCC08 = 1 OR LSCC8 = 3) AND LSCC07a

151

NE BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. During the past 30 days, on how many days did you
use [HALYRFILL2LSFILL]?
days in the past 30 days [RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
LSCC13b [IF LSCC07b = 6 OR ((LSCC08 = 1 OR LSCC08 = 3) AND LSCC07b
NE BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. What is your best estimate of the number of days you
used [HALYRFILL2LSFILL] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
IF LS04 = 0:
LSCC14

The computer recorded that you used [LSFILL] on 0 days during the
past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

LSCC16

[IF LSCC14 = 6] Please answer this question again. During the past
30 days, that is, since [DATEFILL], on how many days did you use
[LSFILL]?
# OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

LS05 [IF (LS01a = 1 OR LSREF1 =1) AND (LS01b = 1 OR LSREF2 = 1 OR LS01c = 1 OR
LS01d = 1 OR LS01e = 1 OR LSREF3 = 1 OR LS01f = 1 OR LS01h = 1 OR LS01i=1
OR LS01j=1 OR LS01k=1)] Now think only about LSD. How old were you the first
time you used LSD?

152

AGE:
DK/REF

[RANGE: 1 - 110]

DEFINE AGE1STLS:
IF LS05 NE (BLANK OR DK/REF) THEN AGE1STLS = LS05
ELSE AGE1STLS = BLANK
IF CURNTAGE < AGE1STLS:
LSCC17 The computer recorded that you were [AGE1STLS] years old when
you first used LSD. Is this correct?
4
Yes
6
No
DK/REF
LSCC18

[IF LSCC17 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I am currently [CURNTAGE] years old
2
I was [AGE1STLS] years old the first time I used LSD
3
Neither answer is correct
DK/REF

LSCC19

[IF LSCC18=2 OR LSCC18=3] Please answer this question again.
What is your current age?
AGE:
DK/REF

[RANGE: 1 - 110]

LSCC19a [IF LSCC19 < 12] Since you have indicated that you are [LSCC19]
years old, we cannot interview you for this study. Please tell your
interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
LSCC20

[IF LSCC18 =1 OR LSCC18=3 OR LSCC17=6] Please answer this
question again. Think about the first time you used LSD. How old
were you the first time you used LSD?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC20 NOT(BLANK OR DK/REF) THEN AGE1STLS = LSCC20
UPDATE: IF LSCC19 NOT(BLANK OR DK/REF) THEN CURNTAGE = LSCC19
IF AGE1STLS =CURNTAGE OR AGE1STLS <10:

153

LSCC21

The computer recorded that you were [AGE1STLS] years old the first
time you used LSD. Is this correct?
4
Yes
6
No
DK/REF

LSCC22

[IF LSCC21 =6] Please answer this question again. Think about the
first time you used LSD. How old were you the first time you used
LSD?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC22 NOT(BLANK OR DK/REF) THEN AGE1STLS = LSCC22
IF AGE1STLS < AGE1STHA:
LSCC23 The answers for the last question and an earlier question disagree.
Which answer is correct?
1
I was [AGE1STHA] years old the first time I used [LSFILL]
2
I was [AGE1STLS] years old the first time I used LSD
3
Neither answer is correct
DK/REF
LSCC24

[IF LSCC23=2 OR LSCC23=3] Please answer this question again.
Think about the first time you used [LSFILL]. How old were you the
first time you used [LSFILL]?
AGE:
DK/REF

LSCC25

[RANGE: 1 - 110]

[IF LSCC23 = 1 OR LSCC23 = 3] Please answer this question again.
Think about the first time you used LSD. How old were you the first
time you used LSD?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC24 NOT(BLANK OR DK/REF) THEN AGE1STHA = LSCC24
UPDATE: IF LSCC25 NOT(BLANK OR DK/REF) THEN AGE1STLS = LSCC25
LS06 [IF AGE1STLS = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STLS = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you first use
LSD in [CURRENT YEAR - 1] or [CURRENT YEAR]?

154

1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LS07 [IF AGE1STLS = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you first
use LSD in [CURRENT YEAR - 2] OR [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LS08 [IF AGE1STLS = CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month
in [CURRENT YEAR] did you first use LSD?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LS08 > CURRENT MONTH] THE MONTH IN [CURRENT YEAR]
YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR, PRESS
THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. PLEASE
ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LS09 [IF LS06 = 1 OR 2 OR LS07 = 1 OR 2] In what month in [YEAR FROM LS06 or
LS07] did you first use LSD?
1
2
3
4
5
6
7
8
9

January
February
March
April
May
June
July
August
September

155

10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LS09 > CURRENT MONTH] THE MONTH IN [CURRENT YEAR]
YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR, PRESS
THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. PLEASE
ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STLS:
MYR1STLS = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (LS06-09). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STLS IS BLANK.
IF MYR1STLS NE 0 AND NE AGE1STLS:
LSCC60 The computer recorded that you first used LSD in [LS06-09 fill]. That
would make you [MYR1STLS] years old when you first used LSD. Is
this correct?
4
Yes
6
No
DK/REF
LSCC61

[IF LSCC60 = 4] Earlier, the computer recorded that you were
[AGE1STLS] years old when you first used LSD. Which answer is
correct?
1

I first used LSD in [LS06-09 fill] when I was [MYR1STLS]
years old
2
I was [AGE1STLS] years old the first time I used LSD
3
Neither answer is correct
DK/REF
UPDATE: IF LSCC61 = 1, THEN AGE1STLS = MYR1STLS.
LSCC62

[IF LSCC61=2 OR LSCC61=3 OR LSCC60=6] Please answer this
question again. Did you first use LSD in [CURRENT YEAR-2],
[CURRENT YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

LSCC62a [IF LSCC62 NE (BLANK OR DK/REF)] Please answer this question

156

again. In what month in [LSCC62] did you first use LSD?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LSCC62a > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR,
PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN.
PLEASE ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LSCC62a NE (0 OR DK/REF) THEN UPDATE MYR1STLS.
MYR1STLS = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (LSCC62 AND LSCC62a). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STLS IS BLANK. IF MYR1STLS =
AGE1STLS THEN MYR1STLS = BLANK
LSCC63

[IF LSCC61 NE 1 AND MYR1STLS NE 0 AND (LSCC62 AND
LSCC62a NE LS06-LS09)] The computer recorded that you first used
LSD in [LSCC62-LSCC62a fill]. That would make you [MYR1STLS]
years old when you first used LSD. Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF LSCC63 NE (6, BLANK OR DK/REF) AND (LSCC62 AND LSCC62a NE
LS06-LS09) THEN AGE1STLS = MYR1STLS
LS10 [IF (LS01a =1 OR LSREF1 = 1) AND (LS01b = 1 OR LSREF2=1 OR LS01c = 1 OR
LS01d = 1 OR LS01e = 1 OR LS01f = 1 OR LSREF3 = 1 OR LS01h = 1 OR LS01i=1
OR LS01j=1 OR LS01k=1] How long has it been since you last used LSD?
1
2
3

Within the past 30 days – that is, since [DATEFILL]
More than 30 days ago but within the past 12 months
More than 12 months ago

157

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE LSDREC
IF LS10 NE (BLANK OR DK/REF) THEN LSDREC = LS10
ELSE LSDREC = BLANK
IF LSDREC < HALLREC:
LSCC26 The computer recorded that you last used LSD [LSDREC FILL]. Is
this correct?
4
Yes
6
No
DK/REF
LSCC27

[IF LSCC26 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I last used [LSFILL] [HALLREC FILL]
2
I last used LSD [LSDREC FILL]
3
Neither answer is correct
DK/REF

LSCC28

[IF LSCC27 = 2 OR LSCC27 = 3] Please answer this question again.
How long has it been since you last used [LSFILL]?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR

LSCC29

[IF LSCC26 =6 OR LSCC27 = 1 OR LSCC27 = 3] Please answer this
question again. Think only about LSD. How long has it been since
you last used LSD?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR

UPDATE: IF LSCC28 NOT (BLANK OR DK/REF) THEN HALLREC = LSCC28
UPDATE: IF LSCC29 NOT (BLANK OR DK/REF) THEN LSDREC = LSCC29
DEFINE LSFILL2:
IF HALLREC = 1 OR 2, LSFILL2 = "[LSFILL]"

158

ELSE IF LSDREC = 1 OR 2, LSFILL2 = "LSD or any other hallucinogen"
LSFRAME4 [IF (HALLREC OR LSDREC = 1 OR 2) AND LSFRAME3 = BLANK] Now
think about the past 12 months, from [DATEFILL] through today. We want to
know how many days you’ve used [LSFILL2] during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
LSYRAV2

[IF LSFRAME4 = 3 OR DK/REF] On how many days in the past 12 months did
you use [LSFILL2]?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LSMONAV2 [IF LSFRAME4 = 2 OR LSYRAV2 = DK/REF] On average, how many days did
you use [LSFILL2] each month during the past 12 months?
AVERAGE # OF DAYS PER MONTH:
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSWKAV2

[IF LSFRAME4 = 1 OR LSMONAV2 = DK/REF] On average, how many days
did you use [LSFILL2] each week during the past 12 months?
AVERAGE # OF DAYS PER WEEK:
[RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LS30 [IF HALLREC = 1 OR LSDREC = 1 AND LS04 = BLANK] Think specifically about
the past 30 days, from [DATEFILL] up to and including today. During the past 30 days,
on how many days did you use [LSFILL2]?
NUMBER OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
LS30DKRE [IF LS30 = DK/REF] What is your best estimate of the number of days you used
[LSFILL2] during the past 30 days?
1

1 or 2 days

159

2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE ESTILS:
IF LS30DKRE = 1, THEN
IF LS30DKRE = 2, THEN
IF LS30DKRE = 3, THEN
IF LS30DKRE = 4, THEN
IF LS30DKRE = 5, THEN
IF LS30DKRE = 6, THEN
ELSE ESTILS = BLANK

ESTILS = 1
ESTILS = 3
ESTILS = 6
ESTILS = 10
ESTILS = 20
ESTILS = 30

DEFINE HAL30DAY
IF LS30DKRE = 1, THEN HAL30DAY = “1 or 2"
IF LS30DKRE = 2, THEN HAL30DAY = “3 to 5"
IF LS30DKRE = 3, THEN HAL30DAY = “6 to 9"
IF LS30DKRE = 4, THEN HAL30DAY = “10 to 19"
IF LS30DKRE = 5, THEN HAL30DAY = “20 to 29"
IF LS30DKRE = 6, THEN HAL30DAY = “all 30"
ELSE HAL30DAY = BLANK
DEFINE TOTHALL:
IF LSYRAV2 NOT (BLANK OR DK/REF) THEN TOTHALL = LSYRAV2
ELSE IF LSMONAV2 NOT (BLANK OR DK/REF) THEN TOTHALL =
LSMONAV2*12
ELSE IF LSWKAV2 NOT (BLANK OR DK/REF) THEN TOTHALL = LSWKAV2*52
ELSE TOTHALL = DK/REF
IF TOTHALL NOT DK/REF AND ((LS30 NE DK/REF OR BLANK AND LS30 >
TOTHALL) OR (LS30 = DK/REF AND ESTILS > TOTHALL)):
LSCC72a [IF LS30 > TOTHALL] For the last question, the computer recorded
that you used [LSFILL2] on [LS30] of the past 30 days. Is this
correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
LSCC72b [IF ESTILS > TOTHALL] For the last question, the computer

160

recorded that you used [LSFILL2] on [HAL30DAY] of the past 30
days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLHAL:
IF LSYRAV2 > 1, THEN FILLHAL = “[LSYRAV2] days”
ELSE IF LSYRAV2 = 1, THEN FILLHAL = “1 day”
ELSE IF LSMONAV2 > 1, THEN FILLHAL = “[LSMONAV2] days per month”
ELSE IF LSMONAV2 = 1, THEN FILLHAL = “1 day per month”
ELSE IF LSWKAV2 > 1, THEN FILLHAL = “[LSWKAV2] days per week”
ELSE IF LSWKAV2 = 1, THEN FILLHAL = “1 day per week”
DEFINE FILLHALA
IF FILLHAL = “[LSMONAV2] day(s) per month OR “[LSWKAV2] day(s) per week”
THEN FILLHALA = “for a total of TOTHALL days”
ELSE FILLHALA = BLANK
LSCC73

[IF LSCC72a = 4 OR LSCC72b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?
1

I used [LSFILL2] [FILLHAL] in the past 12 months
[FILLHALA]
2
I used [LSFILL2] [LS30 / HAL30DAY] days in the past 30
days
3
Neither answer is correct
DK/REF
LSCC74

[IF LSCC73 = 2 OR LSCC73 = 3] Please answer this question again.
Think about the past 12 months, from [DATEFILL] through today. We
want to know how many days you’ve used [LSFILL2] during the past
12 months.
What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

LSCC75

[IF LSCC74 = 3] On how many days in the past 12 months did you
use [LSFILL2]?

161

TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR
LSCC76

[IF LSCC74 = 2] On average, how many days did you use [LSFILL2]
each month during the past 12 months?
# OF DAYS/MONTH:
[RANGE: 1 - 31]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR

LSCC77

[IF LSCC74 = 1] On average, how many days did you use [LSFILL2]
each week during the past 12 months?
# OF DAYS PER WEEK:
[RANGE: 1 - 7]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR

IF LSCC75 NOT (BLANK OR DK/REF) THEN TOTHALL = LSCC75
ELSE IF LSCC76 NOT (BLANK OR DK/REF) THEN TOTHALL=LSCC76*12
ELSE IF LSCC77 NOT (BLANK OR DK/REF) THENTOTHALL=LSCC77*52
ELSE TOTHALL = DK/REF
LSCC78a [IF LSCC72a = 6 OR ((LSCC73 = 1 OR LSCC73 = 3) AND LSCC72a
NE BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. During the past 30 days, on how many days did you
use [LSFILL2]?
# OF DAYS:
[RANGE: 0 - 30]
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
LSCC78b [IF LSCC72b = 6 OR ((LSCC73 = 1 OR LSCC73 = 3) AND LSCC72b
NE BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. What is your best estimate of the number of days you
used [LSFILL2] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
IF LS30 = 0:
LSCC79

The computer recorded that you used [LSFILL2] on 0 days during the

162

past 30 days. Is this correct?
4
Yes
6
No
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
LSCC80

[IF LSCC79 = 6] Please answer this question again. During the past
30 days, that is, since [DATEFILL], on how many days did you use
[LSFILL2]?
# OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

LS11 [IF (LS01b = 1 OR LSREF2 =1) AND (LS01a = 1 OR LSREF1 = 1 OR LS01c = 1 OR
LS01d = 1 OR LS01e = 1 OR LSREF3 = 1 OR LS01f = 1 OR LS01h = 1 OR LS01i=1
OR LS01j=1 OR LS01k=1)] Now think only about PCP. How old were you the first
time you used PCP?
AGE:
DK/REF

[RANGE: 1 - 110]

DEFINE AGE1STPC
IF LS11 NE (BLANK OR DK/REF) THEN AGE1STPC = LS11
ELSE AGE1STPC = BLANK
IF CURNTAGE < AGE1STPC:
LSCC30

The computer recorded that you were [AGE1STPC] years old when
you first used PCP. Is this correct?
4
Yes
6
No
DK/REF

LSCC31

[IF LSCC30 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I am currently [CURNTAGE] years old
2
I was [AGE1STPC] years old the first time I used PCP
3
Neither answer is correct
DK/REF

LSCC32

[IF LSCC31=2 OR LSCC31=3] Please answer this question again.
What is your current age?

163

AGE:
DK/REF

[RANGE: 1 - 110]

LSCC32a [IF LSCC32 < 12] Since you have indicated that you are [LSCC32]
years old, we cannot interview you for this study. Please tell your
interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
LSCC33

[IF LSCC30 =6 OR LSCC31=1 OR LSCC31=3] Please answer this
question again. Think about the first time you used PCP. How old
were you the first time you used PCP?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC33 NOT (BLANK OR DK/REF) THEN AGE1STPC = LSCC33
UPDATE: IF LSCC32 NOT (BLANK OR DK/REF) THEN CURNTAGE = LSCC32
IF AGE1STPC =CURNTAGE OR AGE1STPC <10:
LSCC34 The computer recorded that you were [AGE1STPC] years old the first
time you used PCP. Is this correct?
4
Yes
6
No
DK/REF
LSCC35

[IF LSCC34 =6] Please answer this question again. Think about the
first time you used PCP. How old were you the first time you used
PCP?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC35 NOT (BLANK OR DK/REF) THEN AGE1STPC = LSCC35
IF AGE1STPC < AGE1STHA:
LSCC36 The answers for the last question and an earlier question disagree.
Which answer is correct?
1
I was [AGE1STHA] years old the first time I used [LSFILL]
2
I was [AGE1STPC] years old the first time I used PCP
3
Neither answer is correct
DK/REF
LSCC37

[IF LSCC36 =2 OR LSCC36 =3] Please answer this question again.

164

Think about the first time you used [LSFILL]. How old were you the
first time you used [LSFILL]?
AGE:
DK/REF
LSCC38

[RANGE: 1 - 110]

[IF LSCC36 = 1 OR LSCC36 = 3] Please answer this question again.
Think about the first time you used PCP. How old were you the first
time you used PCP?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC37 NOT (BLANK OR DK/REF) THEN AGE1STHA = LSCC37
UPDATE: IF LSCC38 NOT (BLANK OR DK/REF) THEN AGE1STPC = LSCC38
LS12 [IF LSCC34 NE DK/RE AND LSCC35 NE DK/REF AND AGE1STPC = CURNTAGE
AND DATE OF INTERVIEW < DOB OR IF AGE1STPC = CURNTAGE - 1 AND
DATE OF INTERVIEW ≥ DOB] Did you first use PCP in [CURRENT YEAR - 1] or
[CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LS13 [IF AGE1STPC = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you first
use PCP in [CURRENT YEAR - 2] OR [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LS14 [IF LSCC34 NE DK/RE AND LSCC35 NE DK/REF AND AGE1STPC = CURNTAGE
AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you
first use PCP?
1
2
3
4
5
6
7
8
9

January
February
March
April
May
June
July
August
September

165

10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LS14 > CURRENT MONTH] THE MONTH IN [CURRENT YEAR]
YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR, PRESS
THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. PLEASE
ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LS15 [IF LS12 = 1 OR 2 OR LS13 = 1 OR 2] In what month in [YEAR FROM LS12 or
LS13] did you first use PCP?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LS15 > CURRENT MONTH] THE MONTH IN [CURRENT YEAR]
YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR, PRESS
THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. PLEASE
ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STPC:
MYR1STPC = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (LS12-15). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STPC IS BLANK.
IF MYR1STPC NE 0 AND NE AGE1STPC:
LSCC64 The computer recorded that you first used PCP in [LS12-15 fill]. That
would make you [MYR1STPC] years old when you first used PCP. Is
this correct?
4
Yes
6
No
DK/REF

166

LSCC65

[IF LSCC64 = 4] Earlier, the computer recorded that you were
[AGE1STPC] years old when you first used PCP. Which answer is
correct?
1

I first used PCP in [LS12-15 fill] when I was [MYR1STPC]
years old
2
I was [AGE1STPC] years old the first time I used PCP
3
Neither answer is correct
DK/REF
UPDATE: IF LSCC65 = 1, THEN AGE1STPC = MYR1STPC
LSCC66

[IF LSCC65=2 OR LSCC65=3 OR LSCC64=6] Please answer this
question again. Did you first use PCP in [CURRENT YEAR-2],
[CURRENT YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

LSCC66a [IF LSCC66 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [LSCC66] did you first use PCP?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LSCC66a > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR,
PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN.
PLEASE ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE
UPDATE: IF LSCC66a NE (0 OR DK/REF) THEN UPDATE MYR1STPC.
MYR1STPC = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (LSCC66 AND LSCC66a). IF MONTH

167

OF FIRST USE = MONTH OF BIRTH, THEN MYR1STPC IS BLANK. IF MYR1STPC =
AGE1STPC THEN MYR1STPC = BLANK
LSCC67

[IF LSCC65 NE 1 AND MYR1STPC NE 0 AND (LSCC66 AND
LSCC66 NE LS12-LS15)] The computer recorded that you first used
PCP in [LSCC66-LSCC66a fill]. That would make you [MYR1STPC]
years old when you first used PCP. Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF LSCC67 NE (6, BLANK OR DK/REF) AND (LSCC66 AND LSCC66 NE LS12LS15) THEN AGE1STPC = MYR1STPC
LS16 [IF (LS01b = 1 OR LSREF2 = 1) AND (LS01a = 1 OR LSREF1 = 1 OR LS01c = 1 OR
LS01d = 1 OR LS01e = 1 OR LS01f = 1 OR LSREF3 = 1 OR LS01h = 1 OR LS01i=1
OR LS01j=1 OR LS01k=1)] How long has it been since you last used PCP?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE PCPREC:
IF LS16 NE (BLANK OR DK/REF) THEN PCPREC = LS16
ELSE PCPREC = BLANK
IF PCPREC < HALLREC:
LSCC39 The computer recorded that you last used PCP [PCPREC FILL]. Is
this correct?
4
Yes
6
No
DK/REF
LSCC40

[IF LSCC39 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I last used [LSFILL] [HALLREC FILL]
2
I last used PCP [PCPREC FILL]
3
Neither answer is correct
DK/REF

LSCC41

[IF LSCC40 = 2 OR LSCC40 = 3] Please answer this question again.

168

How long has it been since you last used [LSFILL]?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR
LSCC42

[IF LSCC39 =6 OR LSCC40 = 1 OR LSCC40 = 3] Please answer this
question again. Think only about PCP. How long has it been since
you last used PCP?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR

UPDATE: IF LSCC41 NOT (BLANK OR DK/REF), THEN HALLREC = LSCC41
UPDATE: IF LSCC42 NOT (BLANK OR DK/REF), THEN PCPREC = LSCC42
DEFINE LSFILL3:
IF HALLREC = 1 OR 2 OR LSDREC = 1 OR 2, LSFILL3 = "[LSFILL]"
ELSE IF PCPREC = 1 OR 2, LSFILL3 = "PCP or any other hallucinogen"
LSFRAME5 [IF (HALLREC OR PCPREC = 1 OR 2) AND LSFRAME3 = BLANK AND
LSFRAME4 = BLANK] Now think about the past 12 months, from
[DATEFILL] through today. We want to know how many days you’ve used
[LSFILL3] during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
LSYRAV3

[IF LSFRAME5 = 3 OR DK/REF] On how many days in the past 12 months did
you use [LSFILL3]?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LSMONAV3 [IF LSFRAME5 = 2 OR LSYRAV3 = DK/REF] On average, how many days did
you use [LSFILL3] each month during the past 12 months?

169

AVERAGE # OF DAYS PER MONTH:
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSWKAV3

[IF LSFRAME5 = 1 OR LSMONAV3 = DK/REF] On average, how many days
did you use [LSFILL3] each week during the past 12 months?
AVERAGE # OF DAYS PER WEEK:
[RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LS31 [IF HALLREC = 1 OR PCPREC = 1 AND LS04 = BLANK AND LS30 = BLANK]
Think specifically about the past 30 days, from [DATEFILL] up to and including today.
During the past 30 days, on how many days did you use [LSFILL3]?
NUMBER OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
LS31DKRE [IF LS31 = DK/REF] What is your best estimate of the number of days you used
[LSFILL3] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE ESTILS:
IF LS31DKRE = 1, THEN
IF LS31DKRE = 2, THEN
IF LS31DKRE = 3, THEN
IF LS31DKRE = 4, THEN
IF LS31DKRE = 5, THEN
IF LS31DKRE = 6, THEN
ELSE ESTILS = BLANK
DEFINE HAL30DAY
IF LS31DKRE = 1, THEN
IF LS31DKRE = 2, THEN
IF LS31DKRE = 3, THEN
IF LS31DKRE = 4, THEN
IF LS31DKRE = 5, THEN

ESTILS = 1
ESTILS = 3
ESTILS = 6
ESTILS = 10
ESTILS = 20
ESTILS = 30

HAL30DAY = “1 or 2"
HAL30DAY = “3 to 5"
HAL30DAY = “6 to 9"
HAL30DAY = “10 to 19"
HAL30DAY = “20 to 29"

170

IF LS31DKRE = 6, THEN HAL30DAY = “all 30"
ELSE HAL30DAY = BLANK
DEFINE TOTHALL:
IF LSYRAV3 NOT (BLANK OR DK/REF) THEN TOTHALL = LSYRAV3
ELSE IF LSMONAV3 NOT (BLANK OR DK/REF) THEN TOTHALL =
LSMONAV3*12
ELSE IF LSWKAV3 NOT (BLANK OR DK/REF) THEN TOTHALL = LSWKAV3*52
ELSE TOTHALL = DK/REF
IF TOTHALL NOT DK/REF AND ((LS31 NE DK/REF OR BLANK AND LS31 >
TOTHALL) OR (LS31 = DK/REF AND ESTILS > TOTHALL)):
LSCC81a [IF LS31 > TOTHALL] For the last question, the computer recorded
that you used [LSFILL3] on [LS31] of the past 30 days. Is this
correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
LSCC81b [IF ESTILS > TOTHALL] For the last question, the computer
recorded that you used [LSFILL3] on [HAL30DAY] of the past 30
days. Is this correct?
4
Yes6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLHAL:
IF LSYRAV3 > 1, THEN FILLHAL = “[LSYRAV3] days”
ELSE IF LSYRAV3 = 1, THEN FILLHAL = “1 day”
ELSE IF LSMONAV3 > 1, THEN FILLHAL = “[LSMONAV3] days per month”
ELSE IF LSMONAV3 = 1, THEN FILLHAL = “1 day per month”
ELSE IF LSWKAV3 > 1, THEN FILLHAL = “[LSWKAV3] days per week”
ELSE IF LSWKAV3 = 1, THEN FILLHAL = “1 day per week”
DEFINE FILLHALA
IF FILLHAL = “[LSMONAV3] day(s) per month OR “[LSWKAV3] day(s) per week”
THEN FILLHALA = “for a total of TOTHALL days”
ELSE FILLHALA = BLANK
LSCC82

[IF LSCC81a = 4 OR LSCC81b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?

171

1

I used [LSFILL3] [FILLHAL] in the past 12 months
[FILLHALA]
2
I used [LSFILL3] [LS31 / HAL30DAY] days in the past 30
days
3
Neither answer is correct
DK/REF
LSCC83

[IF LSCC82 = 2 OR LSCC82 = 3] Please answer this question again.
Think about the past 12 months, from [DATEFILL] through today. We
want to know how many days you’ve used [LSFILL3] during the past
12 months.
What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

LSCC84

[IF LSC83 = 3] On how many days in the past 12 months did you use
[LSFILL3]?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR

LSCC85

[IF LSCC83 = 2] On average, how many days did you use [LSFILL3]
each month during the past 12 months?
# OF DAYS/MONTH:
[RANGE: 1 - 31]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR

LSCC86

[IF LSCC83 = 1] On average, how many days did you use [LSFILL3]
each week during the past 12 months?
# OF DAYS PER WEEK:
[RANGE: 1 - 7]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR

IF LSCC84 NOT(BLANK OR DK/REF) THEN TOTHALL = LSCC84
ELSE IF LSCC85 NOT(BLANK OR DK/REF) THEN TOTHALL=LSCC85*12
ELSE IF LSCC86 NOT(BLANK OR DK/REF) THEN TOTHALL=LSCC86*52
ELSE TOTHALL = DK/REF
LSCC87a [IF LSCC81a = 6 OR ((LSCC82 = 1 OR LSCC82 = 3) AND LSCC81a
NE BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and

172

including today. During the past 30 days, on how many days did you
use [LSFILL3]?
# OF DAYS:
[RANGE: 0 - 30]
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
LSCC87b [IF LSCC81b = 6 OR ((LSCC82 = 1 OR LSCC82 = 3) AND LSCC81b
NE BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. What is your best estimate of the number of days you
used [LSFILL3] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
IF LS31 = 0:
LSCC88

The computer recorded that you used [LSFILL3] on 0 days during the
past 30 days. Is this correct?
4
Yes
6
No
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR

LSCC89

[IF LSCC88 = 6] Please answer this question again. During the past
30 days, that is, since [DATEFILL], on how many days did you use
[LSFILL3]?
# OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

LS17 [IF (LS01f = 1 OR LSREF3 =1) AND (LS01a = 1 OR LSREF1 = 1 OR LS01b = 1 OR
LSREF2 = 1 OR LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR LS01h = 1 OR LS01i=1
OR LS01j=1 OR LK01k=1)] Now think only about ‘Ecstasy’ or ‘Molly’. How old were
you the first time you used ‘Ecstasy’ or ‘Molly’, also known as MDMA?
AGE:
DK/REF

[RANGE: 1 - 110]

DEFINE AGE1STEC
IF LS17 NE (BLANK OR DK/REF) THEN AGE1STEC = LS17

173

ELSE AGE1STEC = BLANK
IF CURNTAGE < AGE1STEC:
LSCC43 The computer recorded that you were [AGE1STEC] years old when
you first used ‘Ecstasy’ or ‘Molly’. Is this correct?
4
Yes
6
No
DK/REF
LSCC44

[IF LSCC43 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [AGE1STEC] years old the first time I used ‘Ecstasy’ or
‘Molly’
3
Neither answer is correct
DK/REF
LSCC45

[IF LSCC44=2 OR LSCC44=3] Please answer this question again.
What is your current age?
AGE:
DK/REF

[RANGE: 1 - 110]

LSCC45a [IF LSCC45 < 12] Since you have indicated that you are [LSCC45]
years old, we cannot interview you for this study. Please tell your
interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
LSCC46

[IF LSCC43 =6 OR LSCC44=1 OR LSCC44=3] Please answer this
question again. Think about the first time you used ‘Ecstasy’ or
‘Molly’. How old were you the first time you used ‘Ecstasy’ or
‘Molly’, also known as MDMA?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC46 NOT(BLANK OR DK/REF) THEN AGE1STEC = LSCC46
UPDATE: IF LSCC45 NOT(BLANK OR DK/REF) THEN CURNTAGE = LSCC45
IF AGE1STEC =CURNTAGE OR AGE1STEC <10:
LSCC47 The computer recorded that you were [AGE1STEC] years old the first
time you used ‘Ecstasy’ or ‘Molly’. Is this correct?

174

4
Yes
6
No
DK/REF
LSCC48

[IF LSCC47 =6] Please answer this question again. Think about the
first time you used ‘Ecstasy’ or ‘Molly’. How old were you the first
time you used ‘Ecstasy’ or ‘Molly’, also known as MDMA?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC48 NOT(BLANK OR DK/REF) THEN AGE1STEC = LSCC48
IF AGE1STEC < AGE1STHA:
LSCC49 The answers for the last question and an earlier question disagree.
Which answer is correct?
1
2

I was [AGE1STHA] years old the first time I used [LSFILL]
I was [AGE1STEC] years old the first time I used ‘Ecstasy’ or
‘Molly’
3
Neither answer is correct
DK/REF
LSCC50

[IF LSCC49 =2 OR LSCC49 =3] Please answer this question again.
Think about the first time you used [LSFILL]. How old were you the
first time you used [LSFILL]?
AGE:
DK/REF

LSCC51

[RANGE: 1 - 110]

[IF LSCC49 = 1 OR LSCC49 = 3] Please answer this question again.
Think about the first time you used ‘Ecstasy’ or ‘Molly’. How old
were you the first time you used ‘Ecstasy’ or ‘Molly’, also known as
MDMA?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF LSCC50 NOT(BLANK OR DK/REF) THEN AGE1STHA = LSCC50
UPDATE: IF LSCC51 NOT (BLANK OR DK/REF) THEN AGE1STEC = LSCC51
LS18 [IF LSCC47 NE DK/RE AND LSCC48 NE DK/REF AND AGE1STEC = CURNTAGE
AND DATE OF INTERVIEW < DOB OR IF AGE1STEC = CURNTAGE - 1 AND
DATE OF INTERVIEW ≥ DOB] Did you first use ‘Ecstasy’ or ‘Molly’ in [CURRENT
YEAR - 1] or [CURRENT YEAR]?

175

1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LS19 [IF AGE1STEC = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you first
use ‘Ecstasy’ or ‘Molly’ in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LS20 [IF LSCC47 NE DK/RE AND LSCC48 NE DK/REF AND AGE1STEC = CURNTAGE
AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you
first use ‘Ecstasy’ or ‘Molly’?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LS20 > CURRENT MONTH] THE MONTH IN [CURRENT YEAR]
YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR, PRESS
THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. PLEASE
ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LS21 [IF LS18 = 1 OR 2 OR LS19 = 1 OR 2] In what month in [YEAR FROM LS18 or
LS19] did you first use ‘Ecstasy’ or ‘Molly’?
1
2
3
4
5
6
7
8

January
February
March
April
May
June
July
August

176

9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LS21 > CURRENT MONTH] THE MONTH IN [CURRENT YEAR]
YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR, PRESS
THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN. PLEASE
ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STEC:
MYR1STEC = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (LS12-15). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STEC IS BLANK.
IF MYR1STEC NE 0 AND NE AGE1STEC:
LSCC68 The computer recorded that you first used ‘Ecstasy’ or ‘Molly’ in
[LS18-21 fill]. That would make you [MYR1STEC] years old when
you first used ‘Ecstasy’ or ‘Molly’. Is this correct?
4
Yes
6
No
DK/REF
LSCC69

[IF LSCC68 = 4] Earlier, the computer recorded that you were
[AGE1STEC] years old when you first used ‘Ecstasy’ or ‘Molly’.
Which answer is correct?
1

I first used ‘Ecstasy’ or ‘Molly’ in [LS18-21 fill] when I was
[MYR1STEC] years old
2
I was [AGE1STEC] years old the first time I used ‘Ecstasy’ or
‘Molly’
3
Neither answer is correct
DK/REF
UPDATE: IF LSCC69 = 1, THEN AGE1STEC = MYR1STEC.
LSCC70

[IF LSCC69=2 OR LSCC69=3 OR LSCC68=6] Please answer this
question again. Did you first use ‘Ecstasy’ or ‘Molly’ in [CURRENT
YEAR-2], [CURRENT YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

177

LSCC70a [IF LSCC70 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [LSCC70] did you first use ‘Ecstasy’ or
‘Molly’?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LSCC70a > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX DISAPPEAR,
PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE QUESTION AGAIN.
PLEASE ANSWER THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LSCC70a NE (0 OR DK/REF) THEN UPDATE MYR1STEC.
MYR1STDC = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (LSCC70 AND LSCC70a). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STEC IS BLANK. IF MYR1STEC =
AGE1STEC THEN MYR1STEC = BLANK
LSCC71

[IF LSCC69 NE 1 AND MYR1STEC NE 0 AND (LSCC70 AND
LSCC70a NE LS18-LS21)] The computer recorded that you first used
‘Ecstasy’ or ‘Molly’ in [LSCC70-LSCC70a fill]. That would make
you [MYR1STEC] years old when you first used ‘Ecstasy’ or ‘Molly’.
Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF LSCC71 NE (6, BLANK OR DK/REF) AND (LSCC70 AND LSCC70a NE
LS18-LS21) THEN AGE1STEC = MYR1STEC
LS22 [IF (LS01f = 1 OR LSREF3 = 1) AND (LS01a = 1 OR LSREF1 = 1 OR LS01b = 1 OR
LSREF2 = 1 OR LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR LS01h = 1 OR LS01i=1
OR LS01j=1 OR LS01k=1)] How long has it been since you last used ‘Ecstasy’ or

178

‘Molly’, also known as MDMA?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DEFINE ECSTREC:
IF LS22 NE (BLANK OR DK/REF) THEN ECSTREC = LS22
ELSE ECSTREC = BLANK
IF ECSTREC < HALLREC:
LSCC52 The computer recorded that you last used ‘Ecstasy’ or ‘Molly’
[ECSTREC FILL]. Is this correct?
4
Yes
6
No
DK/REF
LSCC53

[IF LSCC52 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I last used [LSFILL] [HALLREC FILL]
2
I last used ‘Ecstasy’ or ‘Molly’ [ECSTREC FILL]
3
Neither answer is correct
DK/REF

LSCC54

[IF LSCC53 = 2 OR LSCC53 = 3] Please answer this question again.
How long has it been since you last used [LSFILL]?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LSCC55

[IF LSCC52 =6 OR LSCC54 = 1 OR LSCC54 = 3] Please answer this
question again. Think only about ‘Ecstasy’ or ‘Molly’. How long has
it been since you last used ‘Ecstasy’ or ‘Molly’, also known as
MDMA?
1
2
3

Within the past 30 days – that is, since [DATEFILL]
More than 30 days ago but within the past 12 months
More than 12 months ago

179

DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR
UPDATE: IF LSCC54 NOT (BLANK OR DK/REF), THEN HALLREC = LSCC54
UPDATE: IF LSCC55 NOT (BLANK OR DK/REF), THEN ECSTREC = LSCC55
DEFINE LSFILL4:
IF HALLREC OR LSDREC OR PCPREC = 1 OR 2, LSFILL4 = "[LSFILL]"
ELSE IF ECSTREC = 1 OR 2, LSFILL4 = "’Ecstasy’ or ‘Molly’’’ or any other
hallucinogen"
LSFRAME6 [IF (HALLREC OR ECSTREC = 1 OR 2) AND LSFRAME3 = BLANK AND
LSFRAME4 = BLANK AND LSFRAME5 = BLANK] Now think about the past
12 months, from [DATEFILL] through today. We want to know how many days
you’ve used [LSFILL4] during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
LSYRAV4

[IF LSFRAME6 = 3 OR DK/REF] On how many days in the past 12 months did
you use [LSFILL4]?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LSMONAV4 [IF LSFRAME6 = 2 OR LSYRAV4 = DK/REF] On average, how many days did
you use [LSFILL4] each month during the past 12 months?
AVERAGE # OF DAYS PER MONTH:
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSWKAV4

[IF LSFRAME6 = 1 OR LSMONAV4 = DK/REF] On average, how many days
did you use [LSFILL4] each week during the past 12 months?
AVERAGE # OF DAYS PER WEEK:
[RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LS32 [IF HALLREC = 1 OR ECSTREC = 1 AND LS04 = BLANK AND LS30 = BLANK
AND LS31 = BLANK] Think specifically about the past 30 days, from [DATEFILL] up

180

to and including today. During the past 30 days, on how many days did you use
[LSFILL4]?
NUMBER OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
LS32DKRE [IF LS32 = DK/REF] What is your best estimate of the number of days you used
[LSFILL4] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE ESTILS:
IF LS32DKRE = 1, THEN
IF LS32DKRE = 2, THEN
IF LS32DKRE = 3, THEN
IF LS32DKRE = 4, THEN
IF LS32DKRE = 5, THEN
IF LS32DKRE = 6, THEN
ELSE ESTILS = BLANK

ESTILS = 1
ESTILS = 3
ESTILS = 6
ESTILS = 10
ESTILS = 20
ESTILS = 30

DEFINE HAL30DAY
IF LS32DKRE = 1, THEN HAL30DAY = “1 or 2"
IF LS32DKRE = 2, THEN HAL30DAY = “3 to 5"
IF LS32DKRE = 3, THEN HAL30DAY = “6 to 9"
IF LS32DKRE = 4, THEN HAL30DAY = “10 to 19"
IF LS32DKRE = 5, THEN HAL30DAY = “20 to 29"
IF LS32DKRE = 6, THEN HAL30DAY = “all 30"
ELSE HAL30DAY = BLANK
DEFINE TOTHALL:
IF LSYRAV4 NOT(BLANK OR DK/REF) THEN TOTHALL = LSYRAV4
ELSE IF LSMONAV4 NOT(BLANK OR DK/REF) THEN TOTHALL =
LSMONAV4*12
ELSE IF LSWKAV4 NOT(BLANK OR DK/REF) THEN TOTHALL = LSWKAV4*52
ELSE TOTHALL = DK/REF
IF TOTHALL NOT DK/REF AND ((LS32 NE DK/REF OR BLANK AND LS32 >
TOTHALL) OR (LS32 = DK/REF AND ESTILS > TOTHALL)):

181

LSCC90a [IF LS32 > TOTHALL] For the last question, the computer recorded
that you used [LSFILL4] on [LS32] of the past 30 days. Is this
correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
LSCC90b [IF ESTILS > TOTHALL] For the last question, the computer
recorded that you used [LSFILL4] on [HAL30DAY] of the past 30
days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLHAL:
IF LSYRAV4 > 1, THEN FILLHAL = “[LSYRAV4] days”
ELSE IF LSYRAV4 = 1, THEN FILLHAL = “1 day”
ELSE IF LSMONAV4 > 1, THEN FILLHAL = “[LSMONAV4] days per month”
ELSE IF LSMONAV4 = 1, THEN FILLHAL = “1 day per month”
ELSE IF LSWKAV4 > 1, THEN FILLHAL = “[LSWKAV4] days per week”
ELSE IF LSWKAV4 = 1, THEN FILLHAL = “1 day per week”
DEFINE FILLHALA
IF FILLHAL = “[LSMONAV4] day(s) per month OR “[LSWKAV4] day(s) per week”
THEN FILLHALA = “for a total of TOTHALL days”
ELSE FILLHALA = BLANK
LSCC91

[IF LSCC90a = 4 OR LSCC90b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?
1

I used [LSFILL4] [FILLHAL] in the past 12 months
[FILLHALA]
2
I used [LSFILL4] [LS32 / HAL30DAY] days in the past 30
days
3
Neither answer is correct
DK/REF
LSCC92

[IF LSCC91 = 2 OR LSCC91 = 3] Please answer this question again.
Think about the past 12 months, from [DATEFILL] through today. We
want to know how many days you’ve used [LSFILL4] during the past
12 months.

182

What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
LSCC93

[IF LSCC92 = 3] On how many days in the past 12 months did you
use [LSFILL4]?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
PROGRAMMER: SHOW 12 MONTH CALENDAR

DK/REF
LSCC94

[IF LSCC92 = 2] On average, how many days did you use [LSFILL4]
each month during the past 12 months?

# OF DAYS/MONTH:
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSCC95

[IF LSCC92 = 1] On average, how many days did you use [LSFILL4]
each week during the past 12 months?

# OF DAYS PER WEEK:
[RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
IF LSCC93 NOT(BLANK OR DK/REF) THEN TOTHALL = LSCC93
ELSE IF LSCC94 NOT(BLANK OR DK/REF) THEN TOTHALL=LSCC94*12
ELSE IF LSCC95 NOT(BLANK OR DK/REF) THENTOTHALL=LSCC95*52
ELSE TOTHALL = DK/REF
LSCC96a [IF LSCC90a = 6 OR ((LSCC91 = 1 OR LSCC91 = 3) AND LSCC90a
NE BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. During the past 30 days, on how many days did you
use [LSFILL4]?
# OF DAYS:
[RANGE: 0 - 30]
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
LSCC96b [IF LSCC90b = 6 OR ((LSCC91 = 1 OR LSCC91 = 3) AND LSCC90b
NE BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and

183

including today. What is your best estimate of the number of days you
used [LSFILL4] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
IF LS32 = 0:
LSCC97

The computer recorded that you used [LSFILL4] on 0 days during the
past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

LSCC98

[IF LSCC97 = 6] Please answer this question again. During the past
30 days, that is, since [DATEFILL], on how many days did you use
[LSFILL4]?
# OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

LSPCP
[IF PCP USED AND ANY OTHER HALLUCINOGIN IN GRID USED] How
long has it been since you last used PCP?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE PCPREC:
IF LSPCP NE (BLANK OR DK/REF) THEN PCPREC = LSPCP
ELSE PCPREC = BLANK
IF PCPREC < HALLREC:
LSCCaa The computer recorded that you last used PCP [PCPREC FILL]. Is
this correct?
4

Yes

184

6
No
DK/REF
LSCCbb

[IF LSCCaa = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I last used [LSFILL] [HALLREC FILL]
2
I last used PCP [PCPREC FILL]
3
Neither answer is correct
DK/REF

LSCCcc

[IF LSCCbb = 2 OR LSCCbb = 3] Please answer this question again.
How long has it been since you last used [LSFILL]?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

LSCCdd

[IF LSCCaa =6 OR LSCCbb = 1 OR LSCC100 = 3] Please answer
this question again. Think only about PCP. How long has it been
since you last used PCP?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

UPDATE: IF LSCCcc NOT (BLANK OR DK/REF), THEN HALLREC = LSCCcc
UPDATE: IF LSCCdd NOT (BLANK OR DK/REF), THEN PCPREC = LSCCdd
LS33 [IF (LS01i =1) AND (LS01a=1 OR LSREF1=1) OR (LS01b = 1 OR LSREF2=1) OR
LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR (LS01f = 1 OR LSREF3 = 1) OR LS01h =
1 OR LS01j=1 OR LS01k=1] How long has it been since you last used Ketamine?

1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE KETREC:

185

IF LS33 NE (BLANK OR DK/REF) THEN KETREC = LS33
ELSE KETREC = BLANK
IF KETREC < HALLREC:
LSCC99 The computer recorded that you last used Ketamine [KETREC FILL].
Is this correct?
4
Yes
6
No
DK/REF
LSCC100 [IF LSCC99 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I last used [LSFILL] [HALLREC FILL]
2
I last used Ketamine [KETREC FILL]
3
Neither answer is correct
DK/REF
LSCC101 [IF LSCC100 = 2 OR LSCC100 = 3] Please answer this question
again. How long has it been since you last used [LSFILL]?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSCC102 [IF LSCC99 =6 OR LSCC100 = 1 OR LSCC100 = 3] Please answer
this question again. Think only about Ketamine. How long has it been
since you last used Ketamine?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
UPDATE: IF LSCC101 NOT (BLANK OR DK/REF), THEN HALLREC = LSCC101
UPDATE: IF LSCC102 NOT (BLANK OR DK/REF), THEN KETREC = LSCC102

LS34 [IF (LS01j =1) AND (LS01a=1 OR LSREF1=1) OR (LS01b = 1 OR LSREF2=1) OR
LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR (LS01f = 1 OR LSREF3 = 1) OR LS01h =
1 OR LS01i=1 OR LS01k=1] How long has it been since you last used DMT, AMT, or

186

Foxy?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE DMTREC:
IF LS34 NE (BLANK OR DK/REF) THEN DMTREC = LS34
ELSE DMTREC = BLANK
IF DMTREC < HALLREC:
LSCC103 The computer recorded that you last used DMT, AMT or Foxy
[DMTREC FILL]. Is this correct?
4
Yes
6
No
DK/REF
LSCC104 [IF LSCC103 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I last used [LSFILL] [HALLREC FILL]
2
I last used DMT, AMT or Foxy [DMTREC FILL]
3
Neither answer is correct
DK/REF
LSCC105 [IF LSCC104 = 2 OR LSCC104 = 3] Please answer this question
again. How long has it been since you last used [LSFILL]?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
LSCC106 [IF LSCC103 =6 OR LSCC105 = 1 OR LSCC105 = 3] Please answer
this question again. Think only about DMT, AMT, or Foxy. How long
has it been since you last used DMT, AMT, or Foxy?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

187

UPDATE: IF LSCC105 NOT (BLANK OR DK/REF), THEN HALLREC = LSCC105
UPDATE: IF LSCC106 NOT (BLANK OR DK/REF), THEN DMTREC = LSCC106

LS35 [IF (LS01k =1) AND (LS01a=1 OR LSREF1=1) OR (LS01b = 1 OR LSREF2=1) OR
LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR (LS01f = 1 OR LSREF3 = 1) OR LS01h =
1 OR LS01i=1 OR LS01j=1]How long has it been since you last used Salvia divinorum?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE SLVREC:
IF LS35 NE (BLANK OR DK/REF) THEN SLVREC = LS35
ELSE SLVREC = BLANK
IF SLVREC < HALLREC:
LSCC107 The computer recorded that you last used Salvia divinorum [SLVREC
FILL]. Is this correct?
4
Yes
6
No
DK/REF
LSCC108 [IF LSCC107 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I last used [LSFILL] [HALLREC FILL]
2
I last used Salvia divinorum [SLVREC FILL]
3
Neither answer is correct
DK/REF
LSCC109 [IF LSCC108 = 2 OR LSCC108 = 3] Please answer this question
again. How long has it been since you last used [LSFILL]?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

188

LSCC110 [IF LSCC107 =6 OR LSCC109 = 1 OR LSCC109 = 3] Please answer
this question again. Think only about Salvia divinorum. How long
has it been since you last used Salvia divinorum?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
UPDATE: IF LSCC109 NOT (BLANK OR DK/REF), THEN HALLREC = LSCC109
UPDATE: IF LSCC110 NOT (BLANK OR DK/REF), THEN SLVREC = LSCC110

189

190

Cocaine
COCINTRO These questions are about cocaine, including all the different forms of cocaine
such as powder, “‘crack”’ free base, and coca paste.
Press [ENTER] to continue.
CC01 [PROGRAMMER, SHOW IN GRAY FONT: These questions are about cocaine,
including all the different forms of cocaine such as powder, “‘crack”’ free base, and coca
paste.]
Have you ever, even once, used any form of cocaine?
1
Yes
2
No
DK/REF
CCREF

[IF CC01 = REF] The answers that people give us about their use of cocaine are
important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, used
any form of cocaine?
1
Yes
2
No
DK/REF

CC02 [IF CC01 =1 OR CCREF = 1] How old were you the first time you used any form of
cocaine, in any form?
years old [RANGE: 1 - 110]
DK/REF
[“any form of cocaine” will be used instead of “cocaine, in any form” throughout the
questionnaire.]
DEFINE AGE1STCC:
IF CC02 NE (BLANK OR DK/REF) THEN AGE1STCC = CC02
ELSE AGE1STCC = BLANK
IF CURNTAGE < AGE1STCC:
CCCC01 The computer recorded that you were [AGE1STCC] years old when
you first used any form of cocaine. Is this correct?
4
6

Yes
No

191

DK/REF
CCCC02 [IF CCCC01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [AGE1STCC] years old the first time I used any form of
cocaine
3
Neither answer is correct
DK/REF
CCCC03 [IF CCCC02=2 OR CCCC02=3] Please answer this question again.
What is your current age?
years old [RANGE: 1 - 110]
DK/REF
CCCC03a [IF CCCC03 < 12] Since you have indicated that you are [CCCC03
AGE] years old, we cannot interview you for this study. Please tell
your interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
CCCC04 [IF CCCC02=1 OR CCCC02=3 OR CCCC01=6] Please answer this
question again. Think about the first time you used cocaine. How old
were you the first time you used any form of cocaine in any form?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CCCC04 NOT(BLANK OR DK/REF) THEN AGE1STCC = CCCC04
UPDATE: IF CCCC03 NOT(BLANK OR DK/REF) THEN CURNTAGE = CCCC03
IF AGE1STCC=CURNTAGE OR AGE1STCC < 10:
CCCC05 The computer recorded that you were [AGE1STCC] years old the first
time you used any form of cocaine. Is this correct?
4
Yes
6
No
DK/REF
CCCC06 [IF CCCC05=6] Please answer this question again. Think about the
first time you used cocaine. How old were you the first time you used
any form of cocaine in any form?
years old [RANGE: 1 - 110]

192

DK/REF
UPDATE: IF CCCC06 NOT (BLANK OR DK/REF) THEN AGE1STCC = CCCC06
CC03a [IF CCCC05 NE DK/RE AND CCCC06 NE DK/REF AND AGE1STCC = CURNTAGE
AND DATE OF INTERVIEW < DOB OR IF AGE1STCC = CURNTAGE - 1 AND
DATE OF INTERVIEW ≥ DOB] Did you first use any form of cocaine in any form in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
CC03b

[IF AGE1STCC = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use any form of cocaine in any form in [CURRENT YEAR - 2] or
[CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

CC03c [IF CCCC05 NE DK/RE AND CCCC06 NE DK/REF AND AGE1STCC = CURNTAGE
AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you
first use any form of cocaine in any form?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CC03c > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
CC03d

[IF CC03a = 1 - 2 OR CC03b = 1 - 2] In what month in [YEAR FROM CC03a
or CC03b] did you first use any form of cocaine?

193

1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CC03d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STCC:
MYR1STCC = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (CC03a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STCC IS BLANK.
IF MYR1STCC NE 0 AND NE AGE1STCC:
CCCC17 The computer recorded that you first used any form of cocaine in any
form in [CC03a-d fill]. That would make you [MYR1STCC] years old
when you first used any form of cocaine in any form. Is this correct?
4
Yes
6
No
DK/REF
CCCC18 [IF CCCC17 = 4] Earlier, the computer recorded that you were
[AGE1STCC] years old when you first used any form of cocaine in
any form. Which answer is correct?
1

I first used any form of cocaine in any form in [CC03a-d fill]
when I was [MYR1STCC] years old
2
I was [AGE1STCC] years old the first time I used any form of
cocaine in any form.
3
Neither answer is correct
DK/REF
UPDATE: IF CCCC18 = 1, THEN AGE1STCC = MYR1STCC.

194

CCCC19 [IF CCCC18=2 OR CCCC18=3 OR CCCC17=6] Please answer this
question again. Did you first use any form of cocaine in any form in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
CCCC19a [IF CCCC19 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [CCCC19] did you first use any form of
cocaine in any form?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CCCC19a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
UPDATE: IF CCCC19a NE (0 OR DK/REF) THEN UPDATE MYR1STCC.
MYR1STCC = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (CCCC19 AND CCCC19a). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STCC IS BLANK. IF MYR1STCC =
AGE1STCC THEN MYR1STCC = BLANK
CCCC20 [IF CCCC18 NE 1 AND MYR1STCC NE 0 AND (CCCC19 AND
CCCC19a NE CC03a-d)] The computer recorded that you first used
any form of cocaine in any form in [CCCC19-CCCC19a fill]. That
would make you [MYR1STCC] years old when you first used any form
of cocaine in any form. Is this correct?

195

4
Yes
6
No
DK/REF
UPDATE: IF CCCC20 NE (6, BLANK OR DK/REF) AND (CCCC19 AND CCCC19a NE
CC03a-d) THEN AGE1STCC = MYR1STCC
CCLAST3

[IF CC01 = 1 OR CCREF = 1] How long has it been since you last used any
form of any form of cocaine?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

CCRECDK [IF CCLAST3 = DK] What is your best guess of how long it has been since you
last used any form of cocaine?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CCRECRE

[IF CCLAST3 = REF] The answers that people give us about their use of cocaine
are important to this study’s success. We know that this information is personal,
but remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you
last used any form of cocaine?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

CCFRAME3 [IF CCLAST3 = 1 OR 2 OR CCRECDK = 1 OR 2 OR CCRECRE = 1 OR 2]
Now think about the past 12 months, from [DATEFILL] through today. We want
to know how many days you’ve used any form of cocaine during the past 12
months.
What would be the easiest way for you to tell us how many days you’ve used it?
1

Average number of days per week during the past 12 months

196

2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
CCYRAVE

[IF CCFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did
you use any form of cocaine?
TOTAL # OF DAYS:
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

CCMONAVE[IF CCFRAME3 = 2 OR CCYRAVE = DK/REF] On average, how many days
did you use any form of cocaine each month during the past 12 months?
AVERAGE # OF DAYS PER MONTH:
days per month, on average
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CCWKAVE [IF CCFRAME3 = 1 OR CCMONAVE = DK/REF] On average, how many days
did you use any form of cocaine each week during the past 12 months?
AVG # OF DAYS PER WEEK:
days per week, on average [RANGE: 1
- 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CC06 [IF CCLAST3 =1 OR CCRECDK = 1 OR CCRECRE = 1] Think specifically about the
past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on
how many days did you use any form of cocaine?
days in the past 30 days [RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CC06DKRE [IF CC06 = DK/REF] What is your best estimate of the number of days you
used any form of cocaine during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

197

DEFINE ESTICC:
IF CC06DKRE = 1, THEN ESTICC = 1
IF CC06DKRE = 2, THEN ESTICC = 3
IF CC06DKRE = 3, THEN ESTICC = 6
IF CC06DKRE = 4, THEN ESTICC = 10
IF CC06DKRE = 5, THEN ESTICC = 20
IF CC06DKRE = 6, THEN ESTICC = 30
ELSE ESTICC = BLANK
DEFINE TOTCOKE:
IF CCYRAVE NOT(BLANK OR DK/REF) THEN TOTCOKE= CCYRAVE
IF CCMONAVE NOT(BLANK OR DK/REF) THEN TOTCOKE=CCMONAVE*12
IF CCWKAVE NOT(BLANK OR DK/REF) THEN TOTCOKE=CCWKAVE*52
ELSE TOTCOKE = DK/REF
DEFINE COC30DAY
IF CC06DKRE = 1, THEN COC30DAY = “1 or 2"
IF CC06DKRE = 2, THEN COC30DAY = “3 to 5"
IF CC06DKRE = 3, THEN COC30DAY = “6 to 9"
IF CC06DKRE = 4, THEN COC30DAY = “10 to 19"
IF CC06DKRE = 5, THEN COC30DAY = “20 to 29"
IF CC06DKRE = 6, THEN COC30DAY = “all 30"
ELSE COC30DAY = BLANK
IF TOTCOKE NOT DK/REF AND (CC06 NE BLANK OR DK/REF AND CC06 >
TOTCOKE) OR (CC06 = DK/REF AND ESTICC > TOTCOKE):
CCCC07a [IF CC06 > TOTCOKE] For the last question, the computer recorded
that you used any form of cocaine on [CC06] of the past 30 days. Is
this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CCCC07b [IF ESTICC > TOTCOKE] For the last question, the computer
recorded that you used any form of cocaine on [COC30DAY] of the
past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLCN:

198

IF CCYRAVE > 1, THEN FILLCN = “[CCYRAVE] days”
ELSE IF CCYRAVE = 1, THEN FILLCN = “1 day”
ELSE IF CCMONAVE > 1, THEN FILLCN = “[CCMONAVE] days per month”
ELSE IF CCMONAVE = 1, THEN FILLCN = “1 day per month”
ELSE IF CCWKAVE > 1, THEN FILLCN = “[CCWKAVE] days per week”
ELSE IF CCWKAVE = 1, THEN FILLCN = “1 day per week”
DEFINE FILCNA:
IF FILLCN = “[CCMONAVE] day(s) per month” OR “[CCWKAVE] day(s) per week”
THEN FILLCNA = “for a total of [TOTCOKE] days”
ELSE FILLCNA = BLANK
CCCC08 [IF CCCC07a = 4 OR CCCC07b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?
1

I used any form of cocaine on [FILLCN] days in the past 12
months [FILLCNA]
2
I used any form of cocaine on [CC06 / COC30DAY] days in
the past 30 days
3
Neither answer is correct
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CCCC09 [IF CCCC08 = 2 OR CCCC08 = 3] Please answer this question
again. Think about the past 12 months, from [DATEFILL] through
today. We want to know how many days you’ve used any form of
cocaine during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF
CCCC10 [IF CCCC09 = 3] On how many days in the past 12 months did you
use any form of cocaine?
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CCCC11 [IF CCCC9 = 2] On average, how many days did you use any form of
cocaine each month during the past 12 months?

199

days per month, on average [RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CCCC12 [IF CCCC09 = 1] On average, how many days did you use any form
of cocaine each week during the past 12 months?
days per week, on average [RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
IF CCCC10 NOT(BLANK OR DK/REF) THEN TOTCOKE = CCCC10
ELSE IF CCCC11 NOT(BLANK OR DK/REF THEN TOTCOKE=CCCC11*12
ELSE IF CCC12 NOT(BLANK OR DK/REF) THEN TOTCOKE=CCCC12*52
ELSE TOTCOKE = DK/REF
CCCC13a [IF (CCCC07a=6 OR ((CCCC08 = 1 OR CCCC08 = 3) AND
CCCC07a NE BLANK OR DK/REF)] Please answer this question
again. Think specifically about the past 30 days, from [DATEFILL],
up to and including today. During the past 30 days, on how many
days did you use any form of cocaine?
days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CCCC13b [IF CCCC07b = 6 or ((CCCC08 = 1 OR 3) AND CCCC07b NE
BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. What is your best estimate of the number of days you
used any form of cocaine during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
IF CC06 = 0:
CCCC14 The computer recorded that you used any form of any form of cocaine
on 0 days during the past 30 days. Is this correct?
4

Yes

200

6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CCCC16 [IF CCCC14 = 6] Please answer this question again. During the
past 30 days, that is, since [DATEFILL], on how many days did you
use any form of cocaine?
days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CCNDLLIF [IF CC01 = 1 OR CCREF = 1] Have you ever, even once, used a needle to inject
any form of cocaine?
1
Yes
2
No
DK/REF
CCNDRECa [IF CCNDLLIF = 1 AND (CCLAST3 = 1 OR CCRECDK = (1 OR DK/REF) OR
CCRECRE = (1 OR DK/REF))] How long has it been since you last used a
needle to inject any form of cocaine?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CCNDRECb [IF CCNDLLIF = 1 AND (CCLAST3 = 2 OR CCRECDK = 2 OR CCRECRE =
2)] How long has it been since you last used a needle to inject any form of
cocaine?
1 More than 30 days ago but within the past 12 months
2 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

201

Crack
CKINTRO [IF CC01 = 1 OR CCREF = 1] The next questions are about “‘crack”’, that is
cocaine in rock or chunk form, and not the other forms of cocaine.
Press [ENTER] to continue.
CK01 [IF CC01 = 1 OR CCREF = 1] [PROGRAMMER, SHOW IN GRAY FONT: The next
questions are about “‘crack”’, that is cocaine in rock or chunk form, and not the other
forms of cocaine.]
Have you ever, even once, used “‘crack”’?
1
Yes
2
No
DK/REF
CKREF [IF CK01 = REF] The answers that people give us about their use of “‘crack,”’ are
important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, used
“‘crack”’?
1
Yes
2
No
DK/REF
CKONL [IF CC01 CK01 = 1 OR CCREF CKREF = 1] Is “crack” the only form of cocaine
you have ever used?
1 Yes
2 No
DK/REF
CK02 [IF CK01 = 1 OR CKREF =CKONL NE 1] How old were you the first time you used
“crack”?
years old [RANGE: 1 - 110]
DK/REF
DEFINE AGE1STCK:
IF CK02 NE (BLANK OR DK/REF) THEN AGE1STCK = CK02
ELSE AGE1STCK = BLANK
IF CURNTAGE < AGE1STCK:
CKCC01 The computer recorded that you were [AGE1STCK] years old when

202

you first used “crack”. Is this correct?
4
Yes
6
No
DK/REF
CKCC02 [IF CKCC01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
I am currently [CURNTAGE] years old
2
I was [AGE1STCK] years old the first time I used “crack”
3
Neither answer is correct
DK/REF
CKCC03 [IF CKCC2=2 OR CKCC2=3] Please answer this question again.
What is your current age?
years old [RANGE: 1 - 110]
DK/REF
CKCC03a [IF CKCC03 < 12] Since you have indicated that you are [CCKCC03
AGE] years old, we cannot interview you for this study. Please tell
your interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
CKCC04 [IF CKCC02=1 OR CKCC02=3 OR CKCC01=6] Please answer this
question again. Think about the first time you used “crack”. How old
were you the first time you used “crack”?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CKCC04 NOT(BLANK OR DK/REF) THEN AGE1STCK = CKCC04
UPDATE: IF CKCC03 NOT(BLANK OR DK/REF) THEN CURNTAGE = CKCC03
IF AGE1STCK=CURNTAGE OR AGE1STCK < 10:
CKCC05 The computer recorded that you were [AGE1STCK] years old the first
time you used “crack”. Is this correct?
4
Yes
6
No
DK/REF
CKCC06 [IF CKCC05=6] Please answer this question again. Think about the
first time you used “crack”. How old were you the first time you used

203

“crack”?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF CKCC06 NOT(BLANK OR DK/REF) THEN AGE1STCK = CKCC06
CK03a

[IF CKCC05 NE DK/RE AND CKCC06 NE DK/REF AND AGE1STCK =
CURNTAGE AND DATE OF INTERVIEW < DOB OR IF AGE1STCK = CURNTAGE
- 1 AND DATE OF INTERVIEW ≥ DOB] Did you first use “crack” in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

CK03b
[IF AGE1STCK = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use “crack” in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
CK03c [IF CKCC05 NE DK/RE AND CKCC06 NE DK/REF AND AGE1STCK =
CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT
YEAR] did you first use “crack”?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CK03c > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.

204

CK03d
[IF CK03a = 1 OR 2 OR CK03b = 1 OR 2] In what month in [YEAR FROM
CK03a or CK03b] did you first use “crack”?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CK03d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STCK:
MYR1STCK = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (CK03a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STCK IS BLANK.
IF MYR1STCK NE 0 AND NE AGE1STCK:
CKCC17 The computer recorded that you first used “crack” in [CK03a-d fill].
That would make you [MYR1STCK] years old when you first used
“crack”. Is this correct?
4
Yes
6
No
DK/REF
CKCC18 [IF CKCC17 = 4] Earlier, the computer recorded that you were
[AGE1STCK] years old when you first used “crack”. Which answer
is correct?
1

I first used “crack” in [CK03a-d fill] when I was
[MYR1STCK] years old
2
I was [AGE1STCK] years old the first time I used “crack”
3
Neither answer is correct
DK/REF

205

UPDATE: IF CKCC18 = 1, THEN AGE1STCK = MYR1STCK.
CKCC19 [IF CKCC18=2 OR CKCC18=3 OR CKCC17=6] Please answer this
question again. Did you first use “crack” in [CURRENT YEAR-2],
[CURRENT YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
CKCC19a [IF CKCC19 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [CKCC19] did you first use “crack”?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CKCC19a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
UPDATE: IF CKCC19a NE (0 OR DK/REF) THEN UPDATE MYR1STCK.
MYR1STCK = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (CKCC19 AND CKCC19a). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STCK IS BLANK. IF
MYR1STCK = AGE1STCK THEN MYR1STCK = BLANK
CKCC20 [IF CKCC18 NE 1 AND MYR1STCK NE 0 AND (CKCC19 AND
CKCC19a NE CK03a-d)] The computer recorded that you first used
“crack” in [CKCC19-CKCC19a fill]. That would make you
[MYR1STCK] years old when you first used “crack”. Is this correct?
4
6

Yes
No

206

DK/REF
UPDATE: IF CKCC20 NE (6, BLANK OR DK/REF) AND (CKCC19 AND CKCC19a NE
CK03a-d) THEN AGE1STCK = MYR1STCK
CKLAST3

[IF CK01 = 1 OR CKREF = CKONL NE 1] How long has it been since you last
used “‘crack”’?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

CKRECDK [IF CKLAST3 = DK] What is your best guess of how long it has been since you
last used “‘crack”’?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CKRECRE

[IF CKLAST3 = REF] The answers that people give us about their use of
“‘crack”’ are important to this study’s success. We know that this information is
personal, but remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you
last used “‘crack”’?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

CKFRAME3 [IF CKLAST3 = 1 OR 2 OR CKRECDK = 1 OR 2 OR CKRECRE = 1 OR 2]
Now think about the past 12 months, from [DATEFILL] through today. We want
to know how many days you’ve used “‘crack”’ during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

207

CKYRAVE [IF CKFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did
you use “‘crack”’?
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CKMONAVE
[IF CKFRAME3 = 2 OR CKYRAVE = DK/REF] On average, how many
days did you use “‘crack”’ each month during the past 12 months?
AVERAGE # OF DAYS PER MONTH:
days per month, on average
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CKWKAVE [IF CKFRAME3 = 1 OR CKMONAVE = DK/REF] On average, how many days
did you use “‘crack”’ each week during the past 12 months?
AVG # OF DAYS PER WEEK:
days per week, on average [RANGE: 1
- 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CK06 [IF CKLAST3=1 OR CKRECDK =1 OR CKRECRE = 1] Think specifically about the
past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on
how many days did you use “‘crack”’?
days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CK06DKRE [IF CK06 = DK/REF] What is your best estimate of the number of days you
used “‘crack”’ during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE ESTICK:
IF CK06DKRE = 1, THEN ESTICK = 1

208

IF CK06DKRE = 2, THEN ESTICK = 3
IF CK06DKRE = 3, THEN ESTICK = 6
IF CK06DKRE = 4, THEN ESTICK = 10
IF CK06DKRE = 5, THEN ESTICK = 20
IF CK06DKRE = 6, THEN ESTICK = 30
ELSE ESTICK = BLANK
DEFINE CRK30DAY
IF CK06DKRE = 1, THEN CRK30DAY = “1 or 2"
IF CK06DKRE = 2, THEN CRK30DAY = “3 to 5"
IF CK06DKRE = 3, THEN CRK30DAY = “6 to 9"
IF CK06DKRE = 4, THEN CRK30DAY = “10 to 19"
IF CK06DKRE = 5, THEN CRK30DAY = “20 to 29"
IF CK06DKRE = 6, THEN CRK30DAY = “all 30"
ELSE CRK30DAY = BLANK
DEFINE TOTCRACK:
IF CKYRAVE NOT(BLANK OR DK/REF) THEN TOTCRACK = CKYRAVE
ELSE IF CKMONAVE NOT(BLANK OR DK/REF) THEN TOTCRACK=
CKMONAVE*12
ELSE IF CKWKAVE NOT(BLANK OR DK/REF) THEN
TOTCRACK=CKWKAVE*52
ELSE TOTCRACK= DK/REF
IF TOTCRACK = DK/REF SKIP TO HEINTRO
IF TOTCRACK NOT DK/REF AND (CK06 NE DK/REF OR BLANK AND CK06 >
TOTCRACK) OR CK06 = DK/REF AND ESTICK > TOTCRACK:
CKCC07a [IF CK06 >TOTCRACK] For the last question, the computer
recorded that you used “crack” on [CK06] of the past 30 days. Is this
correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CKCC07b [IF ESTICK > TOTCRACK] For the last question, the computer
recorded that you used “crack” on [CRK30DAY] of the past 30 days.
Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLCK:

209

IF CKYRAVE > 1, THEN FILLCK = “[CKYRAVE] days”
ELSE IF CKYRAVE = 1, THEN FILLCK = “1 day”
ELSE IF CKMONAVE > 1, THEN FILLCK = “[CKMONAVE] days per month”
ELSE IF CKMONAVE = 1, THEN FILLCK = “1 day per month”
ELSE IF CKWKAVE > 1, THEN FILLCK = “[CKWKAVE] days per week”
ELSE IF CKWKAVE = 1, THEN FILLCK = “1 day per week”
DEFINE FILLCKA:
IF FILLCK = “[CKMONAVE] day(s) per month” OR [CKWKAVE] day(s) per week”
THEN FILLCKA = “for a total of TOTCRACK] days”
ELSE FILLCKA = BLANK
CKCC08 [IF CKCC07a = 4 OR CKCC07b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?
1

I used “crack” on [FILLCK] days in the past 12 months
[FILLCKA]
2
I used “crack” on [CK06 / CRK30DAY] days in the past 30
days
3
Neither answer is correct
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

CKCC09 [IF CKCC08 = 2 OR CKCC08 = 3] Please answer this question
again. Think about the past 12 months, from [DATEFILL] through
today. We want to know how many days you’ve used “crack” during
the past 12 months.
What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 month
DK/REF
CKCC10 [IF CKCC09 = 3] On how many days in the past 12 months did you
use “crack”?
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CKCC11 [IF CKCC09 = 2] On average, how many days did you use “crack”
each month during the past 12 months?

210

days per month, on average [RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CKCC12 [IF CKCC09 = 1] On average, how many days did you use “crack”
each week during the past 12 months?
days per week, on average [RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
IF CKCC10 NOT(BLANK OR DK/REF) THEN TOTCRACK = CKCC10
IF CKCC11 NOT(BLANK OR DK/REF) THEN TOTCRACK= CKCC11*12
IF CKCC12 NOT(BLANK OR DK/REF) THEN TOTCRACK= CKCC12*52
ELSE TOTCRACK = DK/REF
CKCC13a [IF CKCC07a = 6 OR ((CKCC08 = 1 OR CKCC08 = 3) AND
CKCC07a NE BLANK OR DK/REF)] Please answer this question
again. Think specifically about the past 30 days, from [DATEFILL],
up to and including today. During the past 30 days, on how many
days did you use “crack”?
days in the past 30 days [RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CKCC13b [IF CKCC07b = 6 OR (CKCC08 = 1 OR CKCC08 = 3) AND
(CKCC07b NE BLANK OR DK/REF)] Please answer this question
again. Think specifically about the past 30 days, from [DATEFILL]
up to and including today. What is your best estimate of the number of
days you used “crack” during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
PROGRAMMER: SHOW 30 DAY CALENDAR
IF CK06 = 0:
CKCC14 The computer recorded that you used “crack” on 0 days during the
past 30 days. Is this correct?
4
6

Yes
No

211

DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CKCC16 [IF CKCC14 = 6] Please answer this question again. During the
past 30 days, that is, since [DATEFILL], on how many days did you
use “crack”?
days in the past 30 days [RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CKNDLLIF [IF CK01 = 1 OR CKREF = 1 CKONL NE 1] Have you ever, even once, used a
needle to inject “crack”?
1
Yes
2
No
DK/REF
CKNDRECa [IF CKNDLLIF = 1 AND (CKLAST3 = 1 OR CKRECDK = (1 OR DK/REF) OR
CKRECRE = (1 OR DK/REF)] How long has it been since you last used a needle
to inject “crack”?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CKNDRECb [IF CKNDLLIF = 1 AND (CKLAST3 = 2 OR CKRECDK = 2 OR CKRECRE =
2)] How long has it been since you last used a needle to inject “crack”?
1
2

More than 30 days ago but within the past 12 months
More than 12 months ago

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

212

Heroin
HEINTRO These next questions are about heroin any form of heroin, such as powder or tar
such as white powder, brown powder, or black tar. Heroin can be smoked, snorted, or injected.
Press [ENTER] to continue
HE01 [PROGRAMMER, SHOW IN GRAY FONT: These next questions are about any form of
heroin, such as powder or tar. Heroin can be smoked, snorted, or injected.]
Have you ever, even once, used heroin any form of heroin?
1
Yes
2
No
DK/REF
HEREF

[IF HE01 = REF] The answers that people give us about their use of heroin are
important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, used
heroin any form of heroin?
1
Yes
2
No
DK/REF

HE02 [IF HE01 = 1 OR HEREF = 1] How old were you the first time you used heroin any
form of heroin?
years old [RANGE: 1 - 110]
DK/REF
DEFINE AGE1STHR:
IF HE02 NE (BLANK OR DK/REF) THEN AGE1STHR = HE02
ELSE AGE1STHR = BLANK
IF CURNTAGE < AGE1STHR:
HECC01 The computer recorded that you were [AGE1STHR] years old when
you first used heroin any form of heroin. Is this correct?
4
Yes
6
No
DK/REF
HECC02 [IF HECC01 = 4] The answers for the last question and an earlier

213

question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [AGE1STHR] years old the first time I used heroin any
form of heroin
3
Neither answer is correct
DK/REF
HECC03 [IF HECC02=2 OR HECC02=3] Please answer this question again.
What is your current age?
years old [RANGE: 1 - 110]
DK/REF
HECC03a [IF HECC03 < 12] Since you have indicated that you are [HECC03
AGE] years old, we cannot interview you for this study. Please tell
your interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
HECC04 [IF HECC02=1 OR HECC02=3 OR HECC01=6] Please answer this
question again. Think about the first time you used heroin. How old
were you the first time you used heroin any form of heroin?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF HECC04 NOT(BLANK OR DK/REF) THEN AGE1STHR = HECC04
UPDATE: IF HECC03 NOT(BLANK OR DK/REF) THEN CURNTAGE = HECC03
IF AGE1STHR = CURNTAGE OR AGE1STHR<10:
HECC05 The computer recorded that you were [AGE1STHR] years old the first
time you used heroin any form of heroin. Is this correct?
4
Yes
6
No
DK/REF
HECC06 [IF HECC05=6] Please answer this question again. Think about the
first time you used heroin. How old were you the first time you used
heroin any form of heroin?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF HECC06 NOT(BLANK OR DK/REF) THEN AGE1STHR = HECC06

214

HE03a [IF HECC05 NE DK/RE AND HECC06 NE DK/REF AND AGE1STHR = CURNTAGE
AND DATE OF INTERVIEW < DOB OR IF AGE1STHR = CURNTAGE - 1 AND
DATE OF INTERVIEW ≥ DOB] Did you first use heroin any form of heroin in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
HE03b
[IF AGE1STHR = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use heroin any form of heroin in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
HE03c [IF HECC05 NE DK/RE AND HECC06 NE DK/REF AND AGE1STHR = CURNTAGE
AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you
first use heroin any form of heroin?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF HE03c > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
HE03d
[IF HE03a = 1 OR 2 OR HE03b = 1 OR 2] In what month in [YEAR FROM
HE03a or HE03b] did you first use heroin any form of heroin?
1
2

January
February

215

3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF HE03d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STHE:
MYR1STHE = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (HE03a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STHE IS BLANK.
IF MYR1STHE NE 0 AND NE AGE1STHR:
HECC17 The computer recorded that you first used heroin in [HE03a-d fill].
That would make you [MYR1STHE] years old when you first used
heroin any form of heroin. Is this correct?
4
Yes
6
No
DK/REF
HECC18 [IF HECC17 = 4] Earlier, the computer recorded that you were
[AGE1STHR] years old when you first used heroin any form of
heroin. Which answer is correct?
1

I first used heroin any form of heroin in [HE03a-d fill] when I
was [MYR1STHE] years old
2
I was [AGE1STHR] years old the first time I used heroin any
form of heroin
3
Neither answer is correct
DK/REF
UPDATE: IF HECC18 = 1, THEN AGE1STHR = MYR1STHE
HECC19 [IF HECC18=2 OR HECC18=3 OR HECC17=6] Please answer this
question again. Did you first use heroin any form of heroin in

216

[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
HECC19a [IF HECC19 NE (BLANK OR DK/REF)] Please answer this question
again. In what month in [HECC19] did you first use heroin any form
of heroin?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF HECC19a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
UPDATE: IF HECC19a NE (0 OR DK/REF) THEN UPDATE MYR1STHE.
MYR1STHE = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (HECC19 AND HECC19a). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STHE IS BLANK. IF MYR1STHE =
AGE1STHR THEN MYR1STHE = BLANK
HECC20 [IF HECC18 NE 1 AND MYR1STDHENE 0 AND (HECC19 AND
HECC19a NE HE03a-d)] The computer recorded that you first used
heroin in [HECC19-HECC19a fill]. That would make you
[MYR1STHE] years old when you first used heroin any form of
heroin. Is this correct?
4
Yes
6
No
DK/REF

217

UPDATE: IF HECC20 NE (6, BLANK OR DK/REF) AND (HECC19 AND HECC19a NE
HE03a-d) THEN AGE1STHR = MYR1STHE
HELAST3

[IF HE01 = 1 OR HEREF = 1] How long has it been since you last used heroin
any form of heroin?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

HERECDK [IF HELAST3 = DK] What is your best guess of how long it has been since you
last used heroin any form of heroin?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
HERECRE

[IF HELAST3 = REF] The answers that people give us about their use of heroin
are important to this study’s success. We know that this information is personal,
but remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you
last used heroin any form of heroin?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

HEFRAME3 [IF HELAST3 = 1 OR 2 OR HERECDK = 1 OR 2 OR HERECRE = 1 OR 2]
Now think about the past 12 months, from [DATEFILL] through today. We want
to know how many days you’ve used heroin any form of heroin during the past 12
months.
What would be the easiest way for you to tell us how many days you’ve used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

218

HEYRAVE

[IF HEFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did
you use heroin any form of heroin?
TOTAL # OF DAYS:
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

HEMONAVE

[IF HEFRAME3 = 2 OR HEYRAVE = DK/REF] On average, how many
days did you use heroin any form of heroin each month during the past 12
months?
AVERAGE # OF DAYS PER MONTH:
days per month, on average
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

HEWKAVE [IF HEFRAME3 = 1 OR HEMONAVE = DK/REF] On average, how many days
did you use heroin any form of heroin each week during the past 12 months?
AVG # OF DAYS PER WEEK:
days per week, on average [RANGE: 1
- 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
HE06 [IF HELAST3=1 OR HERECDK = 1 OR HERECRE = 1] Think specifically about the
past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on
how many days did you use heroin any form of heroin?
days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
HE06DKRE [IF HE06 = DK/REF] What is your best estimate of the number of days you
used heroin any form of heroin during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE ESTIHE:

219

IF HE06DKRE = 1, THEN ESTIHE = 1
IF HE06DKRE = 2, THEN ESTIHE = 3
IF HE06DKRE = 3, THEN ESTIHE = 6
IF HE06DKRE = 4, THEN ESTIHE = 10
IF HE06DKRE = 5, THEN ESTIHE = 20
IF HE06DKRE = 6, THEN ESTIHE = 30
ELSE ESTIHE = BLANK
DEFINE HER30DAY
IF HE06DKRE = 1, THEN HER30DAY = “1 or 2"
IF HE06DKRE = 1, THEN HER30DAY = “3 to 5"
IF HE06DKRE = 3, THEN HER30DAY = “6 to 9"
IF HE06DKRE = 4, THEN HER30DAY = “10 to 19"
IF HE06DKRE = 5, THEN HER30DAY = “20 to 29"
IF HE06DKRE = 6, THEN HER30DAY = “all 30"
ELSE HER30DAY = BLANK
DEFINE TOTHERO:
IF HEYRAVE NOT(BLANK OR DK/REF) THEN TOTHERO = HEYRAVE
ELSE IF HEMONAVE NOT(BLANK OR DK/REF) THEN TOTHERO =
HEMONAVE*12
ELSE IF HEWKAVE NOT(BLANK OR DK/REF) THEN TOTHERO=HEWKAVE*52
ELSE TOTHERO = DK/REF
IF TOTHERO NOT DK/REF AND (HE06 NE BLANK OR DK/REF AND HE06 >
TOTHERO) OR (HE06 = DK/REF AND ESTIHE > TOTHERO:
HECC07a [IF HE06 > TOTHERO] For the last question, the computer recorded
that you used heroin any form of heroin on [HE06] of the past 30
days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
HECC07b [IF ESTIHE > TOTHERO] For the last question, the computer
recorded that you used heroin any form of heroin on [HER30DAY] of
the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLHER:
IF HEYRAVE > 1, THEN FILLHER = “[HEYRAVE] days”

220

ELSE IF HEYRAVE = 1, THEN FILLHE = “1 day”
ELSE IF HEMONAVE > 1, THEN FILLHE = “[HEMONAVE] days per month”
ELSE IF HEMONAVE = 1, THEN FILLHE = “1 day per month”
ELSE IF HEWKAVE > 1, THEN FILLHE = “[HEWKAVE] days per week”
ELSE IF HEWKAVE = 1, THEN FILLHE = “1 day per week”
DEFINE FILLHERA:
IF FILLHER = “[HEMONAVE] day(s) per month” OR “[HEWKAVE] day(s) per week”
THEN FILLHERA = “for a total of TOTHERO days”
ELSE FILLHERA = BLANK
HECC08 [IF HECC07a = 4 OR HECC07b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?
1

I used heroin any form of heroin on [FILLHER] days in the
past 12 months [FILLHERA]
2
I used heroin any form of heroin on [HE06 /HER30DAY] days
in the past 30 days
3
Neither answer is correct
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
HECC09 [IF HECC08 = 2 OR HECC08 = 3] Please answer this question
again. Think about the past 12 months, from [DATEFILL] through
today. We want to know how many days you’ve used heroin any form
of heroin during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

HECC10 [IF HECC09 = 3] On how many days in the past 12 months did you
use heroin any form of heroin?
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
HECC11 [IF HECC09 = 2] On average, how many days did you use heroin
any form of heroin each month during the past 12 months?

221

days per month, on average [RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
HECC12 [IF HECC09 = 1] On average, how many days did you use heroin
any form of heroin each week during the past 12 months?
days per week, on average [RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
IF HECC10 NOT(BLANK OR DK/REF) THEN TOTHERO = HECC10
ELSE IF HECC11 NOT(BLANK OR DK/REF) THEN TOTHERO = HECC11*12
ELSE IF HECC12 NOT(BLANK OR DK/REF0 THEN TOTHERO = HECC12*52
ELSE TOTHERO = DK/REF
HECC13a [IF HECC07a = 6 OR ((HECC08 = 1 OR 3) AND HECC07a NE
BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL], up to and
including today. During the past 30 days, on how many days did you
use heroin any form of heroin?
days in the past 30 days [RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
HECC13b [IF HECC7b = 6 OR ((HECC08 = 1 OR 3) AND HECC07b NE
BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. What is your best estimate of the number of days you
used heroin any form of heroin during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
IF HE06 = 0:
HECC14 The computer recorded that you used heroin any form of heroin on 0
days during the past 30 days. Is this correct?
4

Yes

222

6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
HECC16 [IF HECC14 = 6] Please answer this question again. During the
past 30 days, that is, since [DATEFILL], on how many days did you
use heroin any form of heroin?
days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
HENDLLIF [IF HE01 = 1 OR HEREF = 1] Have you ever, even once, used a needle to inject
any form of heroin?
1
Yes
2
No
DK/REF
HENDRECa [IF HENDLLIF = 1 AND (HELAST3 = 1 OR HERECDK = (1 OR DK/REF) OR
HERECRE = (1 OR DK/REF))] How long has it been since you last used a
needle to inject any form of heroin?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
HENDRECb [IF HENDLLIF = 1 AND (HELAST3 = 2 OR HERECDK = 2 OR HERECRE =
2)] How long has it been since you last used a needle to inject any form of
heroin?
1
2

More than 30 days ago but within the past 12 months
More than 12 months ago

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

223

Methamphetamine
METHINTRO

These questions are about methamphetamine, also known as meth, crank, ice,
crystal meth, speed, or glass. It can be smoked, snorted, swallowed or
injected.
Press [ENTER] to continue.

ME01 [PROGRAMMER, SHOW IN GRAY FONT: These questions are about
methamphetamine, also known as meth, crank, ice, crystal meth, speed, or glass. It can be
smoked, snorted, swallowed or injected.]
Have you ever, even once, used methamphetamine?
1
Yes
2
No
DK/REF
MEREF [IF ME01 = REF] The answers that people give about their use of methamphetamine
are important to this study’s success. We know that this information is personal, but
remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once, used
methamphetamine?
1
Yes
2
No
DK/REF
ME02 [IF ME01 =1 OR MEREF = 1] How old were you the first time you used
methamphetamine?
years old [RANGE: 1 - 110]
DK/REF

DEFINE AGE1STME:
IF ME02 NE (BLANK OR DK/REF) THEN AGE1STME = ME02
ELSE AGE1STME = BLANK
IF CURNTAGE < AGE1STME:
MECC01 The computer recorded that you were [AGE1STME] years old when
you first used methamphetamine. Is this correct?
4
6

Yes
No

224

DK/REF
MECC02 [IF MECC01 = 4] The answers for the last question and an earlier
question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [AGE1STME] years old the first time I used
methamphetamine
3
Neither answer is correct
DK/REF

MECC03 [IF MECC02=2 OR MECC02=3] Please answer this question again.
What is your current age?
years old [RANGE: 1 - 110]
DK/REF
MECC03a [IF MECC03 < 12] Since you have indicated that you are [MECC03
AGE] years old, we cannot interview you for this study. Please tell
your interviewer that you have finished the survey. Thank you for your
cooperation. PROGRAM SHOULD ROUTE TO PENTER1.
MECC04 [IF MECC02=1 OR MECC02=3 OR MECC01=6] Please answer this
question again. Think about the first time you used methamphetamine.
How old were you the first time you used methamphetamine?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF MECC04 NOT(BLANK OR DK/REF) THEN AGE1STME = MECC04
UPDATE: IF MECC03 NOT(BLANK OR DK/REF) THEN CURNTAGE = MECC03
IF AGE1STME=CURNTAGE OR AGE1STME < 10:
MECC05 The computer recorded that you were [AGE1STME] years old the
first time you used methamphetamine. Is this correct?
4
Yes
6
No
DK/REF
MECC06 [IF MECC05=6] Please answer this question again. Think about the
first time you used methamphetamine. How old were you the first
time you used methamphetamine?
years old [RANGE: 1 - 110]

225

DK/REF
UPDATE: IF MECC06 NOT (BLANK OR DK/REF) THEN AGE1STME = MECC06
ME03a
[IF MECC05 NE DK/RE AND MECC06 NE DK/REF AND AGE1STME =
CURNTAGE AND DATE OF INTERVIEW < DOB OR IF AGE1STME =
CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you first use
methamphetamine in [CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
ME03b
[IF AGE1STME = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use methamphetamine in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
ME03c
[IF MECC05 NE DK/RE AND MECC06 NE DK/REF AND AGE1STME =
CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT
YEAR] did you first use methamphetamine?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF ME03c > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
ME03d
[IF ME03a = 1 OR 2 OR ME03b = 1 OR 2] In what month in [YEAR FROM
ME03a or ME03b] did you first use methamphetamine?

226

1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF ME03d > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STME:
MYR1STME = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (ME03a-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STME IS BLANK.
IF MYR1STME NE 0 AND NE AGE1STME:
MECC17 The computer recorded that you first used methamphetamine in
[ME03a-d fill]. That would make you [MYR1STME] years old when
you first used methamphetamine. Is this correct?
4
Yes
6
No
DK/REF
MECC18 [IF MECC17 = 4] Earlier, the computer recorded that you were
[AGE1STME] years old when you first used methamphetamine.
Which answer is correct?
1

I first used methamphetamine in [ME03a-d fill] when I was
[MYR1STME] years old
2
I was [AGE1STME] years old the first time I used
methamphetamine.
3
Neither answer is correct
DK/REF
UPDATE: IF MECC18 = 1, THEN AGE1STME = MYR1STME.
MECC19 [IF MECC18=2 OR MECC18=3 OR MECC17=6] Please answer this

227

question again. Did you first use methamphetamine in [CURRENT
YEAR-2], [CURRENT YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
MECC19a

[IF MECC19 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [MEC19] did you first use
methamphetamine?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF

HARD ERROR: [IF MECC19a > CURRENT MONTH]
The month in [CURRENT YEAR] you entered has not begun yet. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. Please answer the question again. PRESS [ENTER] TO CONTINUE.
UPDATE: IF MECC19a NE (0 OR DK/REF) THEN UPDATE MYR1STME.
MYR1STME = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (MECC19 AND MECC19a). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STME IS BLANK. IF
MYR1STME = AGE1STME THEN MYR1STME = BLANK
MECC20 [IF MECC18 NE 1 AND MYR1STME NE 0 AND (MECC19 AND
MECC19a NE ME03a-d)] The computer recorded that you first used
methamphetamine in [MECC19-MECC19a fill]. That would make
you [MYR1STME] years old when you first used methamphetamine.
Is this correct?
4
Yes
6
No
DK/REF

228

UPDATE: IF MECC20 NE (6, BLANK OR DK/REF) AND (MECC19 AND MECC19a NE
ME03a-d) THEN AGE1STME = MYR1STME
MELAST3

[IF ME01 = 1 OR MEREF = 1] How long has it been since you last used
methamphetamine?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MERECDK [IF MELAST3 = DK] What is your best guess of how long it has been since you
last used methamphetamine?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MERECRE [IF MELAST3 = REF] The answers that people give us about their use of
methamphetamine are important to this study’s success. We know that this
information is personal, but remember your answers will be kept confidential.
Please think again about answering this question: How long has it been since you
last used methamphetamine?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MEFRAME3 [IF MELAST3 = 1 OR 2 OR MERECDK = 1 OR 2 OR MERECRE = 1 OR 2]
Now think about the past 12 months, from [DATEFILL] through today. We want
to know how many days you’ve used methamphetamine during the past 12
months.
What would be the easiest way for you to tell us how many days you’ve used it?
1

Average number of days per week during the past 12 months

229

2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

MEYRAVE [IF MEFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did
you use methamphetamine?
TOTAL # OF DAYS:
days in the past 12 months [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MEMONAVE
[IF MEFRAME3 = 2 OR MEYRAVE = DK/REF] On average, how
many days did you use methamphetamine each month during the past 12
months?
AVERAGE # OF DAYS PER MONTH:
days per month, on average
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MEWKAVE [IF MEFRAME3 = 1 OR MEMONAVE = DK/REF] On average, how many
days did you use methamphetamine each week during the past 12 months?
AVG # OF DAYS PER WEEK:
days per week, on average [RANGE: 1
- 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ME06 [IF MELAST3 =1 OR MERECDK = 1 OR MERECRE = 1] Think specifically about the
past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on
how many days did you use methamphetamine?
days in the past 30 days [RANGE: 0 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
ME06DKRE [IF ME06 = DK/REF] What is your best estimate of the number of days you
used methamphetamine during the past 30 days?
1
2
3
4

1 or 2 days
3 to 5 days
6 to 9 days
10 to 19 days

230

5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE ESTIME:
IF ME06DKRE = 1, THEN ESTIME = 1
IF ME06DKRE = 2, THEN ESTIME = 3
IF ME06DKRE = 3, THEN ESTIME = 6
IF ME06DKRE = 4, THEN ESTIME = 10
IF ME06DKRE = 5, THEN ESTIME = 20
IF ME06DKRE = 6, THEN ESTIME = 30
ELSE ESTIME = BLANK
DEFINE TOTMETH:
IF MEYRAVE NOT(BLANK OR DK/REF) THEN TOTMETH= MEYRAVE
IF MEMONAVE NOT(BLANK OR DK/REF) THEN TOTMETH=MEMONAVE*12
IF MEWKAVE NOT(BLANK OR DK/REF) THEN TOTMETH=MEWKAVE*52
ELSE TOTMETH = DK/REF
DEFINE METH30DAY
IF ME06DKRE = 1, THEN METH30DAY = “1 or 2"
IF ME06DKRE = 2, THEN METH30DAY = “3 to 5"
IF ME06DKRE = 3, THEN METH30DAY = “6 to 9"
IF ME06DKRE = 4, THEN METH30DAY = “10 to 19"
IF ME06DKRE = 5, THEN METH30DAY = “20 to 29"
IF ME06DKRE = 6, THEN METH30DAY = “all 30"
ELSE METH30DAY = BLANK
IF TOTMETH NOT DK/REF AND (ME06 NE BLANK OR DK/REF AND ME06 >
TOTMETH) OR (ME06 = DK/REF AND ESTIME > TOTMETH):
MECC07a [IF ME06 > TOTMETH] For the last question, the computer
recorded that you used methamphetamine on [ME06] of the past 30
days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
MECC07b [IF ESTIME > TOTMETH] For the last question, the computer
recorded that you used methamphetamine on [METH30DAY] of the
past 30 days. Is this correct?
4
6

Yes
No

231

DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLME:
IF MEYRAVE > 1, THEN FILLME = “[MEYRAVE] days”
ELSE IF MEYRAVE = 1, THEN FILLME = “1 day”
ELSE IF MEMONAVE > 1, THEN FILLME = “[MEMONAVE] days per month”
ELSE IF MEMONAVE = 1, THEN FILLME = “1 day per month”
ELSE IF MEWKAVE > 1, THEN FILLME = “[MEWKAVE] days per week”
ELSE IF MEWKAVE = 1, THEN FILLME = “1 day per week”
DEFINE FILMEA:
IF FILLMEA = “[MEMONAVE] day(s) per month” OR “[MEWKAVE] day(s) per
week” THEN FILLMEA = “for a total of [TOTMETH] days”
ELSE FILLMEA = BLANK
MECC08 [IF MECC07a = 4 OR MECC07b = 4] The answers for the last
question and an earlier question disagree. Which answer is correct?
1

I used methamphetamine on [FILLME] days in the past 12
months [FILLMEA]
2
I used methamphetamine on [ME06 / METH30DAY] days in
the past 30 days
3
Neither answer is correct
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MECC09 [IF MECC08 = 2 OR MECC08 = 3] Please answer this question
again. Think about the past 12 months, from [DATEFILL] through
today. We want to know how many days you’ve used
methamphetamine during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 month
DK/REF
MECC10 [IF MECC09 = 3] On how many days in the past 12 months did you
use methamphetamine?
days in the past 12 months [RANGE: 1 - 366]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR

232

MECC11 [IF MECC9 = 2] On average, how many days did you use
methamphetamine each month during the past 12 months?
days per month, on average [RANGE: 1 - 31]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR
MECC12 [IF MECC09 = 1] On average, how many days did you use
methamphetamine each week during the past 12 months?
days per week, on average [RANGE: 1 - 7]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR
IF MECC10 NOT(BLANK OR DK/REF) THEN TOTMETH = MECC10
ELSE IF MECC11 NOT(BLANK OR DK/REF THEN TOTMETH=MECC11*12
ELSE IF MECC12 NOT(BLANK OR DK/REF) THEN TOTMETH=MECC12*52
ELSE TOTMETH = DK/REF
MECC13a [IF (MECC07a=6 OR ((MECC08 = 1 OR MECC08 = 3) AND
MECC07a NE BLANK OR DK/REF)] Please answer this question
again. Think specifically about the past 30 days, from [DATEFILL],
up to and including today. During the past 30 days, on how many
days did you use methamphetamine?
days in the past 30 days [RANGE: 0 1- 30]
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
MECC13b [IF MECC07b = 6 or ((MECC08 = 1 OR 3) AND MECC07b NE
BLANK OR DK/REF)] Please answer this question again. Think
specifically about the past 30 days, from [DATEFILL] up to and
including today. What is your best estimate of the number of days you
used methamphetamine during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
IF ME06 = 0:
MECC14 The computer recorded that you used any form of methamphetamine
on 0 days during the past 30 days. Is this correct?
4
6

Yes
No

233

DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
MECC16 [IF MECC14 = 6] Please answer this question again. During the
past 30 days, that is, since [DATEFILL], on how many days did you
use methamphetamine?
days in the past 30 days [RANGE: 0 1- 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
MENDLLIF [IF ME01 = 1 OR MEREF = 1] Have you ever, even once, used a needle to inject
methamphetamine?
1
Yes
2
No
DK/REF
MENDRECa [IF MENDLLIF = 1 AND (MELAST3 = 1 OR MERECDK = (1 OR DK/REF)
OR MERECRE = (1 OR DK/REF))] How long has it been since you last used a
needle to inject methamphetamine?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MENDRECb [IF MENDLLIF = 1 AND (MELAST3 = 2 OR MERECDK = 2 OR MERECRE =
2)] How long has it been since you last used a needle to inject
methamphetamine?
1
2

More than 30 days ago but within the past 12 months
More than 12 months ago

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

234

Pain Relievers Screener
INTROPR

These next questions are about any use of prescription pain relievers. Please do
not include “over-the-counter” pain relievers such as aspirin, Tylenol, Advil, or
Aleve.
To indicate that you have not used any of the pain relievers asked about in a
question, enter 95.
Press [ENTER] to continue.

PR01

Please look at the names and pictures of the pain relievers shown below. Please
note that some forms of these pain relievers may look different from the pictures,
but you should include any form that you have used.
PROGRAMMER: DISPLAY PILLS HERE FOR VICODIN, LORTAB,
NORCO, ZOHYDRO ER, AND HYDROCODONE.
In the past 12 months, which, if any, of these pain relievers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].
Select all that apply.
1
Vicodin
2
Lortab
3
Norco
4
Zohydro ER
5
Hydrocodone (generic)
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
4, OR 5.

PR02

Please look at the names and pictures of the pain relievers shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR OXYCONTIN, PERCOCET,
AND PERCODAN.
In the past 12 months, which, if any, of these pain relievers have you used?
Select all that apply. To select more than one drug from the list, press the space
bar between each number you have typed. When you have finished, press [ENTER].

235

1
OxyContin
2
Percocet
3
Percodan
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2,
OR 3.
PR03

Please look at the names and pictures of the pain relievers shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR ROXICODONE, AND
OXYCODONE.
In the past 12 months, which, if any, of these pain relievers have you used?
Select all that apply. To select more than one drug from the list, press the space
bar between each number you have typed. When you have finished, press
[ENTER].
1
Roxicodone
2
Oxycodone (generic)
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, OR
2.

PRCC01

[IF ((PR01 = 1 AND PR02 = 1 AND PR03 = 1) OR (PR01 =2 AND PR02 = 2
AND PR03 = 2)) AND (# of responses in PR01 = 1) AND (# of responses in
PR02 = 1) AND (# of responses in PR03 = 1)] The computer recorded that you
used the following pain relievers in the past 12 months:
[PR01 FILL]
[PR02 FILL]
and [PR03 FILL]
Are all of these correct?
4
Yes
6
No
DK/REF

HARD ERROR: [IF PRCC01 = 6] Remember, please enter 95 if you have not used any of
the pain relievers asked about in the past 12 months. Please press use the

236

[ENTER] keybBack button to return to these questions so that you can revise
your answers.
PR04

Please look at the names and pictures of the pain relievers shown below.
Remember, some forms of these pain relievers may look different from the
pictures, but you should include any form that you have used.
PROGRAMMER: DISPLAY PILLS HERE FOR ULTRAM, ULTRAM ER,
ULTRACET, TRAMADOL, AND EXTENDED-RELEASE TRAMADOL.
In the past 12 months, which, if any, of these pain relievers have you used?
Select all that apply.To select more than one drug from the list, press the space
bar between each number you have typed. When you have finished, press
[ENTER].
1
Ultram
2
Ultram ER
3
Ultracet
4
Tramadol (generic)
5
Extended-release tramadol (generic)
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
4, OR 5.

PR05

Please look at the names and pictures of the pain relievers shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR TYLENOL WITH CODEINE
3 OR 4 AND CODEINE.
In the past 12 months, which, if any, of these pain relievers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Tylenol with codeine 3 or 4 (NOT over-the-counter Tylenol)
2
Codeine pills (generic)
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1 OR 2.

237

PR06

Please look at the names and pictures of the pain relievers shown below.
Remember, some forms of these pain relievers may look different from the
pictures, but you should include any form that you have used.
PROGRAMMER: DISPLAY PILLS HERE FOR AVINZA, KADIAN, MS
CONTIN, MORPHINE, AND EXTENDED-RELEASE MORPHINE.
In the past 12 months, which, if any, of these pain relievers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Avinza
2
Kadian
3
MS Contin
4
Morphine (generic)
5
Extended-release morphine (generic)
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
4, OR 5.

PR07

Please look at the names and pictures of the pain relievers shown below.
Remember, some forms of these pain relievers may look different from the
pictures, but you should include any form that you have used.
PROGRAMMER: DISPLAY IMAGES HERE FOR DURAGESIC, FENTORA,
AND FENTANYL.
In the past 12 months, which, if any, of these pain relievers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Duragesic
2
Fentora
3
Fentanyl (generic)
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2,
OR 3.

238

PR08

Please look at the names and pictures of the pain relievers shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR SUBOXONE AND
BUPRENORPHINE.
In the past 12 months, which, if any, of these pain relievers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Suboxone
2
Buprenorphine (generic)
3
Buprenorphine plus naloxone (generic)
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2,
OR 3.

PR09

Please look at the names and pictures of the pain relievers shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR OPANA, OPANA ER,
OXYMORPHONE, AND EXTENDED-RELEASE OXYMORPHONE.
In the past 12 months, which, if any, of these pain relievers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Opana
2
Opana ER
3
Oxymorphone (generic)
4
Extended-release oxymorphone (generic)
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
OR 4.

PR10

Please look at the names and pictures of the pain relievers shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR DEMEROL, DILAUDID OR
HYDROMORPHONE, EXALGO OR EXTENDED-RELEASE
HYDROMORPHONE, AND METHADONE.

239

In the past 12 months, which, if any, of these pain relievers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Demerol
2
Dilaudid or hydromorphone
3
Exalgo or extended-release hydromorphone
4
Methadone
95
I have not used any of these pain relievers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
OR 4.
PRANYOTH

In the past 12 months, have you used any other prescription pain
reliever?
Remember, do not include “over-the-counter” pain relievers such as
aspirin, Tylenol, Advil, or Aleve.
SHOW 12-MONTH CALENDAR ON SCREEN.
1
Yes
2
No
DK/REF

DEFINE PR12MON:
IF (PR01 NE 95 OR DK/REF) OR (PR02 NE 95 OR DK/REF) OR (PR03 NE 95 OR DK/REF)
OR (PR04 NE 95 OR DK/REF) OR (PR05 NE 95 OR DK/REF) OR (PR06 NE 95 OR DK/REF)
OR (PR07 NE 95 OR DK/REF) OR (PR08 NE 95 OR DK/REF) OR (PR09 NE 95 OR DK/REF)
OR (PR10 NE 95 OR DK/REF) OR (PRANYOTH = 1) THEN PR12MON = 1.
ELSE PR12MON = 2.
DEFINE PRYRCOUNT:
INITIALIZE PRYRCOUNT TO 0.
ADD 1 TO PRYRCOUNT FOR EACH INDIVIDUAL DRUG SELECTED IN PR01PRANYOTH.
PRLANY

[IF PR12MON = 2] Have you ever, even once, used any prescription pain
reliever?

240

Remember, do not include “over-the-counter” pain relievers such as aspirin,
Tylenol, Advil, or Aleve.
1
Yes
2
No
DK/REF

241

Tranquilizers Screener
INTROTR

These next questions are about any use of prescription tranquilizers.
Tranquilizers are usually prescribed to relax people, to calm people down, to
relieve anxiety, or to relax muscle spasms. Some people call tranquilizers “nerve
pills.”
To indicate that you have not used any of the tranquilizers asked about in a
question, enter 95.
Press [ENTER] to continue.

TR01

Please look at the names and pictures of the tranquilizers shown below. Please
note that some forms of these tranquilizers may look different from the pictures,
but you should include any form that you have used.
PROGRAMMER: DISPLAY PILLS HERE FOR XANAX, XANAX XR,
ALPRAZOLAM, AND EXTENDED-RELEASE ALPRAZOLAM.
In the past 12 months, which, if any, of these tranquilizers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Xanax
2
Xanax XR
3
Alprazolam (generic)
4
Extended-release alprazolam (generic)
95
I have not used any of these tranquilizers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
OR 4.

TR02

Please look at the names and pictures of the tranquilizers shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR ATIVAN, KLONOPIN,
LORAZEPAM, AND CLONAZEPAM.
In the past 12 months, which, if any, of these tranquilizers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1

Ativan

242

2
Klonopin
3
Lorazepam (generic)
4
Clonazepam (generic)
95
I have not used any of these tranquilizers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
OR 4.
TR03

Please look at the names and pictures of the tranquilizers shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR VALIUM AND
DIAZPEPAM.
In the past 12 months, which, if any, of these tranquilizers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Valium
2
Diazepam (generic)
95
I have not used any of these tranquilizers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1 OR 2.

TRCC01

[IF ((TR01 = 1 AND TR02 = 1 AND TR03 = 1) OR (TR01 =2 AND TR02 = 2
AND TR03 = 2)) AND (# of responses in TR01 = 1) AND (# of responses in
TR02 = 1) AND (# of responses in TR03 = 1)] The computer recorded that you
used the following tranquilizers in the past 12 months:
[TR01 FILL]
[TR02 FILL]
and [TR03 FILL]
Are all of these correct?
4
Yes
6
No
DK/REF
HARD ERROR: [IF TRCC01 = 6] Remember, please enter 95 if you have
not used any of the tranquilizers asked about in the past 12 months. Please
pressuse the [ENTER] keybBack button to return to these questions so that
you can revise your answers.

243

TR04

Please look at the names and pictures of the tranquilizers shown below.
Remember, some forms of these tranquilizers may look different from the
pictures, but you should include any form that you have used.
PROGRAMMER: DISPLAY PILLS HERE FOR CYCLOBENZAPRINE AND
SOMA.
In the past 12 months, which, if any, of these tranquilizers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Cyclobenzaprine (generic), also known as Flexeril
2
Soma
95
I have not used any of these tranquilizers in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1 OR 2.

TRANYOTH

In the past 12 months, have you used any other prescription tranquilizer?
SHOW 12-MONTH CALENDAR ON SCREEN.
1
Yes
2
No
DK/REF

DEFINE TR12MON:
IF (TR01 NE 95 OR DK/REF) OR (TR02 NE 95 OR DK/REF) OR (TR03 NE 95 OR DK/REF)
OR (TR04 NE 95 OR DK/REF) OR (TRANYOTH = 1) THEN TR12MON = 1.
ELSE TR12MON = 2.
DEFINE TRYRCOUNT:
INITIALIZE TRYRCOUNT TO 0.
ADD 1 TO TRYRCOUNT FOR EACH INDIVIDUAL DRUG SELECTED IN TR01TRANYOTH.
TRLANY

[IF TR12MON = 2] Have you ever, even once, used any prescription
tranquilizer?
1
Yes
2
No
DK/REF

244

245

Stimulants Screener
INTROST

These next questions are about any use of prescription stimulants. People
sometimes take these drugs for attention deficit disorders, to lose weight, or to
stay awake. Some people call stimulants “uppers.”
Please do not include “over-the-counter” stimulants such as Dexatrim, No-Doz,
Hydroxycut, or 5-Hour Energy.
To indicate that you have not used any of the stimulants asked about in a
question, enter 95.

Press [ENTER] to continue.
ST01

Please look at the names and pictures of the stimulants shown below. Please note
that some forms of these stimulants may look different from the pictures, but you
should include any form that you have used.
PROGRAMMER: DISPLAY PILLS HERE FOR ADDERALL, ADDERALL
XR, AND DEXEDRINE.
In the past 12 months, which, if any, of these stimulants have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Adderall
2
Adderall XR
3
Dexedrine
95
I have not used any of these stimulants in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2,
OR 3.

ST02

Please look at the names and pictures of the stimulants shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR DEXTROAMPHETAMINE,
AMPHETAMINE-DEXTROAMPHETAMINE MIX, AND EXTENDEDRELEASE AMPHETAMINE-DEXTROAMPHETAMINE MIX.
In the past 12 months, which, if any, of these stimulants have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.

246

1
2

Dextroamphetamine (generic)
Mixed amphetamine-dextroamphetamine pills other than Adderall
(generic)
3
Extended-release amphetamine-dextroamphetamine pills other than
Adderall XR (generic)
95
I have not used any of these stimulants in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2,
OR 3.
ST03

Please look at the names and pictures of the stimulants shown below.
PROGRAMMER: DISPLAY IMAGES FOR RITALIN, RITALIN LA,
CONCERTA, AND DAYTRANA. (DAYTRANA IS A PATCH.)
In the past 12 months, which, if any, of these stimulants have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Ritalin
2
Ritalin LA
3
Concerta
4
Daytrana
95
I have not used any of these stimulants in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
OR 4.

STCC01

[IF ((ST01 = 1 AND ST02 = 1 AND ST03 = 1) OR (ST01 =2 AND ST02 = 2
AND ST03 = 2)) AND (# of responses in ST01 = 1) AND (# of responses in
ST02 = 1) AND (# of responses in ST03 = 1)] The computer recorded that you
used the following stimulants in the past 12 months:
[ST01 FILL]
[ST02 FILL]
and [ST03 FILL]
Are all of these correct?
4
6

Yes
No

247

DK/REF
HARD ERROR: [IF STCC01 = 6] Remember, please enter 95 if you have not used any of
the stimulants asked about in the past 12 months. Please pressuse the [ENTER] keybBack
button to return to these questions so that you can revise your answers.
ST04

Please look at the names and pictures of the stimulants shown below.
PROGRAMMER: DISPLAY PILLS FOR METADATE CD, METADATE ER,
METHYLPHENIDATE, AND EXTENDED-RELEASE
METHYLPHENIDATE.
In the past 12 months, which, if any, of these stimulants have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Metadate CD
2
Metadate ER
3
Methylphenidate (generic)
4
Extended-release methylphenidate (generic)
95
I have not used any of these stimulants in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
OR 4.

ST05

Please look at the names and pictures of the stimulants shown below.
PROGRAMMER: DISPLAY PILLS FOR FOCALIN, FOCALIN XR,
DEXMETHYLPHENIDATE, AND EXTENDED-RELEASE
DEXMETHYLPHENIDATE.
In the past 12 months, which, if any, of these stimulants have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Focalin
2
Focalin XR
3
Dexmethylphenidate (generic)
4
Extended-release dexmethylphenidate (generic)
95
I have not used any of these stimulants in the past 12 months
DK/REF

248

DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
OR 4.
ST06

Please look at the names and pictures of the stimulants shown below.
PROGRAMMER: DISPLAY PILLS FOR BENZPHETAMINE, DIDREX,
DIETHYLPROPION, PHENDIMETRAZINE, AND PHENTERMINE.
In the past 12 months, which, if any, of these stimulants have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Benzphetamine
2
Didrex
3
Diethylpropion
4
Phendimetrazine
5
Phentermine
95
I have not used any of these stimulants in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
4, OR 5.

ST07

Please look at the names and pictures of the stimulants shown below.
PROGRAMMER: DISPLAY PILLS FOR PROVIGIL, TENUATE, AND
VYVANSE.
In the past 12 months, which, if any, of these stimulants have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].Select all that
apply.
1
Provigil
2
Tenuate
3
Vyvanse
95
I have not used any of these stimulants in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2,
OR 3.

249

STANYOTH

In the past 12 months, have you used any other prescription stimulant?
Remember, do not include “over-the-counter” stimulants such as
Dexatrim, No-Doz, Hydroxycut, or 5-Hour Energy.
SHOW 12-MONTH CALENDAR ON SCREEN.
1
Yes
2
No
DK/REF

DEFINE ST12MON:
IF (ST01 NE 95 OR DK/REF) OR (ST02 NE 95 OR DK/REF) OR (ST03 NE 95 OR DK/REF)
OR (ST04 NE 95 OR DK/REF) OR (ST05 NE 95 OR DK/REF) OR (ST06 NE 95 OR DK/REF)
OR (ST07 NE 95 OR DK/REF) OR (STANYOTH = 1) THEN ST12MON = 1.
ELSE ST12MON = 2.
DEFINE STYRCOUNT:
INITIALIZE STYRCOUNT TO 0.
ADD 1 TO STYRCOUNT FOR EACH INDIVIDUAL DRUG SELECTED IN ST01STANYOTH.
STLANY

[IF ST12MON = 2] Have you ever, even once, used any prescription stimulant?
Remember, do not include “over-the-counter” stimulants such as Dexatrim, NoDoz, Hydroxycut, or 5-Hour Energy.
1
Yes
2
No
DK/REF

250

Sedatives Screener
INTROSV
These next questions ask about any use of prescription sedatives or barbiturates.
These drugs are also called “downers” or “sleeping pills.” People take these drugs to help them
relax or help them sleep. Please do not include “over-the-counter” sedatives such as Sominex,
Unisom, Nytol, or Benadryl.
To indicate that you have not used any of the sedatives asked about in a question, enter
95.
Press [ENTER] to continue.
SV01 Please look at the names and pictures of the sedatives shown below. Please note that
some forms of these sedatives may look different from the pictures, but you should include any
form that you have used.
PROGRAMMER: DISPLAY PILLS HERE FOR AMBIEN, AMBIEN CR, ZOLPIDEM, AND
EXTENDED-RELEASE ZOLPIDEM.
In the past 12 months, which, if any, of these sedatives have you used?
To select more than one drug from the list, press the space bar between each number you have
typed. When you have finished, press [ENTER].Select all that apply.
Ambien
Ambien CR
Zolpidem (generic)
Extended-release zolpidem (generic)
95
I have not used any of these sedatives in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3, OR 4.
SV02 Please look at the names and pictures of the sedatives shown below.
PROGRAMMER: DISPLAY IMAGES FOR LUNESTA, SONATA, AND ZALEPLON.
In the past 12 months, which, if any, of these sedatives have you used?
To select more than one drug from the list, press the space bar between each number you have
typed. When you have finished, press [ENTER].Select all that apply.
Lunesta or eszopiclone
Sonata or zaleplon
95
I have not used any of these sedatives in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1 OR 2.

251

SV03 Please look at the names and pictures of the sedatives shown below.
PROGRAMMER: DISPLAY PILLS FOR HALCION, RESTORIL, FLURAZEPAM,
TEMAZEPAM, AND TRIAZOLAM.
In the past 12 months, which, if any, of these sedatives have you used?
To select more than one drug from the list, press the space bar between each number you have
typed. When you have finished, press [ENTER].Select all that apply.
Halcion
Restoril
Flurazepam (generic), also known as Dalmane
Temazepam (generic)
Triazolam (generic)
95
I have not used any of these sedatives in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3, 4, OR 5.
SVCC01
[IF ((SV01 = 1 AND SV02 = 1 AND SV03 = 1) OR (SV01 =2 AND SV02 = 2
AND SV03 = 2)) AND (# of responses in SV01 = 1) AND (# of responses in SV02 = 1) AND (#
of responses in SV03 = 1)] The computer recorded that you used the following sedatives in the
past 12 months:
[SV01 FILL]
[SV02 FILL]
and [SV03 FILL]
Are all of these correct?
4
6
DK/REF

Yes
No

HARD ERROR: [IF SVCC01 = 6] Remember, please enter 95 if you have not used any of the
sedatives asked about in the past 12 months. Please pressuse the [ENTER] keybBack button to
return to these questions so that you can revise your answers.
SV04 Please look at the names and pictures of the sedatives shown below.
PROGRAMMER: DISPLAY PILLS FOR BUTISOL, SECONAL, AND PHENOBARBITAL.
In the past 12 months, which, if any, of these sedatives have you used?

252

To select more than one drug from the list, press the space bar between each number you have
typed. When you have finished, press [ENTER].Select all that apply.
Butisol
Seconal
Phenobarbital (generic)
95
I have not used any of these sedatives in the past 12 months
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, OR 3.
SVANYOTH In the past 12 months, have you used any other prescription sedative?
Remember, do not include “over-the-counter” sedatives such as Sominex, Unisom, Nytol, or
Benadryl.
SHOW 12-MONTH CALENDAR ON SCREEN.
1
Yes
2
No
DK/REF
DEFINE SV12MON:
IF (SV01 NE 95 OR DK/REF) OR (SV02 NE 95 OR DK/REF) OR (SV03 NE 95 OR DK/REF)
OR (SV04 NE 95 OR DK/REF) OR (SVANYOTH = 1) THEN SV12MON = 1.
ELSE SV12MON = 2.
DEFINE SVYRCOUNT:
INITIALIZE SVYRCOUNT TO 0.
ADD 1 TO SVYRCOUNT FOR EACH INDIVIDUAL DRUG SELECTED IN SV01SVANYOTH.
SVLANY
[IF SV12MON = 2] Have you ever, even once, used any prescription sedative?
Remember, do not include “over-the-counter” sedatives such as Sominex, Unisom, Nytol, or
Benadryl.
1
Yes
2
No
DK/REF

253

Tranquilizers and Sedatives Screener
INTROTS

These next questions are about any use of prescription tranquilizers or
sedatives.
Tranquilizers or sedatives are usually prescribed to…
•
•
•
•
•

relax people,
to calm people down,
to relieve anxiety,
to relax muscle spasms, or
to help people sleep.

Some people call tranquilizers or sedatives “benzos”, “downers”, or “sleeping
pills.”
TS01

Please look at the names and pictures of the prescription drugs shown below.
Please note that some forms of these prescription drugs may look different from
the pictures, but you should include any form that you have used.
PROGRAMMER: DISPLAY PILLS HERE FOR XANAX, XANAX XR,
ALPRAZOLAM, AND EXTENDED-RELEASE ALPRAZOLAM.
In the past 12 months, which, if any, of these tranquilizers or sedatives have you
used?
Select all that apply.
4
Xanax
5
Xanax XR
6
Alprazolam (generic)
4
Extended-release alprazolam (generic)
95
I have not used any of these prescription drugs in the past 12 months
DK/REF

TS02

Please look at the names and pictures of the prescription drugs shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR ATIVAN, KLONOPIN,
LORAZEPAM, AND CLONAZEPAM.
In the past 12 months, which, if any, of these tranquilizers or sedatives have you
used?
Select all that apply.
5

Ativan

254

6
Klonopin
7
Lorazepam (generic)
8
Clonazepam (generic)
95
I have not used any of these prescription drugs in the past 12 months
DK/REF
TS03

Please look at the names and pictures of the prescription drugs shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR VALIUM AND DIAZPEPAM.
In the past 12 months, which, if any, of these tranquilizers or sedatives have you
used?
Select all that apply.
2
Valium
3
Diazepam (generic)
95
I have not used any of these prescription drugs in the past 12 months
DK/REF

TSCC01

[IF ((TS01 = 1 AND TS02 = 1 AND TS03 = 1) OR (TS01 =2 AND TS03 = 2
AND TS03 = 2)) AND (# of responses in TS01 = 1) AND (# of responses in
TS02 = 1) AND (# of responses in TS03 = 1)] The computer recorded that you
used the following tranquilizers or sedatives in the past 12 months:
[TS01 FILL]
[TS02 FILL]
and [TS03 FILL]
Are all of these correct?
4
Yes
6
No
DK/REF
HARD ERROR: [IF TSCC01 = 6] Please use the Back button to return to
these questions so that you can revise your answers.

TS04

Please look at the names and pictures of the prescription drugs shown below.
PROGRAMMER: DISPLAY PILLS FOR HALCION, RESTORIL,
FLURAZEPAM, TEMAZEPAM, AND TRIAZOLAM.
In the past 12 months, which, if any, of these tranquilizers or sedatives have you
used?

255

Select all that apply.
1
Halcion
2
Restoril
3
Flurazepam (generic), also known as Dalmane
4
Temazepam (generic)
5
Triazolam (generic)
95
I have not used any of these prescription drugs in the past 12 months
DK/REF
TS05

Please look at the names and pictures of the prescription drugs shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR AMBIEN, AMBIEN CR,
ZOLPIDEM, AND EXTENDED-RELEASE ZOLPIDEM.
In the past 12 months, which, if any, of these tranquilizers or sedatives have you
used?
Select all that apply.
1
Ambien
2
Ambien CR
3
Zolpidem (generic)
4
Extended-release zolpidem (generic)
95
I have not used any of these prescription drugs in the past 12 months
DK/REF

TS06

Please look at the names and pictures of the prescription drugs shown below.
PROGRAMMER: DISPLAY IMAGES FOR LUNESTA, ESZOPICLONE,
SONATA, AND ZALEPLON.
In the past 12 months, which, if any, of these tranquilizers or sedatives have you
used?
Select all that apply.
1
Lunesta or eszopiclone
2
Sonata or zaleplon
95
I have not used any of these prescription drugs in the past 12 months
DK/REF

TS07

Please look at the names and pictures of the prescription drugs shown below.
PROGRAMMER: DISPLAY PILLS HERE FOR CYCLOBENZAPRINE AND
SOMA.

256

In the past 12 months, which, if any, of these tranquilizers or sedatives have you
used?
Select all that apply.
1
Cyclobenzaprine (generic), also known as Flexeril
2
Soma
95
I have not used any of these prescription drugs in the past 12 months
DK/REF
TS08

Please look at the names and pictures of the prescription drugs shown below.
PROGRAMMER: DISPLAY PILLS FOR BUTISOL, SECONAL, AND
PHENOBARBITAL.
In the past 12 months, which, if any, of these tranquilizers or sedatives have you
used?
Select all that apply.
1
Butisol
2
Seconal
3
Phenobarbital (generic)
95
I have not used any of these prescription drugs in the past 12 months
DK/REF

TSANYOTH In the past 12 months, have you used any other prescription tranquilizer or
sedative?
SHOW 12-MONTH CALENDAR ON SCREEN.
1
Yes
2
No
DK/REF
DEFINE TS12MON:
IF (TS01 NE 95 OR DK/REF) OR (TS02 NE 95 OR DK/REF) OR (TS03 NE 95 OR DK/REF)
OR (TS04 NE 95 OR DK/REF) OR (TS05 NE 95 OR DK/REF) OR (TS06 NE 95 OR DK/REF)
OR (TS07 NE 95 OR DK/REF) OR (TS08 NE 95 OR DK/REF) OR (TSANYOTH = 1) THEN
TS12MON = 1.
ELSE TS12MON = 2.
DEFINE TSYRCOUNT:
INITIALIZE TSYRCOUNT TO 0.

257

ADD 1 TO TSYRCOUNT FOR EACH INDIVIDUAL DRUG SELECTED IN TS01TSANYOTH.
TSANY

[IF TS12MON = 2] Have you ever, even once, used any prescription
tranquilizer or sedative?
1
Yes
2
No
DK/REF

258

Pain Relievers Main Module
If no 12 month use of prescription pain relievers:
PRINTROLIF

[IF PRLANY = 1] The next question asks about using prescription pain
relievers in any way a doctor did not direct you to use them.
When you answer this question, please think only about your use of the drug
in any way a doctor did not direct you to use it, including:



Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
 Using it in any other way a doctor did not direct you to use it
Press Enter to continue.
PRL01

[IF PRLANY=1] Have you ever, even once, used any prescription pain
reliever in any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2]Click the question mark button if you want to see and
hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

259

If any 12 month use of prescription pain relievers:
PRINTROYR1 [IF PR12MON = 1] Earlier you reported having used certain prescription
pain relievers during the past year. Now please think about whether you used
any of these pain relievers in any way a doctor did not direct you to use
them.
When you answer these questions, please think only about your use of the
drug in any way a doctor did not direct you to use it, including:




Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
Using it in any other way a doctor did not direct you to use it

Press Enter to continue.
DEFINE PRFILL:
PRFILL LISTS ALL INDIVIDUAL DRUGS SELECTED IN PR01, PR02, PR03, PR04, PR05,
PR06, PR07, PR08, PR09, AND PR10.
USE MULTIPLE COLUMNS AS NEEDED. PRECEDE LAST ITEM WITH
“and”. IF PRANYOTH=1 AND PRYRCOUNT > 1, THEN ADD “another
prescription pain reliever” TO THE FILL.
THE FOLLOWING DRUGS SHOULD NOT USE INITIAL CAPS WHEN FILLED IN
SENTENCE FORMAT:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

hydrocodone
oxycodone
propoxyphene
tramadol
extended-release tramadol
codeine pills
morphine
extended-release morphine
fentanyl
buprenorphine
oxymorphone
extended-release oxymorphone
hydromorphone
extended-release hydromorphone
methadone
buprenorphine plus naloxone

260

WHEN IMPLEMENTING PRFILL, IF 1, OR 2 DRUGS APPEAR IN LIST, FILL IN
SENTENCE FORMAT, SEPARATED WITH AN “and” BEFORE THE LAST
FILL.
IF >2 DRUGS APPEAR IN LIST, FILL IN LIST (IN COLUMNS IF NEEDED) BELOW THE
PREVIOUS SENTENCE.
DEFINE PRFIRSTFLAG:
PRFIRSTFLAG IDENTIFIES THE FIRST PAIN RELIEVER USED NONMEDICALLY.
INITIALIZE PRFIRSTFLAG TO 0.
(PRFIRSTFLAG NEEDS TO BE DEFINED BEFORE THE ROUTING TO PRINTROYR2 OR
PRYOTH.)
PRINTROYR2 [IF PR12MON=1 AND (PRANYOTH NE 1 OR (PRANYOTH=1 AND
PRYRCOUNT > 1))] Earlier, the computer recorded that, in the past 12
months, you used [PRFILL].
Press Enter to continue.
PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE
DATE FOR THE INTRO SCREEN
NOTE TO PROGRAMMERS: LOOP THROUGH THE 12-MONTH MISUSE, AGE AT FIRST
MISUSE, AND YEAR AND MONTH OF FIRST MISUSE (IF APPLICABLE) FOR EACH
PRESCRIPTION PAIN RELIEVER REPORTED IN THE SCREENER FOR THE PAST 12
MONTHS.
PRY01

[IF PR01=1] In the past 12 months, did you use Vicodin in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR VICODIN
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2]Click the question mark button if you want to see and
hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

[Moved “Help” text for ways of misuse to the first question for each substance.]

261

UPDATE PRFIRSTFLAG:
IF PRY01=1 THEN PRFIRSTFLAG=1.
PRY01a

[IF PRFIRSTFLAG=1] Please think about the first time you ever used Vicodin in
a way a doctor did not direct you to use it.
[IF PRY01=1] How old were you when you first used Vicodin in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2] if you want to see and hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

DEFINE AGE1STPR1:
IF PRY01a NE (BLANK OR DK/REF) THEN AGE1STPR1 = PRY01a
ELSE AGE1STPR1 = 0
HARD ERROR: [IF CURNTAGE < AGE1STPR1] The age you just entered is older than your
current age. Press [Enter] to answer the question againPlease answer the question again.
IF 1 <= AGE1STPR1 < 10:
PRCC05A1 The computer recorded that you were [AGE1STPR1] years old the
first time you used Vicodin in a way a doctor did not direct you to use
it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF PRCC05A1= DK/REF THEN AGE1STPR1 = 0
PRCC06A1 [IF PRCC05A1=6] Please answer this question again. Think
about the first time you used Vicodin in a way a doctor did not direct
you to use it.
How old were you the first time you used Vicodin in a way a doctor
did not direct you to use it?

262

years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF PRCC06A1 NOT (BLANK OR DK/REF) THEN AGE1STPR1 = PRCC06A1
ELSE IF PRCC06A1 = DK/REF THEN AGE1STPR1 = 0
DEFINE PRYRINIT1:
IF AGE1STPR1 = CURNTAGE THEN PRYRINIT1 = 1
ELSE PRYRINIT1 = 0
DEFINE PRYRDKRE1:
IF PRYRINIT1 = 0 AND (PRY01a = DK/REF OR PRCC05A1 = DK/REF OR PRCC06A1 =
DK/REF) THEN PRYRDKRE1 = 1
ELSE PRYRDKRE1= 0
DEFINE PR30INIT1:
PR30INIT1 = 0
IF (AGE1STPR1 = CURNTAGE) AND (PRYFU1 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST YEAR’S
BIRTHDAY AND INTERVIEW DATE <= 30), THEN PR30INIT1 = 1
2.2.1

Year and Month of First Nonmedical Use

DEFINE PRYFU1:
PRYFU1 = 0
DEFINE PRMFU1:
PRMFU1 = 0
PRY01b

[AGE1STPR1 = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STPR1 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you
first use Vicodin in a way a doctor did not direct you to use it in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

PRY01c

[IF AGE1STPR1 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use Vicodin in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?

263

1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
UPDATE: IF PRY01B = 2 OR (AGE1STPR1 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN PRYFU1 = CURRENT YEAR
IF PRY01B = 1 OR PRY01C = 2 THEN PRYFU1 = CURRENT YEAR - 1
IF PRY01C = 1 THEN PRYFU1 = CURRENT YEAR - 2
DEFINE PRJANFLAG1:
PRJANFLAG1 = 0
IF PRYFU1=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
PRJANFLAG1 = 1
IF PRYFU1=CURRENT YEAR-1 AND BIRTHDAY MONTH=JANUARY AND DATE OF
INTERVIEW ≥ DOB THEN PRJANFLAG1=1
IF PRJANFLAG1=1 THEN PRY01D=1
DEFINE PRDECFLAG1:
PRDECFLAG1 = 0
IF AGE1STPR1 = CURNTAGE AND PRYFU1=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN PRDECFLAG1 = 1
IF PRDECFLAG1=1 THEN PRY01D=12
DEFINE PR1MTHFLAG1:
PR1MTHFLAG1=0
IF (AGE1STPR1=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH) THEN
PR1MTHFLAG1=1
IF PR1MTHFLAG1=1 THEN PRY01D=CURRENT MONTH
PRY01d.
[IF PRYFU1 NE 0 AND PRJANFLAG1 = 0 AND PRDECFLAG1=0 AND
PR1MTHFLAG1=0]
[IF PRYFU1 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you reported that you
first used Vicodin in a way a doctor did not direct you to use it when you were [AGE1STPR1]
years old. Based on your date of birth, you turned [AGE1STPR1] in [FILL WITH
MONTH/YEAR FOR AGE1STPR1 BASED ON DOB].
[IF PRYFU1 NE 0] In what month in [PRYFU1] did you first use Vicodin in a way a doctor
did not direct you to use it?
[IF DATE OF INTERVIEW < DOB AND AGE1STPR1=CURRENT AGE AND
PRYFU1=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]
IF AGE1STPR1 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.

264

IF ((AGE1STPR1 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STPR1 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (PRYFU1 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF PRYFU1=CURRENT YEAR AND AGE1STPR1=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF PRYFU1 = CURRENT YEAR - 1 AND AGE1STPR1 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
13
January
14
February
15
March
16
April
17
May
18
June
19
July
20
August
21
September
22
October
23
November
24
December
DK/REF
UPDATE: IF PRY01D = 1-12 THEN PRMFU1 = PRY01D
IF PRJANFLAG1 = 1 THEN PRMFU1 = 1.
IF PRDECFLAG1=1 THEN PRMFU1=12.
UPDATE: IF PRYRINIT1 NE 1 AND (PRYFU1 = CURRENT YEAR OR (PRYFU1 =
CURRENT YEAR - 1 AND PRMFU1 = 1-12 AND PRMFU1 >= CURRENT MONTH) THEN
PRYRINIT1 = 1
UPDATE: IF PRYRINIT1 NE 1 AND PRYRDKRE1 NE 1 AND [(PRY01b = DK/REF OR
PRY01c = DK/REF) OR (PRYFU1 = CURRENT YEAR-1 AND PRY01d = DK/REF)] THEN
PRYRDKRE1 = 1
UPDATE: IF PR30INIT1 NE 1 AND PRYFU1 = CURRENT YEAR AND PRMFU1 =
CURRENT MONTH THEN PR30INIT1 = 1
DEFINE MYR1STPR1:
MYR1STPR1 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (PRY01b-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STPR1 IS 0.

265

IF MYR1STPR1 NE 0 AND NE AGE1STPR1:
PRCC32A1
Earlier, the computer recorded that you were [AGE1STPR1]
years old when you first used Vicodin in a way a doctor did not direct
you to use it.
Which answer is correct?
1

I was [MYR1STPR1] years old in [PRY01B-D fill] the first
time I used Vicodin in a way not directed for me by a doctor
2
I was [AGE1STPR1] years old the first time I used Vicodin in
a way not directed for me by a doctor
3
Neither answer is correct
DK/REF

UPDATE: IF PRCC32A1 = 1, THEN AGE1STPR1 = MYR1STPR1.
UPDATE: IF PRYRINIT1 NE 1 AND AGE1STPR1 = CURNTAGE THEN PRYRINIT1 = 1
ELSE IF PRYRINIT1 = 1 AND AGE1STPR1 NE CURNTAGE AND PRCC32A1 = DK/REF
THEN PRYRINIT1 = 0
UPDATE: IF PRYRINIT1 NE 1 AND PRYRDKRE1 NE 1 AND PRCC32A1 = DK/REF THEN
PRYRDKRE1 = 1
UPDATE: IF PR30INIT1 NE 1 AND PRCC32A1 = 1 AND AGE1STPR1 IS WITHIN 30
DAYS OF INTERVIEW DATE THEN PR30INIT1 = 1
UPDATE: IF PRYFU1 NE 0 AND PRCC32A1 = DK/REF THEN PRYFU1 = 0
UPDATE: IF PRMFU1 = 1-12 AND PRCC32A1 = DK/REF THEN PRMFU1 = 0
PRCC33A1 [IF PRCC32A1=2 OR PRCC32A1=3] Please answer this question
again. Did you first use Vicodin in a way a doctor did not direct you
to use it in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
UPDATE: IF PRYFU1 NE 0 AND PRCC33A1 = DK/REF THEN PRYFU1 = 0
IF PRCC33A1 = 1 THEN PRYFU1 = CURRENT YEAR - 2
IF PRCC33A1 = 2 THEN PRYFU1 = CURRENT YEAR - 1
IF PRCC33A1 = 3 THEN PRYFU1 = CURRENT YEAR

266

UPDATE: IF PRMFU1 = 1-12 AND PRCC33A1 = DK/REF THEN PRMFU1 = 0
PRCC33B1

[IF PRCC33A1 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [PRCC33A1] did you first use
Vicodin in a way a doctor did not direct you to use it?

IF PRCC33A1 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF PRCC33B1 = 1-12 THEN PRMFU1 = PRCC33B1
IF PRCC33B1 = DK/REF THEN PRMFU1 = 0
UPDATE: IF PRCC33B1 NE (0 OR DK/REF) THEN UPDATE MYR1STPR1.
MYR1STPR1 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (PRCC33A1 AND PRCC33B1). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STPR1 IS 0. IF MYR1STPR1
= AGE1STPR1 THEN MYR1STPR1 = 0
UPDATE: IF PRYRINIT1 = 1 AND AGE1STPR1 NE CURNTAGE AND PRCC32A1 NE 1
AND MYR1STPR1 NE 0 AND (PRCC33A1 AND PRCC33B1 = PRY01b-d) THEN
PRYRINIT1 = 0
UPDATE: IF PRYRINIT1 NE 1 AND PRYRDKRE1 NE 1 AND PRCC33A1 = DK/REF THEN
PRYRDKRE1 = 1
IF PRYRINIT1 NE 1 AND PRYRDKRE1 NE 1 AND PRYFU1 = CURRENT YEAR-1 AND
PRCC33B1 = DK/REF THEN PRYRDKRE1 = 1
UPDATE: IF PR30INIT1 = 1 AND AGE1STPR1 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND PRCC32A1 NE 1 AND MYR1STPR1 NE 0 AND (PRCC33A1 AND
PRCC33B1 = PRY01b-d) THEN PR30INIT1 = 0

267

PRCC34A1 [IF PRCC32A1 NE 1 AND MYR1STPR1 NE 0 AND (PRCC33A1
AND PRCC33b1 NE PRY01b-d)] The computer recorded that you
first used Vicodin in a way a doctor did not direct you to use it in
[PRCC33A1-PRCC33B1 fill]. That would make you [MYR1STPR1]
years old when you first used Vicodin in any way a doctor did not
direct you to use it.
Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF PRCC34A1 NE (6, BLANK OR DK/REF) AND (PRCC33A1 AND PRCC33B1
NE PRY01b-d) THEN AGE1STPR1 = MYR1STPR1
UPDATE: IF PRYRINIT1 NE 1 AND AGE1STPR1 = CURNTAGE OR (PRCC34A1 = 4 AND
PRCC33A1 = 3 OR (PRCC33A1 = 2 AND PRCC33b1 NE DK/REF AND PRCC33B1 >=
CURRENT MONTH) ) THEN PRYRINIT1 = 1
ELSE IF PRYRINIT = 1 AND AGE1STPR1 NE CURNTAGE AND PRCC34A1 = (6 OR
DK/REF) THEN PRYRINIT1 = 0
UPDATE: IF PRYRINIT1 NE 1 AND PRYRDKRE1 NE 1 AND MYR1STPR1= CURNTAGE
AND PRCC34A1 = (6 OR DK/REF) THEN PRYRDKRE1 = 1
IF PRYRINIT1 NE 1 AND PRYRDKRE1 NE 1 AND PRCC34A1 = BLANK AND PRCC33A1
= 3 THEN PRYRDKRE1 = 1
IF PRYRINIT1 NE 1 AND PRYRDKRE1 NE 1 AND PRCC34A1 = BLANK AND PRCC33A1
= 2 AND PRCC33B1 = 1-12 AND PRCC33B1 >= CURRENT MONTH THEN PRYRDKRE1
=1
UPDATE: IF PR30INIT1 NE 1 AND AGE1STPR1 WITHIN 30 DAYS OF INTERVIEW
DATE OR (PRCC34A1 = 4 AND PRCC33A1 = 3 AND PRCC33B1 = CURRENT MONTH)
THEN PR30INIT1 = 1
ELSE IF PR30INIT1 = 1 AND AGE1STPR1 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND PRCC34A1 = (6 OR DK/REF) THEN PR30INIT1 = 0
UPDATE: IF PRYFU1 NE BLANK AND PRCC34A1 = OR DK/REF THEN PRYFU1 = 0
IF PRCC34A1 = BLANK AND (PRCC33A1 AND PRCC33B1 EQ PRY01b-d) THEN PRYFU1
=0
UPDATE: IF PRMFU1 = 1-12 AND PRCC34A1 = (6 OR DK/REF) THEN PRMFU1 = 0
IF PRCC34A1 = BLANK AND (PRCC33A1 AND PRCC33B1 EQ PRY01b-d) THEN
PRMFU1 = 0

268

PRY02

[IF PR01=2] In the past 12 months, did you use Lortab in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR LORTAB
1
Yes
2
No
DK/REF

PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE IN LOWER RIGHT]
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY02=1 THEN PRFIRSTFLAG=2.
PRY02a

[IF PRFIRSTFLAG=2] Please think about the first time you ever used Lortab in
a way a doctor did not direct you to use it.
[IF PRY02=1] How old were you when you first used Lortab in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2] if you want to see and hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
DEFINE AGE1STPR2:
IF PRY02a NE (BLANK OR DK/REF) THEN AGE1STPR2 = PRY02a
ELSE AGE1STPR2 = 0
HARD ERROR: [IF CURNTAGE < AGE1STPR2] The age you just reported is older than your
current age. Press [Enter] to answer the question againPlease answer the question
again.

269

IF 1 <= AGE1STPR2 < 10:
PRCC05A2

The computer recorded that you were [AGE1STPR2] years old the first time you
used Lortab in a way a doctor did not direct you to use it.
Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF PRCC05A2= DK/REF THEN AGE1STPR2 = 0
PRCC06A2

[IF PRCC05A2=6] Please answer this question again. Think about the first time
you used Lortab in a way a doctor did not direct you to use it.
How old were you the first time you used Lortab in a way a doctor did not direct
you to use it?
years old [RANGE: 1 - 110]
DK/REF

UPDATE: IF PRCC06A2 NOT (BLANK OR DK/REF) THEN AGE1STPR2 = PRCC06A2
ELSE IF PRCC06A2 = DK/REF THEN AGE1STPR2 = 0
DEFINE PRYRINIT2:
IF AGE1STPR2 = CURNTAGE THEN PRYRINIT2 = 1
ELSE PRYRINIT2 = 0
DEFINE PRYRDKRE2:
IF PRYRINIT2 = 0 AND (PRY02a = DK/REF OR PRCC05A2 = DK/REF OR PRCC06A2 =
DK/REF) THEN PRYRDKRE2 = 1
ELSE PRYRDKRE2= 0
DEFINE PR30INIT2:
PR30INIT2 = 0
IF (AGE1STPR2 = CURNTAGE) AND (PRYFU2 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST
YEAR’S BIRTHDAY AND INTERVIEW DATE <= 30), THEN PR30INIT2 = 1
2.2.1

Year and Month of First Nonmedical Use

270

DEFINE PRYFU2:
PRYFU2 = 0
DEFINE PRMFU2:
PRMFU2 = 0
PRY02b

[AGE1STPR2 = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STPR2 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you
first use Lortab in a way a doctor did not direct you to use it in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

PRY02c

[IF AGE1STPR2 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use Lortab in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

UPDATE: IF PRY02B = 2 OR (AGE1STPR2 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN PRYFU2 = CURRENT YEAR
IF PRY02B = 1 OR PRY02C = 2 THEN PRYFU2 = CURRENT YEAR - 1
IF PRY02C = 1 THEN PRYFU2 = CURRENT YEAR - 2
DEFINE PRJANFLAG2:
PRJANFLAG2 = 0
IF PRYFU2=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
PRJANFLAG2 = 1
IF PRYFU2=CURRENT YEAR-1 AND BIRTHDAY MONTH=JANUARY AND DATE OF
INTERVIEW ≥ DOB THEN PRJANFLAG2=1
IF PRJANFLAG2=1 THEN PRY02D=1
DEFINE PRDECFLAG2:
PRDECFLAG2 = 0
IF AGE1STPR2 = CURNTAGE AND PRYFU2=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN PRDECFLAG2 = 1
IF PRDECFLAG2=1 THEN PRY02D=12
DEFINE PR1MTHFLAG2:
PR1MTHFLAG2=0
IF (AGE1STPR2=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH) THEN
PR1MTHFLAG2=1

271

IF PR1MTHFLAG2=1 THEN PRY02D=CURRENT MONTH
PRY02d

[IF PRYFU2 NE 0 AND PRJANFLAG2 = 0 AND PRDECFLAG2=0 AND
PR1MTHFLAG2=0]
[IF PRYFU2 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you
reported that you first used Lortab in a way a doctor did not direct you to use it
when you were [AGE1STPR2] years old. Based on your date of birth, you turned
[AGE1STPR2] in [FILL WITH MONTH/YEAR FOR AGE1STPR2 BASED ON
DOB].
[IF PRYFU2 NE 0] In what month in [PRYFU2] did you first use Lortab in a
way a doctor did not direct you to use it?

[IF DATE OF INTERVIEW < DOB AND AGE1STPR2=CURRENT AGE AND
PRYFU2=CURRENT YEAR THEN SHOW JANUARY THROUGH
INTERVIEW MONTH.]
IF AGE1STPR2 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STPR2 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STPR2 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (PRYFU2 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF PRYFU2=CURRENT YEAR AND AGE1STPR2=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF PRYFU2 = CURRENT YEAR - 1 AND AGE1STPR2 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF

272

UPDATE: IF PRY02D = 1-12 THEN PRMFU2 = PRY02D
IF PRJANFLAG2 = 1 THEN PRMFU2 = 1.
IF PRDECFLAG2=1 THEN PRMFU2=12.
UPDATE: IF PRYRINIT2 NE 1 AND (PRYFU2 = CURRENT YEAR OR (PRYFU2 =
CURRENT YEAR - 1 AND PRMFU2 = 1-12 AND PRMFU2 >= CURRENT
MONTH) THEN PRYRINIT2 = 1
UPDATE: IF PRYRINIT2 NE 1 AND PRYRDKRE2 NE 2 AND [(PRY02b = DK/REF OR
PRY02c = DK/REF) OR (PRYFU2 = CURRENT YEAR-1 AND PRY02d =
DK/REF)] THEN PRYRDKRE2 = 1
UPDATE: IF PR30INIT2 NE 1 AND PRYFU2 = CURRENT YEAR AND PRMFU2 =
CURRENT MONTH THEN PR30INIT2 = 1
DEFINE MYR1STPR2:
MYR1STPR2 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (PRY02B-D). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STPR2 IS 0.
IF MYR1STPR2 NE 0 AND NE AGE1STPR2:
PRCC32A2

Earlier, the computer recorded that you were [AGE1STPR2] years old when you
first used Lortab in a way a doctor did not direct you to use it.
Which answer is correct?
1

I was [MYR1STPR2] years old in [PRY02B-D fill] the first time I used
Lortab in a way not directed for me by a doctor
2
I was [AGE1STPR2] years old the first time I used Lortab in a way not
directed for me by a doctor
3
Neither answer is correct
DK/REF
UPDATE: IF PRCC32A2 = 1, THEN AGE1STPR2 = MYR1STPR2.
UPDATE: IF PRYRINIT2 NE 1 AND AGE1STPR2 = CURNTAGE THEN PRYRINIT2= 1
ELSE IF PRYRINIT2 = 1 AND AGE1STPR2 NE CURNTAGE AND PRCC32A2 = DK/REF
THEN PRYRINIT2 = 0
UPDATE: IF PRYRINIT2 NE 1 AND PRYRDKRE2 NE 1 AND PRCC32A2 = DK/REF THEN
PRYRDKRE2 = 1

273

UPDATE: IF PR30INIT2 NE 1 AND PRCC32A2 = 1 AND AGE1STPR2 IS WITHIN 30
DAYS OF INTERVIEW DATE THEN PR30INIT2 = 1
UPDATE: IF PRYFU2 NE 0 AND PRCC32A2 = DK/REF THEN PRYFU2 = 0
UPDATE: IF PRMFU2 = 1-12 AND PRCC32A2 = DK/REF THEN PRMFU2 = 0
PRCC33A2

[IF PRCC32A2=2 OR PRCC32A2=3] Please answer this question again. Did
you first use Lortab in a way a doctor did not direct you to use it in [CURRENT
YEAR-2], [CURRENT YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

UPDATE: IF PRYFU2 NE 0 AND PRCC33A2 = DK/REF THEN PRYFU2 = 0
IF PRCC33A2 = 1 THEN PRYFU2 = CURRENT YEAR - 2
IF PRCC33A2 = 2 THEN PRYFU2 = CURRENT YEAR - 1
IF PRCC33A2 = 3 THEN PRYFU2 = CURRENT YEAR
UPDATE: IF PRMFU2 = 1-12 AND PRCC33A2 = DK/REF THEN PRMFU2 = 0
PRCC33B2

[IF PRCC33A2 NE (BLANK OR DK/REF)] Please answer this question again.
In what month in [PRCC33A2] did you first use Lortab in any way a doctor did
not direct you to use it?

IF PRCC33A2 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF PRCC33B2 = 1-12 THEN PRMFU2 = PRCC33B2
IF PRCC33B2 = DK/REF THEN PRMFU2 = 0

274

UPDATE: IF PRCC33B2 NE (0 OR DK/REF) THEN UPDATE MYR1STPR2.
MYR1STPR2 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (PRCC33A2 AND
PRCC33B2). IF MONTH OF FIRST USE = MONTH OF BIRTH, THEN
MYR1STPR2 IS 0. IF MYR1STPR2 = AGE1STPR2 THEN MYR1STPR2 = 0
UPDATE: IF PRYRINIT2 = 1 AND AGE1STPR2 NE CURNTAGE AND PRCC32A2 NE 1
AND MYR1STPR2 NE 0 AND (PRCC33A2 AND PRCC33B2 = PRY02b-d)
THEN PRYRINIT2 = 0
UPDATE: IF PRYRINIT2 NE 1 AND PRYRDKRE2 NE 1 AND PRCC33A2 = DK/REF THEN
PRYRDKRE2 = 1
IF PRYRINIT2 NE 1 AND PRYRDKRE2 NE 1 AND PRYFU2 = CURRENT YEAR-1 AND
PRCC33B2 = DK/REF THEN PRYRDKRE2 = 1
UPDATE: IF PR30INIT2 = 1 AND AGE1STPR2 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND PRCC32A2 NE 1 AND MYR1STPR2 NE 0 AND
(PRCC33A2 AND PRCC33B2 = PRY02b-d) THEN PR30INIT2 = 0
PRCC34A2

[IF PRCC32A2 NE 1 AND MYR1STPR2 NE 0 AND (PRCC33A2 AND
PRCC33B2 NE PRY02b-d)] The computer recorded that you first used Lortab in
a way a doctor did not direct you to use it in [PRCC33A2-PRCC33B2 fill]. That
would make you [MYR1STPR2] years old when you first used Lortab in any way
a doctor did not direct you to use it.
Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF PRCC34A2 NE (6, BLANK OR DK/REF) AND (PRCC33A2 AND PRCC33B2
NE PRY02b-d) THEN AGE1STPR2 = MYR1STPR2
UPDATE: IF PRYRINIT2 NE 1 AND AGE1STPR2 = CURNTAGE OR (PRCC34A2 = 4 AND
PRCC33A2 = 3 OR (PRCC33A2 = 2 AND PRCC33B2 NE DK/REF AND
PRCC33B2 >= CURRENT MONTH) ) THEN PRYRINIT2 = 1
ELSE IF PRYRINIT = 1 AND AGE1STPR2 NE CURNTAGE AND PRCC34A2 = (6 OR
DK/REF) THEN PRYRINIT2 = 0
UPDATE: IF PRYRINIT2 NE 1 AND PRYRDKRE2 NE 1 AND MYR1STPR2= CURNTAGE
AND PRCC34A2 = (6 OR DK/REF) THEN PRYRDKRE2 = 1
IF PRYRINIT2 NE 1 AND PRYRDKRE2 NE 1 AND PRCC34A2 = BLANK AND PRCC33A2
= 3 THEN PRYRDKRE2 = 1

275

IF PRYRINIT2 NE 1 AND PRYRDKRE2 NE 1 AND PRCC34A2 = BLANK AND PRCC33A2
= 2 AND PRCC33B2 = 1-12 AND PRCC33B2 >= CURRENT MONTH THEN
PRYRDKRE2 = 1
UPDATE: IF PR30INIT2 NE 1 AND AGE1STPR2 WITHIN 30 DAYS OF INTERVIEW
DATE OR (PRCC34A2 = 4 AND PRCC33A2 = 3 AND PRCC33B2 =
CURRENT MONTH) THEN PR30INIT2 = 1
ELSE IF PR30INIT2 = 1 AND AGE1STPR2 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND PRCC34A2 = (6 OR DK/REF) THEN PR30INIT2 = 0
UPDATE: IF PRYFU2 NE BLANK AND PRCC34A2 = OR DK/REF THEN PRYFU2 = 0
IF PRCC34A2 = BLANK AND (PRCC33A2 AND PRCC33B2 EQ PRY02b-d) THEN PRYFU2
=0
UPDATE: IF PRMFU2 = 1-12 AND PRCC34A2 = (6 OR DK/REF) THEN PRMFU2 = 0
IF PRCC34A2 = BLANK AND (PRCC33A2 AND PRCC33B2 EQ PRY02b-d) THEN
PRMFU2 = 0
Continue asking the misuse and age at first misuse questions above about each pain reliever
reported.

PRY03

[IF PR01=3] In the past 12 months, did you use Norco in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR NORCO
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY03=1 THEN PRFIRSTFLAG=3.
PRY03a

[IF PRFIRSTFLAG=3] Please think about the first time you ever used Norco in a
way a doctor did not direct you to use it.

276

[IF PRY03=1] How old were you when you first used Norco in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY04

[IF PR01=4] In the past 12 months, did you use Zohydro ER in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR ZOHYDRO ER
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY04=1 THEN PRFIRSTFLAG=4.
PRY04a

[IF PRFIRSTFLAG=4] Please think about the first time you ever used Zohydro
ER in a way a doctor did not direct you to use it.
[IF PRY04=1] How old were you when you first used Zohydro ER in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

277

[DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY05

[IF PR01=5] In the past 12 months, did you use hydrocodone in any way a doctor
did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY05=1 THEN PRFIRSTFLAG=5.
PRY05a

[IF PRFIRSTFLAG=5] Please think about the first time you ever used
hydrocodone in a way a doctor did not direct you to use it.
[IF PRY05=1] How old were you when you first used hydrocodone in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY06

[IF PR02=1] In the past 12 months, did you use OxyContin in any way a doctor
did not direct you to use it?

278

DISPLAY IMAGE FOR OXYCONTIN
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY06=1 THEN PRFIRSTFLAG=6.
PRY06a

[IF PRFIRSTFLAG=6] Please think about the first time you ever used
OxyContin in a way a doctor did not direct you to use it.
[IF PRY06=1] How old were you when you first used OxyContin in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY07

[IF PR02=2] In the past 12 months, did you use Percocet in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR PERCOCET
1
Yes
2
No
DK/REF

279

PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY07=1 THEN PRFIRSTFLAG=7.
PRY07a

[IF PRFIRSTFLAG=7] Please think about the first time you ever used Percocet
in a way a doctor did not direct you to use it.
[IF PRY07=1] How old were you when you first used Percocet in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY08

[IF PR02=3] In the past 12 months, did you use Percodan in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR PERCODAN
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

280

[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY08=1 THEN PRFIRSTFLAG=8.
PRY08a

[IF PRFIRSTFLAG=8] Please think about the first time you ever used Percodan
in a way a doctor did not direct you to use it.
[IF PRY08=1] How old were you when you first used Percodan in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
PRY09

[IF PR03=1] In the past 12 months, did you use Roxicodone in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR ROXICODONE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY09=1 THEN PRFIRSTFLAG=9.
PRY09a

[IF PRFIRSTFLAG=9] Please think about the first time you ever used
Roxicodone in a way a doctor did not direct you to use it.

281

[IF PRY09=1] How old were you when you first used Roxicodone in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY10

[IF PR03=2] In the past 12 months, did you use oxycodone in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR OXYCODONE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY10=1 THEN PRFIRSTFLAG=10.
PRY10a

[IF PRFIRSTFLAG=10] Please think about the first time you ever used
oxycodone in a way a doctor did not direct you to use it.
[IF PRY10=1] How old were you when you first used oxycodone in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

282

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY11

[IF PR04=1] In the past 12 months, did you use Ultram in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR ULTRAM
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY11=1 THEN PRFIRSTFLAG=11.
PRY11a

[IF PRFIRSTFLAG=11] Please think about the first time you ever used Ultram
in a way a doctor did not direct you to use it.
[IF PRY11=1] How old were you when you first used Ultram in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

283

PRY12

[IF PR04=2] In the past 12 months, did you use Ultram ER in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR ULTRAM ER
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND IF PRY12=1 THEN PRFIRSTFLAG=12.
PRY12a

[IF PRFIRSTFLAG=12] Please think about the first time you ever used Ultram
ER in a way a doctor did not direct you to use it.
[IF PRY12=1] How old were you when you first used Ultram ER in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY13

[IF PR04=3] In the past 12 months, did you use Ultracet in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR ULTRACET
1

Yes

284

2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND IF PRY13=1 THEN PRFIRSTFLAG=13.
PRY13a

[IF PRFIRSTFLAG=13] Please think about the first time you ever used Ultracet
in a way a doctor did not direct you to use it.
[IF PRY13=1] How old were you when you first used Ultracet in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
PRY14

[IF PR04=4] In the past 12 months, did you use tramadol in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR TRAMADOL
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it

285

•

In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND IF PRY14=1 THEN PRFIRSTFLAG=14.
PRY14a

[IF PRFIRSTFLAG=14] Please think about the first time you ever used tramadol
in a way a doctor did not direct you to use it.
[IF PRY14=1] How old were you when you first used tramadol in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
PRY15

[IF PR04=5] In the past 12 months, did you use extended-release tramadol in any
way a doctor did not direct you to use it?
DISPLAY IMAGE FOR EXTENDED-RELEASE TRAMADOL (GENERIC)
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY15=1 THEN PRFIRSTFLAG=15.

286

PRY15a

[IF PRFIRSTFLAG=15.] Please think about the first time you ever used
extended-release tramadol in a way a doctor did not direct you to use it.
[IF PRY15=1] How old were you when you first used extended-release tramadol
in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY16

[IF PR05=1] In the past 12 months, did you use Tylenol with codeine 3 or 4 in
any way a doctor did not direct you to use it?
DISPLAY IMAGE FOR TYLENOL WITH CODEINE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY16=1 THEN PRFIRSTFLAG=16.
PRY16a

[IF PRFIRSTFLAG=16] Please think about the first time you ever used Tylenol
with codeine 3 or 4 in a way a doctor did not direct you to use it.
[IF PRY16=1] How old were you when you first used Tylenol with codeine 3 or 4
in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]

287

DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY17

[IF PR05=2] In the past 12 months, did you use codeine pills in any way a doctor
did not direct you to use them?
DISPLAY IMAGE FOR CODEINE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY17=1 THEN PRFIRSTFLAG=17.
PRY17a

[IF PRFIRSTFLAG=17] Please think about the first time you ever used codeine
pills in a way a doctor did not direct you to use them.
[IF PRY17=1] How old were you when you first used codeine pills in a way a
doctor did not direct you to use them?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES

288

PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY18

[IF PR06=1] In the past 12 months, did you use Avinza in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR AVINZA
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY18=1 THEN PRFIRSTFLAG=18.
PRY18a

[IF PRFIRSTFLAG=18] Please think about the first time you ever used Avinza
in a way a doctor did not direct you to use it.
[IF PRY18=1] How old were you when you first used Avinza in any way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

289

PRY19

[IF PR06=2] In the past 12 months, did you use Kadian in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR KADIAN
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY19=1 THEN PRFIRSTFLAG=19.
PRY19a

[IF PRFIRSTFLAG=19] Please think about the first time you ever used Kadian
in a way a doctor did not direct you to use it.
[IF PRY19=1] How old were you when you first used Kadian in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY20

[IF PR06=3] In the past 12 months, did you use MS Contin in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR MS CONTIN

290

1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY20=1 THEN PRFIRSTFLAG=20.
PRY20a

[IF PRFIRSTFLAG=20] Please think about the first time you ever used MS
Contin in a way a doctor did not direct you to use it.
[IF PRY20=1] How old were you when you first used MS Contin in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
PRY21

[IF PR06=4] In the past 12 months, did you use morphine in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR MORPHINE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.

291

•
•
•

Without a prescription of your own,
In greater amounts, more often, or longer than you were
told to take it
In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY21=1 THEN PRFIRSTFLAG=21.
PRY21a

[IF PRFIRSTFLAG=21] Please think about the first time you ever used
morphine in a way a doctor did not direct you to use it.
[IF PRY21=1] How old were you when you first used morphine in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
PRY22

[IF PR06=5] In the past 12 months, did you use extended-release morphine in any
way a doctor did not direct you to use it?
DISPLAY IMAGE FOR EXTENDED-RELEASE MORPHINE (GENERIC)
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

292

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY22=1 THEN PRFIRSTFLAG=22.
PRY22a

[IF PRFIRSTFLAG=22] Please think about the first time you ever used
extended-release morphine in a way a doctor did not direct you to use it.
[IF PRY22=1] How old were you when you first used extended-release morphine
in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
PRY23

[IF PR07=1] In the past 12 months, did you use Duragesic in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR DURAGESIC
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY23=1 THEN PRFIRSTFLAG=23.
PRY23a

[IF PRFIRSTFLAG=23] Please think about the first time you ever used
Duragesic in a way a doctor did not direct you to use it.

293

[IF PRY23=1] How old were you when you first used Duragesic in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY24

[IF PR07=2] In the past 12 months, did you use Fentora in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR FENTORA
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY24=1 THEN PRFIRSTFLAG=24.
PRY24a

[IF PRFIRSTFLAG=24] Please think about the first time you ever used Fentora
in a way a doctor did not direct you to use it.
[IF PRY24=1] How old were you when you first used Fentora in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]

294

DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY25

[IF PR07=3] In the past 12 months, did you use fentanyl in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR FENTANYL
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY25=1 THEN PRFIRSTFLAG=25.
PRY25a

[IF PRFIRSTFLAG=25] Please think about the first time you ever used fentanyl
in a way a doctor did not direct you to use it.
[IF PRY25=1] How old were you when you first used fentanyl in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

295

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY26

[IF PR08=1] In the past 12 months, did you use Suboxone in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR SUBOXONE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY26=1 THEN PRFIRSTFLAG=26.
PRY26a

[IF PRFIRSTFLAG=26] Please think about the first time you ever used
Suboxone in a way a doctor did not direct you to use it.
[IF PRY26=1] How old were you when you first used Suboxone in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES

296

PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
PRY27

[IF PR08=2] In the past 12 months, did you use buprenorphine in any way a
doctor did not direct you to use it?
DISPLAY IMAGE FOR BUPRENORPHINE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY27=1 THEN PRFIRSTFLAG=27.
PRY27a

[IF PRFIRSTFLAG=27] Please think about the first time you ever used
buprenorphine in a way a doctor did not direct you to use it.
[IF PRY27=1] How old were you when you first used buprenorphine in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
PRY28

[IF PR08=3] In the past 12 months, did you use buprenorphine plus naloxone in
any way a doctor did not direct you to use it?

297

1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY28=1 THEN PRFIRSTFLAG=28.
PRY28a

[IF PRFIRSTFLAG=28] Please think about the first time you ever used
buprenorphine plus naloxone in a way a doctor did not direct you to use it.
[IF PRY28=1] How old were you when you first used buprenorphine plus
naloxone in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY29

[IF PR09=1] In the past 12 months, did you use Opana in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR OPANA
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,

298

•

In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY29=1 THEN PRFIRSTFLAG=29.
PRY29a

[IF PRFIRSTFLAG=29] Please think about the first time you ever used Opana in
a way a doctor did not direct you to use it.
[IF PRY29=1] How old were you when you first used Opana in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY30

[IF PR09=2] In the past 12 months, did you use Opana ER in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR OPANA ER
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:

299

IF PRFIRSTFLAG=0 AND PRY30=1 THEN PRFIRSTFLAG=30.
PRY30a

[IF PRFIRSTFLAG=30] Please think about the first time you ever used Opana
ER in a way a doctor did not direct you to use it.
[IF PRY30=1] How old were you when you first used Opana ER in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY31

[IF PR09=3] In the past 12 months, did you use oxymorphone in any way a
doctor did not direct you to use it?
DISPLAY IMAGE FOR OXYMORPHONE (GENERIC)
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY31=1 THEN PRFIRSTFLAG=31.
PRY31a

[IF PRFIRSTFLAG=31] Please think about the first time you ever used
oxymorphone in a way a doctor did not direct you to use it.

300

[IF PRY31=1] How old were you when you first used oxymorphone in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
PRY32

[IF PR09=4] In the past 12 months, did you use extended-release oxymorphone in
any way a doctor did not direct you to use it?
DISPLAY IMAGE FOR EXTENDED-RELEASE OXYMORPHONE
(GENERIC)
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
1
Yes
2
No
DK/REF

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY32=1 THEN PRFIRSTFLAG=32.
PRY32a

[IF PRFIRSTFLAG=32] Please think about the first time you ever used
extended-release oxymorphone in a way a doctor did not direct you to use it.
[IF PRY32=1] How old were you when you first used extended-release
oxymorphone in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

301

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY33

[IF PR10=1] In the past 12 months, did you use Demerol in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR DEMEROL
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY33=1 THEN PRFIRSTFLAG=33.
PRY33a

[IF PRFIRSTFLAG=33] Please think about the first time you ever used Demerol
in a way a doctor did not direct you to use it.
[IF PRY33=1] How old were you when you first used Demerol in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

302

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY34

[IF PR10=2] In the past 12 months, did you use Dilaudid or hydromorphone in
any way a doctor did not direct you to use it?
DISPLAY IMAGE FOR DILAUDID OR HYDROMORPHONE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY34=1 THEN PRFIRSTFLAG=34.
PRY34a

[IF PRFIRSTFLAG=34] Please think about the first time you ever used Dilaudid
or hydromorphone in a way a doctor did not direct you to use it.
[IF PRY34=1] How old were you when you first used Dilaudid or
hydromorphone in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

303

PRY35

[IF PR10=3] In the past 12 months, did you use Exalgo or extended-release
hydromorphone in any way a doctor did not direct you to use it?
DISPLAY IMAGE FOR EXALGO OR EXTENDED-RELEASE
HYDROMORPHONE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY35=1 THEN PRFIRSTFLAG=35.
PRY35a

[IF PRFIRSTFLAG=35] Please think about the first time you ever used Exalgo
or extended-release hydromorphone in a way a doctor did not direct you to use it.
[IF PRY35=1] How old were you when you first used Exalgo or extended-release
hydromorphone in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRY36

[IF PR10=4] In the past 12 months, did you use methadone in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR METHADONE

304

1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRY36=1 THEN PRFIRSTFLAG=36.
PRY36a

[IF PRFIRSTFLAG=36] Please think about the first time you ever used
methadone in a way a doctor did not direct you to use it.
[IF PRY36=1] How old were you when you first used methadone in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.

PRYOTH

[IF PRANYOTH=1] In the past 12 months, did you use any [IF PRANYOTH=1
AND PRYRCOUNT > 1 FILL “other”] prescription pain reliever in a way a
doctor did not direct you to use it?
Remember, do not include “over-the-counter” pain relievers such as aspirin,
Tylenol, Advil, or Aleve.
1
Yes
2
No
DK/REF

305

PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE
DATE

306

PRYOTHA1 [IF PRYOTH = 1] Please type in the name of one or more of the [IF
PRANYOTH=1 AND PRYRCOUNT > 1 FILL “other”] prescription pain
relievers you have used in the past 12 months in a way a doctor did not direct you
to use it. If you’re not sure how to spell the name of the pain reliever, just make
your best guess.
When you have finished, press [ENTER] to go to the next question. Remember,
you do not need to type in the names of any prescription pain relievers you
already reported.
[PROGRAMMER: PROVIDE 5 ROWS.] NOTE: DON'T ALLOW BLANKS IN
PRYOTHA1 IF PROTH = 1]
DK/REF
PRYOTHA2 [IF PRYOTH = 1 AND PRYOTHA1 NE DK/REF)] Please type in
the name of any other prescription pain reliever you used in the past 12 months in
a way a doctor did not direct you to use it.
If you have not used any other prescription pain reliever in a way a doctor did not
direct you to use it, press [ENTER].
______________
DK/REF
PRYOTHA3 [IF PRYOTHA2 NE (BLANK OR DK/REF)] Please type in the
name of any other prescription pain reliever you used in the past 12 months in a
way a doctor did not direct you to use it.
If you have not used any other prescription pain reliever in a way a doctor did not
direct you to use it, press [ENTER].
______________
DK/REF
PRYOTHA4 [IF PRYOTHA3 NE (BLANK OR DK/REF)] Please type in the
name of any other prescription pain reliever you used in the past 12 months in a
way a doctor did not direct you to use it.
If you have not used any other prescription pain reliever in a way a doctor did not
direct you to use it, press [ENTER].

______________
DK/REF

307

PRYOTHA5 [IF PRYOTHA4 NE (BLANK OR DK/REF Please type in the
name of any other prescription pain reliever you used in the past 12 months in a
way a doctor did not direct you to use it.
If you have not used any other prescription pain reliever in a way a doctor did not
direct you to use it, press [ENTER].

______________
DK/REF
UPDATE PRFIRSTFLAG:
IF PRFIRSTFLAG=0 AND PRYOTH =1 THEN PRFIRSTFLAG=37.
PRYOTHa

[IF PRFIRSTFLAG=37] Please think about the first time you ever used any [IF
PRANYOTH=1 AND PRYRCOUNT > 1 FILL “other”] prescription pain reliever
in a way a doctor did not direct you to use it.
[IF PRYOTH =1] How old were you when you first used any [IF PRANYOTH=1
AND PRYRCOUNT > 1 FILL “other”] prescription pain reliever in a way a
doctor did not direct you to use it?

years old [(RANGE: 1 - 110)]
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS PRY01.
DEFINE PRMISCOUNT:
INITIALIZE PRMISCOUNT TO 0.
INCREMENT PRMISCOUNT BY 1 FOR EVERY RESPONSE OF YES IN PRY01- PRYOTH.
DEFINE PRMISUSE12:

308

IF PRMISCOUNT > 0 THEN PRMISUSE12 = 1.
ELSE PRMISUSE12 = 2.
If no pain relievers misused in the past 12 months:
PRL02

[IF PR12MON=1 AND PRMISUSE12=2] Have you ever, even once, used any
prescription pain reliever in any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

If any pain relievers misused in past 12 months:
DEFINE PRDKREFCOUNT:
INITIALIZE PRDKREFCOUNT TO 0.
INCREMENT PRDKREFCOUNT BY 1 FOR EVERY RESPONSE OF DK/REF IN PRY01PRYOTH AND PR01-PRANYOTH.
DEFINE PRDKREFFLAG:
IF PRDKREFCOUNT > 1 THEN PRDKREFFLAG = 1.
ELSE PRDKREFFLAG = 2.
DEFINE PRNUMFILL:
IF PRMISCOUNT = 1 AND PRY17 NE 1 AND PRYOTH NE 1 THEN PRNUMFILL = "it".
ELSE PRNUMFILL = "them".
DEFINE PR30ANYINIT:
IF ANY CODE OF 1 IN PR30INIT1-PR30INITOT THEN PR30ANYINIT = 1.
ELSE PR30ANYINIT = 2.
DEFINE PRFILL2:
IF PRMISCOUNT < 3 AND PRYOTH NE 1 AND PRDKREFFLAG =2 THEN
PRFILL2=”[DRUG NAMES FROM PRY01-PRY36]”.
ELSE IF PRMISCOUNT=1 AND PRYOTH NE 1 AND PRDKREFFLAG=1 THEN PRFILL2 =
“[DRUG NAMES FROM PRY01-PRY36] or any other prescription pain reliever.” ELSE IF
PRMISCOUNT=2 AND PRDKREFFLAG=2 AND PRYOTH =1 THEN PRFILL2=”[DRUG
NAME FROM PRY01-PRY36] and some other prescription pain reliever.”
ELSE IF PRMISCOUNT=2 AND PRDKREFFLAG=1 THEN PRFILL2=”[DRUG NAMES
FROM PRY01-PRY36]”. IF PRYOTH =1 THEN ADD “some other prescription pain reliever”
TO THE FILL. [INCLUDE DRUG NAMES FOR NEW PAIN RELIEVERS.]
ELSE PRFILL2= “prescription pain relievers”
DEFINE PRNAMEFILL:
IF PRMISCOUNT=0 AND PRL01 = 1 THEN PRNAMEFILL= “any prescription pain reliever”

309

ELSE IF PRMISCOUNT =1 AND (PRYOTH = 2 OR PRYOTH = BLANK) AND
PRDKREFFLAG =2 THEN PRNAMEFILL=”[DRUG NAME FROM PRY01-PRY36]”
ELSE IF PRMISCOUNT=1 AND (PRYOTH NE 1) AND PRDKREFFLAG=1 THEN
PRNAMEFILL=”[DRUG NAME FROM PRY01-PRY36] or any other prescription pain
reliever]”
ELSE IF PRMISCOUNT >1 THEN PRNAMEFILL= “prescription pain relievers”
DEFINE PRYINICT:
INITIALIZE PRYINICT TO 0.
INCREMENT PRYINICT BY 1 FOR EVERY VALUE OF 1 IN PRYRINIT1-PRYRINITOT.
DEFINE PRYRDKRECT:
INITIALIZE PRYRDKRECT TO 0.
INCREMENT PRYRDKRECT BY 1 FOR EVERY VALUE OF 1 IN PRYRDKRE1PRYRDKREOT.
DEFINE PRYINALL:
IF PRMISCOUNT > 0 AND PRMISCOUNT = PRYINICT + PRYRDKRECT THEN
PRYINALL = 1.
ELSE PRYINALL = 2.
PRL03

[IF PRYINALL=1] Earlier questions were about the past 12 months. This
question is about any time before then, that is, any time in your life before
[DATEFILL -12 MONTHS].
At any time before [DATEFILL -12 MONTHS], did you ever use any
prescription pain reliever in a way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

PRINTROYR3 [IF PRMISUSE12=1 AND PRMISCOUNT>1] Earlier the computer recorded
that in the past 12 months you used [IF PRMISUSE12=1 AND
PRMISCOUNT > 2, ADD "these"] [PRFILL2] in a way a doctor did not
direct you to use [PRNUMFILL].
[IF PRMISUSE12=1 AND PRMISCOUNT>2 ] FILL WITH DRUG NAMES
FROM PRY01- PRYOTH BELOW. USE MULTIPLE COLUMNS AS
NEEDED. IF PRYOTH = 1, FILL WITH "Some other prescription pain
reliever".
[IF PRMISUSE12=1 AND PRMISCOUNT>1] The next questions refer to these
drugs as prescription pain relievers.
Press Enter to continue.

310

PRM01

[IF PRMISUSE12 = 1 AND PR30ANYINIT = 2] In the past 30 days, that is,
from [DATEFILL] up to and including today, did you use [PRNAMEFILL] in
any way a doctor did not direct you to use [PRNUMFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

DEFINE PRMISUSE30:
PRMISUSE30=1 IF PRM01=1 OR PR30ANYINIT = 1.
PRMISUSE30=2 IF PRMISUSE12 = 1 AND (PRM01=2, DK, OR REF).
PRM02

[IF PRMISUSE30=1] During the past 30 days, on how many days did you use
[PRNAMEFILL] in any way a doctor did not direct you to use
[PRNUMFILL]?
________________ days in the past 30 days [RANGE: 1 - 30]
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

PRM02DKRE

[IF PRM02 = DK/REF] What is your best estimate of the number of days
you used [PRNAMEFILL] in any way a doctor did not direct you to use
[PRNUMFILL] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

PRM03

[IF ALC30USE = 1 and PRMISUSE30 = 1)] During the past 30 days, did you
use [PRNAMEFILL] in any way a doctor did not direct you to use
[PRNUMFILL] while you were drinking alcohol or within a couple of hours of
drinking?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

311

PRYWAYS [IF PRMISUSE12=1] Which of these statements describe your use of
[PRNAMEFILL] at any time in the past 12 months?
To select more than one statement, press the space bar between the numbers.
When you have finished, press [ENTER]Select all that apply.
1
2

I used [PRNAMEFILL] without a prescription of my own.
I used [PRNAMEFILL] in greater amounts than [IF PRNAMEFILL=
“codeine pills” or PRNAMEFILL= “prescription pain relievers” THEN
FILL WITH “they were”; ELSE FILL WITH “it was”] prescribed.
3
I used [PRNAMEFILL] more often than [IF PRNAMEFILL= “codeine
pills” or PRNAMEFILL= “prescription pain relievers” THEN FILL
WITH “they were”; ELSE FILL WITH “it was”] prescribed.
4
I used [PRNAMEFILL] for longer than [IF PRNAMEFILL= “codeine
pills” or PRNAMEFILL= “prescription pain relievers” THEN FILL
WITH “they were”; ELSE FILL WITH “it was”] prescribed.
5
I used [PRNAMEFILL] in some other way a doctor did not direct me to
use [PRNUMFILL]
DISPLAY 12-MONTH CALENDAR
PRNDLLIF [IF PRMISUSE12=1 OR PRL01=1 OR PRL02=1 OR PRL03=1] Have you ever,
even once, used a needle to inject [PRNAMEFILL] without a doctor directing you
to inject [it/them]?
1
Yes
2
No
DK/REF
PRNDRECa [IF PRNDLLIF = 1 AND PRMISUSE30=1] How long has it been since you last
used a needle to inject [PRNAMEFILL] without a doctor directing you to inject
[it/them]?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PRNDRECb [IF PRNDLLIF = 1 AND PRMISUSE30 NE 1 AND PRMISUSE12=1] How long
has it been since you last used a needle to inject [PRNAMEFILL] without a
doctor directing you to inject [it/them]?
1
2

More than 30 days ago but within the past 12 months
More than 12 months ago

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

312

PRYLAST

[IF PRMISCOUNT > 1 OR (PRMISCOUNT = 1 AND PRDKREFFLAG=1)]
In the past 12 months, which of these pain relievers did you use?
Select all that apply.
(LIST DRUGS WHERE PRY01- PRYOTH =1. NUMBER RESPONSE
OPTIONS SEQUENTIALLY STARTING AT 1, BUT MAINTAIN UNIQUE
CODES FOR EACH DRUG. IF PRYOTH =1, DISPLAY "Another prescription
pain reliever" AS THE LAST CATEGORY. IF PRMISCOUNT > 0 AND
PRYOTH NE 1 AND PRDKREFFLAG=1, DISPLAY "Any other prescription
pain reliever" AS THE LAST CATEGORY. ALLOW ONLY 1 RESPONSE.)

PROGRAMMER: IF PRMISUSE12 = 1 THEN CREATE A RECODED RPRYLAST
VARIABLE. ASSIGN A UNIQUE CODE TO A GIVEN DRUG ACCORDING TO THE
OVERALL ORDER IN WHICH THE DRUGS APPEAR IN THE SCREENER.
INITIALIZE RPRYLAST TO BLANK.
IF "Vicodin" CHOSEN IN PRYLAST OR (PRMISCOUNT=1 AND PRDKREFFLAG=2 AND
PRY01 = 1) THEN RPRYLAST = 1.
IF "Lortab" CHOSEN IN PRYLAST OR (PRMISCOUNT=1 AND PRDKREFFLAG=2 AND
PRY02 = 1) THEN PRYLAST = 2.
IF "Norco" CHOSEN IN PRYLAST OR (PRMISCOUNT=1 AND PRDKREFFLAG=2 AND
PRY03 = 1) THEN RPRYLAST = 3.
ETC.
IF "Methadone" CHOSEN IN PRYLAST OR (PRMISCOUNT=1 AND PRDKREFFLAG=2
AND PRY36=1) THEN RPRYLAST=36.
IF "Another prescription pain reliever" OR "Any other prescription pain reliever" CHOSEN IN
PRYLAST OR (PRMISCOUNT =1 AND PRYOTH = 1 AND PRDKREFFLAG =2) THEN
RPRYLAST = 37.
IF PRYLAST = DK OR REF, THEN ASSIGN THE DK/REF CODE TO RPRYLAST.)
DEFINE PRLASTFILL:
IF RPRYLAST = 1-36, THEN FILL WITH THE DRUG NAME.
IF RPRYLAST = 37 THEN FILL "other pain reliever".
IF RPRYLAST = DK, REF, OR BLANK, THEN FILL "pain reliever".
DEFINE PRLASTFILL2:
IF RPRYLAST = 1-36, THEN FILL WITH THE DRUG NAME.
IF RPRYLAST = 37 THEN FILL "the other pain reliever".
IF RPRYLAST = DK, REF, OR BLANK, THEN FILL "a pain reliever".
DEFINE PRLASTFILL3:

313

IF PRLASTFILL NE "other pain reliever" THEN PRLASTFILL3 = PRLASTFILL.
ELSE IF PRLASTFILL = "other pain reliever" THEN PRLASTFILL3 = "pain reliever".
PRYMOTIV [IF PRMISUSE12=1]
Now think about the last time you used [PRLASTFILL2] in any way a doctor
did not direct you to use [FILL WITH ‘them” IF RPRYLAST =17. ELSE FILL
WITH “it”].
In the past 12 months, Wwhat were the reasons you used [PRLASTFILL2] the
last time in any way a doctor did not direct you to use [FILL WITH ‘them” IF
RPRYLAST =17. ELSE FILL WITH “it”]?
Select all that apply. To select more than one reason from the list, press the space
bar between each number you have typed. When you have finished, press
[ENTER].
1
2
3
4
5
6
7
8

9

To relieve physical pain
To relax or relieve tension
To experiment or to see what [IF RPRYLAST=17 THEN “they’re” ELSE
“it’s”] like
To feel good For fun or to get high
Because I am “hooked” or I have to have [IF RPRYLAST=17 THEN
“them” ELSE “it”]
To help with my sleep
To help me with my feelings or emotions
To increase or decrease the effect(s) of some other drug
Because I am “hooked” or I have to have [IF RPRYLAST=17 THEN
“them” ELSE “it”]
I used [IF RPRYLAST=17 THEN “them” ELSE “it”] for some other
reason

DK/REF
PRMOTOT [IF PRYMOTIV=9] Please type in the other reason you used [PRLASTFILL2] in
the past 12 months. When you have finished typing your answer, press [ENTER]
to go to the next question.
REASON

_________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN PRMOTOT.

PRYMOT1

[IF MORE THAN ONE RESPONSE 1-9 CHOSEN IN PRYMOTIV] Which was
the main reason you used [PRLASTFILL2] the last time in the past 12 months?

314

PROGRAMMER: FILL AS RESPONSE OPTIONS ONLY THOSE CHOSEN
IN PRYMOTIV
1
To relieve physical pain
2
To relax or relieve tension
3
To experiment or to see what [IF RPRYLAST=17 THEN “they’re”
ELSE “it’s”] like
4
To feel goodFor fun or to To feel good or get high
5
Because I am “hooked” or I have to have [IF RPRYLAST=17 THEN
“them” ELSE “it”]
6
To help with my sleep
7
To help me with my feelings or emotions
8
To increase or decrease the effect(s) of some other drug
Because I am “hooked” or I have to have [IF RPRYLAST=17 THEN
“them” ELSE “it”]
9
[IF PRYMOTIV=9] The other reason I reported
DK/REF
PRYGOT

[IF PRMISUSE12=1 AND PRMISCOUNT=1 AND PRDKREFFLAG=2]
Now think again about the last 12 months when you used [PRLASTFILL2] in any
way a doctor did not direct you to use [FILL WITH “them” IF
RPRYLAST=17. ELSE FILL WITH “it”].
[IF PRMISUSE12 = 1] How did you get the [PRLASTFILL]? If you got the
[PRLASTFILL] in more than one way, please choose one of these ways as your
best answer.
1
2
3

I got a prescription for the [PRLASTFILL] from just one doctor
I got prescriptions for the [PRLASTFILL] from more than one doctor
I stole the [PRLASTFILL] from a doctor’s office, clinic, hospital, or
pharmacy
4
I got the [PRLASTFILL] from a friend or relative for free
5
I bought the [PRLASTFILL] from a friend or relative
6
I took the [PRLASTFILL] from a friend or relative without asking
7
I bought the [PRLASTFILL] from a drug dealer or other stranger
8
I got the [PRLASTFILL] in some other way
DK/REF

PRYGOTSP [IF PRYGOT = 8] Please type in the other way you got the [PRLASTFILL3].
You do not need to give a detailed description — just a few words will be okay.
When you have finished typing your answer, press [ENTER] to go to the next
question.
_____________
315

DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN PRYGOTSP.
PRYFRL

[IF PRYGOT =4] You reported that you got the [PRLASTFILL] from a friend or
relative for free. How did your friend or relative get the [PRLASTFILL]?
1
2

He or she got a prescription for the [PRLASTFILL] from just one doctor
He or she got prescriptions for the [PRLASTFILL] from more than one
doctor
3
He or she stole the [PRLASTFILL] from a doctor’s office, clinic, hospital,
or pharmacy
4
He or she got the [PRLASTFILL] from another friend or relative for free
5
He or she bought the [PRLASTFILL] from another friend or relative
6
He or she took the [PRLASTFILL] from another friend or relative without
asking
7
He or she bought the [PRLASTFILL] from a drug dealer or other stranger
8
He or she got the [PRLASTFILL] in some other way
DK/REF

PRYFRLSP [IF PRYFRL = 8] Please type in the other way your friend or relative got the
last [PRLASTFILL3] you used.
You do not need to give a detailed description — just a few words will be okay.
When you have finished typing your answer, press [ENTER] to go to the next
question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN PRYFRLSP

316

Tranquilizers Main Module
If no 12 month use of prescription tranquilizers:
TRINTROLIF

[IF TRLANY = 1] The next question asks about using prescription
tranquilizers in any way a doctor did not direct you to use them.
When you answer this question, please think only about your use of the drug
in any way a doctor did not direct you to use it, including:




Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
Using it in any other way a doctor did not direct you to use it

Press Enter to continue
TRL01

[IF TRLANY =1] Have you ever, even once, used any prescription
tranquilizer in any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

If any 12 month use of prescription tranquilizers:
TRINTROYR1 [IF TR12MON = 1] The next questions ask about using prescription
tranquilizers in any way a doctor did not direct you to use them.
When you answer these questions, please think only about your use of the
drug in any way a doctor did not direct you to use it, including:




Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
Using it in any other way a doctor did not direct you to use it

Press Enter to continue.
DEFINE TRFILL:
TRFILL LISTS ALL INDIVIDUAL DRUGS SELECTED IN TR01, TR02, TR03, AND TR04.
USE MULTIPLE COLUMNS AS NEEDED. IF TRANYOTH =1 AND
TRYRCOUNT > 1, THEN ADD “another prescription tranquilizer” TO THE
FILL.

317

THE FOLLOWING DRUGS SHOULD NOT USE INITIAL CAPS WHEN FILLED IN
SENTENCE FORMAT:
•
•
•
•
•
•

alprazolam
extended-release alprazolam
lorazepam
clonazepam
diazepam
cyclobenzaprine, also known as Flexeril

WHEN IMPLEMENTING TRFILL, IF 1, OR 2 DRUGS APPEAR IN LIST, FILL IN
SENTENCE FORMAT, SEPARATED WITH AN “and” BEFORE THE LAST
FILL.
IF >2 DRUGS APPEAR IN LIST, FILL IN LIST (IN COLUMNS IF NEEDED) BELOW THE
PREVIOUS SENTENCE.
DEFINE TRFIRSTFLAG:
TRFIRSTFLAG IDENTIFIES THE FIRST SEDATIVE USED NONMEDICALLY.
INITIALIZE TRFIRSTFLAG TO 0.
(TRFIRSTFLAG NEEDS TO BE DEFINED BEFORE THE ROUTING TO TRINTROYR2 OR
TRY40.)
TRINTROYR2 [IF TR12MON=1 AND (TRANYOTH NE 1 OR (TRANYOTH =1 AND
TRYRCOUNT > 1))] Earlier, the computer recorded that, in the past 12
months, you used [TRFILL].
Press Enter to continue.
PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE
DATE FOR THE INTRO SCREEN
NOTE TO PROGRAMMERS: LOOP THROUGH THE 12-MONTH MISUSE, AGE AT FIRST
MISUSE, AND YEAR AND MONTH OF FIRST MISUSE (IF APPLICABLE) FOR EACH
PRESCRIPTION TRANQUILIZER REPORTED IN THE SCREENER FOR THE PAST 12
MONTHS.
TRY01

[IF TR01=1] In the past 12 months, did you use Xanax in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR XANAX
1
Yes
2
No
DK/REF

318

PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2]Click the question mark button if you want to see and
hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
UPDATE TRFIRSTFLAG:
IF TRY01=1 THEN TRFIRSTFLAG=1.
TRY01a

[IF TRFIRSTFLAG=1] Please think about the first time you ever used Xanax in
a way a doctor did not direct you to use it.
[IF TRY01=1] How old were you when you first used Xanax in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2] if you want to see and hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
DEFINE AGE1STTR1:
IF TRY01a NE (BLANK OR DK/REF) THEN AGE1STTR1 = TRY01a
ELSE AGE1STTR1 = 0
HARD ERROR: [IF CURNTAGE < AGE1STTR1] The age you just entered is older than your
current age. Press [Enter] to answer the question againPlease answer the question again.
IF 1 <= AGE1STTR1 < 10:
TRCC05A1 The computer recorded that you were [AGE1STTR1] years old the
first time you used Xanax in a way a doctor did not direct you to use
it.
Is this correct?
4
Yes
6
No
DK/REF

319

UPDATE: IF TRCC05A1= DK/REF THEN AGE1STTR1 = 0
TRCC06A1 [IF TRCC05A1=6] Please answer this question again. Think
about the first time you used Xanax in a way a doctor did not direct
you to use it.
How old were you the first time you used Xanax in a way a doctor did
not direct you to use it?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF TRCC06A1 NOT (BLANK OR DK/REF) THEN AGE1STTR1 = TRCC06A1
ELSE IF TRCC06A1 = DK/REF THEN AGE1STTR1 = 0
DEFINE TRYRINIT1:
IF AGE1STTR1 = CURNTAGE THEN TRYRINIT1 = 1
ELSE TRYRINIT1 = 0
DEFINE TRYRDKRE1:
IF TRYRINIT1 = 0 AND (TRY01a = DK/REF OR TRCC05A1 = DK/REF OR TRCC06A1 =
DK/REF) THEN TRYRDKRE1 = 1
ELSE TRYRDKRE1= 0
DEFINE TR30INIT1:
TR30INIT1 = 0
IF (AGE1STTR1 = CURNTAGE) AND (TRYFU1 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST YEAR’S
BIRTHDAY AND INTERVIEW DATE <= 30), THEN TR30INIT1 = 1
2.2.1

Year and Month of First Nonmedical Use

DEFINE TRYFU1:
TRYFU1 = 0
DEFINE TRMFU1:
TRMFU1 = 0
TRY01b.

[AGE1STTR1 = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STTR1 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you
first use Xanax in a way a doctor did not direct you to use it in [CURRENT
YEAR - 1] or [CURRENT YEAR]?

320

1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
TRY01c.

[IF AGE1STTR1 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use Xanax in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

UPDATE: IF TRY01B = 2 OR (AGE1STTR1 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN TRYFU1 = CURRENT YEAR
IF TRY01B = 1 OR TRY01C = 2 THEN TRYFU1 = CURRENT YEAR - 1
IF TRY01C = 1 THEN TRYFU1 = CURRENT YEAR - 2
DEFINE TRJANFLAG1:
TRJANFLAG1 = 0
IF TRYFU1=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
TRJANFLAG1 = 1
IF TRYFU1=CURRENT YEAR-1 AND BIRTHDAY MONTH=JANUARY AND DATE OF
INTERVIEW ≥ DOB THEN TRJANFLAG1=1
IF TRJANFLAG1=1 THEN TRY01D=1
DEFINE TRDECFLAG1:
TRDECFLAG1 = 0
IF AGE1STTR1 = CURNTAGE AND TRYFU1=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN TRDECFLAG1 = 1
IF TRDECFLAG1=1 THEN TRY01D=12
DEFINE TR1MTHFLAG1:
TR1MTHFLAG1=0
IF (AGE1STTR1=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH) THEN
TR1MTHFLAG1=1
IF TR1MTHFLAG1=1 THEN TRY01D=CURRENT MONTH
TRY01d.
[IF TRYFU1 NE 0 AND TRJANFLAG1 = 0 AND TRDECFLAG1=0 AND
TR1MTHFLAG1=0]
[IF TRYFU1 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you reported that you
first used Xanax in a way a doctor did not direct you to use it when you were [AGE1STTR1]
years old. Based on your date of birth, you turned [AGE1STTR1] in [FILL WITH
MONTH/YEAR FOR AGE1STTR1 BASED ON DOB].

321

[IF TRYFU1 NE 0] In what month in [TRYFU1] did you first use Xanax in a way a doctor did
not direct you to use it?
[IF DATE OF INTERVIEW < DOB AND AGE1STTR1=CURRENT AGE AND
TRYFU1=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]
IF AGE1STTR1 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STTR1 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STTR1 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (TRYFU1 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF TRYFU1=CURRENT YEAR AND AGE1STTR1=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF TRYFU1 = CURRENT YEAR - 1 AND AGE1STTR1 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF TRY01D = 1-12 THEN TRMFU1 = TRY01D
IF TRJANFLAG1 = 1 THEN TRMFU1 = 1.
IF TRDECFLAG1=1 THEN TRMFU1=12.
UPDATE: IF TRYRINIT1 NE 1 AND (TRYFU1 = CURRENT YEAR OR (TRYFU1 =
CURRENT YEAR - 1 AND TRMFU1 = 1-12 AND TRMFU1 >= CURRENT MONTH) THEN
TRYRINIT1 = 1
UPDATE: IF TRYRINIT1 NE 1 AND TRYRDKRE1 NE 1 AND [(TRY01b = DK/REF OR
TRY01c = DK/REF) OR (TRYFU1 = CURRENT YEAR-1 AND TRY01d = DK/REF)] THEN
TRYRDKRE1 = 1

322

UPDATE: IF TR30INIT1 NE 1 AND TRYFU1 = CURRENT YEAR AND TRMFU1 =
CURRENT MONTH THEN TR30INIT1 = 1
DEFINE MYR1STTR1:
MYR1STTR1 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (TRY01b-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STTR1 IS 0.
IF MYR1STTR1 NE 0 AND NE AGE1STTR1:
TRCC32A1
Earlier, the computer recorded that you were [AGE1STTR1]
years old when you first used Xanax in a way a doctor did not direct
you to use it.
Which answer is correct?
1

I was [MYR1STTR1] years old in [TRY01B-D fill] the first
time I used Xanax in a way not directed for me by a doctor
2
I was [AGE1STTR1] years old the first time I used Xanax in a
way not directed for me by a doctor
3
Neither answer is correct
DK/REF
UPDATE: IF TRCC32A1 = 1, THEN AGE1STTR1 = MYR1STTR1.
UPDATE: IF TRYRINIT1 NE 1 AND AGE1STTR1 = CURNTAGE THEN TRYRINIT1 = 1
ELSE IF TRYRINIT1 = 1 AND AGE1STTR1 NE CURNTAGE AND TRCC32A1 = DK/REF
THEN TRYRINIT1 = 0
UPDATE: IF TRYRINIT1 NE 1 AND TRYRDKRE1 NE 1 AND TRCC32A1 = DK/REF
THEN TRYRDKRE1 = 1
UPDATE: IF TR30INIT1 NE 1 AND TRCC32A1 = 1 AND AGE1STTR1 IS WITHIN 30
DAYS OF INTERVIEW DATE THEN TR30INIT1 = 1
UPDATE: IF TRYFU1 NE 0 AND TRCC32A1 = DK/REF THEN TRYFU1 = 0
UPDATE: IF TRMFU1 = 1-12 AND TRCC32A1 = DK/REF THEN TRMFU1 = 0
TRCC33A1 [IF TRCC32A1=2 OR TRCC32A1=3] Please answer this question
again. Did you first use Xanax in a way a doctor did not direct you to
use it in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1

CURRENT YEAR -2

323

2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
UPDATE: IF TRYFU1 NE 0 AND TRCC33A1 = DK/REF THEN TRYFU1 = 0
IF TRCC33A1 = 1 THEN TRYFU1 = CURRENT YEAR - 2
IF TRCC33A1 = 2 THEN TRYFU1 = CURRENT YEAR - 1
IF TRCC33A1 = 3 THEN TRYFU1 = CURRENT YEAR
UPDATE: IF TRMFU1 = 1-12 AND TRCC33A1 = DK/REF THEN TRMFU1 = 0
TRCC33B1

[IF TRCC33A1 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [TRCC33A1] did you first use
Xanax in a way a doctor did not direct you to use it?

IF TRCC33A1 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF TRCC33B1 = 1-12 THEN TRMFU1 = TRCC33B1
IF TRCC33B1 = DK/REF THEN TRMFU1 = 0
UPDATE: IF TRCC33B1 NE (0 OR DK/REF) THEN UPDATE MYR1STTR1.
MYR1STTR1 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (TRCC33A1 AND TRCC33B1). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STTR1 IS 0. IF MYR1STTR1
= AGE1STTR1 THEN MYR1STTR1 = 0
UPDATE: IF TRYRINIT1 = 1 AND AGE1STTR1 NE CURNTAGE AND TRCC32A1 NE 1
AND MYR1STTR1 NE 0 AND (TRCC33A1 AND TRCC33B1 = TRY01b-d) THEN
TRYRINIT1 = 0
UPDATE: IF TRYRINIT1 NE 1 AND TRYRDKRE1 NE 1 AND TRCC33A1 = DK/REF
THEN TRYRDKRE1 = 1

324

IF TRYRINIT1 NE 1 AND TRYRDKRE1 NE 1 AND TRYFU1 = CURRENT YEAR-1 AND
TRCC33B1 = DK/REF THEN TRYRDKRE1 = 1
UPDATE: IF TR30INIT1 = 1 AND AGE1STTR1 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND TRCC32A1 NE 1 AND MYR1STTR1 NE 0 AND (TRCC33A1 AND
TRCC33B1 = TRY01b-d) THEN TR30INIT1 = 0
TRCC34A1 [IF TRCC32A1 NE 1 AND MYR1STTR1 NE 0 AND (TRCC33A1
AND TRCC33b1 NE TRY01b-d)] The computer recorded that you
first used Xanax in a way a doctor did not direct you to use it in
[TRCC33A1-TRCC33B1 fill]. That would make you [MYR1STTR1]
years old when you first used Xanax in any way a doctor did not direct
you to use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF TRCC34A1 NE (6, BLANK OR DK/REF) AND (TRCC33A1 AND TRCC33B1
NE TRY01b-d) THEN AGE1STTR1 = MYR1STTR1
UPDATE: IF TRYRINIT1 NE 1 AND AGE1STTR1 = CURNTAGE OR (TRCC34A1 = 4 AND
TRCC33A1 = 3 OR (TRCC33A1 = 2 AND TRCC33b1 NE DK/REF AND TRCC33B1 >=
CURRENT MONTH) ) THEN TRYRINIT1 = 1
ELSE IF TRYRINIT = 1 AND AGE1STTR1 NE CURNTAGE AND TRCC34A1 = (6 OR
DK/REF) THEN TRYRINIT1 = 0
UPDATE: IF TRYRINIT1 NE 1 AND TRYRDKRE1 NE 1 AND MYR1STTR1= CURNTAGE
AND TRCC34A1 = (6 OR DK/REF) THEN TRYRDKRE1 = 1
IF TRYRINIT1 NE 1 AND TRYRDKRE1 NE 1 AND TRCC34A1 = BLANK AND
TRCC33A1 = 3 THEN TRYRDKRE1 = 1
IF TRYRINIT1 NE 1 AND TRYRDKRE1 NE 1 AND TRCC34A1 = BLANK AND
TRCC33A1 = 2 AND TRCC33B1 = 1-12 AND TRCC33B1 >= CURRENT MONTH THEN
TRYRDKRE1 = 1
UPDATE: IF TR30INIT1 NE 1 AND AGE1STTR1 WITHIN 30 DAYS OF INTERVIEW
DATE OR (TRCC34A1 = 4 AND TRCC33A1 = 3 AND TRCC33B1 = CURRENT MONTH)
THEN TR30INIT1 = 1
ELSE IF TR30INIT1 = 1 AND AGE1STTR1 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND TRCC34A1 = (6 OR DK/REF) THEN TR30INIT1 = 0

325

UPDATE: IF TRYFU1 NE BLANK AND TRCC34A1 = OR DK/REF THEN TRYFU1 = 0
IF TRCC34A1 = BLANK AND (TRCC33A1 AND TRCC33B1 EQ TRY01b-d) THEN
TRYFU1 = 0
UPDATE: IF TRMFU1 = 1-12 AND TRCC34A1 = (6 OR DK/REF) THEN TRMFU1 = 0
IF TRCC34A1 = BLANK AND (TRCC33A1 AND TRCC33B1 EQ TRY01b-d) THEN
TRMFU1 = 0
TRY02

[IF TR01=2] In the past 12 months, did you use Xanax XR in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR XANAX XR
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY02=1 THEN TRFIRSTFLAG=2.
TRY02a

[IF TRFIRSTFLAG=2] Please think about the first time you ever used Xanax
XR in a way a doctor did not direct you to use it.
[IF TRY02=1] How old were you when you first used Xanax XR in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2] if you want to see and hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
DEFINE AGE1STTR2:
IF TRY02a NE (BLANK OR DK/REF) THEN AGE1STTR2 = TRY02a

326

ELSE AGE1STTR2 = 0
HARD ERROR: [IF CURNTAGE < AGE1STTR2] The age you just reported is older than your
current age. Press [Enter] to answer the question againPlease answer the question again.
IF 1 <= AGE1STTR2 < 10:
TRCC05A2 The computer recorded that you were [AGE1STTR2] years old the
first time you used Xanax XR in a way a doctor did not direct you to
use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF TRCC05A2= DK/REF THEN AGE1STTR2 = 0
TRCC06A2 [IF TRCC05A2=6] Please answer this question again. Think
about the first time you used Xanax XR in a way a doctor did not
direct you to use it.
How old were you the first time you used Xanax XR in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF TRCC06A2 NOT (BLANK OR DK/REF) THEN AGE1STTR2 = TRCC06A2
ELSE IF TRCC06A2 = DK/REF THEN AGE1STTR2 = 0
DEFINE TRYRINIT2:
IF AGE1STTR2 = CURNTAGE THEN TRYRINIT2 = 1
ELSE TRYRINIT2 = 0
DEFINE TRYRDKRE2:
IF TRYRINIT2 = 0 AND (TRY02a = DK/REF OR TRCC05A2 = DK/REF OR TRCC06A2 =
DK/REF) THEN TRYRDKRE2 = 1
ELSE TRYRDKRE2= 0

DEFINE TR30INIT2:

327

TR30INIT2 = 0
IF (AGE1STTR2 = CURNTAGE) AND (TRYFU2 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST YEAR’S
BIRTHDAY AND INTERVIEW DATE <= 30), THEN TR30INIT2 = 1
2.2.1

Year and Month of First Nonmedical Use

DEFINE TRYFU2:
TRYFU2 = 0
DEFINE TRMFU2:
TRMFU2 = 0
TRY02b.

[AGE1STTR2 = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STTR2 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you
first use Xanax XR in a way a doctor did not direct you to use it in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

TRY02c.

[IF AGE1STTR2 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use Xanax XR in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

UPDATE: IF TRY02B = 2 OR (AGE1STTR2 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN TRYFU2 = CURRENT YEAR
IF TRY02B = 1 OR TRY02C = 2 THEN TRYFU2 = CURRENT YEAR - 1
IF TRY02C = 1 THEN TRYFU2 = CURRENT YEAR - 2
DEFINE TRJANFLAG2:
TRJANFLAG2 = 0
IF TRYFU2=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
TRJANFLAG2 = 1
IF TRYFU2=CURRENT YEAR-1 AND BIRTHDAY MONTH=JANUARY AND DATE OF
INTERVIEW ≥ DOB THEN TRJANFLAG2=1
IF TRJANFLAG2=1 THEN TRY02D=1
DEFINE TRDECFLAG2:
TRDECFLAG2 = 0

328

IF AGE1STTR2 = CURNTAGE AND TRYFU2=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN TRDECFLAG2 = 1
IF TRDECFLAG2=1 THEN TRY02D=12
DEFINE TR1MTHFLAG2:
TR1MTHFLAG2=0
IF (AGE1STTR2=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH) THEN
TR1MTHFLAG2=1
IF TR1MTHFLAG2=1 THEN TRY02D=CURRENT MONTH
TRY02d.
[IF TRYFU2 NE 0 AND TRJANFLAG2 = 0 AND TRDECFLAG2=0 AND
TR1MTHFLAG2=0]
[IF TRYFU2 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you reported that you
first used Xanax XR in a way a doctor did not direct you to use it when you were
[AGE1STTR2] years old. Based on your date of birth, you turned [AGE1STTR2] in [FILL
WITH MONTH/YEAR FOR AGE1STTR2 BASED ON DOB].
[IF TRYFU2 NE 0] In what month in [TRYFU2] did you first use Xanax XR in a way a doctor
did not direct you to use it?
[IF DATE OF INTERVIEW < DOB AND AGE1STTR2=CURRENT AGE AND
TRYFU2=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]
IF AGE1STTR2 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STTR2 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STTR2 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (TRYFU2 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF TRYFU2=CURRENT YEAR AND AGE1STTR2=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF TRYFU2 = CURRENT YEAR - 1 AND AGE1STTR2 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
1
2
3
4
5
6
7

January
February
March
April
May
June
July

329

8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF TRY02D = 1-12 THEN TRMFU2 = TRY02D
IF TRJANFLAG2 = 1 THEN TRMFU2 = 1.
IF TRDECFLAG2=1 THEN TRMFU2=12.
UPDATE: IF TRYRINIT2 NE 1 AND (TRYFU2 = CURRENT YEAR OR (TRYFU2 =
CURRENT YEAR - 1 AND TRMFU2 = 1-12 AND TRMFU2 >= CURRENT MONTH) THEN
TRYRINIT2 = 1
UPDATE: IF TRYRINIT2 NE 1 AND TRYRDKRE2 NE 1 AND [(TRY02b = DK/REF OR
TRY02c = DK/REF) OR (TRYFU2 = CURRENT YEAR-1 AND TRY02d = DK/REF)] THEN
TRYRDKRE2 = 1
UPDATE: IF TR30INIT2 NE 1 AND TRYFU2 = CURRENT YEAR AND TRMFU2 =
CURRENT MONTH THEN TR30INIT2 = 1
DEFINE MYR1STTR2:
MYR1STTR2 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (TRY02B-D). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STTR2 IS 0.
IF MYR1STTR2 NE 0 AND NE AGE1STTR2:
TRCC32A2
Earlier, the computer recorded that you were [AGE1STTR2]
years old when you first used Xanax XR in a way a doctor did not
direct you to use it.
Which answer is correct?
1

I was [MYR1STTR2] years old in [TRY02B-D fill] the first
time I used Xanax XR in a way not directed for me by a doctor
2
I was [AGE1STTR2] years old the first time I used Xanax XR
in a way not directed for me by a doctor
3
Neither answer is correct
DK/REF
UPDATE: IF TRCC32A2 = 1, THEN AGE1STTR2 = MYR1STTR2.
UPDATE: IF TRYRINIT2 NE 1 AND AGE1STTR2 = CURNTAGE THEN TRYRINIT2 = 1

330

ELSE IF TRYRINIT2 = 1 AND AGE1STTR2 NE CURNTAGE AND TRCC32A2 = DK/REF
THEN TRYRINIT2 = 0
UPDATE: IF TRYRINIT2 NE 1 AND TRYRDKRE2 NE 1 AND TRCC32A2 = DK/REF
THEN TRYRDKRE2 = 1
UPDATE: IF TR30INIT2 NE 1 AND TRCC32A2 = 1 AND AGE1STTR2 IS WITHIN 30
DAYS OF INTERVIEW DATE THEN TR30INIT2 = 1
UPDATE: IF TRYFU2 NE 0 AND TRCC32A2 = DK/REF THEN TRYFU2 = 0
UPDATE: IF TRMFU2 = 1-12 AND TRCC32A2 = DK/REF THEN TRMFU2 = 0
TRCC33A2 [IF TRCC32A2=2 OR TRCC32A2=3] Please answer this question
again. Did you first use Xanax XR in a way a doctor did not direct
you to use it in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
UPDATE: IF TRYFU2 NE 0 AND TRCC33A2 = DK/REF THEN TRYFU2 = 0
IF TRCC33A2 = 1 THEN TRYFU2 = CURRENT YEAR - 2
IF TRCC33A2 = 2 THEN TRYFU2 = CURRENT YEAR - 1
IF TRCC33A2 = 3 THEN TRYFU2 = CURRENT YEAR
UPDATE: IF TRMFU2 = 1-12 AND TRCC33A2 = DK/REF THEN TRMFU2 = 0
TRCC33B2

[IF TRCC33A2 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [TRCC33A2] did you first use
Xanax XR in any way a doctor did not direct you to use it?

IF TRCC33A2 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
2
3
4
5
6
7
8
9
10

January
February
March
April
May
June
July
August
September
October

331

11
November
12
December
DK/REF

UPDATE: IF TRCC33B2 = 1-12 THEN TRMFU2 = TRCC33B2
IF TRCC33B2 = DK/REF THEN TRMFU2 = 0
UPDATE: IF TRCC33B2 NE (0 OR DK/REF) THEN UPDATE MYR1STTR2.
MYR1STTR2 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (TRCC33A2 AND TRCC33B2). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STTR2 IS 0. IF MYR1STTR2
= AGE1STTR2 THEN MYR1STTR2 = 0
UPDATE: IF TRYRINIT2 = 1 AND AGE1STTR2 NE CURNTAGE AND TRCC32A2 NE 1
AND MYR1STTR2 NE 0 AND (TRCC33A2 AND TRCC33B2 = TRY02b-d) THEN
TRYRINIT2 = 0
UPDATE: IF TRYRINIT2 NE 1 AND TRYRDKRE2 NE 1 AND TRCC33A2 = DK/REF
THEN TRYRDKRE2 = 1
IF TRYRINIT2 NE 1 AND TRYRDKRE2 NE 1 AND TRYFU2 = CURRENT YEAR-1 AND
TRCC33B2 = DK/REF THEN TRYRDKRE2 = 1
UPDATE: IF TR30INIT2 = 1 AND AGE1STTR2 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND TRCC32A2 NE 1 AND MYR1STTR2 NE 0 AND (TRCC33A2 AND
TRCC33B2 = TRY02b-d) THEN TR30INIT2 = 0
TRCC34A2 [IF TRCC32A2 NE 1 AND MYR1STTR2 NE 0 AND (TRCC33A2
AND TRCC33B2 NE TRY02b-d)] The computer recorded that you
first used Xanax XR in a way a doctor did not direct you to use it in
[TRCC33A2-TRCC33B2 fill]. That would make you [MYR1STTR2]
years old when you first used Xanax XR in any way a doctor did not
direct you to use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF TRCC34A2 NE (6, BLANK OR DK/REF) AND (TRCC33A2 AND TRCC33B2
NE TRY02b-d) THEN AGE1STTR2 = MYR1STTR2
UPDATE: IF TRYRINIT2 NE 1 AND AGE1STTR2 = CURNTAGE OR (TRCC34A2 = 4 AND
TRCC33A2 = 3 OR (TRCC33A2 = 2 AND TRCC33B2 NE DK/REF AND TRCC33B2 >=
CURRENT MONTH)) THEN TRYRINIT2 = 1

332

ELSE IF TRYRINIT = 1 AND AGE1STTR2 NE CURNTAGE AND TRCC34A2 = (6 OR
DK/REF) THEN TRYRINIT2 = 0
UPDATE: IF TRYRINIT2 NE 1 AND TRYRDKRE2 NE 1 AND MYR1STTR2= CURNTAGE
AND TRCC34A2 = (6 OR DK/REF) THEN TRYRDKRE2 = 1
IF TRYRINIT2 NE 1 AND TRYRDKRE2 NE 1 AND TRCC34A2 = BLANK AND
TRCC33A2 = 3 THEN TRYRDKRE2 = 1
IF TRYRINIT2 NE 1 AND TRYRDKRE2 NE 1 AND TRCC34A2 = BLANK AND
TRCC33A2 = 2 AND TRCC33B2 = 1-12 AND TRCC33B2 >= CURRENT MONTH THEN
TRYRDKRE2 = 1
UPDATE: IF TR30INIT2 NE 1 AND AGE1STTR2 WITHIN 30 DAYS OF INTERVIEW
DATE OR (TRCC34A2 = 4 AND TRCC33A2 = 3 AND TRCC33B2 = CURRENT MONTH)
THEN TR30INIT2 = 1
ELSE IF TR30INIT2 = 1 AND AGE1STTR2 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND TRCC34A2 = (6 OR DK/REF) THEN TR30INIT2 = 0
UPDATE: IF TRYFU2 NE BLANK AND TRCC34A2 = OR DK/REF THEN TRYFU2 = 0
IF TRCC34A2 = BLANK AND (TRCC33A2 AND TRCC33B2 EQ TRY02b-d) THEN
TRYFU2 = 0
UPDATE: IF TRMFU2 = 1-12 AND TRCC34A2 = (6 OR DK/REF) THEN TRMFU2 = 0
IF TRCC34A2 = BLANK AND (TRCC33A2 AND TRCC33B2 EQ TRY02b-d) THEN
TRMFU2 = 0
Continue asking the misuse and age at first misuse questions above about each tranquilizer
reported.
TRY03

[IF TR01=3] In the past 12 months, did you use alprazolam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR ALPRAZOLAM
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

333

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY03=1 THEN TRFIRSTFLAG=3.
TRY03a

[IF TRFIRSTFLAG=3] Please think about the first time you ever used
alprazolam in a way a doctor did not direct you to use it.
[IF TRY03=1] How old were you when you first used alprazolam in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.

TRY04

[IF TR01=4] In the past 12 months, did you use extended-release alprazolam in
any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY04=1 THEN TRFIRSTFLAG=4.
TRY04a

[IF TRFIRSTFLAG=4] Please think about the first time you ever used extendedrelease alprazolam in a way a doctor did not direct you to use it.
[IF TRY04=1] How old were you when you first used extended-release
alprazolam in a way a doctor did not direct you to use it?

334

AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.

TRY05

[IF TR02=1] In the past 12 months, did you use Ativan in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR ATIVAN
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY05=1 THEN TRFIRSTFLAG=5.
TRY05a

[IF TRFIRSTFLAG=5] Please think about the first time you ever used Ativan in
a way a doctor did not direct you to use it.
[IF TRY05=1] How old were you when you first used Ativan in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

335

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.

TRY06

[IF TR02=2] In the past 12 months, did you use Klonopin in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR KLONOPIN
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY06=1 THEN TRFIRSTFLAG=6.
TRY06a

[IF TRFIRSTFLAG=6] Please think about the first time you ever used Klonopin
in a way a doctor did not direct you to use it.
[IF TRY06=1] How old were you when you first used Klonopin in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.

TRY07

[IF TR02=3] In the past 12 months, did you use lorazepam in any way a doctor
did not direct you to use it?

336

DISPLAY IMAGE FOR LORAZEPAM
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY07=1 THEN TRFIRSTFLAG=7.
TRY07a

[IF TRFIRSTFLAG=7] Please think about the first time you ever used lorazepam
in a way a doctor did not direct you to use it.
[IF TRY07=1] How old were you when you first used lorazepam in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.

TRY08

[IF TR02=4] In the past 12 months, did you use clonazepam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR CLONAZEPAM
1
Yes
2
No
DK/REF

337

PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY08=1 THEN TRFIRSTFLAG=8.
TRY08a

[IF TRFIRSTFLAG=8] Please think about the first time you ever used
clonazepam in a way a doctor did not direct you to use it.
[IF TRY08=1] How old were you when you first used clonazepam in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.

TRY09

[IF TR03=1] In the past 12 months, did you use Valium in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR VALIUM
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

338

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY09=1 THEN TRFIRSTFLAG=9.
TRY09a

[IF TRFIRSTFLAG=9] Please think about the first time you ever used Valium in
a way a doctor did not direct you to use it.
[IF TRY09=1] How old were you when you first used Valium in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.

TRY10

[IF TR03=2] In the past 12 months, did you use diazepam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR DIAZEPAM
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY10=1 THEN TRFIRSTFLAG=10.
TRY10a

[IF TRFIRSTFLAG=10] Please think about the first time you ever used
diazepam in a way a doctor did not direct you to use it.

339

[IF TRY10=1] How old were you when you first used diazepam in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.
TRY11

[IF TR04=1] In the past 12 months, did you use cyclobenzaprine, also known as
Flexeril, in any way a doctor did not direct you to use it?
DISPLAY IMAGE FOR CYCLOBENZAPRINE
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY11=1 THEN TRFIRSTFLAG=11.
TRY11a

[IF TRFIRSTFLAG=11] Please think about the first time you ever used
cyclobenzaprine in a way a doctor did not direct you to use it.
[IF TRY11=1] How old were you when you first used cyclobenzaprine in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

340

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.

TRY12

[IF TR04=2] In the past 12 months, did you use Soma in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR SOMA
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRY12=1 THEN TRFIRSTFLAG=12.
TRY12a

[IF TRFIRSTFLAG=12] Please think about the first time you ever used Soma in
a way a doctor did not direct you to use it.
[IF TRY12=1] How old were you when you first used Soma in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.
TRYOTH

[IF TRANYOTH =1] In the past 12 months, did you use any [IF TRANYOTH
=1 AND TRYRCOUNT > 1 FILL “other”] prescription tranquilizer in a way a
doctor did not direct you to use it?

341

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE
DATE

PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

342

TRYOTHA1

[IF TRYOTH = 1] Please type in the name of one or more of the [IF
TRANYOTH =1 AND TRYRCOUNT > 1 FILL “other”] prescription
tranquilizers you have used in the past 12 months in a way a doctor did not
direct you to use it. If you’re not sure how to spell the name of the
tranquilizer, just make your best guess.
When you have finished, press [ENTER] to go to the next question.
Remember, you do not need to type in the names of any prescription
tranquilizers you already reported.

[PROGRAMMER: PROVIDE 5 ROWS.] ______________
[NOTE: DON'T ALLOW BLANKS IN TRYOTHA1 IF TRYOTH = 1]
DK/REF
TRYOTHA2 [IF TRYOTH = 1 AND TRYOTHA1 NE DK/REF)] Please
type in the name of any other prescription tranquilizer you used in the
past 12 months in a way a doctor did not direct you to use it.
If you have not used any other prescription tranquilizer in a way a doctor
did not direct you to use it, press [ENTER].

______________
DK/REF
TRYOTHA3 [IF TRYOTHA2 NE (BLANK OR DK/REF)] Please type
in the name of any other prescription tranquilizer you used in the past 12
months in a way a doctor did not direct you to use it.
If you have not used any other prescription tranquilizer in a way a doctor
did not direct you to use it, press [ENTER].

______________
DK/REF
TRYOTHA4 [IF TRYOTHA3 NE (BLANK OR DK/REF)] Please type
in the name of any other prescription tranquilizer you used in the past 12
months in a way a doctor did not direct you to use it.
If you have not used any other prescription tranquilizer in a way a doctor
did not direct you to use it, press [ENTER].

343

______________
DK/REF
TRYOTHA5 [IF TRYOTHA4 NE (BLANK OR DK/REF Please type in
the name of any other prescription tranquilizer you used in the past 12
months in a way a doctor did not direct you to use it.
If you have not used any other prescription tranquilizer in a way a doctor
did not direct you to use it, press [ENTER].

______________
DK/REF
UPDATE TRFIRSTFLAG:
IF TRFIRSTFLAG=0 AND TRYOTH=1 THEN TRFIRSTFLAG=16.
TRYOTHA

[IF TRFIRSTFLAG=16] Please think about the first time you ever used
any [IF TRANYOTH =1 AND TRYRCOUNT > 1 FILL “other”]
prescription tranquilizer in a way a doctor did not direct you to use it.
[IF TRYOTH=1] How old were you when you first used any [IF
TRANYOTH =1 AND TRYRCOUNT > 1 FILL “other”] prescription
tranquilizer in a way a doctor did not direct you to use it?

AGE:
DK/REF

[(RANGE: 1 - 110)]

PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TRY01.

344

DEFINE TRMISCOUNT:
INITIALIZE TRMISCOUNT TO 0.
INCREMENT TRMISCOUNT BY 1 FOR EVERY RESPONSE OF YES IN TRY01-TRYOTH.
DEFINE TRMISUSE12:
IF TRMISCOUNT > 0 THEN TRMISUSE12 = 1.
ELSE TRMISUSE12 = 2.
If no tranquilizers misused in the past 12 months:
TRL02

[IF TR12MON=1 AND TRMISUSE12=2] Have you ever, even once, used any
prescription tranquilizer in any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

If any tranquilizers misused in past 12 months:
DEFINE TRDKREFCOUNT:
INITIALIZE TRDKREFCOUNT TO 0.
INCREMENT TRDKREFCOUNT BY 1 FOR EVERY RESPONSE OF DK/REF IN TRY01TRYOTH AND TR01- TRANYOTH.
DEFINE TRDKREFFLAG:
IF TRDKREFCOUNT > 1 THEN TRDKREFFLAG = 1.
ELSE TRDKREFFLAG = 2.
DEFINE TRNUMFILL:
IF TRMISCOUNT = 1 AND TRYOTH NE 1 THEN TRNUMFILL = "it".
ELSE TRNUMFILL = "them".
DEFINE TR30ANYINIT:
IF ANY CODE OF 1 IN TR30INIT1-TR30INITOT THEN TR30ANYINIT = 1.
ELSE TR30ANYINIT = 2.
DEFINE TRFILL2:
IF TRMISCOUNT < 3 AND TRYOTH NE 1 AND TRDKREFFLAG =2 THEN
TRFILL2=”[DRUG NAMES FROM TRY01- TRY12]”.
ELSE IF TRMISCOUNT=1 AND TRYOTH NE 1 AND TRDKREFFLAG=1 THEN TRFILL2
= “[DRUG NAMES FROM TRY01- TRY12] or any other prescription tranquilizer.”

345

ELSE IF TRMISCOUNT=2 AND TRDKREFFLAG=2 AND TRYOTH =1 THEN
TRFILL2=”[DRUG NAME FROM TRY01- TRY12] and some other prescription tranquilizer.”
ELSE IF TRMISCOUNT=2 AND TRDKREFFLAG=1 THEN TRFILL2=”[DRUG NAMES
FROM TRY01- TRY12]”. IF TRYOTH =1 THEN ADD “some other prescription tranquilizer”
TO THE FILL.
ELSE TRFILL2= “prescription tranquilizers”
DEFINE TRNAMEFILL:
IF TRMISCOUNT =1 AND (TRYOTH = 2 OR TRYOTH = BLANK) AND TRDKREFFLAG
=2 THEN TRNAMEFILL=”[DRUG NAME FROM TRY01- TRY12]”
ELSE IF TRMISCOUNT=1 AND (TRYOTH NE 1) AND TRDKREFFLAG=1 THEN
TRNAMEFILL=”[DRUG NAME FROM TRY01- TRY12] or any other prescription
tranquilizer]”
ELSE IF TRMISCOUNT >1 THEN TRNAMEFILL= “prescription tranquilizers”
DEFINE TRYINICT:
INITIALIZE TRYINICT TO 0.
INCREMENT TRYINICT BY 1 FOR EVERY VALUE OF 1 IN TRYRINIT1-TRYRINITOT.
DEFINE TRYRDKRECT:
INITIALIZE TRYRDKRECT TO 0.
INCREMENT TRYRDKRECT BY 1 FOR EVERY VALUE OF 1 IN TRYRDKRE1TRYRDKREOT.
DEFINE TRYINALL:
IF TRMISCOUNT > 0 AND TRMISCOUNT = TRYINICT + TRYRDKRECT THEN
TRYINALL = 1.
ELSE TRYINALL = 2.
TRL03

[IF TRYINALL=1] Earlier questions were about the past 12 months. This
question is about any time before then, that is, any time in your life before
[DATEFILL -12 MONTHS].
At any time before [DATEFILL -12 MONTHS], did you ever use any
prescription tranquilizer in a way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

TRINTROYR3 [IF TRMISUSE12=1 AND TRMISCOUNT>1] Earlier the computer recorded
that in the past 12 months you used [IF TRMISUSE12=1 AND
TRMISCOUNT > 2, ADD "these"] [TRFILL2] in a way a doctor did not
direct you to use [TRNUMFILL].

346

[IF TRMISUSE12=1 AND TRMISCOUNT>2 ] FILL WITH DRUG NAMES
FROM TRY01- TRYOTH BELOW. USE MULTIPLE COLUMNS AS
NEEDED. IF TRYOTH = 1, FILL WITH "Some other prescription tranquilizer".
[IF TRMISUSE12=1 AND TRMISCOUNT>1] The next questions refer to these
drugs as prescription tranquilizers.
Press Enter to continue.
TRM01

[IF TRMISUSE12 = 1 AND TR30ANYINIT = 2] In the past 30 days, that is,
from [DATEFILL] up to and including today, did you use [TRNAMEFILL] in
any way a doctor did not direct you to use [TRNUMFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

DEFINE TRMISUSE30:
TRMISUSE30=1 IF TRM01=1 OR TR30ANYINIT = 1.
TRMISUSE30=2 IF TRMISUSE12 = 1 AND (TRM01=2, DK, OR REF).
TRM02

[IF TRMISUSE30=1] During the past 30 days, on how many days did you use
[TRNAMEFILL] in any way a doctor did not direct you to use
[TRNUMFILL]?
________________ [RANGE: 1 - 30]
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

TRM02DKRE

[IF TRM02 = DK/REF] What is your best estimate of the number of days
you used [TRNAMEFILL] in any way a doctor did not direct you to use
[TRNUMFILL] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

347

TRM03

[IF ALC30USE = 1 and TRMISUSE30 = 1)] During the past 30 days, did you
use [TRNAMEFILL] in any way a doctor did not direct you to use
[TRNUMFILL] while you were drinking alcohol or within a couple of hours of
drinking?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

TRYWAYS

[IF TRMISUSE12=1] Which of these statements describe your use of
[TRNAMEFILL] at any time in the past 12 months?
To select more than one statement, press the space bar between the
numbers. When you have finished, press [ENTER].Select all that apply.
1
2

I used [TRNAMEFILL] without a prescription of my own.
I used [TRNAMEFILL] in greater amounts than [IF
TRNAMEFILL= “prescription tranquilizers” THEN FILL WITH
“they were”; ELSE FILL WITH “it was”] prescribed.
3
I used [TRNAMEFILL] more often than [IF TRNAMEFILL=
“prescription tranquilizers” THEN FILL WITH “they were”;
ELSE FILL WITH “it was”] prescribed.
4
I used [TRNAMEFILL] for longer than [IF TRNAMEFILL=
“prescription tranquilizers” THEN FILL WITH “they were”;
ELSE FILL WITH “it was”] prescribed.
5
I used [TRNAMEFILL] in some other way a doctor did not
direct me to use [TRNUMFILL]
DISPLAY 12-MONTH CALENDAR

TRYLAST

[IF TRMISCOUNT > 1 OR (TRMISCOUNT = 1 AND TRYOTH NE 1
AND TRDKREFFLAG=1)] Now think about the last time you used a
prescription tranquilizer in any way a doctor did not direct you to use it.
Which of these tranquilizers did you use the last time? If you used more
than one tranquilizer the last time, please choose one tranquilizer as your
best answer.
(LIST DRUGS WHERE TRY01- TRYOTH =1. NUMBER RESPONSE
OPTIONS SEQUENTIALLY STARTING AT 1, BUT MAINTAIN
UNIQUE CODES FOR EACH DRUG. IF TRYOTH =1, DISPLAY
"Another prescription tranquilizer" AS THE LAST CATEGORY. IF

348

TRMISCOUNT > 0 AND TRYOTH NE 1 AND TRDKREFFLAG=1,
DISPLAY "Any other prescription tranquilizer" AS THE LAST
CATEGORY. ALLOW ONLY 1 RESPONSE.)
PROGRAMMER: IF TRMISUSE12 = 1 THEN CREATE A RECODED RTRYLAST
VARIABLE. ASSIGN A UNIQUE CODE TO A GIVEN DRUG ACCORDING TO THE
OVERALL ORDER IN WHICH THE DRUGS APPEAR IN THE SCREENER.
INITIALIZE RTRYLAST TO BLANK.
IF "Xanax" CHOSEN IN TRYLAST OR (TRMISCOUNT=1 AND TRDKREFFLAG=2 AND
TRY01 = 1) THEN RTRYLAST = 1.
IF "Xanax XR" CHOSEN IN TRYLAST OR (TRMISCOUNT=1 AND TRDKREFFLAG=2
AND TRY02 = 1) THEN RTRYLAST = 2.
IF "alprazolam" CHOSEN IN TRYLAST OR (TRMISCOUNT=1 AND TRDKREFFLAG=2
AND TRY03 = 1) THEN RTRYLAST = 3.
ETC.
IF "meprobamate" CHOSEN IN TRYLAST OR (TRMISCOUNT=1 AND TRDKREFFLAG=2
AND TRY12 = 1) THEN RTRYLAST = 12.
IF "Another prescription tranquilizer" OR "Any other prescription tranquilizer" CHOSEN IN
TRYLAST OR (TRMISCOUNT =1 AND TRYOTH = 1 AND TRDKREFFLAG =2) THEN
RTRYLAST = 13.
IF TRYLAST = DK OR REF, THEN ASSIGN THE DK/REF CODE TO RTRYLAST.)
DEFINE TRLASTFILL:
IF RTRYLAST = 1-12, THEN FILL WITH THE DRUG NAME.
IF RTRYLAST = 13 THEN FILL "other tranquilizer".
IF RTRYLAST = DK, REF, OR BLANK, THEN FILL "tranquilizer".
DEFINE TRLASTFILL2:
IF RTRYLAST = 1-12, THEN FILL WITH THE DRUG NAME.
IF RTRYLAST = 13 THEN FILL "the other tranquilizer".
IF RTRYLAST = DK, REF, OR BLANK, THEN FILL "a tranquilizer".
DEFINE TRLASTFILL3:
IF TRLASTFILL NE "other tranquilizer" THEN TRLASTFILL3 = TRLASTFILL.
ELSE IF TRLASTFILL = "other tranquilizer" THEN TRLASTFILL3 = "tranquilizer".
TRYMOTIV [IF TRMISUSE12=1]
Now think about the last time you used [TRLASTFILL2] in any way a doctor
did not direct you to use it.
What were the reasons you used [TRLASTFILL2] the last time?

349

Select all that apply.To select more than one reason from the list, press the space
bar between each number you have typed. When you have finished, press
[ENTER].
1
2
3
4
5
6
7
8

To relax or relieve tension
To experiment or to see what it’s like
To feel good For fun or to get high
To help with my sleep
To help me with my feelings or emotions
To increase or decrease the effect(s) of some other drug
Because I am “hooked” or I have to have it
I used it for some other reason

DK/REF
TRMOTOT [IF TRYMOTIV=8] Please type in the other reason you used [TRLASTFILL2] the
last time. When you have finished typing your answer, press [ENTER] to go to
the next question.
REASON
__________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TRMOTOT.
TRYMOT1

[IF MORE THAN ONE RESPONSE 1-8 CHOSEN IN TRYMOTIV] Which was
the main reason you used [TRLASTFILL2] the last time?
PROGRAMMER: FILL AS RESPONSE OPTIONS ONLY THOSE CHOSEN
IN TRYMOTIV.
1
To relax or relieve tension
2
To experiment or to see what it’s like
3
To feel good For fun or to To feel good or get high
4
To help with my sleep
5
To help me with my feelings or emotions
6
To increase or decrease the effect(s) of some other drug
7
Because I am “hooked” or I have to have it
8
[IF TRMOTIV=8] The other reason I reported
DK/REF

TRYGOT

[IF TRMISUSE12=1 AND TRMISCOUNT=1 AND TRDKREFFLAG=2]
Now think again about the last time you used [TRLASTFILL2] in any
way a doctor did not direct you to use [FILL WITH “them” IF
RTRYLAST=13. ELSE FILL WITH “it”].

350

[IF TRMISUSE12 = 1] How did you get the [TRLASTFILL]? If you got
the [TRLASTFILL] in more than one way, please choose one of these
ways as your best answer.
1
2

I got a prescription for the [TRLASTFILL] from just one doctor
I got prescriptions for the [TRLASTFILL] from more than one
doctor
3
I stole the [TRLASTFILL] from a doctor’s office, clinic, hospital,
or pharmacy
4
I got the [TRLASTFILL] from a friend or relative for free
5
I bought the [TRLASTFILL] from a friend or relative
6
I took the [TRLASTFILL] from a friend or relative without asking
7
I bought the [TRLASTFILL] from a drug dealer or other stranger
8
I got the [TRLASTFILL] in some other way
DK/REF

TRYGOTSP

[IF TRYGOT = 8] Please type in the other way you got the
[TRLASTFILL3].
You do not need to give a detailed description — just a few words will be
okay. When you have finished typing your answer, press [ENTER] to go
to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TRYGOTSP.

TRYFRL

[IF TRYGOT=4] You reported that you got the [TRLASTFILL] from a
friend or relative for free. How did your friend or relative get the
[TRLASTFILL]?
1
2

He or she got a prescription for the [TRLASTFILL] from just one doctor
He or she got prescriptions for the [TRLASTFILL] from more than one
doctor
3
He or she stole the [TRLASTFILL] from a doctor’s office, clinic, hospital,
or pharmacy
4
He or she got the [TRLASTFILL] from another friend or relative for free
5
He or she bought the [TRLASTFILL] from another friend or relative
6
He or she took the [TRLASTFILL] from another friend or relative without
asking
7
He or she bought the [TRLASTFILL] from a drug dealer or other stranger
8
He or she got the [TRLASTFILL] in some other way
DK/REF

351

TRYFRLSP

[IF TRYFRL = 8] Please type in the other way your friend or relative got
the last [TRLASTFILL3] you used.
You do not need to give a detailed description — just a few words will be
okay. When you have finished typing your answer, press [ENTER] to go
to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TRYFRLSP.

352

Stimulants Main Module
If no 12 month use of prescription stimulants:
STINTROLIF

[IF STLANY = 1] The next question asks about using prescription
stimulants in any way a doctor did not direct you to use them.
When you answer this question, please think only about your use of the drug
in any way a doctor did not direct you to use it, including:



Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
 Using it in any other way a doctor did not direct you to use it
Press Enter to continue.
STL01
[IF STLANY =1] Have you ever, even once, used any prescription stimulant in
any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF
If any 12 month use of prescription stimulants:
STINTROYR1

[IF ST12MON = 1] The next questions ask about using prescription
stimulants in any way a doctor did not direct you to use them.
When you answer these questions, please think only about your use of the
drug in any way a doctor did not direct you to use it, including:



Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
 Using it in any other way a doctor did not direct you to use it
Press Enter to continue.
DEFINE STFILL:
STFILL LISTS ALL INDIVIDUAL DRUGS SELECTED IN ST01, ST02, ST03, ST04, ST05,
ST06, AND ST07.
USE MULTIPLE COLUMNS AS NEEDED. IF STANYOTH =1 AND
STYRCOUNT > 1 THEN ADD “another prescription stimulant” TO THE FILL.
THE FOLLOWING DRUGS SHOULD NOT USE INITIAL CAPS WHEN FILLED IN
SENTENCE FORMAT:
•
•

dextroamphetamine
mixed amphetamine-dextroamphetamine pills

353

•
•
•
•
•
•
•
•
•

extended-release amphetamine-dextroamphetamine pills
methylphenidate
extended-release methylphenidate
dexmethylphenidate
extended-release dexmethylphenidate
benzphetamine
diethylpropion
phendimetrazine
phentermine

WHEN IMPLEMENTING STFILL, IF 1 OR 2 DRUGS APPEAR IN LIST, FILL IN
SENTENCE FORMAT, SEPARATED BY AN “and” BEFORE THE LAST
FILL.
IF >2 DRUGS APPEAR IN LIST, FILL IN LIST (IN COLUMNS IF NEEDED) BELOW THE
PREVIOUS SENTENCE.
DEFINE STFIRSTFLAG:
STFIRSTFLAG IDENTIFIES THE FIRST STIMULANT USED NONMEDICALLY.
INITIALIZE STFIRSTFLAG TO 0.
STINTROYR2

[IF ST12MON=1 AND STYRCOUNT > 0 AND (STANYOTH NE 1 OR
(STANYOTH =1 AND STYRCOUNT > 1))] Earlier, the computer recorded
that, in the past 12 months, you used [STFILL].
Press Enter to continue.
PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE DATE FOR
THE INTRO SCREEN
NOTE TO PROGRAMMERS: LOOP THROUGH THE 12-MONTH MISUSE, AGE AT FIRST
MISUSE, AND YEAR AND MONTH OF FIRST MISUSE (IF APPLICABLE) FOR EACH
PRESCRIPTION STIMULANT REPORTED IN THE SCREENER FOR THE PAST 12
MONTHS.
STY01

[IF ST01=1] In the past 12 months, did you use Adderall in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR ADDERALL
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2]Click the question mark button if you want to see and
hear these ways again.
• Without a prescription of your own,

354

•
•

In greater amounts, more often, or longer than you were
told to take it
In any other way a doctor did not direct you to use it

UPDATE STFIRSTFLAG:
IF STY01=1 THEN STFIRSTFLAG=1.
STY01a

[IF STFIRSTFLAG=1] Please think about the first time you ever used Adderall
in a way a doctor did not direct you to use it.
[IF STY01=1] How old were you when you first used Adderall in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2] if you want to see and hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
DEFINE AGE1STST1:
IF STY01a NE (BLANK OR DK/REF) THEN AGE1STST1 = STY01a
ELSE AGE1STST1 = 0
HARD ERROR: [IF CURNTAGE < AGE1STST1] The age you just entered is older than your
current age. Press [Enter] to answer the question againPlease answer the question again.
IF 1 <= AGE1STST1 < 10:
STCC05A1 The computer recorded that you were [AGE1STST1] years old the
first time you used Adderall in a way a doctor did not direct you to
use it.
Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF STCC05A1= DK/REF THEN AGE1STST1 = 0

355

STCC06A1 [IF STCC05A1=6] Please answer this question again. Think
about the first time you used Adderall in any way a doctor did not
direct you to use it.
How old were you the first time you used Adderall in a way a doctor
did not direct you to use it?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF STCC06A1 NOT (BLANK OR DK/REF) THEN AGE1STST1 = STCC06A1
ELSE IF STCC06A1 = DK/REF THEN AGE1STST1 = 0
DEFINE STYRINIT1:
IF AGE1STST1 = CURNTAGE THEN STYRINIT1 = 1
ELSE STYRINIT1 = 0
DEFINE STYRDKRE1:
IF STYRINIT1 = 0 AND (STY01a = DK/REF OR STCC05A1 = DK/REF OR STCC06A1 =
DK/REF) THEN STYRDKRE1 = 1
ELSE STYRDKRE1= 0
DEFINE ST30INIT1:
ST30INIT1 = 0
IF (AGE1STST1 = CURNTAGE) AND (STYFU1 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST YEAR’S
BIRTHDAY AND INTERVIEW DATE <= 30), THEN ST30INIT1 = 1
2.2.1

Year and Month of First Nonmedical Use

DEFINE STYFU1:
STYFU1 = 0
DEFINE STMFU1:
STMFU1 = 0
STY01b.

[AGE1STST1 = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STST1 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you
first use Adderall in a way a doctor did not direct you to use it in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1

CURRENT YEAR - 1

356

2
CURRENT YEAR
DK/REF

STY01c.

[IF AGE1STST1 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use Adderall in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

UPDATE: IF STY01b = 2 OR (AGE1STST1 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN STYFU1 = CURRENT YEAR
IF STY01b = 1 OR STY01c = 2 THEN STYFU1 = CURRENT YEAR - 1
IF STY01c = 1 THEN STYFU1 = CURRENT YEAR - 2
DEFINE STJANFLAG1:
STJANFLAG1 = 0
IF STYFU1=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
STJANFLAG1 = 1
IF STYFU1=CURRENT YEAR-1 AND BIRTHDAY MONTH=JANUARY AND DATE OF
INTERVIEW ≥ DOB THEN STJANFLAG1=1
IF STJANFLAG1=1 THEN STY01d=1
DEFINE STDECFLAG1:
STDECFLAG1 = 0
IF AGE1STST1 = CURNTAGE AND STYFU1=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN STDECFLAG1 = 1
IF STDECFLAG1=1 THEN STY01d=12
DEFINE ST1MTHFLAG1:
ST1MTHFLAG1=0
IF (AGE1STST1=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH) THEN
ST1MTHFLAG1=1
IF ST1MTHFLAG1=1 THEN STY01d=CURRENT MONTH
STY01d [IF STYFU1 NE 0 AND STJANFLAG1 = 0 AND STDECFLAG1=0 AND
ST1MTHFLAG1=0]
[IF STYFU1 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you reported that you first
used Adderall in a way a doctor did not direct you to use it when you were [AGE1STST1]
years old. Based on your date of birth, you turned [AGE1STST1] in [FILL WITH
MONTH/YEAR FOR AGE1STST1 BASED ON DOB].

357

[IF STYFU1 NE 0] In what month in [STYFU1] did you first use Adderall in a way a doctor
did not direct you to use it?
[IF DATE OF INTERVIEW < DOB AND AGE1STST1=CURRENT AGE AND
STYFU1=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]
IF AGE1STST1 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STST1 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STST1 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (STYFU1 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF STYFU1=CURRENT YEAR AND AGE1STST1=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF STYFU1 = CURRENT YEAR - 1 AND AGE1STST1 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF STY01D = 1-12 THEN STMFU1 = STY01D
IF STJANFLAG1 = 1 THEN STMFU1 = 1.
IF STDECFLAG1=1 THEN STMFU1=12.
UPDATE: IF STYRINIT1 NE 1 AND (STYFU1 = CURRENT YEAR OR (STYFU1 =
CURRENT YEAR - 1 AND STMFU1 = 1-12 AND STMFU1 >= CURRENT MONTH) THEN
STYRINIT1 = 1

358

UPDATE: IF STYRINIT1 NE 1 AND STYRDKRE1 NE 1 AND [(STY01b = DK/REF OR
STY01c = DK/REF) OR (STYFU1 = CURRENT YEAR-1 AND STY01d = DK/REF)] THEN
STYRDKRE1 = 1
UPDATE: IF ST30INIT1 NE 1 AND STYFU1 = CURRENT YEAR AND STMFU1 =
CURRENT MONTH THEN ST30INIT1 = 1
DEFINE MYR1STST1:
MYR1STST1 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (STY01b-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STST1 IS 0.
IF MYR1STST1 NE 0 AND NE AGE1STST1:
STCC32A1
Earlier, the computer recorded that you were [AGE1STST1]
years old when you first used Adderall in a way a doctor did not direct
you to use it.
Which answer is correct?
1

I was [MYR1STST1] years old in [STY01b-d fill] the first time
I used Adderall in a way not directed for me by a doctor
2
I was [AGE1STST] years old the first time I used Adderall in a
way not directed for me by a doctor
3
Neither answer is correct
DK/REF
UPDATE: IF STCC32A1 = 1, THEN AGE1STST1 = MYR1STST1.
UPDATE: IF STYRINIT1 NE 1 AND AGE1STST1 = CURNTAGE THEN STYRINIT1 = 1
ELSE IF STYRINIT1 = 1 AND AGE1STST1 NE CURNTAGE AND STCC32A1 = DK/REF
THEN STYRINIT1 = 0
UPDATE: IF STYRINIT1 NE 1 AND STYRDKRE1 NE 1 AND STCC32A1 = DK/REF THEN
STYRDKRE1 = 1
UPDATE: IF ST30INIT1 NE 1 AND STCC32A1 = 1 AND AGE1STST1 IS WITHIN 30 DAYS
OF INTERVIEW DATE THEN ST30INIT1 = 1
UPDATE: IF STYFU1 NE 0 AND STCC32A1 = DK/REF THEN STYFU1 = 0
UPDATE: IF STMFU1 = 1-12 AND STCC32A1 = DK/REF THEN STMFU1 = 0
STCC33A1 [IF STCC32A1=2 OR STCC32A1=3] Please answer this question
again. Did you first use Adderall in a way a doctor did not direct you

359

to use it in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

UPDATE: IF STYFU1 NE 0 AND STCC33A1 = DK/REF THEN STYFU1 = 0
IF STCC33A1 = 1 THEN STYFU1 = CURRENT YEAR - 2
IF STCC33A1 = 2 THEN STYFU1 = CURRENT YEAR - 1
IF STCC33A1 = 3 THEN STYFU1 = CURRENT YEAR
UPDATE: IF STMFU1 = 1-12 AND STCC33A1 = DK/REF THEN STMFU1 = 0
STCC33B1

[IF STCC33A1 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [STCC33B1] did you first use
Adderall in a way a doctor did not direct you to use it?

IF STCC33A1 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF STCC33B1 = 1-12 THEN STMFU1 = STCC33B1
IF STCC33B1 = DK/REF THEN STMFU1 = 0
UPDATE: IF STCC33B1 NE (0 OR DK/REF) THEN UPDATE MYR1STST1.
MYR1STST1 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (STCC33A1 AND STCC33B1). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STST1 IS 0. IF MYR1STST1
= AGE1STST1 THEN MYR1STST1 = 0

360

UPDATE: IF STYRINIT1 = 1 AND AGE1STST1 NE CURNTAGE AND STCC32A1 NE 1
AND MYR1STST1 NE 0 AND (STCC33A1 AND STCC33B1 = STY01b-d) THEN
STYRINIT1 = 0
UPDATE: IF STYRINIT1 NE 1 AND STYRDKRE1 NE 1 AND STCC33A1 = DK/REF THEN
STYRDKRE1 = 1
IF STYRINIT1 NE 1 AND STYRDKRE1 NE 1 AND STYFU1 = CURRENT YEAR-1 AND
STCC33B1 = DK/REF THEN STYRDKRE1 = 1
UPDATE: IF ST30INIT1 = 1 AND AGE1STST1 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND STCC32A1 NE 1 AND MYR1STST1 NE 0 AND (STCC33A1 AND
STCC33B1 = STY01b-d) THEN ST30INIT1 = 0
STCC34A1 [IF STCC32A1 NE 1 AND MYR1STST1 NE 0 AND (STCC33A1
AND STCC33B1 NE STY01b-d)] The computer recorded that you first
used Adderall in a way a doctor did not direct you to use it in
[STCC33A1-STCC33B1 fill]. That would make you [MYR1STST1]
years old when you first used Adderall in any way a doctor did not
direct you to use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF STCC34A1 NE (6, BLANK OR DK/REF ) AND (STCC33A1 AND STCC33B1
NE STY01b-d) THEN AGE1STST1 = MYR1STST1
UPDATE: IF STYRINIT1 NE 1 AND AGE1STST1 = CURNTAGE OR (STCC34A1 = 4 AND
STCC33A1 = 3 OR (STCC33A1 = 2 AND STCC33B1 NE DK/REF AND STCC33B1 >=
CURRENT MONTH) ) THEN STYRINIT1 = 1
ELSE IF STYRINIT1 = 1 AND AGE1STST1 NE CURNTAGE AND STCC34A1 = (6 OR
DK/REF) THEN STYRINIT1 = 0
UPDATE: IF STYRINIT1 NE 1 AND STYRDKRE1 NE 1 AND MYR1STST1= CURNTAGE
AND STCC34A1 = (6 OR DK/REF) THEN STYRDKRE1 = 1
IF STYRINIT1 NE 1 AND STYRDKRE1 NE 1 AND STCC34A1 = BLANK AND STCC33A1
= 3 THEN STYRDKRE1 = 1
IF STYRINIT1 NE 1 AND STYRDKRE1 NE 1 AND STCC34A1 = BLANK AND STCC33A1
= 2 AND STCC33B1 = 1-12 AND STCC33B1 >= CURRENT MONTH THEN STYRDKRE1 =
1

361

UPDATE: IF ST30INIT1 NE 1 AND AGE1STST1 WITHIN 30 DAYS OF INTERVIEW
DATE OR (STCC34A1 = 4 AND STCC33A1 = 3 AND STCC33B1 = CURRENT MONTH)
THEN ST30INIT1 = 1
ELSE IF ST30INIT1 = 1 AND AGE1STST1 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND STCC34A1 = (6 OR DK/REF) THEN ST30INIT1 = 0
UPDATE: IF STYFU1 NE BLANK AND STCC34A1 = OR DK/REF THEN STYFU1 = 0
IF STCC34A1 = BLANK AND (STCC33A1 AND STCC33B1 EQ STY01b-d) THEN STYFU1
=0
UPDATE: IF STMFU1 = 1-12 AND STCC34A1 = (6 OR DK/REF) THEN STMFU1 = 0
IF STCC34A1 = BLANK AND (STCC33A1 AND STCC33B1 EQ STY01b-d) THEN STMFU1
=0
STY02

[IF ST01=2] In the past 12 months, did you use Adderall XR in any way a doctor
did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE IN
LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY02=1 THEN STFIRSTFLAG=2.
STY02a

[IF STFIRSTFLAG=2] Please think about the first time you ever used Adderall
XR in a way a doctor did not direct you to use it.
[IF STY02=1] How old were you when you first used Adderall XR in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

362

DEFINE AGE1STST2:
IF STY02a NE (BLANK OR DK/REF) THEN AGE1STST2 = STY02a
ELSE AGE1STST2 = 0
HARD ERROR: [IF CURNTAGE < AGE1STST2] The age you just reported is older than your
current age. Press [Enter] to answer the question againPlease answer the question again.
IF 1 <= AGE1STST2 < 10:
STCC05A2 The computer recorded that you were [AGE1STST2] years old the
first time you used Adderall XR in a way a doctor did not direct you to
use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF STCC05A2= DK/REF THEN AGE1STST2 = 0
STCC06A2 [IF STCC05A2=6] Please answer this question again. Think
about the first time you used Adderall XR in a way a doctor did not
direct you to use it.
How old were you the first time you used Adderall XR in a way a
doctor did not direct you to use it?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF STCC06A2 NOT (BLANK OR DK/REF) THEN AGE1STST2 = STCC06A2
ELSE IF STCC06A2 = DK/REF THEN AGE1STST2 = 0
DEFINE STYRINIT2:
IF AGE1STST2 = CURNTAGE THEN STYRINIT2 = 1
ELSE STYRINIT2 = 0
DEFINE STYRDKRE2:
IF STYRINIT2 = 0 AND (STY02a = DK/REF OR STCC05A2 = DK/REF OR STCC06A2 =
DK/REF) THEN STYRDKRE2 = 1
ELSE STYRDKRE2= 0

363

DEFINE ST30INIT2:
ST30INIT2 = 0
IF (AGE1STST2 = CURNTAGE) AND (STYFU2 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST YEAR’S
BIRTHDAY AND INTERVIEW DATE <= 30), THEN ST30INIT2 = 1
2.2.1

Year and Month of First Nonmedical Use

DEFINE STYFU2:
STYFU2 = 0
DEFINE STMFU2:
STMFU2 = 0
STY02b.

[AGE1STST2 = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STST2 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you
first use Adderall XR in a way a doctor did not direct you to use it in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

STY02c.

[IF AGE1STST2 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use Adderall XR in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

UPDATE: IF STY02B = 2 OR (AGE1STST2 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN STYFU2 = CURRENT YEAR
IF STY02B = 1 OR STY02C = 2 THEN STYFU2 = CURRENT YEAR - 1
IF STY02C = 1 THEN STYFU2 = CURRENT YEAR - 2
DEFINE STJANFLAG2:
STJANFLAG2 = 0
IF STYFU2=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
STJANFLAG2 = 1
IF STYFU2=CURRENT YEAR-1 AND BIRTHDAY MONTH=JANUARY AND DATE OF
INTERVIEW ≥ DOB THEN STJANFLAG2=1
IF STJANFLAG2=1 THEN STY02D=1

364

DEFINE STDECFLAG2:
STDECFLAG2 = 0
IF AGE1STST2 = CURNTAGE AND STYFU2=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN STDECFLAG2 = 1
IF STDECFLAG2=1 THEN STY02D=12
DEFINE ST1MTHFLAG2:
ST1MTHFLAG2=0
IF (AGE1STST2=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH) THEN
ST1MTHFLAG2=1
IF ST1MTHFLAG2=1 THEN STY02D=CURRENT MONTH
STY02d.
[IF STYFU2 NE 0 AND STJANFLAG2 = 0 AND STDECFLAG2=0 AND
ST1MTHFLAG2=0]
[IF STYFU2 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you reported that you first
used Adderall XR in a way a doctor did not direct you to use it when you were [AGE1STST2]
years old. Based on your date of birth, you turned [AGE1STST2] in [FILL WITH
MONTH/YEAR FOR AGE1STST2 BASED ON DOB].
[IF STYFU2 NE 0] In what month in [STYFU2] did you first use Adderall XR in a way a
doctor did not direct you to use it?
[IF DATE OF INTERVIEW < DOB AND AGE1STST2=CURRENT AGE AND
STYFU2=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]
IF AGE1STST2 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STST2 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STST2 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (STYFU2 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF STYFU2=CURRENT YEAR AND AGE1STST2=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF STYFU2 = CURRENT YEAR - 1 AND AGE1STST2 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
1
2
3
4
5

January
February
March
April
May

365

6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF STY02D = 1-12 THEN STMFU2 = STY02D
IF STJANFLAG2 = 1 THEN STMFU2 = 1.
IF STDECFLAG2=1 THEN STMFU2=12.
UPDATE: IF STYRINIT2 NE 1 AND (STYFU2 = CURRENT YEAR OR (STYFU2 =
CURRENT YEAR - 1 AND STMFU2 = 1-12 AND STMFU2 >= CURRENT MONTH) THEN
STYRINIT2 = 1
UPDATE: IF STYRINIT2 NE 1 AND STYRDKRE2 NE 1 AND [(STY02b = DK/REF OR
STY02c = DK/REF) OR (STYFU2 = CURRENT YEAR-1 AND STY02d = DK/REF)] THEN
STYRDKRE2 = 1
UPDATE: IF ST30INIT2 NE 1 AND STYFU2 = CURRENT YEAR AND STMFU2 =
CURRENT MONTH THEN ST30INIT2 = 1
DEFINE MYR1STST2:
MYR1STST2 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (STY02B-D). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STST2 IS 0.
IF MYR1STST2 NE 0 AND NE AGE1STST2:
STCC32A2
Earlier, the computer recorded that you were [AGE1STST2]
years old when you first used Adderall XR in a way a doctor did not
direct you to use it.
Which answer is correct?
1

I was [MYR1STST2] years old in [STY02B-D fill] the first
time I used Adderall XR in a way not directed for me by a
doctor
2
I was [AGE1STST2] years old the first time I used Adderall
XR in a way not directed for me by a doctor
3
Neither answer is correct
DK/REF
UPDATE: IF STCC32A2 = 1, THEN AGE1STST2 = MYR1STST2.

366

UPDATE: IF STYRINIT2 NE 1 AND AGE1STST2 = CURNTAGE THEN STYRINIT2 = 1
ELSE IF STYRINIT2 = 1 AND AGE1STST2 NE CURNTAGE AND STCC32A2 = DK/REF
THEN STYRINIT2 = 0
UPDATE: IF STYRINIT2 NE 1 AND STYRDKRE2 NE 1 AND STCC32A2 = DK/REF THEN
STYRDKRE2 = 1
UPDATE: IF ST30INIT2 NE 1 AND STCC32A2 = 1 AND AGE1STST2 IS WITHIN 30 DAYS
OF INTERVIEW DATE THEN ST30INIT2 = 1
UPDATE: IF STYFU2 NE 0 AND STCC32A2 = DK/REF THEN STYFU2 = 0
UPDATE: IF STMFU2 = 1-12 AND STCC32A2 = DK/REF THEN STMFU2 = 0
STCC33A2 [IF STCC32A2=2 OR STCC32A2=3] Please answer this question
again. Did you first use Adderall XR in a way a doctor did not direct
you to use it in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
UPDATE: IF STYFU2 NE 0 AND STCC33A2 = DK/REF THEN STYFU2 = 0
IF STCC33A2 = 1 THEN STYFU2 = CURRENT YEAR - 2
IF STCC33A2 = 2 THEN STYFU2 = CURRENT YEAR - 1
IF STCC33A2 = 3 THEN STYFU2 = CURRENT YEAR
UPDATE: IF STMFU2 = 1-12 AND STCC33A2 = DK/REF THEN STMFU2 = 0
STCC33B2

[IF STCC33A2 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [STCC33A2] did you first use
Adderall XR in any way a doctor did not direct you to use it?

IF STCC33A2 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
2
3
4
5
6
7
8

January
February
March
April
May
June
July
August

367

9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF STCC33B2 = 1-12 THEN STMFU2 = STCC33B2
IF STCC33B2 = DK/REF THEN STMFU2 = 0
UPDATE: IF STCC33B2 NE (0 OR DK/REF) THEN UPDATE MYR1STST2.
MYR1STST2 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (STCC33A2 AND STCC33B2). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STST2 IS 0. IF MYR1STST2
= AGE1STST2 THEN MYR1STST2 = 0
UPDATE: IF STYRINIT2 = 1 AND AGE1STST2 NE CURNTAGE AND STCC32A2 NE 1
AND MYR1STST2 NE 0 AND (STCC33A2 AND STCC33B2 = STY02b-d) THEN
STYRINIT2 = 0
UPDATE: IF STYRINIT2 NE 1 AND STYRDKRE2 NE 1 AND STCC33A2 = DK/REF THEN
STYRDKRE2 = 1
IF STYRINIT2 NE 1 AND STYRDKRE2 NE 1 AND STYFU2 = CURRENT YEAR-1 AND
STCC33B2 = DK/REF THEN STYRDKRE2 = 1
UPDATE: IF ST30INIT2 = 1 AND AGE1STST2 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND STCC32A2 NE 1 AND MYR1STST2 NE 0 AND (STCC33A2 AND
STCC33B2 = STY02b-d) THEN ST30INIT2 = 0
STCC34A2 [IF STCC32A2 NE 1 AND MYR1STST2 NE 0 AND (STCC33A2
AND STCC33B2 NE STY02b-d)] The computer recorded that you first
used Adderall XR in a way a doctor did not direct you to use it in
[STCC33A2-STCC33B2 fill]. That would make you [MYR1STST2]
years old when you first used Adderall XR in any way a doctor did not
direct you to use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF STCC34A2 NE (6, BLANK OR DK/REF) AND (STCC33A2 AND STCC33B2
NE STY02b-d) THEN AGE1STST2 = MYR1STST2

368

UPDATE: IF STYRINIT2 NE 1 AND AGE1STST2 = CURNTAGE OR (STCC34A2 = 4 AND
STCC33A2 = 3 OR (STCC33A2 = 2 AND STCC33B2 NE DK/REF AND STCC33B2 >=
CURRENT MONTH) ) THEN STYRINIT2 = 1
ELSE IF STYRINIT = 1 AND AGE1STST2 NE CURNTAGE AND STCC34A2 = (6 OR
DK/REF) THEN STYRINIT2 = 0
UPDATE: IF STYRINIT2 NE 1 AND STYRDKRE2 NE 1 AND MYR1STST2= CURNTAGE
AND STCC34A2 = (6 OR DK/REF) THEN STYRDKRE2 = 1
IF STYRINIT2 NE 1 AND STYRDKRE2 NE 1 AND STCC34A2 = BLANK AND STCC33A2
= 3 THEN STYRDKRE2 = 1
IF STYRINIT2 NE 1 AND STYRDKRE2 NE 1 AND STCC34A2 = BLANK AND STCC33A2
= 2 AND STCC33B2 = 1-12 AND STCC33B2 >= CURRENT MONTH THEN STYRDKRE2 =
1
UPDATE: IF ST30INIT2 NE 1 AND AGE1STST2 WITHIN 30 DAYS OF INTERVIEW
DATE OR (STCC34A2 = 4 AND STCC33A2 = 3 AND STCC33B2 = CURRENT MONTH)
THEN ST30INIT2 = 1
ELSE IF ST30INIT2 = 1 AND AGE1STST2 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND STCC34A2 = (6 OR DK/REF) THEN ST30INIT2 = 0
UPDATE: IF STYFU2 NE BLANK AND STCC34A2 = OR DK/REF THEN STYFU2 = 0
IF STCC34A2 = BLANK AND (STCC33A2 AND STCC33B2 EQ STY02b-d) THEN STYFU2
=0
UPDATE: IF STMFU2 = 1-12 AND STCC34A2 = (6 OR DK/REF) THEN STMFU2 = 0
IF STCC34A2 = BLANK AND (STCC33A2 AND STCC33B2 EQ STY02b-d) THEN STMFU2
=0
Continue asking the misuse and age at first misuse questions above about each tranquilizer
stimulant reported.
STY03

[IF ST01=3] In the past 12 months, did you use Dexedrine in any way a doctor
did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

369

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY03=1 THEN STFIRSTFLAG=3.
STY03a

[IF STFIRSTFLAG=3] Please think about the first time you ever used Dexedrine
in a way a doctor did not direct you to use it.
[IF STY03=1] How old were you when you first used Dexedrine in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY04

[IF ST02=1] In the past 12 months, did you use dextroamphetamine in any way a
doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY04=1 THEN STFIRSTFLAG=4.
STY04a

[IF STFIRSTFLAG=4] Please think about the first time you ever used
dextroamphetamine in a way a doctor did not direct you to use it.

370

[IF STY04=1] How old were you when you first used dextroamphetamine in a
way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.
STY05

[IF ST02=2] In the past 12 months, did you use mixed amphetaminedextroamphetamine pills in any way a doctor did not direct you to use them?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY05=1 THEN STFIRSTFLAG=5.
STY05a

[IF STFIRSTFLAG=5] Please think about the first time you ever used mixed
amphetamine-dextroamphetamine pills in a way a doctor did not direct you to use
them.
[IF STY05=1] How old were you when you first used mixed amphetaminedextroamphetamine pills in a way a doctor did not direct you to use them?
years old [(RANGE: 1 - 110)]
DK/REF

371

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY06

[IF ST02=3] In the past 12 months, did you use extended-release amphetaminedextroamphetamine pills in any way a doctor did not direct you to use them?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY06=1 THEN STFIRSTFLAG=6.
STY06a

[IF STFIRSTFLAG=6. Please think about the first time you ever used extendedrelease amphetamine-dextroamphetamine pills in a way a doctor did not direct
you to use them.
[IF STY06=1] How old were you when you first used extended-release
amphetamine-dextroamphetamine pills in a way a doctor did not direct you to
use them?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

372

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY07

[IF ST03=1] In the past 12 months, did you use Ritalin in any way a doctor did
not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY07=1 THEN STFIRSTFLAG=7.
STY07a

[IF STFIRSTFLAG=7] Please think about the first time you ever used Ritalin in
a way a doctor did not direct you to use it.
[IF STY07=1] How old were you when you first used Ritalin in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.
STY08

[IF ST03=2] In the past 12 months, did you use Ritalin LA in any way a doctor
did not direct you to use it?

373

1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY08=1 THEN STFIRSTFLAG=8.
STY08a

[IF STFIRSTFLAG=8] Please think about the first time you ever used Ritalin LA
in a way a doctor did not direct you to use it.
[IF STY08=1] How old were you when you first used Ritalin LA in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.
STY09

[IF ST03=3] In the past 12 months, did you use Concerta in any way a doctor did
not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,

374

•

In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY09=1 THEN STFIRSTFLAG=9.
STY09a

[IF STFIRSTFLAG=9] Please think about the first time you ever used Concerta
in a way a doctor did not direct you to use it.
[IF STY09=1] How old were you when you first used Concerta in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.
STY10

[IF ST03=4] In the past 12 months, did you use Daytrana in any way a doctor did
not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY10=1 THEN STFIRSTFLAG=10.

375

STY10a

[IF STFIRSTFLAG=10] Please think about the first time you ever used Daytrana
in a way a doctor did not direct you to use it.
[IF STY10=1] How old were you when you first used Daytrana in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY11

[IF ST04=1] In the past 12 months, did you use Metadate CD in any way a
doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY11=1 THEN STFIRSTFLAG=11.
STY11a

[IF STFIRSTFLAG=11] Please think about the first time you ever used Metadate
CD in a way a doctor did not direct you to use it.
[IF STY11=1] How old were you when you first used Metadate CD in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]

376

DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY12

[IF ST04=2] In the past 12 months, did you use Metadate ER in any way a doctor
did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY12=1 THEN STFIRSTFLAG=12.
STY12a

[IF STFIRSTFLAG=12] Please think about the first time you ever used Metadate
ER in a way a doctor did not direct you to use it.
[IF STY12=1] How old were you when you first used Metadate ER in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

377

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY13

[IF ST04=3] In the past 12 months, did you use methylphenidate in any way a
doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY13=1 THEN STFIRSTFLAG=13.
STY13a

[IF STFIRSTFLAG=13] Please think about the first time you ever used
methylphenidate in a way a doctor did not direct you to use it.
[IF STY13=1] How old were you when you first used methylphenidate in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

378

STY14

[IF ST04=4] In the past 12 months, did you use extended-release methylphenidate
in any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY14=1 THEN STFIRSTFLAG=14.
STY14a

[IF STFIRSTFLAG=14] Please think about the first time you ever used
extended-release methylphenidate in a way a doctor did not direct you to use it.
[IF STY14=1] How old were you when you first used extended-release
methylphenidate in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY15

[IF ST05=1] In the past 12 months, did you use Focalin in any way a doctor did
not direct you to use it?
1
Yes
2
No
DK/REF

379

PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY15=1 THEN STFIRSTFLAG=15.
STY15a

[IF STFIRSTFLAG=15] Please think about the first time you ever used Focalin
in a way a doctor did not direct you to use it.
[IF STY15=1] How old were you when you first used Focalin in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.
STY16

[IF ST05=2] In the past 12 months, did you use Focalin XR in any way a doctor
did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

380

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY16=1 THEN STFIRSTFLAG=16.
STY16a

[IF STFIRSTFLAG=16] Please think about the first time you ever used Focalin
XR in a way a doctor did not direct you to use it.
[IF STY16=1] How old were you when you first used Focalin XR in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.
STY17

[IF ST05=3] In the past 12 months, did you use dexmethylphenidate in any way a
doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY17=1 THEN STFIRSTFLAG=17.
STY17a

[IF STFIRSTFLAG=17] Please think about the first time you ever used
dexmethylphenidate in a way a doctor did not direct you to use it.

381

[IF STY17=1] How old were you when you first used dexmethylphenidate in a
way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.
STY18

[IF ST05=4] In the past 12 months, did you use extended-release
dexmethylphenidate in any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY18=1 THEN STFIRSTFLAG=18.
STY18a

[IF STFIRSTFLAG=18] Please think about the first time you ever used
extended-release dexmethylphenidate in a way a doctor did not direct you to use
it.
[IF STY18=1] How old were you when you first used extended-release
dexmethylphenidate in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

382

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY19

[IF ST06=1] In the past 12 months, did you use benzphetamine in any way a
doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY19=1 THEN STFIRSTFLAG=19.
STY19a

[IF STFIRSTFLAG=19] Please think about the first time you ever used
benzphetamine in a way a doctor did not direct you to use it.
[IF STY19=1] How old were you when you first used benzphetamine in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

383

STY20

[IF ST06=2] In the past 12 months, did you use Didrex in any way a doctor did
not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY20=1 THEN STFIRSTFLAG=20.
STY20a

[IF STFIRSTFLAG=20] Please think about the first time you ever used Didrex in
a way a doctor did not direct you to use it.
[IF STY20=1] How old were you when you first used Didrex in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY21

[IF ST06=3] In the past 12 months, did you use diethylpropion in any way a
doctor did not direct you to use it?
1
Yes
2
No
DK/REF

384

PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY21=1 THEN STFIRSTFLAG=21.
STY21a

[IF STFIRSTFLAG=21] Please think about the first time you ever used
diethylpropion in a way a doctor did not direct you to use it.
[IF STY21=1] How old were you when you first used diethylpropion in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY22

[IF ST06=4] In the past 12 months, did you use phendimetrazine in any way a
doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

385

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY22=1 THEN STFIRSTFLAG=22.
STY22a

[IF STFIRSTFLAG=22] Please think about the first time you ever used
phendimetrazine in a way a doctor did not direct you to use it.
[IF STY22=1] How old were you when you first used phendimetrazine in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY23

[IF ST06=5] In the past 12 months, did you use phentermine in any way a doctor
did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY23=1 THEN STFIRSTFLAG=23.

386

STY23a

[IF STFIRSTFLAG=23] Please think about the first time you ever used
phentermine in a way a doctor did not direct you to use it.
[IF STY23=1] How old were you when you first used phentermine in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY24

[IF ST07=1] In the past 12 months, did you use Provigil in any way a doctor did
not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY24=1 THEN STFIRSTFLAG=24.
STY24a

[IF STFIRSTFLAG=24] Please think about the first time you ever used Provigil
in a way a doctor did not direct you to use it.
[IF STY24=1] How old were you when you first used Provigil in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

387

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY25

[IF ST07=2] In the past 12 months, did you use Tenuate in any way a doctor did
not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY25=1 THEN STFIRSTFLAG=25.
STY25a

[IF STFIRSTFLAG=25] Please think about the first time you ever used Tenuate
in a way a doctor did not direct you to use it.
[IF STY25=1] How old were you when you first used Tenuate in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES

388

PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STY26

[IF ST07=3] In the past 12 months, did you use Vyvanse in any way a doctor did
not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STY26=1 THEN STFIRSTFLAG=26.
STY26a

[IF STFIRSTFLAG=26] Please think about the first time you ever used Vyvanse
in a way a doctor did not direct you to use it.
[IF STY26=1] How old were you when you first used Vyvanse in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.

STYOTH

[IF STANYOTH =1] In the past 12 months, did you use any [IF STANYOTH =1
AND STYRCOUNT > 1 FILL “other”] prescription stimulant in a way a doctor
did not direct you to use it?

389

Remember, do not include “over-the-counter” stimulants such as Dexatrim, NoDoz, Hydroxycut, or 5-Hour Energy.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE
DATE.

390

STYOTHA1 [IF STYOTH = 1] Please type in the name of one or more of the [IF STANYOTH
AND STYRCOUNT > 1 FILL “other”] prescription stimulants you have used in
the past 12 months in a way a doctor did not direct you to use it. If you’re not
sure how to spell the name of the stimulant, just make your best guess.
When you have finished, press [ENTER] to go to the next question. Remember,
you do not need to type in the names of any prescription stimulants you already
reported.
[PROGRAMMER: PROVIDE 5 ROWS.] __________________
[NOTE: DON'T ALLOW BLANKS IN STYOTHA1 IF STYOTH = 1]
DK/REF

STYOTHA2 [IF STYOTH = 1 AND STYOTHA1 NE DK/REF)] Please type in
the name of any other prescription stimulant you used in the past 12 months in a
way a doctor did not direct you to use it .
If you have not used any other prescription stimulant in a way a doctor did not
direct you to use it, press [ENTER].

______________
DK/REF
STYOTHA3 [IF STYOTHA2 NE (BLANK OR DK/REF)] Please type in the
name of any other prescription stimulant you used in the past 12 months in a way
a doctor did not direct you to use it .
If you have not used any other prescription stimulant in a way a doctor did not
direct you to use it, press [ENTER].

______________
DK/REF
STYOTHA4 [IF STYOTHA3 NE (BLANK OR DK/REF)] Please type in the
name of any other prescription stimulant you used in the past 12 months in a way
a doctor did not direct you to use it .
If you have not used any other prescription stimulant in a way a doctor did not
direct you to use it, press [ENTER].

______________

391

DK/REF
STYOTHA5 [IF STYOTHA4 NE (BLANK OR DK/REF)] Please type in the
name of any other prescription stimulant you used in the past 12 months in a way
a doctor did not direct you to use it .
If you have not used any other prescription stimulant in a way a doctor did not
direct you to use it, press [ENTER].

______________
DK/REF
UPDATE STFIRSTFLAG:
IF STFIRSTFLAG=0 AND STYOTH=1 THEN STFIRSTFLAG=27.
STYOTHa [IF STFIRSTFLAG=27] Please think about the first time you ever used any [IF
STANYOTH=1 AND STYRCOUNT > 1 FILL “other”] prescription stimulant in
a way a doctor did not direct you to use it.
[IF STYOTH=1] How old were you when you first used any [IF STANYOTH=1
AND STYRCOUNT > 1 FILL “other”] prescription stimulant in a way a doctor
did not direct you to use it?

years old [(RANGE: 1 - 110)]
DK/REF
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS STY01.
DEFINE STMISCOUNT:
INITIALIZE STMISCOUNT TO 0.
INCREMENT STMISCOUNT BY 1 FOR EVERY RESPONSE OF YES IN STY01- STYOTH.
DEFINE STMISUSE12:
IF STMISCOUNT > 0 THEN STMISUSE12 = 1.
ELSE STMISUSE12 = 2.
If no stimulants misused in the past 12 months:

392

STL02

[IF ST12MON=1 AND STMISUSE12=2] Have you ever, even once, used any
prescription stimulant in any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

If any stimulants misused in past 12 months:
DEFINE STDKREFCOUNT:
INITIALIZE STDKREFCOUNT TO 0.
INCREMENT STDKREFCOUNT BY 1 FOR EVERY RESPONSE OF DK/REF IN STY01STYOTH AND ST01-STANYOTH.
DEFINE STDKREFFLAG:
IF STDKREFCOUNT > 1 THEN STDKREFFLAG = 1.
ELSE STDKREFFLAG = 2.
DEFINE STNUMFILL:
IF STMISCOUNT = 1 AND STY05 NE 1 AND STY06 NE 1 AND STYOTH NE 1 THEN
STNUMFILL = "it".
ELSE STNUMFILL = "them".
DEFINE ST30ANYINIT:
IF ANY CODE OF 1 IN ST30INIT1-ST30INITOT THEN ST30ANYINIT = 1.
ELSE ST30ANYINIT = 2.
DEFINE STFILL2:
IF STMISCOUNT < 3 AND STYOTH NE 1 AND STDKREFFLAG =2 THEN
STFILL2=”[DRUG NAMES FROM STY01-STY26]”.
ELSE IF STMISCOUNT=1 AND STYOTH NE 1 AND STDKREFFLAG=1 THEN STFILL2 =
“[DRUG NAMES FROM STY01- STY26] or any other prescription stimulant.”
ELSE IF STMISCOUNT=2 AND STDKREFFLAG=2 AND STYOTH=1 THEN
STFILL2=”[DRUG NAME FROM STY01-STY23] and some other prescription stimulant.”
ELSE IF STMISCOUNT=2 AND STDKREFFLAG=1 THEN STFILL2=”[DRUG NAMES
FROM STY01-STY26]”. IF STYOTH=1 THEN ADD “some other prescription stimulant” TO
THE FILL.
ELSE STFILL2= “prescription stimulants”
DEFINE STNAMEFILL:
IF STMISCOUNT=0 AND STL01 THEN STNAMEFILL= “any prescription stimulant”

393

ELSE IF STMISCOUNT=1 AND (STYOTH=2 OR STYOTH=BLANK) AND
STDKREFFLAG=2 THEN STNAMEFILL= “[DRUG NAME FROM STY01-STY26]”
[INCLUDE DRUG NAMES FOR NEW STIMULANTS.]
ELSE IF STMISCOUNT=1 AND STYOTH NE 1 AND STDKREFFLAG=1 THEN
STNAMEFILL=”[DRUG NAME FROM STY01-STY26] or any other prescription stimulant”
ELSE IF STMISCOUNT >1 THEN STNAMEFILL= “prescription stimulants”
DEFINE STYINICT:
INITIALIZE STYINICT TO 0.
INCREMENT STYINICT BY 1 FOR EVERY VALUE OF 1 IN STYRINIT1-STYRINITOT.
DEFINE STYRDKRECT:
INITIALIZE STYRDKRECT TO 0.
INCREMENT STYRDKRECT BY 1 FOR EVERY VALUE OF 1 IN STYRDKRE1STYRDKREOT.
DEFINE STYINALL:
IF STMISCOUNT > 0 AND STMISCOUNT = STYINICT + STYRDKRECT THEN
STYINALL = 1.
ELSE STYINALL = 2.
STL03

[IF STYINALL=1] Earlier questions were about the past 12 months. This
question is about any time before then, that is, any time in your life before
[DATEFILL -12 MONTHS].
At any time before [DATEFILL -12 MONTHS], did you ever use any
prescription stimulant in a way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

STINTROYR3

[IF STMISUSE12=1 AND STMISCOUNT>1] Earlier the computer recorded
that in the past 12 months you used [IF STMISUSE12=1 AND
STMISCOUNT > 2, ADD "these"] [STFILL2] in any way a doctor did not
direct you to use [STNUMFILL].
[IF STMISUSE12=1 AND STMISCOUNT>2, FILL WITH DRUG NAMES
FROM STY01-STYOTH BELOW. USE MULTIPLE COLUMNS AS
NEEDED. IF STYOTH = 1, FILL WITH "Some other prescription
stimulant".]
[IF STMISUSE12=1 STMISCOUNT>1] The next questions refer to these
drugs as prescription stimulants.

Press Enter to continue.

394

STM01

[IF STMISUSE12=1 AND ST30ANYINIT= 2] In the past 30 days, that is, from
[DATEFILL] up to and including today, did you use [STNAMEFILL] in any
way a doctor did not direct you to use [STNUMFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

DEFINE STMISUSE30:
STMISUSE30=1 IF STM01=1 OR ST30ANYINIT=1.
STMISUSE30=2 IF STMISUSE12 = 1 AND STM01=2, DK, OR REF.
STM02

[IF STMISUSE30=1] During the past 30 days, on how many days did you use
[STNAMEFILL’] in any way a doctor did not direct you to use
[STNUMFILL]?
________________ days in the past 30 days [RANGE: 1- 30]
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

STM02DKRE

[IF STM02 = DK/REF] What is your best estimate of the number of days you
used [STNAMEFILL] in any way a doctor did not direct you to use
[STNUMFILL] during the past 30 days?

1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR
STM03

[IF ALC30USE = 1 and (STMISUSE30=1)] During the past 30 days, did you use
[STNAMEFILL] in any way a doctor did not direct you to use [STNUMFILL]
while you were drinking alcohol or within a couple of hours of drinking?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

STYWAYS

[IF STMISUSE12=1] Which of these statements describe your use of
[STNAMEFILL] at any time in the past 12 months?

395

To select more than one statement, press the space bar between the numbers.
When you have finished, press [ENTER].Select all that apply.
1
2

I used [STNAMEFILL] without a prescription of my own.
I used [STNAMEFILL] in greater amounts than [IF STNAMEFILL=
“mixed amphetamine-dextroamphetamine pills” OR STNAMEFILL=
“prescription stimulants” THEN FILL WITH “they were”; ELSE FILL
WITH “it was”] prescribed.
3
I used [STNAMEFILL] more often than [IF STNAMEFILL= “mixed
amphetamine-dextroamphetamine pills” OR STNAMEFILL=
“prescription stimulants” THEN FILL WITH “they were”; ELSE FILL
WITH “it was”] prescribed.
4
I used [STNAMEFILL] for longer than [IF STNAMEFILL= “mixed
amphetamine-dextroamphetamine pills” OR STNAMEFILL=
“prescription stimulants” THEN FILL WITH “they were”; ELSE FILL
WITH “it was”] prescribed.
5
I used [STNAMEFILL] in some other way a doctor did not direct me to
use [STNUMFILL]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
STYNDL

[IF STMISUSE12=1] At any time in the past 12 months, did you ever use a
needle to inject [STNAMEFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

STYNDL30 [IF STYNDL = 1 AND STMISUSE30=1] How long has it been since you last
used a needle to inject [STNAMEFILL]?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
STNDLLIF [IF STMISUSE12=1 OR STL01=1 OR STL02=1 OR STL03=1] Have you ever,
even once, used a needle to inject [STNAMEFILL] without a doctor directing you
to inject [it/them]?
1

Yes

396

2
No
DK/REF
STNDRECa [IF STNDLLIF = 1 AND STMISUSE30=1] How long has it been since you last
used a needle to inject [STNAMEFILL] without a doctor directing you to inject
[it/them]?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
STNDRECb [IF STNDLLIF = 1 AND STMISUSE30 NE 1 AND STMISUSE12=1] How long
has it been since you last used a needle to inject [STNAMEFILL] without a
doctor directing you to inject [it/them]?
1
2

More than 30 days ago but within the past 12 months
More than 12 months ago

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
STYLAST

[IF STMISCOUNT > 1 OR (STMISCOUNT = 1 AND STDKREFFLAG=1)]
In the past 12 months, which of these stimulants did you use?
Select all that apply.
(LIST DRUGS WHERE STY01-STYOTH=1. NUMBER RESPONSE
OPTIONS SEQUENTIALLY STARTING AT 1, BUT MAINTAIN UNIQUE
CODES FOR EACH DRUG. IF STYOTH=1, DISPLAY "Another prescription
stimulant” AS THE LAST CATEGORY. IF STMISCOUNT > 0 AND STYOTH
4 NE 1 AND STDKREFFLAG=1, DISPLAY "Any other prescription stimulant"
AS THE LAST CATEGORY. ALLOW ONLY 1 RESPONSE.)

PROGRAMMER: IF STMISUSE12 = 1 THEN CREATE A RECODED RSTYLAST
VARIABLE. ASSIGN A UNIQUE CODE TO A GIVEN DRUG ACCORDING TO THE
OVERALL ORDER IN WHICH THE DRUGS APPEAR IN THE SCREENER.
INITIALIZE RSTYLAST TO BLANK.
IF "Adderall" CHOSEN IN STYLAST OR (STNUMMISUSE = 1 AND STY01 = 1) THEN
RSTYLAST = 1.
IF "Adderall XR" CHOSEN IN STYLAST OR (STNUMMISUSE = 1 AND STY02 = 1) THEN
RSTYLAST = 2.
IF "Dexedrine" CHOSEN IN STYLAST OR (STNUMMISUSE = 1 AND STY03 = 1) THEN
RSTYLAST = 3.
ETC.

397

IF "Vyvanse " CHOSEN IN STYLAST OR (STNUMMISUSE = 1 AND STY26 = 1) THEN
RSTYLAST = 26.
IF "Another prescription stimulant " OR "Any other prescription stimulant " CHOSEN IN
STYLAST OR (STMISCOUNT =1 AND STYOTH = 1 AND STDKREFFLAG =2) THEN
RSTYLAST =27
IF STYLAST = DK OR REF, THEN ASSIGN THE DK/REF CODE TO RSTYLAST.)
DEFINE STLASTFILL:
IF RSTYLAST = 1-26, THEN FILL WITH THE DRUG NAME.
IF RSTYLAST = 27 THEN FILL "other stimulant".
IF RSTYLAST = DK, REF, OR BLANK, THEN FILL "stimulant".
DEFINE STLASTFILL2:
IF RSTYLAST = 1-26, THEN FILL WITH THE DRUG NAME.
IF RSTYLAST = 24 THEN FILL "the other stimulant ".
IF RSTYLAST = DK, REF, OR BLANK, THEN FILL "a stimulant ".
DEFINE STLASTFILL3:
IF STLASTFILL NE "other stimulant" THEN STLASTFILL3 = STLASTFILL.
ELSE IF STLASTFILL = "other stimulant" THEN STLASTFILL3 = "stimulant".
STYMOTIV [IF STMISUSE12=1]
In the past 12 months, Wwhat were the reasons you used [STLASTFILL2] in any
way a doctor did not direct you to use [FILL WITH “them” IF RSTYLAST=5 OR
6. ELSE FILL WITH “it”] the last time?
Select all that apply.To select more than one reason from the list, press the space
bar between each number you have typed. When you have finished, press
[ENTER].
1
2
3
4
5
6
7
8

To help me lose weight
To help me concentrate
To help me be alert or stay awake
To help me study
To experiment or to see what [IF RSTYLAST =5 OR 6 THEN
“they’re” ELSE “it’s”] like
To feel good For fun or to get high
Because I am “hooked” or I have to have [IF RSTYLAST =5 OR 6
THEN “them” ELSE “it”]
To increase or decrease the effect(s) of some other drug
Because I am “hooked” or I have to have [IF RSTYLAST =5 OR 6
THEN “them” ELSE “it”]

398

9

I used [IF RSTYLAST=5 OR 6 THEN “them” ELSE “it”] for some
other reason
DK/REF

STMOTOT [IF STYMOTIV=9] Please type in the other reason you used [STLASTFILL2] in
the past 12 months. When you have finished typing your answer, press [ENTER]
to go to the next question.
REASON
__________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN STMOTOT.
STYMOT1

[IF MORE THAN ONE RESPONSE 1-9 CHOSEN IN STYMOTIV] Which was
the main reason you used [STLASTFILL2] the last time in the past 12 months?
PROGRAMMER: FILL AS RESPONSE OPTIONS ONLY THOSE CHOSEN
IN STYMOTIV
1. To help me lose weight
2. To help me concentrate
3. To help me be alert or stay awake
4. To help me study
5. To experiment or to see what [IF RSTYLAST =5 OR 6 THEN
“they’re” ELSE “it’s”]like
6. To feel good For fun or to get high
7. Because I am “hooked” or I have to have [IF RSTYLAST =5 OR 6
THEN “them” ELSE “it”]
8. To increase or decrease the effect(s) of some other drug
Because I am “hooked” or I have to have [IF RSTYLAST=5 OR 6
THEN “them” ELSE “it”]
9. [IF STYMOTIV=9] The other reason I reported
DK/REF

STYGOT

[IF STMISUSE12=1 AND STMISCOUNT=1 AND STDKREFFLAG=1] Now
think again about the last 12 months when you used [STLASTFILL2] in any way
a doctor did not direct you to use [FILL WITH “them” IF RSTYLAST=5 OR
6. ELSE FILL WITH “it”].
[IF STMISUSE12 = 1] How did you get the [STLASTFILL]? If you got the
[STLASTFILL] in more than one way, please choose one of these ways as your
best answer.
1
2

I got a prescription for the [STLASTFILL] from just one doctor
I got prescriptions for the [STLASTFILL] from more than one doctor

399

3

I stole the [STLASTFILL] from a doctor’s office, clinic, hospital, or
pharmacy
4
I got the [STLASTFILL] from a friend or relative for free
5
I bought the [STLASTFILL] from a friend or relative
6
I took the [STLASTFILL] from a friend or relative without asking
7
I bought the [STLASTFILL] from a drug dealer or other stranger
8
I got the [STLASTFILL] in some other way
DK/REF
STYGOTSP [IF STYGOT = 8] Please type in the other way you got the [STLASTFILL3].
You do not need to give a detailed description — just a few words will be okay.
When you have finished typing your answer, press [ENTER] to go to the next
question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN STYGOTSP.
STYFRL

[IF STYGOT=4] You reported that you got the [STLASTFILL] from a friend or
relative for free. How did your friend or relative get the [STLASTFILL]?
1
2

He or she got a prescription for the [STLASTFILL] from just one doctor
He or she got prescriptions for the [STLASTFILL] from more than one
doctor
3
He or she stole the [STLASTFILL] from a doctor’s office, clinic, hospital,
or pharmacy
4
He or she got the [STLASTFILL] from another friend or relative for free
5
He or she bought the [STLASTFILL] from another friend or relative
6
He or she took the [STLASTFILL] from another friend or relative without
asking
7
He or she bought the [STLASTFILL] from a drug dealer or other stranger
8
He or she got the [STLASTFILL] in some other way
DK/REF

STYFRLSP [IF STYFRL = 8] Please type in the other way your friend or relative got the last
[STLASTFILL3] you used.
You do not need to give a detailed description — just a few words will be okay.
When you have finished typing your answer, press [ENTER] to go to the next
question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN STYFRLSP.

400

Tranquilizers and Sedatives Main Module
If no 12 month use of prescription tranquilizers or sedatives:
TSINTROLIF [IF TSANY = 1] The next question asks about using prescription
tranquilizers or sedatives in any way a doctor did not direct you to use them.
When you answer this question, please think only about your use of the drug in
any way a doctor did not direct you to use it, including:



TSL01

Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
Using it in any other way a doctor did not direct you to use it

[IF TSANY =1] Have you ever, even once, used any prescription tranquilizer
or sedative in any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

If any 12 month use of prescription tranquilizers or sedatives:
TSINTROYR1
[IF TS12MON = 1] The next questions ask about using prescription
tranquilizers or sedatives in any way a doctor did not direct you to use them.
When you answer these questions, please think only about your use of the drug in
any way a doctor did not direct you to use it, including:




Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
Using it in any other way a doctor did not direct you to use it

DEFINE TSFILL:
TSFILL LISTS ALL INDIVIDUAL DRUGS SELECTED IN TS01-h.
USE MULTIPLE COLUMNS AS NEEDED. IF (TSANYOTH =1 AND TSYRCOUNT > 1),
THEN ADD “another prescription tranquilizer or sedative” TO THE FILL.
THE FOLLOWING DRUGS SHOULD NOT USE INITIAL CAPS WHEN FILLED IN
SENTENCE FORMAT:
•
•

alprazolam
extended-release alprazolam

401

•
•
•
•
•
•
•
•
•
•
•
•

lorazepam
clonazepam
diazepam
cyclobenzaprine, also known as Flexeril
zolpidem
extended-release zolpidem
eszopiclone
zaleplon
flurazepam
triazolam
temazepam
phenobarbital

WHEN IMPLEMENTING TSFILL, IF 1 OR 2 DRUGS APPEAR IN LIST, FILL IN
SENTENCE FORMAT, SEPARATED WITH AN “and” BEFORE THE LAST FILL.
IF >2 DRUGS APPEAR IN LIST, FILL IN LIST (IN COLUMNS IF NEEDED) BELOW THE
PREVIOUS SENTENCE.
DEFINE TSFIRSTFLAG:
TSFIRSTFLAG IDENTIFIES THE FIRST TRANQUILIZER OR SEDATIVE USED
NONMEDICALLY.
INITIALIZE TSFIRSTFLAG TO 0.
(TSFIRSTFLAG NEEDS TO BE DEFINED BEFORE THE ROUTING TO TSINTROYR2 OR
TSPBLPY.)
TSINTROYR2

[IF (TS12MON=1 AND (TSANYOTH NE 1 OR (TSANYOTH =1 AND
TSYRCOUNT > 1)))] Earlier, the computer recorded that, in the past 12
months, you used [TSFILL].
PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE
DATE FOR THE INTRO SCREEN

NOTE TO PROGRAMMERS: LOOP THROUGH THE 12-MONTH MISUSE, AGE AT FIRST
MISUSE, AND YEAR AND MONTH OF FIRST MISUSE (IF APPLICABLE) FOR EACH
PRESCRIPTION TRANQUILIZER OR SEDATIVE REPORTED IN THE SCREENER FOR
THE PAST 12 MONTHS.
TSY01

[IF TS01=1] In the past 12 months, did you use Xanax in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR XANAX
1
Yes
2
No
DK/REF

402

UPDATE TSFIRSTFLAG:
IF TSY01=1 THEN TSFIRSTFLAG=1.
TSY01a

[IF TSFIRSTFLAG=1] Please think about the first time you ever used Xanax in a
way a doctor did not direct you to use it.
[IF TSY01=1] How old were you when you first used Xanax in a way a doctor
did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2] Click the question mark button if you want to see and
hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

DEFINE AGE1STTS1:
IF TSY01a NE (BLANK OR DK/REF) THEN AGE1STTS1 = TSY01a
ELSE AGE1STTS1 = 0
HARD ERROR: [IF CURNTAGE < AGE1STTS1] The age you just entered is older than your
current age. Please answer the question again.
IF 1 <= AGE1STTS1 < 10:
TRCC05A1 The computer recorded that you were [AGE1STTS1] years old the
first time you used Xanax in a way a doctor did not direct you to use
it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF TRCC05A1= DK/REF THEN AGE1STTS1 = 0
TRCC06A1 [IF TRCC05A1=6] Please answer this question again. Think
about the first time you used Xanax in a way a doctor did not direct
you to use it.

403

How old were you the first time you used Xanax in a way a doctor did
not direct you to use it?
years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF TRCC06A1 NOT (BLANK OR DK/REF) THEN AGE1STTS1 = TRCC06A1
ELSE IF TRCC06A1 = DK/REF THEN AGE1STTS1 = 0
DEFINE TSYRINIT1:
IF AGE1STTS1 = CURNTAGE THEN TSYRINIT1 = 1
ELSE TSYRINIT1 = 0
DEFINE TSYRDKRE1:
IF TSYRINIT1 = 0 AND (TSY01a = DK/REF OR TRCC05A1 = DK/REF OR TRCC06A1 =
DK/REF) THEN TSYRDKRE1 = 1
ELSE TSYRDKRE1= 0
2.2.1

Year and Month of First Nonmedical Use

DEFINE TSYFU1:
TSYFU1 = 0
DEFINE TSMFU1:
TSMFU1 = 0
DEFINE TS30INIT1:
TS30INIT1 = 0
IF (AGE1STTS1 = CURNTAGE) AND (TSYFU1 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST YEAR’S
BIRTHDAY AND INTERVIEW DATE <= 30), THEN TS30INIT1 = 1
TSY01b

[IF AGE1STTS1 = CURNTAGE AND DATE OF INTERVIEW < DOB OR
IF AGE1STTS1 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB]
Did you first use Xanax in a way a doctor did not direct you to use it in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1 CURRENT YEAR - 1
2 CURRENT YEAR
DK/REF

TSY01c

[IF AGE1STTS1 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB]
Did you first use Xanax in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1

CURRENT YEAR - 2

404

2 CURRENT YEAR - 1
DK/REF
UPDATE: IF TSY01b = 2 OR (AGE1STTS1 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN TSYFU1 = CURRENT YEAR
IF TSY01b = 1 OR TSY01c = 2 THEN TSYFU1 = CURRENT YEAR - 1
IF TSY01c = 1 THEN TSYFU1 = CURRENT YEAR - 2
DEFINE TSJANFLAG1:
TSJANFLAG1 = 0
IF TSYFU1=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
TSJANFLAG1 = 1
IF TSJANFLAG1=1 THEN TSMFU1=1
DEFINE TSDECFLAG1:
TSDECFLAG1 = 0
IF AGE1STTS1 = CURNTAGE AND TSYFU1=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN TSDECFLAG1 = 1
IF TSDECFLAG1=1 THEN TSMFU1=12
IF (AGE1STTS1=CURNTAGE AND BIRTHDAY MONTH=INTERVIEW MONTH AND
DATE OF INTERVIEW ≥ DOB) THEN TSMFU1=CURRENT MONTH
TSY01d [IF TSYFU1 NE 0 AND TSMFU1 = 0]
[IF TSYFU1 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you reported that you first
used Xanax in a way a doctor did not direct you to use it when you were [AGE1STTS1] years
old. Based on your date of birth, you turned [AGE1STTS1] in [FILL WITH MONTH/YEAR
FOR AGE1STTS1 BASED ON DOB].
[IF TSYFU1 NE 0] In what month in [TSYFU1] did you first use Xanax in a way a doctor did
not direct you to use it?
[IF DATE OF INTERVIEW < DOB AND AGE1STTS1=CURRENT AGE AND
TSYFU1=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]
IF AGE1STTS1 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STTS1 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STTS1 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (TSYFU1 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF TSYFU1=CURRENT YEAR AND AGE1STTS1=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.

405

IF TSYFU1 = CURRENT YEAR - 1 AND AGE1STTS1 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
13
January
14
February
15
March
16
April
17
May
18
June
19
July
20
August
21
September
22
October
23
November
24
December
DK/REF
UPDATE: IF TSY01d = 1-12 THEN TSMFU1 = TSY01d
UPDATE: IF TSYRINIT1 NE 1 AND (TSYFU1 = CURRENT YEAR OR (TSYFU1 =
CURRENT YEAR - 1 AND TSMFU1 = 1-12 AND TSMFU1 >= CURRENT MONTH) THEN
TSYRINIT1 = 1
UPDATE: IF TSYRINIT1 NE 1 AND TSYRDKRE1 NE 1 AND [(TSY01b = DK/REF OR
TSY01c = DK/REF) OR (TSYFU1 = CURRENT YEAR-1 AND TSY01d = DK/REF)] THEN
TSYRDKRE1 = 1
UPDATE: IF TS30INIT1 NE 1 AND TSYFU1 = CURRENT YEAR AND TSMFU1 =
CURRENT MONTH THEN TS30INIT1 = 1
DEFINE MYR1STTR1:
MYR1STTR1 = AGE AT FIRST MISUSE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST MISUSE (TSY01b-d). IF MONTH OF
FIRST MISUSE = MONTH OF BIRTH, THEN MYR1STTR1 IS 0.
IF MYR1STTR1 NE 0 AND NE AGE1STTS1:
TRCC32A1
Earlier, the computer recorded that you were [AGE1STTS1]
years old when you first used Xanax in a way a doctor did not direct
you to use it.
Which answer is correct?
1

I was [MYR1STTR1] years old in [TSY01b -d fill] the first
time I used Xanax in a way not directed for me by a doctor

406

2

I was [AGE1STTS1] years old the first time I used Xanax in a
way not directed for me by a doctor
3
Neither answer is correct
DK/REF
UPDATE: IF TRCC32A1 = 1, THEN AGE1STTS1 = MYR1STTR1.
UPDATE: IF TSYRINIT1 NE 1 AND AGE1STTS1 = CURNTAGE THEN TSYRINIT1 = 1
ELSE IF TSYRINIT1 = 1 AND AGE1STTS1 NE CURNTAGE AND TRCC32A1 = DK/REF
THEN TSYRINIT1 = 0
UPDATE: IF TSYRINIT1 NE 1 AND TSYRDKRE1 NE 1 AND TRCC32A1 = DK/REF THEN
TSYRDKRE1 = 1
UPDATE: IF TS30INIT1 NE 1 AND TRCC32A1 = 1 AND AGE1STTS1 IS WITHIN 30
DAYS OF INTERVIEW DATE THEN TS30INIT1 = 1
UPDATE: IF TSYFU1 NE 0 AND TRCC32A1 = DK/REF THEN TSYFU1 = 0
UPDATE: IF TSMFU1 = 1-12 AND TRCC32A1 = DK/REF THEN TSMFU1 = 0
TRCC33A1 [IF TRCC32A1=2 OR TRCC32A1=3] Please answer this question
again. Did you first use Xanax in a way a doctor did not direct you to
use it in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
UPDATE: IF TSYFU1 NE 0 AND TRCC33A1 = DK/REF THEN TSYFU1 = 0
IF TRCC33A1 = 1 THEN TSYFU1 = CURRENT YEAR - 2
IF TRCC33A1 = 2 THEN TSYFU1 = CURRENT YEAR - 1
IF TRCC33A1 = 3 THEN TSYFU1 = CURRENT YEAR
UPDATE: IF TSMFU1 = 1-12 AND TRCC33A1 = DK/REF THEN TSMFU1 = 0
TRCC33B1

[IF TRCC33A1 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [TRCC33A1] did you first use
Xanax in a way a doctor did not direct you to use it?

IF TRCC33A1 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
2

January
February

407

3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF TRCC33B1 = 1-12 THEN TSMFU1 = TRCC33B1
IF TRCC33B1 = DK/REF THEN TSMFU1 = 0
UPDATE: IF TRCC33B1 NE (0 OR DK/REF) THEN UPDATE MYR1STTR1.
MYR1STTR1 = AGE AT FIRST MISUSE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST MISUSE (TRCC33A1 AND TRCC33B1). IF
MONTH OF FIRST MISUSE = MONTH OF BIRTH, THEN MYR1STTR1 IS 0. IF
MYR1STTR1 = AGE1STTS1 THEN MYR1STTR1 = 0
UPDATE: IF TSYRINIT1 = 1 AND AGE1STTS1 NE CURNTAGE AND TRCC32A1 NE 1
AND MYR1STTR1 NE 0 AND (TRCC33A1 AND TRCC33B1 = TSY01b-d) THEN
TSYRINIT1 = 0
UPDATE: IF TSYRINIT1 NE 1 AND TSYRDKRE1 NE 1 AND TRCC33A1 = DK/REF THEN
TSYRDKRE1 = 1
IF TSYRINIT1 NE 1 AND TSYRDKRE1 NE 1 AND TSYFU1 = CURRENT YEAR-1 AND
TRCC33B1 = DK/REF THEN TSYRDKRE1 = 1
UPDATE: IF TS30INIT1 = 1 AND AGE1STTS1 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND TRCC32A1 NE 1 AND MYR1STTR1 NE 0 AND (TRCC33A1 AND
TRCC33B1 = TSY01b-d) THEN TS30INIT1 = 0
TRCC34A1 [IF TRCC32A1 NE 1 AND MYR1STTR1 NE 0 AND (TRCC33A1
AND TRCC33b1 NE TSY01b -d)] The computer recorded that you
first used Xanax in a way a doctor did not direct you to use it in
[TRCC33A1-TRCC33B1 fill]. That would make you [MYR1STTR1]
years old when you first used Xanax in any way a doctor did not direct
you to use it.
Is this correct?
4
6

Yes
No

408

DK/REF
UPDATE: IF TRCC34A1 NE (6, BLANK OR DK/REF) AND (TRCC33A1 AND TRCC33B1
NE TSY01b -c) THEN AGE1STTS1 = MYR1STTR1
UPDATE: IF TSYRINIT1 NE 1 AND AGE1STTS1 = CURNTAGE OR (TRCC34A1 = 4 AND
TRCC33A1 = 3 OR (TRCC33A1 = 2 AND TRCC33b1 NE DK/REF AND TRCC33B1 >=
CURRENT MONTH)) THEN TSYRINIT1 = 1
ELSE IF TSYRINIT1 = 1 AND AGE1STTS1 NE CURNTAGE AND TRCC34A1 = (6 OR
DK/REF) THEN TSYRINIT1 = 0
UPDATE: IF TSYRINIT1 NE 1 AND TSYRDKRE1 NE 1 AND MYR1STTR1= CURNTAGE
AND TRCC34A1 = (6 OR DK/REF) THEN TSYRDKRE1 = 1
IF TSYRINIT1 NE 1 AND TSYRDKRE1 NE 1 AND TRCC34A1 = BLANK AND TRCC33A1
= 3 THEN TSYRDKRE1 = 1
IF TSYRINIT1 NE 1 AND TSYRDKRE1 NE 1 AND TRCC34A1 = BLANK AND TRCC33A1
= 2 AND TRCC33B1 = 1-12 AND TRCC33B1 >= CURRENT MONTH THEN TSYRDKRE1
=1
UPDATE: IF TS30INIT1 NE 1 AND AGE1STTS1 WITHIN 30 DAYS OF INTERVIEW
DATE OR (TRCC34A1 = 4 AND TRCC33A1 = 3 AND TRCC33B1 = CURRENT MONTH)
THEN TS30INIT1 = 1
ELSE IF TS30INIT1 = 1 AND AGE1STTS1 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND TRCC34A1 = (6 OR DK/REF) THEN TS30INIT1 = 0
UPDATE: IF TSYFU1 NE BLANK AND TRCC34A1 = DK/REF THEN TSYFU1 = 0
IF TRCC34A1 = BLANK AND (TRCC33A1 AND TRCC33B1 EQ TSY01b-d) THEN TSYFU1
=0
UPDATE: IF TSMFU1 = 1-12 AND TRCC34A1 = (6 OR DK/REF) THEN TSMFU1 = 0
IF TRCC34A1 = BLANK AND (TRCC33A1 AND TRCC33B1 EQ TSY01b-d) THEN
TSMFU1 = 0
TSY02

[IF TS01=2] In the past 12 months, did you use Xanax XR in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR XANAX XR
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY02=1 THEN TSFIRSTFLAG=2.

409

TSY02a

[IF TSFIRSTFLAG=2] Please think about the first time you ever used Xanax XR
in a way a doctor did not direct you to use it.
[IF TSY02=1] How old were you when you first used Xanax XR in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2] Click the question mark button if you want to see and
hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

DEFINE AGE1STTR2:
IF TSY02a NE (BLANK OR DK/REF) THEN AGE1STTR2 = TSY02a
ELSE AGE1STTR2 = 0
HARD ERROR: [IF CURNTAGE < AGE1STTR2] The age you just reported is older than your
current age. Please answer the question again.
IF 1 <= AGE1STTR2 < 10:
TRCC05A2 The computer recorded that you were [AGE1STTR2] years old the
first time you used Xanax XR in a way a doctor did not direct you to
use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF TRCC05A2= DK/REF THEN AGE1STTR2 = 0
TRCC06A2 [IF TRCC05A2=6] Please answer this question again. Think
about the first time you used Xanax XR in a way a doctor did not
direct you to use it.
How old were you the first time you used Xanax XR in a way a doctor
did not direct you to use it?

410

years old [RANGE: 1 - 110]
DK/REF
UPDATE: IF TRCC06A2 NOT (BLANK OR DK/REF) THEN AGE1STTR2 = TRCC06A2
ELSE IF TRCC06A2 = DK/REF THEN AGE1STTR2 = 0
DEFINE TSYRINIT2:
IF AGE1STTR2 = CURNTAGE THEN TSYRINIT2 = 1
ELSE TSYRINIT2 = 0
DEFINE TSYRDKRE2:
IF TSYRINIT2 = 0 AND (TSY02a = DK/REF OR TRCC05A2 = DK/REF OR TRCC06A2 =
DK/REF) THEN TSYRDKRE2 = 1
ELSE TSYRDKRE2= 0
DEFINE TS30INIT2:
TS30INIT2 = 0
IF (AGE1STTR2 = CURNTAGE) AND (TSYFU2 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST YEAR’S
BIRTHDAY AND INTERVIEW DATE <= 30), THEN TS30INIT2 = 1
2.2.1

Year and Month of First Nonmedical Use

DEFINE TSYFU2:
TSYFU2 = 0
DEFINE TSMFU2:
TSMFU2 = 0
TSY02b

[IF AGE1STTR2 = CURNTAGE AND DATE OF INTERVIEW < DOB OR
IF AGE1STTR2 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB]
Did you first use Xanax XR in a way a doctor did not direct you to use it in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

TSY02c

[IF AGE1STTR2 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB]
Did you first use Xanax XR in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

411

UPDATE: IF TSY02b = 2 OR (AGE1STTR2 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN TSYFU2 = CURRENT YEAR
IF TSY02b = 1 OR TSY02c = 2 THEN TSYFU2 = CURRENT YEAR - 1
IF TSY02c = 1 THEN TSYFU2 = CURRENT YEAR - 2
DEFINE TSJANFLAG2:
TSJANFLAG2 = 0
IF TSYFU2=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
TSJANFLAG2 = 1
IF TSJANFLAG2=1 THEN TSMFU2=1
DEFINE TSDECFLAG2:
TSDECFLAG2 = 0
IF AGE1STTR2 = CURNTAGE AND TSYFU2=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN TSDECFLAG2 = 1
IF TSDECFLAG2=1 THEN TSMFU2=12
IF (AGE1STTR2=CURNTAGE AND BIRTHDAY MONTH=INTERVIEW MONTH AND
DATE OF INTERVIEW ≥ DOB) THEN TSMFU2=CURRENT MONTH
TSY02d [IF TSYFU2 NE 0 AND TSMFU2 = 0]
[IF TSYFU2 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you reported that you first
used Xanax XR in a way a doctor did not direct you to use it when you were [AGE1STTR2]
years old. Based on your date of birth, you turned [AGE1STTR2] in [FILL WITH
MONTH/YEAR FOR AGE1STTR2 BASED ON DOB].
[IF TSYFU2 NE 0] In what month in [TSYFU2] did you first use Xanax XR in a way a doctor
did not direct you to use it?
[IF DATE OF INTERVIEW < DOB AND AGE1STTR2=CURRENT AGE AND
TSYFU2=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]
IF AGE1STTR2 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STTR2 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STTR2 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (TSYFU2 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF TSYFU2=CURRENT YEAR AND AGE1STTR2=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF TSYFU2 = CURRENT YEAR - 1 AND AGE1STTR2 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.

412

ELSE SHOW ALL MONTHS.]
13
January
14
February
15
March
16
April
17
May
18
June
19
July
20
August
21
September
22
October
23
November
24
December
DK/REF
UPDATE: IF TSY02d = 1-12 THEN TSMFU2 = TSY02d
UPDATE: IF TSYRINIT2 NE 1 AND (TSYFU2 = CURRENT YEAR OR (TSYFU2 =
CURRENT YEAR - 1 AND TSMFU2 = 1-12 AND TSMFU2 >= CURRENT MONTH) THEN
TSYRINIT2 = 1
UPDATE: IF TSYRINIT2 NE 1 AND TSYRDKRE2 NE 1 AND [(TSY02b = DK/REF OR
TSY02c = DK/REF) OR (TSYFU2 = CURRENT YEAR-1 AND TSY02d = DK/REF)] THEN
TSYRDKRE2 = 1
UPDATE: IF TS30INIT2 NE 1 AND TSYFU2 = CURRENT YEAR AND TSMFU2 =
CURRENT MONTH THEN TS30INIT2 = 1
DEFINE MYR1STTR2:
MYR1STTR2 = AGE AT FIRST MISUSE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF FIRST MISUSE (TSY02b-d). IF
MONTH OF FIRST MISUSE = MONTH OF BIRTH, THEN MYR1STTR2 IS 0.
IF MYR1STTR2 NE 0 AND NE AGE1STTR2:
TRCC32A2
Earlier, the computer recorded that you were [AGE1STTR2]
years old when you first used Xanax XR in a way a doctor did not
direct you to use it.
Which answer is correct?
1
2

I was [MYR1STTR2] years old in [TSY02b-d fill] the first time
I used Xanax XR in a way not directed for me by a doctor
I was [AGE1STTR2] years old the first time I used Xanax XR
in a way not directed for me by a doctor

413

3
Neither answer is correct
DK/REF
UPDATE: IF TRCC32A2 = 1, THEN AGE1STTR2 = MYR1STTR2.
UPDATE: IF TSYRINIT2 NE 1 AND AGE1STTR2 = CURNTAGE THEN TSYRINIT2 = 1
ELSE IF TSYRINIT2 = 1 AND AGE1STTR2 NE CURNTAGE AND TRCC32A2 = DK/REF
THEN TSYRINIT2 = 0
UPDATE: IF TSYRINIT2 NE 1 AND TSYRDKRE2 NE 1 AND TRCC32A2 = DK/REF THEN
TSYRDKRE2 = 1
UPDATE: IF TS30INIT2 NE 1 AND TRCC32A2 = 1 AND AGE1STTR2 IS WITHIN 30
DAYS OF INTERVIEW DATE THEN TS30INIT2 = 1
UPDATE: IF TSYFU2 NE 0 AND TRCC32A2 = DK/REF THEN TSYFU2 = 0
UPDATE: IF TSMFU2 = 1-12 AND TRCC32A2 = DK/REF THEN TSMFU2 = 0
TRCC33A2 [IF TRCC32A2=2 OR TRCC32A2=3] Please answer this question
again. Did you first use Xanax XR in a way a doctor did not direct
you to use it in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
UPDATE: IF TSYFU2 NE 0 AND TRCC33A2 = DK/REF THEN TSYFU2 = 0
IF TRCC33A2 = 1 THEN TSYFU2 = CURRENT YEAR - 2
IF TRCC33A2 = 2 THEN TSYFU2 = CURRENT YEAR - 1
IF TRCC33A2 = 3 THEN TSYFU2 = CURRENT YEAR
UPDATE: IF TSMFU2 = 1-12 AND TRCC33A2 = DK/REF THEN TSMFU2 = 0
TRCC33B2

[IF TRCC33A2 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [TRCC33A2] did you first use
Xanax XR in any way a doctor did not direct you to use it?

IF TRCC33A2 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
2
3
4

January
February
March
April

414

5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF TRCC33B2 = 1-12 THEN TSMFU2 = TRCC33B2
IF TRCC33B2 = DK/REF THEN TSMFU2 = 0
UPDATE: IF TRCC33B2 NE (0 OR DK/REF) THEN UPDATE MYR1STTR2.
MYR1STTR2 = AGE AT FIRST MISUSE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST MISUSE (TRCC33A2 AND TRCC33B2). IF
MONTH OF FIRST MISUSE = MONTH OF BIRTH, THEN MYR1STTR2 IS 0. IF
MYR1STTR2 = AGE1STTR2 THEN MYR1STTR2 = 0
UPDATE: IF TSYRINIT2 = 1 AND AGE1STTR2 NE CURNTAGE AND TRCC32A2 NE 1
AND MYR1STTR2 NE 0 AND (TRCC33A2 AND TRCC33B2 = TSY02b-d) THEN
TSYRINIT2 = 0
UPDATE: IF TSYRINIT2 NE 1 AND TSYRDKRE2 NE 1 AND TRCC33A2 = DK/REF THEN
TSYRDKRE2 = 1
IF TSYRINIT2 NE 1 AND TSYRDKRE2 NE 1 AND TSYFU2 = CURRENT YEAR-1 AND
TRCC33B2 = DK/REF THEN TSYRDKRE2 = 1
UPDATE: IF TS30INIT2 = 1 AND AGE1STTR2 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND TRCC32A2 NE 1 AND MYR1STTR2 NE 0 AND (TRCC33A2 AND
TRCC33B2 = TSY02b-d) THEN TS30INIT2 = 0
TRCC34A2 [IF TRCC32A2 NE 1 AND MYR1STTR2 NE 0 AND (TRCC33A2
AND TRCC33B2 NE TSY02b-d)] The computer recorded that you first
used Xanax XR in a way a doctor did not direct you to use it in
[TRCC33A2-TRCC33B2 fill]. That would make you [MYR1STTR2]
years old when you first used Xanax XR in any way a doctor did not
direct you to use it.
Is this correct?
4
Yes
6
No
DK/REF

415

UPDATE: IF TRCC34A2 NE (6, BLANK OR DK/REF) AND (TRCC33A2 AND TRCC33B2
NE TSY02b-d) THEN AGE1STTR2 = MYR1STTR2
UPDATE: IF TSYRINIT2 NE 1 AND AGE1STTR2 = CURNTAGE OR (TRCC34A2 = 4 AND
TRCC33A2 = 3 OR (TRCC33A2 = 2 AND TRCC33B2 NE DK/REF AND TRCC33B2 >=
CURRENT MONTH)) THEN TSYRINIT2 = 1
ELSE IF TRYRINIT = 1 AND AGE1STTR2 NE CURNTAGE AND TRCC34A2 = (6 OR
DK/REF) THEN TSYRINIT2 = 0
UPDATE: IF TSYRINIT2 NE 1 AND TSYRDKRE2 NE 1 AND MYR1STTR2= CURNTAGE
AND TRCC34A2 = (6 OR DK/REF) THEN TSYRDKRE2 = 1
IF TSYRINIT2 NE 1 AND TSYRDKRE2 NE 1 AND TRCC34A2 = BLANK AND TRCC33A2
= 3 THEN TSYRDKRE2 = 1
IF TSYRINIT2 NE 1 AND TSYRDKRE2 NE 1 AND TRCC34A2 = BLANK AND TRCC33A2
= 2 AND TRCC33B2 = 1-12 AND TRCC33B2 >= CURRENT MONTH THEN TSYRDKRE2
=1
UPDATE: IF TS30INIT2 NE 1 AND AGE1STTR2 WITHIN 30 DAYS OF INTERVIEW
DATE OR (TRCC34A2 = 4 AND TRCC33A2 = 3 AND TRCC33B2 = CURRENT MONTH)
THEN TS30INIT2 = 1
ELSE IF TS30INIT2 = 1 AND AGE1STTR2 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND TRCC34A2 = (6 OR DK/REF) THEN TS30INIT2 = 0
UPDATE: IF TSYFU2 NE BLANK AND TRCC34A2 = DK/REF THEN TSYFU2 = 0
IF TRCC34A2 = BLANK AND (TRCC33A2 AND TRCC33B2 EQ TSY02b-d) THEN TSYFU2
=0
UPDATE: IF TSMFU2 = 1-12 AND TRCC34A2 = (6 OR DK/REF) THEN TSMFU2 = 0
IF TRCC34A2 = BLANK AND (TRCC33A2 AND TRCC33B2 EQ TSY02b-d) THEN
TSMFU2 = 0
Continue asking the misuse and age at first misuse questions above about each tranquilizer or
sedative reported.
TSY03

[IF TS01=3] In the past 12 months, did you use alprazolam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR ALPRAZOLAM
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:

416

IF TSFIRSTFLAG=0 AND TSY03=1 THEN TSFIRSTFLAG=3.
TSY03a

[IF TSFIRSTFLAG=3] Please think about the first time you ever used
alprazolam in a way a doctor did not direct you to use it.
[IF TSY03=1] How old were you when you first used alprazolam in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY04

[IF TS01=4] In the past 12 months, did you use extended-release alprazolam in
any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY04=1 THEN TSFIRSTFLAG=4.
TSY04a

[IF TSFIRSTFLAG=4] Please think about the first time you ever used
extended-release alprazolam in a way a doctor did not direct you to use it.
[IF TSY04=1] How old were you when you first used extended-release
alprazolam in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.

417

TSY05

[IF TS02=1] In the past 12 months, did you use Ativan in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR ATIVAN
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY05=1 THEN TSFIRSTFLAG=5.
TSY05a

[IF TSFIRSTFLAG=5] Please think about the first time you ever used
Ativan in a way a doctor did not direct you to use it.
[IF TSY05=1] How old were you when you first used Ativan in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY06

[IF TS02=2] In the past 12 months, did you use Klonopin in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR KLONOPIN
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY06=1 THEN TSFIRSTFLAG=6.
TSY06a

[IF TSFIRSTFLAG=6] Please think about the first time you ever used
Klonopin in a way a doctor did not direct you to use it.

418

[IF TSY06=1] How old were you when you first used Klonopin in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TS07

[IF TS02=3] In the past 12 months, did you use lorazepam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR LORAZEPAM
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY07=1 THEN TSFIRSTFLAG=7.
TSY07a

[IF TSFIRSTFLAG=7] Please think about the first time you ever used
lorazepam in a way a doctor did not direct you to use it.
[IF TSY07=1] How old were you when you first used lorazepam in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY08

[IF TS02=4] In the past 12 months, did you use clonazepam in any way a doctor
did not direct you to use it?

419

DISPLAY IMAGE FOR CLONAZEPAM
1
Yes
2
No
DK/REF
UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY08=1 THEN TSFIRSTFLAG=8.
TSY08a

[IF TSFIRSTFLAG=8] Please think about the first time you ever used
clonazepam in a way a doctor did not direct you to use it.
[IF TSY08=1] How old were you when you first used clonazepam in a way
a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY09

[IF TS03=1] In the past 12 months, did you use Valium in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR VALIUM
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY09=1 THEN TSFIRSTFLAG=9.
TSY09a

[IF TSFIRSTFLAG=9] Please think about the first time you ever used
Valium in a way a doctor did not direct you to use it.
[IF TSY09=1] How old were you when you first used Valium in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

420

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY10

[IF TS03=2] In the past 12 months, did you use diazepam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR DIAZEPAM
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY10=1 THEN TSFIRSTFLAG=10.
TSY10a

[IF TSFIRSTFLAG=10] Please think about the first time you ever used
diazepam in a way a doctor did not direct you to use it.
[IF TSY10=1] How old were you when you first used diazepam in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY11

[IF TS04=1] In the past 12 months, did you use Halcion in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR HALCION
1
Yes
2
No
DK/REF

421

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY11=1 THEN TSFIRSTFLAG=11.
TSY11a

[IF TSFIRSTFLAG=11] Please think about the first time you ever used
Halcion in a way a doctor did not direct you to use it.
[IF TSY11=1] How old were you when you first used Halcion in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY12

[IF TS04=2] In the past 12 months, did you use Restoril in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR RESTORIL
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY12=1 THEN TSFIRSTFLAG=12.
TSY12a

[IF TSFIRSTFLAG=12] Please think about the first time you ever used
Restoril in a way a doctor did not direct you to use it.
[IF TSY12=1] How old were you when you first used Restoril in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES

422

PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY13

[IF TS04=3] In the past 12 months, did you use flurazepam, also known as
Dalmane, in any way a doctor did not direct you to use it?
DISPLAY IMAGE FOR FLURAZEPAM
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY13=1 THEN TSFIRSTFLAG=13.
TSY13a

[IF TSFIRSTFLAG=13] Please think about the first time you ever used
flurazepam in a way a doctor did not direct you to use it.
[IF TSY13=1] How old were you when you first used flurazepam in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY14

[IF TS04=4] In the past 12 months, did you use temazepam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR TEMAZEPAM
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY14=1 THEN TSFIRSTFLAG=14.
TSY14a

[IF TSFIRSTFLAG=14] Please think about the first time you ever used
temazepam in a way a doctor did not direct you to use it.

423

[IF TSY14=1] How old were you when you first used temazepam in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY15

[IF TS04=5] In the past 12 months, did you use triazolam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR TRIAZOLAM
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY15=1 THEN TSFIRSTFLAG=15.
TSY15a

[IF TSFIRSTFLAG=15] Please think about the first time you ever used
triazolam in a way a doctor did not direct you to use it.
[IF TSY15=1] How old were you when you first used triazolam in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY16

[IF TS05=1] In the past 12 months, did you use Ambien in any way a doctor did
not direct you to use it?

424

DISPLAY IMAGE FOR AMBIEN
1
Yes
2
No
DK/REF
UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY16=1 THEN TSFIRSTFLAG=16.
TSY16a

[IF TSFIRSTFLAG=16] Please think about the first time you ever used
Ambien in a way a doctor did not direct you to use it.
[IF TSY16=1] How old were you when you first used Ambien in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

TSY17

[IF TS05=2] In the past 12 months, did you use Ambien CR in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR AMBIEN CR
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY17=1 THEN TSFIRSTFLAG=17.
TSY17a

[IF TSFIRSTFLAG=17] Please think about the first time you ever used
Ambien CR in a way a doctor did not direct you to use it.
[IF TSY17=1] How old were you when you first used Ambien CR in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE IN LOWER RIGHT

425

TSY18

[IF TS05=3] In the past 12 months, did you use zolpidem in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR ZOLPIDEM
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY18=1 THEN TSFIRSTFLAG=18.
TSY18a

[IF TSFIRSTFLAG=18] Please think about the first time you ever used
zolpidem in a way a doctor did not direct you to use it.
[IF TSY18=1] How old were you when you first used zolpidem in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY19

[IF TS05=4] In the past 12 months, did you use extended-release zolpidem in any
way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY19=1 THEN TSFIRSTFLAG=19.
TSY19a

[IF TSFIRSTFLAG=19] Please think about the first time you ever used
extended-release zolpidem in a way a doctor did not direct you to use it.
[IF TSY19=1] How old were you when you first used extended-release
zolpidem in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]

426

DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY20

[IF TS06=1] In the past 12 months, did you use Lunesta or eszopiclone in any
way a doctor did not direct you to use it?
DISPLAY IMAGE FOR LUNESTA OR ESZOPICLONE
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY20=1 THEN TSFIRSTFLAG=20.
TSY20a

[IF TSFIRSTFLAG=20] Please think about the first time you ever used
Lunesta or eszopiclone in a way a doctor did not direct you to use it.
[IF TSY20=1] How old were you when you first used Lunesta or eszopiclone
in a way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY21

[IF TS06=2] In the past 12 months, did you use Sonata or zaleplon in any way a
doctor did not direct you to use it?
DISPLAY IMAGE FOR SONATA OR ZALEPLON
1

Yes

427

2
No
DK/REF
UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY21=1 THEN TSFIRSTFLAG=21.
TSY21a

[IF TSFIRSTFLAG=21] Please think about the first time you ever used
Sonata or zaleplon in a way a doctor did not direct you to use it.
[IF TSY21=1] How old were you when you first used Sonata or zaleplon in a
way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY22

[IF TS07=1] In the past 12 months, did you use cyclobenzaprine, also known as
Flexeril, in any way a doctor did not direct you to use it?
DISPLAY IMAGE FOR CYCLOBENZAPRINE
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY22=1 THEN TSFIRSTFLAG=22.
TSY22a

[IF TSFIRSTFLAG=22] Please think about the first time you ever used
cyclobenzaprine in a way a doctor did not direct you to use it.
[IF TSY22=1] How old were you when you first used cyclobenzaprine in a
way a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

428

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY23

[IF TS07=2] In the past 12 months, did you use Soma in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR SOMA
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY23=1 THEN TSFIRSTFLAG=23.
TSY23a

[IF TSFIRSTFLAG=23] Please think about the first time you ever used
Soma in a way a doctor did not direct you to use it.
[IF TSY23=1] How old were you when you first used Soma in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY24

[IF TS08=1] In the past 12 months, did you use Butisol in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR BUTISOL
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY24=1 THEN TSFIRSTFLAG=24.

429

TSY24a

[IF TSFIRSTFLAG=24] Please think about the first time you ever used
Butisol in a way a doctor did not direct you to use it.
[IF TSY24=1] How old were you when you first used Butisol in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSY25

[IF TS08=2] In the past 12 months, did you use Seconal in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR SECONAL
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY25=1 THEN TSFIRSTFLAG=25.
TSY25a

[IF TSFIRSTFLAG=25] Please think about the first time you ever used
Seconal in a way a doctor did not direct you to use it.
[IF TSY25=1] How old were you when you first used Seconal in a way a
doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.

430

TSY26

[IF TS08=3] In the past 12 months, did you use phenobarbital in any way a
doctor did not direct you to use it?
DISPLAY IMAGE FOR PHENOBARBITAL
1
Yes
2
No
DK/REF

UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSY26=1 THEN TSFIRSTFLAG=26.
TSY26a

[IF TSFIRSTFLAG=26] Please think about the first time you ever used
phenobarbital in a way a doctor did not direct you to use it.
[IF TSY26=1] How old were you when you first used phenobarbital in a way
a doctor did not direct you to use it?
years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.
TSOTH

[IF TSANYOTH =1] In the past 12 months, did you use any [IF TSANYOTH =1
AND TSYRCOUNT > 1 FILL “other”] prescription tranquilizer or sedative in a
way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE
DATE

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

431

TSPY02a

[IF TSOTH = 1] Please type in the name of one of the [IF TSANYOTH =1 AND
TSYRCOUNT > 1 FILL “other”] prescription tranquilizers or sedatives you have
used in the past 12 months in a way a doctor did not direct you to use it. If you’re
not sure how to spell the name of the tranquilizer or sedative, just make your best
guess.
Remember, you do not need to type in the names of any prescription tranquilizers
or sedatives you already reported.

______________
[NOTE: DON'T ALLOW BLANKS IN TSPY02a IF TSOTH = 1]
DK/REF
TSPY02b

[IF TSOTH = 1 AND TSPY02a NE DK/REF)] Please type in the name of any
other prescription tranquilizer or sedative you used in the past 12 months in a
way a doctor did not direct you to use it.
If you have not used any other prescription tranquilizer or sedative in a way a
doctor did not direct you to use it, click Next.

______________
DK/REF
TSPY02c

[IF TSPY02b NE (BLANK OR DK/REF)] Please type in the name of any other
prescription tranquilizer or sedative you used in the past 12 months in a way a
doctor did not direct you to use it.
If you have not used any other prescription tranquilizer or sedative in a way a
doctor did not direct you to use it, click Next.

______________
DK/REF
TSPY02d

[IF TSPY02c NE (BLANK OR DK/REF)] Please type in the name of any other
prescription tranquilizer or sedative you used in the past 12 months in a way a
doctor did not direct you to use it.
If you have not used any other prescription tranquilizer or sedative in a way a
doctor did not direct you to use it, click Next.

432

______________
DK/REF
TSPY02e

[IF TSPY02d NE (BLANK OR DK/REF Please type in the name of any other
prescription tranquilizer or sedative you used in the past 12 months in a way a
doctor did not direct you to use it.
If you have not used any other prescription tranquilizer or sedative in a way a
doctor did not direct you to use it, click Next.

______________
DK/REF
UPDATE TSFIRSTFLAG:
IF TSFIRSTFLAG=0 AND TSOTH =1 THEN TSFIRSTFLAG=27.
TSYOTHA

[IF TSFIRSTFLAG=16] Please think about the first time you ever used
any [IF TSANYOTH =1 AND TSYRCOUNT > 1 FILL “other”]
prescription tranquilizer or sedative in a way a doctor did not direct you to
use it.
[IF TSOTH =1] How old were you when you first used any [IF
TSANYOTH =1 AND TSYRCOUNT > 1 FILL “other”] prescription
tranquilizer or sedative in a way a doctor did not direct you to use it?

years old [(RANGE: 1 - 110)]
DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST MISUSE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS TSY01.

DEFINE TSMISCOUNT:
INITIALIZE TSMISCOUNT TO 0.
INCREMENT TSMISCOUNT BY 1 FOR EVERY RESPONSE OF YES IN TSY01- TSOTH.

433

DEFINE TSMISUSE12:
IF TSMISCOUNT > 0 THEN TSMISUSE12 = 1.
ELSE TSMISUSE12 = 2.
If no tranquilizers or sedatives misused in the past 12 months:
TSL02

[IF TS12MON=1 AND TSMISUSE12=2] Have you ever, even once, used any
prescription tranquilizer or sedative in any way a doctor did not direct you to
use it?
1
Yes
2
No
DK/REF

If any tranquilizers or sedatives misused in past 12 months:
DEFINE TSDKREFCOUNT:
INITIALIZE TSDKREFCOUNT TO 0.
INCREMENT TSDKREFCOUNT BY 1 FOR EVERY RESPONSE OF DK/REF IN TSY01TSOTH AND TS01- TSANYOTH.
DEFINE TSDKREFFLAG:
IF TSDKREFCOUNT > 1 THEN TSDKREFFLAG = 1.
ELSE TSDKREFFLAG = 2.
DEFINE TSNUMFILL:
IF TSMISCOUNT = 1 AND TSOTH NE 1 THEN TSNUMFILL = "it".
ELSE TSNUMFILL = "them".
DEFINE TS30ANYINIT:
IF ANY CODE OF 1 IN TS30INIT1-TS30INITOT THEN TS30ANYINIT = 1.
ELSE TS30ANYINIT = 2.
DEFINE TSFILL2:
IF TSMISCOUNT < 3 AND TSOTH NE 1 AND TSDKREFFLAG =2 THEN TSFILL2=
“[DRUG NAMES FROM TSY01- TSPBLPY]”.
ELSE IF TSMISCOUNT=1 AND TSOTH NE 1 AND TSDKREFFLAG=1 THEN TSFILL2 =
“[DRUG NAMES FROM TSY01- TSPBLPY] or any other prescription tranquilizer or
sedative.”
ELSE IF TSMISCOUNT=2 AND TSDKREFFLAG=2 AND TSOTH =1 THEN TSFILL2=
“[DRUG NAME FROM TSY01- TSPBLPY] and some other prescription tranquilizer or
sedative.”
ELSE IF TSMISCOUNT=2 AND TSDKREFFLAG=1 THEN TSFILL2= “[DRUG NAMES
FROM TSY01- TSPBLPY]”. IF TSOTH =1 THEN ADD “some other prescription tranquilizer
or sedative” TO THE FILL.

434

ELSE TSFILL2= “prescription tranquilizers or sedatives”
DEFINE TSNAMEFILL:
IF TSMISCOUNT =1 AND (TSOTH = 2 OR TSOTH = BLANK) AND TSDKREFFLAG =2
THEN TSNAMEFILL= “[DRUG NAME FROM TSY01- TSPBLPY]”
ELSE IF TSMISCOUNT=1 AND (TSOTH NE 1) AND TSDKREFFLAG=1 THEN
TSNAMEFILL= “[DRUG NAME FROM TSY01- TSPBLPY] or any other prescription
tranquilizer or sedative]”
ELSE IF TSMISCOUNT >1 THEN TSNAMEFILL= “prescription tranquilizers or sedatives”
DEFINE TSYINICT:
INITIALIZE TSYINICT TO 0.
INCREMENT TSYINICT BY 1 FOR EVERY VALUE OF 1 IN TSYRINIT1-TSYRINITOT.
DEFINE TSYRDKRECT:
INITIALIZE TSYRDKRECT TO 0.
INCREMENT TSYRDKRECT BY 1 FOR EVERY VALUE OF 1 IN TSYRDKRE1TSYRDKREOT.
DEFINE TSYINALL:
IF TSMISCOUNT > 0 AND TSMISCOUNT = TSYINICT + TSYRDKRECT THEN
TSYINALL = 1.
ELSE TSYINALL = 2.
TSL03

[IF TSYINALL=1] Earlier questions were about the past 12 months. This
question is about any time before then, that is, any time in your life before
[DATEFILL -12 MONTHS].
At any time before [DATEFILL -12 MONTHS], did you ever use any
prescription tranquilizer or sedative in a way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

TSINTROYR3
[IF TSMISUSE12=1 AND TSMISCOUNT>1] Earlier the computer
recorded that in the past 12 months you used [IF TSMISUSE12=1 AND
TSMISCOUNT > 2, ADD "these"] [TRFILL2] in a way a doctor did not direct
you to use [TSNUMFILL].
[IF TSMISUSE12=1 AND TSMISCOUNT>2] FILL WITH DRUG NAMES
FROM TSY01- TSOTH BELOW. USE MULTIPLE COLUMNS AS NEEDED.
IF TSOTH = 1, FILL WITH "Some other prescription tranquilizer or sedative".
[IF TSMISUSE12=1 AND TSMISCOUNT>1] The next questions refer to these
drugs as prescription tranquilizers and sedatives.

435

TSM01

[IF TSMISUSE12 = 1 AND TS30ANYINIT = 2] In the past 30 days, that is,
from [DATEFILL] up to and including today, did you use [TSNAMEFILL] in
any way a doctor did not direct you to use [TSNUMFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

DEFINE TSMISUSE30:
TSMISUSE30=1 IF TSM01=1 OR TS30ANYINIT = 1.
TSMISUSE30=2 IF TSMISUSE12 = 1 AND (TSM01=2, DK, OR REF).
TSM02

[IF TSMISUSE30=1] During the past 30 days, on how many days did you use
[TSNAMEFILL] in any way a doctor did not direct you to use
[TSNUMFILL]?
________________ days in the past 30 days [RANGE: 1 - 30]
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

TSM02DKRE
[IF TSM02 = DK/REF] What is your best estimate of the number of days
you used [TSNAMEFILL] in any way a doctor did not direct you to use
[TSNUMFILL] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
TSYWAYS

[IF TSMISUSE12=1] Which of these statements describe your use of
[TSNAMEFILL] at any time in the past 12 months?
Select all that apply.
1
2

I used [TSNAMEFILL] without a prescription of my own.
I used [TSNAMEFILL] in greater amounts than [IF TSNAMEFILL=
“prescription tranquilizers or sedatives” THEN FILL WITH “they were”;
ELSE FILL WITH “it was”] prescribed.

436

3

I used [TSNAMEFILL] more often than [IF TSNAMEFILL=
“prescription tranquilizers or sedatives” THEN FILL WITH “they were”;
ELSE FILL WITH “it was”] prescribed.
4
I used [TSNAMEFILL] for longer than [IF TSNAMEFILL=
“prescription tranquilizers or sedatives” THEN FILL WITH “they were”;
ELSE FILL WITH “it was”] prescribed.
5
I used [TSNAMEFILL] in some other way a doctor did not direct me
to use [TSNUMFILL]
DK/REF
DISPLAY 12-MONTH CALENDAR
TSYLAST

[IF TSMISCOUNT > 1 OR (TSMISCOUNT = 1 AND TSOTH NE 1 AND
TSDKREFFLAG=1)]
In the past 12 months, which of these tranquilizers or sedatives did you use?
Select all that apply.
(LIST DRUGS WHERE TSY01- TSOTH =1. NUMBER RESPONSE OPTIONS
SEQUENTIALLY STARTING AT 1, BUT MAINTAIN UNIQUE CODES FOR
EACH DRUG. IF TSOTH =1, DISPLAY "Another prescription tranquilizer or
sedative" AS THE LAST CATEGORY. IF TSMISCOUNT > 0 AND TSOTH
NE 1 AND TSDKREFFLAG=1, DISPLAY "Any other prescription tranquilizer
or sedative" AS THE LAST CATEGORY. ALLOW ONLY 1 RESPONSE.)

PROGRAMMER: IF TSMISUSE12 = 1 THEN CREATE A RECODED RTSYLAST
VARIABLE. ASSIGN A UNIQUE CODE TO A GIVEN DRUG ACCORDING TO THE
OVERALL ORDER IN WHICH THE DRUGS APPEAR IN THE SCREENER.
INITIALIZE RTSYLAST TO BLANK.
IF "Xanax" CHOSEN IN TSYLAST OR (TSMISCOUNT=1 AND TSDKREFFLAG=2 AND
TSY01 = 1) THEN RTSYLAST = 1.
IF "Xanax XR" CHOSEN IN TSYLAST OR (TSMISCOUNT=1 AND TSDKREFFLAG=2
AND TSY01 = 1) THEN RTSYLAST = 2.
IF "alprazolam" CHOSEN IN TSYLAST OR (TSMISCOUNT=1 AND TSDKREFFLAG=2
AND TSY03 = 1) THEN RTSYLAST = 3.
ETC.
IF "Phenobarbital" CHOSEN IN TSYLAST OR (TSMISCOUNT=1 AND TSDKREFFLAG=2
AND TSPBLPY = 1) THEN RTSYLAST = 26.
IF "Another prescription tranquilizer or sedative" OR "Any other prescription tranquilizer or
sedative" CHOSEN IN TSYLAST OR (TSMISCOUNT =1 AND TSOTH = 1 AND
TSDKREFFLAG =2) THEN RTSYLAST = 27.
IF TSYLAST = DK OR REF, THEN ASSIGN THE DK/REF CODE TO RTSYLAST.)
DEFINE TSLASTFILL:

437

IF RTSYLAST = 1-26, THEN FILL WITH THE DRUG NAME.
IF RTSYLAST = 27 THEN FILL "other tranquilizer or sedative".
IF RTSYLAST = DK, REF, OR BLANK, THEN FILL "tranquilizer or sedative".
DEFINE TSLASTFILL2:
IF RTSYLAST = 1-26, THEN FILL WITH THE DRUG NAME.
IF RTSYLAST = 27 THEN FILL "the other tranquilizer or sedative".
IF RTSYLAST = DK, REF, OR BLANK, THEN FILL "a tranquilizer or sedative".
DEFINE TSLASTFILL3:
IF TSLASTFILL NE "other tranquilizer or sedative" THEN TSLASTFILL3 = TSLASTFILL.
ELSE IF TSLASTFILL = "other tranquilizer or sedative" THEN TSLASTFILL3 = "tranquilizer
or sedative".
TSYMOTIV [IF TSMISUSE12=1] Now think about the last time you used [TSLASTFILL2]
in any way a doctor did not direct you to use it.
In the past 12 months, Wwhat were the reasons you used [TSLASTFILL2] in any
way a doctor did not direct you to use it the last time?
Select all that apply.
1
To relax or relieve tension
2
To experiment or to see what it’s like
3
To feel good For fun or to get high
4
Because I am “hooked” or I have to have it
5
To help with my sleep
6
To help me with my feelings or emotions
7
To increase or decrease the effect(s) of some other drug
8
I used it for some other reason
DK/REF

TSMOTOT [IF TSYMOTIV=8] Please type in the other reason you used [TSLASTFILL2] in
the past 12 months.
REASON
__________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TSMOTOT.
TSYMOT1

[IF MORE THAN ONE RESPONSE 1-8 CHOSEN IN TSYMOTIV] Which
was the main reason you used [TSLASTFILL2] the last time in the past 12
months?

438

PROGRAMMER: FILL AS RESPONSE OPTIONS ONLY THOSE
CHOSEN IN TSYMOTIVLASRSN.
1
To relax or relieve tension
2
To experiment or to see what it’s like
3
To feel goodFor fun or to get high
4
Because I am “hooked” or I have to have it
5
To help with my sleep
6
To help me with my feelings or emotions
7
To increase or decrease the effect(s) of some other drug
8
[IF TSYMOTIV=8] The other reason I reported
DK/REF
TSYGOT

[IF TSMISUSE12=1 AND TSMISCOUNT=1 AND TSDKREFFLAG=2]
Now think again about the last 12 months when you used [TSLASTFILL2] in
any way a doctor did not direct you to use it.
[IF TSMISUSE12 = 1] How did you get the [TSLASTFILL]? If you got the
[TSLASTFILL] in more than one way, please choose one of these ways as
your best answer.
1
2
3

I got a prescription for the [TSLASTFILL] from just one doctor
I got prescriptions for the [TSLASTFILL] from more than one doctor
I stole the [TSLASTFILL] from a doctor’s office, clinic, hospital, or
pharmacy
4
I got the [TSLASTFILL] from a friend or relative for free
5
I bought the [TSLASTFILL] from a friend or relative
6
I took the [TSLASTFILL] from a friend or relative without asking
7
I bought the [TSLASTFILL] from a drug dealer or other stranger
8
I got the [TSLASTFILL] in some other way
DK/REF
TSYGOTSP

[IF TSYGOT = 8] Please type in the other way you got the [TSLASTFILL3].
You do not need to give a detailed description — just a few words will be
okay.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TSYGOTSP.

TSYFRL

[IF TRYGOT=4] You reported that you got the [TSLASTFILL] from a friend
or relative for free. How did your friend or relative get the [TSLASTFILL]?
1

He or she got a prescription for the [TSLASTFILL] from just one
doctor

439

2

He or she got prescriptions for the [TSLASTFILL] from more than one
doctor
3
He or she stole the [TSLASTFILL] from a doctor’s office, clinic,
hospital, or pharmacy
4
He or she got the [TSLASTFILL] from another friend or relative for
free
5
He or she bought the [TSLASTFILL] from another friend or relative
6
He or she took the [TSLASTFILL] from another friend or relative
without asking
7
He or she bought the [TSLASTFILL] from a drug dealer or other
stranger
8
He or she got the [TSLASTFILL] in some other way
DK/REF
TSYFRLSP

[IF TSYFRL = 8] Please type in the other way your friend or relative got the
last [TSLASTFILL3] you used.
You do not need to give a detailed description — just a few words will be
okay.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TSYFRL.

Sedatives Main Module
If no 12 month use of prescription sedatives:
SVINTROLIF

[IF SVLANY = 1] The next question asks about using prescription sedatives
in any way a doctor did not direct you to use them.
When you answer this question, please think only about your use of the drug
in any way a doctor did not direct you to use it, including:



Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
 Using it in any other way a doctor did not direct you to use it
Press Enter to continue.
SVL01
[IF SVLANY =1] Have you ever, even once, used any prescription sedative in
any way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

440

If any 12 month use of prescription sedatives:
SVINTROYR1

[IF SV12MON = 1] The next questions ask about using prescription
sedatives in any way a doctor did not direct you to use them.
When you answer these questions, please think only about your use of the
drug in any way a doctor did not direct you to use it, including:



Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
 Using it in any other way a doctor did not direct you to use it
Press Enter to continue.
DEFINE SVFILL:
SVFILL LISTS ALL INDIVIDUAL DRUGS SELECTED IN SV01, SV02, SV03, AND SV04.
USE MULTIPLE COLUMNS AS NEEDED. IF SVANYOTH =1 AND
SVYRCOUNT > 1, THEN ADD “another prescription sedative” TO THE FILL.
THE FOLLOWING DRUGS SHOULD NOT USE INITIAL CAPS WHEN FILLED IN
SENTENCE FORMAT:
•
•
•
•
•
•
•
•

zolpidem
extended-release zolpidem
eszopiclone
zaleplon
flurazepam
triazolam
temazepam
phenobarbital

WHEN IMPLEMENTING SVFILL, IF 1, OR 2 DRUGS APPEAR IN LIST, FILL IN
SENTENCE FORMAT, SEPARATED WITH AN “and” BEFORE THE LAST
FILL.
IF >2 DRUGS APPEAR IN LIST, FILL IN LIST (IN COLUMNS IF NEEDED) BELOW THE
PREVIOUS SENTENCE.
DEFINE SVFIRSTFLAG:
SVFIRSTFLAG IDENTIFIES THE FIRST SEDATIVE USED NONMEDICALLY.
INITIALIZE SVFIRSTFLAG TO 0.
(SVFIRSTFLAG NEEDS TO BE DEFINED BEFORE THE ROUTING TO SVINTROYR2 OR
SVYOTH.)

441

SVINTROYR2

[IF SV12MON=1 AND (SVANYOTH NE 1 OR (SVANYOTH =1 AND
SVYRCOUNT > 1))] Earlier, the computer recorded that, in the past 12
months, you used [SVFILL].
Press Enter to continue.
PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE
DATE FOR THE INTRO SCREEN
NOTE TO PROGRAMMERS: LOOP THROUGH THE 12-MONTH MISUSE, AGE AT FIRST
MISUSE, AND YEAR AND MONTH OF FIRST MISUSE (IF APPLICABLE) FOR EACH
PRESCRIPTION SEDATIVE REPORTED IN THE SCREENER FOR THE PAST 12
MONTHS.
SVY01

[IF SV01=1] In the past 12 months, did you use Ambien in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR AMBIEN
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2]Click the question mark button if you want to see and
hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

UPDATE SVFIRSTFLAG:
IF SVY01=1 THEN SVFIRSTFLAG=1.
SVY01a

[IF SVFIRSTFLAG=1] Please think about the first time you ever used Ambien
in a way a doctor did not direct you to use it.
[IF SVY01=1] How old were you when you first used Ambien in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2] if you want to see and hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it

442

• In any other way a doctor did not direct you to use it
DEFINE AGE1STSV1:
IF SVY01a NE (BLANK OR DK/REF) THEN AGE1STSV1 = SVY01a
ELSE AGE1STSV1 = 0
HARD ERROR: [IF CURNTAGE < AGE1STSV1] The age you just entered is older than your
current age. Press [Enter] to answer the question againPlease answer the question again.
IF 1 <= AGE1STSV1 < 10:
SVCC05A1 The computer recorded that you were [AGE1STSV1] years old the
first time you used Ambien in a way a doctor did not direct you to use
it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF SVCC05A1= DK/REF THEN AGE1STSV1 = 0
SVCC06A1 [IF SVCC05A1=6] Please answer this question again. Think
about the first time you used Ambien in a way a doctor did not direct
you to use it.
How old were you the first time you used Ambien in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF SVCC06A1 NOT (BLANK OR DK/REF) THEN AGE1STSV1 = SVCC06A1
ELSE IF SVCC06A1 = DK/REF THEN AGE1STSV1 = 0
DEFINE SVYRINIT1:
IF AGE1STSV1 = CURNTAGE THEN SVYRINIT1 = 1
ELSE SVYRINIT1 = 0
DEFINE SVYRDKRE1:
IF SVYRINIT1 = 0 AND (SVY01a = DK/REF OR SVCC05A1 = DK/REF OR SVCC06A1 =
DK/REF) THEN SVYRDKRE1 = 1
ELSE SVYRDKRE1= 0

443

DEFINE SV30INIT1:
SV30INIT1 = 0
IF (AGE1STSV1 = CURNTAGE) AND (SVYFU1 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST YEAR’S
BIRTHDAY AND INTERVIEW DATE <= 30), THEN SV30INIT1 = 1
2.2.1

Year and Month of First Nonmedical Use

DEFINE SVYFU1:
SVYFU1 = 0
DEFINE SVMFU1:
SVMFU1 = 0
SVY01b.

[AGE1STSV1 = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STSV1 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you
first use Ambien in a way a doctor did not direct you to use it in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

SVY01c.

[IF AGE1STSV1 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use Ambien in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

UPDATE: IF SVY01B = 2 OR (AGE1STSV1 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN SVYFU1 = CURRENT YEAR
IF SVY01B = 1 OR SVY01C = 2 THEN SVYFU1 = CURRENT YEAR - 1
IF SVY01C = 1 THEN SVYFU1 = CURRENT YEAR - 2
DEFINE SVJANFLAG1:
SVJANFLAG1 = 0
IF SVYFU1=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
SVJANFLAG1 = 1
IF SVYFU1=CURRENT YEAR-1 AND BIRTHDAY MONTH=JANUARY AND DATE OF
INTERVIEW ≥ DOB THEN SVJANFLAG1=1
IF SVJANFLAG1=1 THEN SVY01D=1

444

DEFINE SVDECFLAG1:
SVDECFLAG1 = 0
IF AGE1STSV1 = CURNTAGE AND SVYFU1=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN SVDECFLAG1 = 1
IF SVDECFLAG1=1 THEN SVY01D=12
DEFINE SV1MTHFLAG1:
SV1MTHFLAG1=0
IF (AGE1STSV1=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH) THEN
SV1MTHFLAG1=1
IF SV1MTHFLAG1=1 THEN SVY01D=CURRENT MONTH
SVY01d.

[IF SVYFU1 NE 0 AND SVJANFLAG1 = 0 AND SVDECFLAG1=0 AND
SV1MTHFLAG1=0]
[IF SVYFU1 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you
reported that you first used Ambien in a way a doctor did not direct you to use
it when you were [AGE1STSV1] years old. Based on your date of birth, you
turned [AGE1STSV1] in [FILL WITH MONTH/YEAR FOR AGE1STSV1
BASED ON DOB].
[IF SVYFU1 NE 0] In what month in [SVYFU1] did you first use Ambien in a
way a doctor did not direct you to use it?

[IF DATE OF INTERVIEW < DOB AND AGE1STSV1=CURRENT AGE AND
SVYFU1=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]
IF AGE1STSV1 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STSV1 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STSV1 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (SVYFU1 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF SVYFU1=CURRENT YEAR AND AGE1STSV1=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF SVYFU1 = CURRENT YEAR - 1 AND AGE1STSV1 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
1
2
3

January
February
March

445

4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF SVY01D = 1-12 THEN SVMFU1 = SVY01D
IF SVJANFLAG1 = 1 THEN SVMFU1 = 1.
IF SVDECFLAG1=1 THEN SVMFU1=12.
UPDATE: IF SVYRINIT1 NE 1 AND (SVYFU1 = CURRENT YEAR OR (SVYFU1 =
CURRENT YEAR - 1 AND SVMFU1 = 1-12 AND SVMFU1 >= CURRENT MONTH) THEN
SVYRINIT1 = 1
UPDATE: IF SVYRINIT1 NE 1 AND SVYRDKRE1 NE 1 AND [(SVY01b = DK/REF OR
SVY01c = DK/REF) OR (SVYFU1 = CURRENT YEAR-1 AND SVY01d = DK/REF)] THEN
SVYRDKRE1 = 1
UPDATE: IF SV30INIT1 NE 1 AND SVYFU1 = CURRENT YEAR AND SVMFU1 =
CURRENT MONTH THEN SV30INIT1 = 1
DEFINE MYR1STSV1:
MYR1STSV1 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (SVY01b-d). IF MONTH OF
FIRST USE = MONTH OF BIRTH, THEN MYR1STSV1 IS 0.
IF MYR1STSV1 NE 0 AND NE AGE1STSV1:
SVCC32A1
Earlier, the computer recorded that you were [AGE1STSV1]
years old when you first used Ambien in a way a doctor did not direct
you to use it.
Which answer is correct?
1

I was [MYR1STSV1] years old in [SVY01B-D fill] the first
time I used Ambien in a way not directed for me by a doctor
2
I was [AGE1STSV1] years old the first time I used Ambien in
a way not directed for me by a doctor
3
Neither answer is correct
DK/REF

446

UPDATE: IF SVCC32A1 = 1, THEN AGE1STSV1 = MYR1STSV1.
UPDATE: IF SVYRINIT1 NE 1 AND AGE1STSV1 = CURNTAGE THEN SVYRINIT1 = 1
ELSE IF SVYRINIT1 = 1 AND AGE1STSV1 NE CURNTAGE AND SVCC32A1 = DK/REF
THEN SVYRINIT1 = 0
UPDATE: IF SVYRINIT1 NE 1 AND SVYRDKRE1 NE 1 AND SVCC32A1 = DK/REF
THEN SVYRDKRE1 = 1
UPDATE: IF SV30INIT1 NE 1 AND SVCC32A1 = 1 AND AGE1STSV1 IS WITHIN 30
DAYS OF INTERVIEW DATE THEN SV30INIT1 = 1
UPDATE: IF SVYFU1 NE 0 AND SVCC32A1 = DK/REF THEN SVYFU1 = 0
UPDATE: IF SVMFU1 = 1-12 AND SVCC32A1 = DK/REF THEN SVMFU1 = 0
SVCC33A1 [IF SVCC32A1=2 OR SVCC32A1=3] Please answer this question
again. Did you first use Ambien in a way a doctor did not direct you
to use it in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
UPDATE: IF SVYFU1 NE 0 AND SVCC33A1 = DK/REF THEN SVYFU1 = 0
IF SVCC33A1 = 1 THEN SVYFU1 = CURRENT YEAR - 2
IF SVCC33A1 = 2 THEN SVYFU1 = CURRENT YEAR - 1
IF SVCC33A1 = 3 THEN SVYFU1 = CURRENT YEAR
UPDATE: IF SVMFU1 = 1-12 AND SVCC33A1 = DK/REF THEN SVMFU1 = 0
SVCC33B1

[IF SVCC33A1 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [SVCC33A1] did you first use
Ambien in a way a doctor did not direct you to use it?

IF SVCC33A1 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
2
3
4
5
6
7

January
February
March
April
May
June
July

447

8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF SVCC33B1 = 1-12 THEN SVMFU1 = SVCC33B1
IF SVCC33B1 = DK/REF THEN SVMFU1 = 0
UPDATE: IF SVCC33B1 NE (0 OR DK/REF) THEN UPDATE MYR1STSV1.
MYR1STSV1 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (SVCC33A1 AND SVCC33B1). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STSV1 IS 0. IF MYR1STSV1
= AGE1STSV1 THEN MYR1STSV1 = 0
UPDATE: IF SVYRINIT1 = 1 AND AGE1STSV1 NE CURNTAGE AND SVCC32A1 NE 1
AND MYR1STSV1 NE 0 AND (SVCC33A1 AND SVCC33B1 = SVY01b-d) THEN
SVYRINIT1 = 0
UPDATE: IF SVYRINIT1 NE 1 AND SVYRDKRE1 NE 1 AND SVCC33A1 = DK/REF
THEN SVYRDKRE1 = 1
IF SVYRINIT1 NE 1 AND SVYRDKRE1 NE 1 AND SVYFU1 = CURRENT YEAR-1 AND
SVCC33B1 = DK/REF THEN SVYRDKRE1 = 1
UPDATE: IF SV30INIT1 = 1 AND AGE1STSV1 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND SVCC32A1 NE 1 AND MYR1STSV1 NE 0 AND (SVCC33A1 AND
SVCC33B1 = SVY01b-d) THEN SV30INIT1 = 0
SVCC34A1 [IF SVCC32A1 NE 1 AND MYR1STSV1 NE 0 AND (SVCC33A1
AND SVCC33b1 NE SVY01b-d)] The computer recorded that you
first used Ambien in a way a doctor did not direct you to use it in
[SVCC33A1-SVCC33B1 fill]. That would make you [MYR1STSV1]
years old when you first used Ambien in any way a doctor did not
direct you to use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF SVCC34A1 NE (6, BLANK OR DK/REF) AND (SVCC33A1 AND SVCC33B1
NE SVY01b-d) THEN AGE1STSV1 = MYR1STSV1

448

UPDATE: IF SVYRINIT1 NE 1 AND AGE1STSV1 = CURNTAGE OR (SVCC34A1 = 4 AND
SVCC33A1 = 3 OR (SVCC33A1 = 2 AND SVCC33b1 NE DK/REF AND SVCC33B1 >=
CURRENT MONTH) ) THEN SVYRINIT1 = 1
ELSE IF SVYRINIT = 1 AND AGE1STSV1 NE CURNTAGE AND SVCC34A1 = (6 OR
DK/REF) THEN SVYRINIT1 = 0
UPDATE: IF SVYRINIT1 NE 1 AND SVYRDKRE1 NE 1 AND MYR1STSV1= CURNTAGE
AND SVCC34A1 = (6 OR DK/REF) THEN SVYRDKRE1 = 1
IF SVYRINIT1 NE 1 AND SVYRDKRE1 NE 1 AND SVCC34A1 = BLANK AND
SVCC33A1 = 3 THEN SVYRDKRE1 = 1
IF SVYRINIT1 NE 1 AND SVYRDKRE1 NE 1 AND SVCC34A1 = BLANK AND
SVCC33A1 = 2 AND SVCC33B1 = 1-12 AND SVCC33B1 >= CURRENT MONTH THEN
SVYRDKRE1 = 1
UPDATE: IF SV30INIT1 NE 1 AND AGE1STSV1 WITHIN 30 DAYS OF INTERVIEW
DATE OR (SVCC34A1 = 4 AND SVCC33A1 = 3 AND SVCC33B1 = CURRENT MONTH)
THEN SV30INIT1 = 1
ELSE IF SV30INIT1 = 1 AND AGE1STSV1 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND SVCC34A1 = (6 OR DK/REF) THEN SV30INIT1 = 0
UPDATE: IF SVYFU1 NE BLANK AND SVCC34A1 = OR DK/REF THEN SVYFU1 = 0
IF SVCC34A1 = BLANK AND (SVCC33A1 AND SVCC33B1 EQ SVY01b-d) THEN
SVYFU1 = 0
UPDATE: IF SVMFU1 = 1-12 AND SVCC34A1 = (6 OR DK/REF) THEN SVMFU1 = 0
IF SVCC34A1 = BLANK AND (SVCC33A1 AND SVCC33B1 EQ SVY01b-d) THEN
SVMFU1 = 0
SVY02

[IF SV01=2] In the past 12 months, did you use Ambien CR in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR AMBIEN CR
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it

449

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY02=1 THEN SVFIRSTFLAG=2.
SVY02a

[IF SVFIRSTFLAG=2] Please think about the first time you ever used Ambien
CR in a way a doctor did not direct you to use it.
[IF SVY02=1] How old were you when you first used Ambien CR in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

PROGRAMMER: DISPLAY IN LOWER RIGHT: Press
[F2] if you want to see and hear these ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
DEFINE AGE1STSV2:
IF SVY02a NE (BLANK OR DK/REF) THEN AGE1STSV2 = SVY02a
ELSE AGE1STSV2 = 0
HARD ERROR: [IF CURNTAGE < AGE1STSV2] The age you just reported is older than your
current age. Press [Enter] to answer the question againPlease answer the question again.
IF 1 <= AGE1STSV2 < 10:
SVCC05A2 The computer recorded that you were [AGE1STSV2] years old the
first time you used Ambien CR in a way a doctor did not direct you to
use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF SVCC05A2= DK/REF THEN AGE1STSV2 = 0
SVCC06A2 [IF SVCC05A2=6] Please answer this question again. Think
about the first time you used Ambien CR in a way a doctor did not
direct you to use it.

450

How old were you the first time you used Ambien CR in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF SVCC06A2 NOT (BLANK OR DK/REF) THEN AGE1STSV2 = SVCC06A2
ELSE IF SVCC06A2 = DK/REF THEN AGE1STSV2 = 0
DEFINE SVYRINIT2:
IF AGE1STSV2 = CURNTAGE THEN SVYRINIT2 = 1
ELSE SVYRINIT2 = 0
DEFINE SVYRDKRE2:
IF SVYRINIT2 = 0 AND (SVY02a = DK/REF OR SVCC05A2 = DK/REF OR SVCC06A2 =
DK/REF) THEN SVYRDKRE2 = 1
ELSE SVYRDKRE2= 0
DEFINE SV30INIT2:
SV30INIT2 = 0
IF (AGE1STSV2 = CURNTAGE) AND (SVYFU2 = CURRENT YEAR-1) AND (LAST
BIRTHDAY IN CURRENT YEAR-1) AND (# OF DAYS BETWEEN LAST YEAR’S
BIRTHDAY AND INTERVIEW DATE <= 30), THEN SV30INIT2 = 1
2.2.1

Year and Month of First Nonmedical Use

DEFINE SVYFU2:
SVYFU2 = 0
DEFINE SVMFU2:
SVMFU2 = 0
SVY02b.

[AGE1STSV2 = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STSV2 = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you
first use Ambien CR in a way a doctor did not direct you to use it in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

451

SVY02c.

[IF AGE1STSV2 = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first use Ambien CR in a way a doctor did not direct you to use it in
[CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

UPDATE: IF SVY02B = 2 OR (AGE1STSV2 = CURNTAGE AND DATE OF INTERVIEW ≥
DOB) THEN SVYFU2 = CURRENT YEAR
IF SVY02B = 1 OR SVY02C = 2 THEN SVYFU2 = CURRENT YEAR - 1
IF SVY02C = 1 THEN SVYFU2 = CURRENT YEAR - 2
DEFINE SVJANFLAG2:
SVJANFLAG2 = 0
IF SVYFU2=CURRENT YEAR AND CURRENT MONTH = JANUARY THEN
SVJANFLAG2 = 1
IF SVYFU2=CURRENT YEAR-1 AND BIRTHDAY MONTH=JANUARY AND DATE OF
INTERVIEW ≥ DOB THEN SVJANFLAG2=1
IF SVJANFLAG2=1 THEN SVY02D=1
DEFINE SVDECFLAG2:
SVDECFLAG2 = 0
IF AGE1STSV2 = CURNTAGE AND SVYFU2=CURRENT YEAR-1 AND BIRTH
MONTH=12 THEN SVDECFLAG2 = 1
IF SVDECFLAG2=1 THEN SVY02D=12
DEFINE SV1MTHFLAG2:
SV1MTHFLAG2=0
IF (AGE1STSV2=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH) THEN
SV1MTHFLAG2=1
IF SV1MTHFLAG2=1 THEN SVY02D=CURRENT MONTH
SVY02d.
[IF SVYFU2 NE 0 AND SVJANFLAG2 = 0 AND SVDECFLAG2=0 AND
SV1MTHFLAG2=0]
[IF SVYFU2 = CURRENT YEAR OR CURRENT YEAR -1] Earlier, you reported that you
first used Ambien CR in a way a doctor did not direct you to use it when you were
[AGE1STSV2] years old. Based on your date of birth, you turned [AGE1STSV2] in [FILL
WITH MONTH/YEAR FOR AGE1STSV2 BASED ON DOB].
[IF SVYFU2 NE 0] In what month in [SVYFU2] did you first use Ambien CR in a way a
doctor did not direct you to use it?
[IF DATE OF INTERVIEW < DOB AND AGE1STSV2=CURRENT AGE AND
SVYFU2=CURRENT YEAR THEN SHOW JANUARY THROUGH INTERVIEW MONTH.]

452

IF AGE1STSV2 = CURNTAGE AND DATE OF INTERVIEW ≥ DOB THEN SHOW
MONTHS FROM BIRTH MONTH TO INTERVIEW MONTH.
IF ((AGE1STSV2 = CURNTAGE AND DATE OF INTERVIEW <= DOB) or (AGE1STSV2 =
CURNTAGE – 1 AND DATE OF INTERVIEW > DOB))
AND (SVYFU2 = CURRENT YEAR – 1), SHOW BIRTH MONTH TO DECEMBER
IF SVYFU2=CURRENT YEAR AND AGE1STSV2=CURRENT AGE-1 AND DATE OF
INTERVIEW > DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
IF SVYFU2 = CURRENT YEAR - 1 AND AGE1STSV2 = CURNTAGE - 1 AND DATE OF
INTERVIEW < DOB THEN SHOW JANUARY THROUGH BIRTH MONTH.
ELSE SHOW ALL MONTHS.]
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF SVY02D = 1-12 THEN SVMFU2 = SVY02D
IF SVJANFLAG2 = 1 THEN SVMFU2 = 1.
IF SVDECFLAG2=1 THEN SVMFU2=12.
UPDATE: IF SVYRINIT2 NE 1 AND (SVYFU2 = CURRENT YEAR OR (SVYFU2 =
CURRENT YEAR - 1 AND SVMFU2 = 1-12 AND SVMFU2 >= CURRENT MONTH) THEN
SVYRINIT2 = 1
UPDATE: IF SVYRINIT2 NE 1 AND SVYRDKRE2 NE 1 AND [(SVY02b = DK/REF OR
SVY02c = DK/REF) OR (SVYFU2 = CURRENT YEAR-1 AND SVY02d = DK/REF)] THEN
SVYRDKRE2 = 1
UPDATE: IF SV30INIT2 NE 1 AND SVYFU2 = CURRENT YEAR AND SVMFU2 =
CURRENT MONTH THEN SV30INIT2 = 1
DEFINE MYR1STSV2:

453

MYR1STSV2 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (SVY02B-D). IF MONTH
OF FIRST USE = MONTH OF BIRTH, THEN MYR1STSV2 IS 0.
IF MYR1STSV2 NE 0 AND NE AGE1STSV2:
SVCC32A2
Earlier, the computer recorded that you were [AGE1STSV2]
years old when you first used Ambien CR in a way a doctor did not
direct you to use it.
Which answer is correct?
1

I was [MYR1STSV2] years old in [SVY02B-D fill] the first
time I used Ambien CR in a way not directed for me by a
doctor
2
I was [AGE1STSV2] years old the first time I used Ambien CR
in a way not directed for me by a doctor
3
Neither answer is correct
DK/REF
UPDATE: IF SVCC32A2 = 1, THEN AGE1STSV2 = MYR1STSV2.
UPDATE: IF SVYRINIT2 NE 1 AND AGE1STSV2 = CURNTAGE THEN SVYRINIT2 = 1
ELSE IF SVYRINIT2 = 1 AND AGE1STSV2 NE CURNTAGE AND SVCC32A2 = DK/REF
THEN SVYRINIT2 = 0
UPDATE: IF SVYRINIT2 NE 1 AND SVYRDKRE2 NE 1 AND SVCC32A2 = DK/REF
THEN SVYRDKRE2 = 1
UPDATE: IF SV30INIT2 NE 1 AND SVCC32A2 = 1 AND AGE1STSV2 IS WITHIN 30
DAYS OF INTERVIEW DATE THEN SV30INIT2 = 1
UPDATE: IF SVYFU2 NE 0 AND SVCC32A2 = DK/REF THEN SVYFU2 = 0
UPDATE: IF SVMFU2 = 1-12 AND SVCC32A2 = DK/REF THEN SVMFU2 = 0
SVCC33A2 [IF SVCC32A2=2 OR SVCC32A2=3] Please answer this question
again. Did you first use Ambien CR in a way a doctor did not direct
you to use it in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

454

UPDATE: IF SVYFU2 NE 0 AND SVCC33A2 = DK/REF THEN SVYFU2 = 0
IF SVCC33A2 = 1 THEN SVYFU2 = CURRENT YEAR - 2
IF SVCC33A2 = 2 THEN SVYFU2 = CURRENT YEAR - 1
IF SVCC33A2 = 3 THEN SVYFU2 = CURRENT YEAR
UPDATE: IF SVMFU2 = 1-12 AND SVCC33A2 = DK/REF THEN SVMFU2 = 0
SVCC33B2

[IF SVCC33A2 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [SVCC33A2] did you first use
Ambien CR in any way a doctor did not direct you to use it?

IF SVCC33A2 = 3 THEN DISPLAY ONLY UP TO THE INTERVIEW MONTH.
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
UPDATE: IF SVCC33B2 = 1-12 THEN SVMFU2 = SVCC33B2
IF SVCC33B2 = DK/REF THEN SVMFU2 = 0
UPDATE: IF SVCC33B2 NE (0 OR DK/REF) THEN UPDATE MYR1STSV2.
MYR1STSV2 = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF FIRST USE (SVCC33A2 AND SVCC33B2). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STSV2 IS 0. IF MYR1STSV2
= AGE1STSV2 THEN MYR1STSV2 = 0
UPDATE: IF SVYRINIT2 = 1 AND AGE1STSV2 NE CURNTAGE AND SVCC32A2 NE 1
AND MYR1STSV2 NE 0 AND (SVCC33A2 AND SVCC33B2 = SVY02b-d) THEN
SVYRINIT2 = 0
UPDATE: IF SVYRINIT2 NE 1 AND SVYRDKRE2 NE 1 AND SVCC33A2 = DK/REF
THEN SVYRDKRE2 = 1
IF SVYRINIT2 NE 1 AND SVYRDKRE2 NE 1 AND SVYFU2 = CURRENT YEAR-1 AND
SVCC33B2 = DK/REF THEN SVYRDKRE2 = 1

455

UPDATE: IF SV30INIT2 = 1 AND AGE1STSV2 NOT WITHIN 30 DAYS OF DATE OF
INTERVIEW AND SVCC32A2 NE 1 AND MYR1STSV2 NE 0 AND (SVCC33A2 AND
SVCC33B2 = SVY02b-d) THEN SV30INIT2 = 0
SVCC34A2 [IF SVCC32A2 NE 1 AND MYR1STSV2 NE 0 AND (SVCC33A2
AND SVCC33B2 NE SVY02b-d)] The computer recorded that you
first used Ambien CR in a way a doctor did not direct you to use it in
[SVCC33A2-SVCC33B2 fill]. That would make you [MYR1STSV2]
years old when you first used Ambien CR in any way a doctor did not
direct you to use it.
Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF SVCC34A2 NE (6, BLANK OR DK/REF) AND (SVCC33A2 AND SVCC33B2
NE SVY02b-d) THEN AGE1STSV2 = MYR1STSV2
UPDATE: IF SVYRINIT2 NE 1 AND AGE1STSV2 = CURNTAGE OR (SVCC34A2 = 4 AND
SVCC33A2 = 3 OR (SVCC33A2 = 2 AND SVCC33B2 NE DK/REF AND SVCC33B2 >=
CURRENT MONTH) ) THEN SVYRINIT2 = 1
ELSE IF SVYRINIT = 1 AND AGE1STSV2 NE CURNTAGE AND SVCC34A2 = (6 OR
DK/REF) THEN SVYRINIT2 = 0
UPDATE: IF SVYRINIT2 NE 1 AND SVYRDKRE2 NE 1 AND MYR1STSV2= CURNTAGE
AND SVCC34A2 = (6 OR DK/REF) THEN SVYRDKRE2 = 1
IF SVYRINIT2 NE 1 AND SVYRDKRE2 NE 1 AND SVCC34A2 = BLANK AND
SVCC33A2 = 3 THEN SVYRDKRE2 = 1
IF SVYRINIT2 NE 1 AND SVYRDKRE2 NE 1 AND SVCC34A2 = BLANK AND
SVCC33A2 = 2 AND SVCC33B2 = 1-12 AND SVCC33B2 >= CURRENT MONTH THEN
SVYRDKRE2 = 1

UPDATE: IF SV30INIT2 NE 1 AND AGE1STSV2 WITHIN 30 DAYS OF INTERVIEW
DATE OR (SVCC34A2 = 4 AND SVCC33A2 = 3 AND SVCC33B2 = CURRENT MONTH)
THEN SV30INIT2 = 1
ELSE IF SV30INIT2 = 1 AND AGE1STSV2 NOT WITHIN 30 DAYS OF INTERVIEW DATE
AND SVCC34A2 = (6 OR DK/REF) THEN SV30INIT2 = 0
UPDATE: IF SVYFU2 NE BLANK AND SVCC34A2 = OR DK/REF THEN SVYFU2 = 0
IF SVCC34A2 = BLANK AND (SVCC33A2 AND SVCC33B2 EQ SVY02b-d) THEN
SVYFU2 = 0

456

UPDATE: IF SVMFU2 = 1-12 AND SVCC34A2 = (6 OR DK/REF) THEN SVMFU2 = 0
IF SVCC34A2 = BLANK AND (SVCC33A2 AND SVCC33B2 EQ SVY02b-d) THEN
SVMFU2 = 0
Continue asking the misuse and age at first misuse questions above about each tranquilizer
reported.
SVY03

[IF SV01=3] In the past 12 months, did you use zolpidem in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR ZOLPIDEM
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY03=1 THEN SVFIRSTFLAG=3.
SVY03a

[IF SVFIRSTFLAG=3] Please think about the first time you ever used zolpidem
in a way a doctor did not direct you to use it.
[IF SVY03=1] How old were you when you first used zolpidem in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.

457

SVY04

[IF SV01=4] In the past 12 months, did you use extended-release zolpidem in any
way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY04=1 THEN SVFIRSTFLAG=4.
SVY04a

[IF SVFIRSTFLAG=4] Please think about the first time you ever used extendedrelease zolpidem in a way a doctor did not direct you to use it.
[IF SVY04=1] How old were you when you first used extended-release zolpidem
in a way a doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY05

[IF SV02=1] In the past 12 months, did you use Lunesta or eszopiclone in any
way a doctor did not direct you to use it?
DISPLAY IMAGE FOR LUNESTA OR ESZOPICLONE
1
2

Yes
No

458

DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]
UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY05=1 THEN SVFIRSTFLAG=5.
SVY05a

[IF SVFIRSTFLAG=5] Please think about the first time you ever used Lunesta
or eszopiclone in a way a doctor did not direct you to use it.
[IF SVY05=1] How old were you when you first used Lunesta or eszopiclone in a
way a doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY06

[IF SV02=2] In the past 12 months, did you use Sonata or zaleplon in any way a
doctor did not direct you to use it?
DISPLAY IMAGE FOR SONATA OR ZALEPLON
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,

459

•

In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY06=1 THEN SVFIRSTFLAG=6.
SVY06a

[IF SVFIRSTFLAG=6] Please think about the first time you ever used Sonata or
zaleplon in a way a doctor did not direct you to use it.
[IF SVY06=1] How old were you when you first used Sonata or zaleplon in a way
a doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY07

[IF SV03=1] In the past 12 months, did you use Halcion in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR HALCION
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE SVFIRSTFLAG:

460

IF SVFIRSTFLAG=0 AND SVY07=1 THEN SVFIRSTFLAG=7.
SVY07a

[IF SVFIRSTFLAG=7] Please think about the first time you ever used Halcion in
a way a doctor did not direct you to use it.
[IF SVY07=1] How old were you when you first used Halcion in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY08

[IF SV03=2] In the past 12 months, did you use Restoril in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR RESTORIL
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY08=1 THEN SVFIRSTFLAG=8.
SVY08a

[IF SVFIRSTFLAG=8] Please think about the first time you ever used Restoril in
a way a doctor did not direct you to use it.
[IF SVY08=1] How old were you when you first used Restoril in a way a doctor
did not direct you to use it?

461

AGE:
DK/REF

[(RANGE: 1 - 110)]
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY09

[IF SV03=3] In the past 12 months, did you use flurazepam, also known as
Dalmane, in any way a doctor did not direct you to use it?
DISPLAY IMAGE FOR FLURAZEPAM
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY09=1 THEN SVFIRSTFLAG=9.
SVY09a

[IF SVFIRSTFLAG=9] Please think about the first time you ever used
flurazepam in a way a doctor did not direct you to use it.
[IF SVY09=1] How old were you when you first used flurazepam in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES

462

PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY10

[IF SV03=4] In the past 12 months, did you use temazepam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR TEMAZEPAM
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY10=1 THEN SVFIRSTFLAG=10.
SVY10a

[IF SVFIRSTFLAG=10] Please think about the first time you ever used
temazepam in a way a doctor did not direct you to use it.
[IF SVY10=1] How old were you when you first used temazepam in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY11

[IF SV03=5] In the past 12 months, did you use triazolam in any way a doctor
did not direct you to use it?
DISPLAY IMAGE FOR TRIAZOLAM

463

1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY11=1 THEN SVFIRSTFLAG=11.
SVY11a

[IF SVFIRSTFLAG=11] Please think about the first time you ever used
triazolam in a way a doctor did not direct you to use it.
[IF SVY11=1] How old were you when you first used triazolam in a way a
doctor did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY12

[IF SV04=1] In the past 12 months, did you use Butisol in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR BUTISOL
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,

464

•

In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]
UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY12=1 THEN SVFIRSTFLAG=12.
SVY12a

[IF SVFIRSTFLAG=12] Please think about the first time you ever used Butisol
in a way a doctor did not direct you to use it.
[IF SVY12=1] How old were you when you first used Butisol in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY13

[IF SV04=2] In the past 12 months, did you use Seconal in any way a doctor did
not direct you to use it?
DISPLAY IMAGE FOR SECONAL
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT]

UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY13=1 THEN SVFIRSTFLAG=13.

465

SVY13a

[IF SVFIRSTFLAG=13] Please think about the first time you ever used Seconal
in a way a doctor did not direct you to use it.
[IF SVY13=1] How old were you when you first used Seconal in a way a doctor
did not direct you to use it?
AGE:
DK/REF

[(RANGE: 1 - 110)]

DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
SVY14

[IF SV04=3] In the past 12 months, did you use phenobarbital in any way a
doctor did not direct you to use it?
DISPLAY IMAGE FOR PHENOBARBITAL
1
Yes
2
No
DK/REF
PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
[DISPLAY “HELP” TEXT FOR ANY WAY OF
MISUSE IN LOWER RIGHT]

UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVY14=1 THEN SVFIRSTFLAG=14.
SVY14a

[IF SVFIRSTFLAG=14] Please think about the first time you ever used
phenobarbital in a way a doctor did not direct you to use it.
[IF SVY14=1] How old were you when you first used phenobarbital in a way a
doctor did not direct you to use it?
AGE:

[(RANGE: 1 - 110)]

466

DK/REF
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT
INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.

SVYOTH

[IF SVANYOTH =1] In the past 12 months, did you use any [IF SVANYOTH =1
AND SVYRCOUNT > 1 FILL “other”] prescription sedative in a way a doctor
did not direct you to use it?
Remember, do not include “over-the-counter” sedatives such as Sominex,
Unisom, Nytol, or Benadryl.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE
DATE

SVYOTHA1

[IF SVYOTH = 1] Please type in the name of one or more of the [IF
SVANYOTH =1 AND SVYRCOUNT > 1 FILL “other”] prescription
sedatives you have used in the past 12 months in a way a doctor did not
direct you to use it. If you’re not sure how to spell the name of the
sedative, just make your best guess.
When you have finished, press [ENTER] to go to the next question.
Remember, you do not need to type in the names of any prescription
sedatives you already reported.

467

[PROGRAMMER: PROVIDE 5 ROWS.] ______________
[NOTE: DON'T ALLOW BLANKS IN SVYOTHA1 IF SVYOTH = 1]
DK/REF
SVYOTHA2 [IF SVYOTH = 1 AND SVYOTHA1 NE DK/REF)] Please type in
the name of any other prescription sedative you used in the past 12 months in a
way a doctor did not direct you to use it.
If you have not used any other prescription sedative in a way a doctor did not
direct you to use it, press [ENTER].
______________
DK/REF
SVYOTHA3 [IF SVYOTHA2 NE (BLANK OR DK/REF)] Please type in the
name of any other prescription sedative you used in the past 12 months in a way a
doctor did not direct you to use it.
If you have not used any other prescription sedative in a way a doctor did not
direct you to use it, press [ENTER].
______________
DK/REF
SVYOTHA4 [IF SVYOTHA3 NE (BLANK OR DK/REF)] Please type in the
name of any other prescription sedative you used in the past 12 months in a way a
doctor did not direct you to use it.
If you have not used any other prescription sedative in a way a doctor did not
direct you to use it, press [ENTER].

______________
DK/REF
SVYOTHA5 [IF SVYOTHA4 NE (BLANK OR DK/REF Please type in the
name of any other prescription sedative you used in the past 12 months in a way a
doctor did not direct you to use it.
If you have not used any other prescription sedative in a way a doctor did not
direct you to use it, press [ENTER].

468

______________
DK/REF
UPDATE SVFIRSTFLAG:
IF SVFIRSTFLAG=0 AND SVYOTH=1 THEN SVFIRSTFLAG=15.
SVYOTHA

[IF SVFIRSTFLAG=15] Please think about the first time you ever used
any [IF SVANYOTH =1 AND SVYRCOUNT > 1 FILL “other”]
prescription sedative in a way a doctor did not direct you to use it.
[IF SVYOTH=1] How old were you when you first used any [IF
SVANYOTH =1 AND SVYRCOUNT > 1 FILL “other”] prescription
sedative in a way a doctor did not direct you to use it?

AGE:
DK/REF

[(RANGE: 1 - 110)]

PROGRAMMER: DISPLAY IN LOWER RIGHT: Click
the question mark button if you want to see and hear these
ways again.
• Without a prescription of your own,
• In greater amounts, more often, or longer than you were
told to take it
• In any other way a doctor did not direct you to use it
DISPLAY "HELP" TEXT FOR ANY WAY OF MISUSE
IN LOWER RIGHT

INSERT YEAR AND MONTH OF FIRST USE FOR CURRENT AGE AND AGE-1
INITIATES
PLACEHOLDERS FOR CONSISTENCY CHECK. FULL CONSISTENCY CHECK
FOLLOWS SVY01.
DEFINE SVMISCOUNT:
INITIALIZE SVMISCOUNT TO 0.
INCREMENT SVMISCOUNT BY 1 FOR EVERY RESPONSE OF YES IN SVY01-SVYOTH.
DEFINE SVMISUSE12:
IF SVMISCOUNT > 0 THEN SVMISUSE12 = 1.
ELSE SVMISUSE12 = 2.
If no sedatives misused in the past 12 months:
SVL02

[IF SV12MON=1 AND SVMISUSE12=2] Have you ever, even once, used any
prescription sedative in any way a doctor did not direct you to use it?

469

1
Yes
2
No
DK/REF

If any sedatives misused in past 12 months:
DEFINE SVDKREFCOUNT:
INITIALIZE SVDKREFCOUNT TO 0.
INCREMENT SVDKREFCOUNT BY 1 FOR EVERY RESPONSE OF DK/REF IN SVY01SVYOTH AND SV01- SVANYOTH.
DEFINE SVDKREFFLAG:
IF SVDKREFCOUNT > 1 17THEN SVDKREFFLAG = 1.
ELSE SVDKREFFLAG = 2.
DEFINE SVNUMFILL:
IF SVMISCOUNT = 1 AND SVYOTH NE 1 THEN SVNUMFILL = "it".
ELSE SVNUMFILL = "them".
DEFINE SV30ANYINIT:
IF ANY CODE OF 1 IN SV30INIT1-SV30INITOT THEN SV30ANYINIT = 1.
ELSE SV30ANYINIT = 2.
DEFINE SVFILL2:
IF SVMISCOUNT < 3 AND SVYOTH NE 1 AND SVDKREFFLAG =2 THEN
SVFILL2=”[DRUG NAMES FROM SVY01-SVY14]”.
ELSE IF SVMISCOUNT=1 AND SVYOTH NE 1 AND SVDKREFFLAG=1 THEN SVFILL2
= “[DRUG NAMES FROM SVY01-SVY14] or any other prescription sedative.”
ELSE IF SVMISCOUNT=2 AND SVDKREFFLAG=2 AND SVYOTH=1 THEN
SVFILL2=”[DRUG NAME FROM SVY01-SVY14] and some other prescription sedative.”
ELSE IF SVMISCOUNT=2 AND SVDKREFFLAG=1 THEN SVFILL2=”[DRUG NAMES
FROM SVY01-SVY14]”. IF SVYOTH=1 THEN ADD “some other prescription sedative” TO
THE FILL.
ELSE SVFILL2= “prescription sedatives”
DEFINE SVNAMEFILL:
IF SVMISCOUNT =1 AND (SVYOTH = 2 OR SVYOTH = BLANK) AND SVDKREFFLAG
=2 THEN SVNAMEFILL=”[DRUG NAME FROM SVY01-SVY14]”
ELSE IF SVMISCOUNT=1 AND (SVYOTH NE 1) AND SVDKREFFLAG=1 THEN
SVNAMEFILL=”[DRUG NAME FROM SVY01-SVY14] or any other prescription sedative]”
ELSE IF SVMISCOUNT >1 THEN SVNAMEFILL= “prescription sedatives”
DEFINE SVYINICT:

470

INITIALIZE SVYINICT TO 0.
INCREMENT SVYINICT BY 1 FOR EVERY VALUE OF 1 IN SVYRINIT1-SVYRINITOT.
DEFINE SVYRDKRECT:
INITIALIZE SVYRDKRECT TO 0.
INCREMENT SVYRDKRECT BY 1 FOR EVERY VALUE OF 1 IN SVYRDKRE1SVYRDKREOT.
DEFINE SVYINALL:
IF SVMISCOUNT > 0 AND SVMISCOUNT = SVYINICT + SVYRDKRECT THEN
SVYINALL = 1.
ELSE SVYINALL = 2.
SVL03

[IF SVYINALL=1] Earlier questions were about the past 12 months. This
question is about any time before then, that is, any time in your life before
[DATEFILL -12 MONTHS].
At any time before [DATEFILL -12 MONTHS], did you ever use any
prescription sedative in a way a doctor did not direct you to use it?
1
Yes
2
No
DK/REF

SVINTROYR3

[IF SVMISUSE12=1 AND SVMISCOUNT>1] Earlier the computer recorded
that in the past 12 months you used [IF SVMISUSE12=1 AND
SVMISCOUNT > 2, ADD "these"] [SVFILL2] in a way a doctor did not
direct you to use [SVNUMFILL].

[IF SVMISUSE12=1 AND SVMISCOUNT>2 ] FILL WITH DRUG NAMES
FROM SVY01-SVYOTH BELOW. USE MULTIPLE COLUMNS AS
NEEDED. IF SVYOTH = 1, FILL WITH "Some other prescription sedative".

SVM01

[IF SVMISUSE12=1 AND SVMISCOUNT>1] The next questions refer to these
drugs as prescription sedatives.
Press Enter to continue.
[IF SVMISUSE12 = 1 AND SV30ANYINIT = 2] In the past 30 days, that is,
from [DATEFILL] up to and including today, did you use [SVNAMEFILL] in
any way a doctor did not direct you to use [SVNUMFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

DEFINE SVMISUSE30:

471

SVMISUSE30=1 IF SVM01=1 OR SV30ANYINIT = 1.
SVMISUSE30=2 IF SVMISUSE12 = 1 AND (SVM01=2, DK, OR REF).
SVM02

[IF SVMISUSE30=1] During the past 30 days, on how many days did you use
[SVNAMEFILL] in any way a doctor did not direct you to use
[SVNUMFILL]?
________________ [RANGE: 1 - 30]
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

SVM02DKRE

[IF SVM02 = DK/REF] What is your best estimate of the number of days
you used [SVNAMEFILL] in any way a doctor did not direct you to use
[SVNUMFILL] during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

SVM03

[IF ALC30USE = 1 and SVMISUSE30 = 1)] During the past 30 days, did you
use [SVNAMEFILL] in any way a doctor did not direct you to use
[SVNUMFILL] while you were drinking alcohol or within a couple of hours of
drinking?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

SVYWAYS

[IF SVMISUSE12=1] Which of these statements describe your use of
[SVNAMEFILL] at any time in the past 12 months?
To select more than one statement, press the space bar between the
numbers. When you have finished, press [ENTER].Select all that apply.
1

I used [SVNAMEFILL] without a prescription of my own.

472

2

I used [SVNAMEFILL] in greater amounts than [IF
SVNAMEFILL= “prescription sedatives” THEN FILL WITH
“they were”; ELSE FILL WITH “it was”] prescribed.
3
I used [SVNAMEFILL] more often than [IF SVNAMEFILL=
“prescription sedatives” THEN FILL WITH “they were”; ELSE
FILL WITH “it was”] prescribed.
4
I used [SVNAMEFILL] for longer than [IF SVNAMEFILL=
“prescription sedatives” THEN FILL WITH “they were”; ELSE
FILL WITH “it was”] prescribed.
5
I used [SVNAMEFILL] in some other way a doctor did not
direct me to use [SVNUMFILL]
DISPLAY 12-MONTH CALENDAR

SVYLAST

[IF SVMISCOUNT > 1 OR (SVMISCOUNT=1 AND SVYOTH NE 1
AND SVDKREFFLAG=1)] Now think about the last time you used a
prescription sedative in any way a doctor did not direct you to use it.
Which of these sedatives did you use the last time? If you used more than
one sedative the last time, please choose one sedative as your best answer.
(LIST DRUGS WHERE SVY01-SVYOTH=1. NUMBER RESPONSE
OPTIONS SEQUENTIALLY STARTING AT 1, BUT MAINTAIN
UNIQUE CODES FOR EACH DRUG. IF SVYOTH=1, DISPLAY
"Another prescription sedative" AS THE LAST CATEGORY. IF
SVMISCOUNT > 0 AND SVYOTH NE 1 AND SVDKREFFLAG=1,
DISPLAY "Any other prescription sedative" AS THE LAST
CATEGORY. ALLOW ONLY 1 RESPONSE.)

PROGRAMMER: IF SVMISUSE12 = 1 THEN CREATE A RECODED RSVYLAST
VARIABLE. ASSIGN A UNIQUE CODE TO A GIVEN DRUG ACCORDING TO THE
OVERALL ORDER IN WHICH THE DRUGS APPEAR IN THE SCREENER.
INITIALIZE RSVYLAST TO BLANK.
IF "Ambien" CHOSEN IN SVYLAST OR (SVMISCOUNT=1 AND SVDKREFFLAG=2 AND
SVY01 = 1) THEN RSVYLAST = 1.
IF "Ambien CR" CHOSEN IN SVYLAST OR (SVMISCOUNT=1 AND SVDKREFFLAG=2
AND SVY02 = 1) THEN RSVYLAST = 2.
IF "zolpidem" CHOSEN IN SVYLAST OR (SVMISCOUNT=1 AND SVDKREFFLAG=2
AND SVY03 = 1) THEN RSVYLAST = 3.
ETC.
IF "Phenobarbital" CHOSEN IN SVYLAST OR (SVMISCOUNT=1 AND SVDKREFFLAG=2
AND SVY14 = 1) THEN RSVYLAST = 14.

473

IF "Another prescription sedative" OR "Any other prescription sedative" CHOSEN IN
SVYLAST OR (SVMISCOUNT =1 AND SVYOTH = 1 AND SVDKREFFLAG =2) THEN
RSVYLAST = 15.
IF SVYLAST = DK OR REF, THEN ASSIGN THE DK/REF CODE TO RSVYLAST.)
DEFINE SVLASTFILL:
IF RSVYLAST = 1-14, THEN FILL WITH THE DRUG NAME.
IF RSVYLAST = 15 THEN FILL "other sedative".
IF RSVYLAST = DK, REF, OR BLANK, THEN FILL "sedative".
DEFINE SVLASTFILL2:
IF RSVYLAST = 1-14, THEN FILL WITH THE DRUG NAME.
IF RSVYLAST = 15 THEN FILL "the other sedative".
IF RSVYLAST = DK, REF, OR BLANK, THEN FILL "a sedative".
DEFINE SVLASTFILL3:
IF SVLASTFILL NE "other sedative" THEN SVLASTFILL3 = SVLASTFILL.
ELSE IF SVLASTFILL = "other sedative" THEN SVLASTFILL3 = "sedative".
SVYMOTIV [IF SVMISUSE12=1] Now think about the last time you used [SVLASTFILL2]
in any way a doctor did not direct you to use it.
What were the reasons you used [SVLASTFILL2] the last time?
Select all that apply.To select more than one reason from the list, press the space
bar between each number you have typed. When you have finished, press
[ENTER].
1
2
3
4
5
6
7
8

To relax or relieve tension
To experiment or to see what it’s like
To feel good For fun or to get high
To help with my sleep
To help me with my feelings or emotions
To increase or decrease the effect(s) of some other drug
Because I am “hooked” or I have to have it
I used it for some other reason
DK/REF

SVMOTOT [IF SVYMOTIV=8] Please type in the other reason you used [SVLASTFILL] the
last time. When you have finished typing your answer, press [ENTER] to go to the next
question.
REASON__________________

474

DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SVMOTOT.
SVYMOT1

[IF MORE THAN ONE RESPONSE 1-7 CHOSEN IN SVYMOTIV] Which was
the main reason you used [SVLASTFILL] the last time?
PROGRAMMER: FILL AS RESPONSE OPTIONS ONLY THOSE CHOSEN
IN SVYMOTIV
1
To relax or relieve tension
2
To experiment or to see what it’s like
3
To feel good or get high
4
To help with my sleep
5
To help me with my feelings or emotions
6
To increase or decrease the effect(s) of some other drug
7
Because I am “hooked” or I have to have it
8
[IF SVYMOTIV=8] The other reason I reported
DK/REF

SVYGOT

[IF SVMISUSE12=1 AND SVMISCOUNT=1 AND SVDKREFFLAG=2]
Now think again about the last time you used [SVLASTFILL2] in any
way a doctor did not direct you to use [FILL WITH “them” IF
RSVYLAST =15. ELSE FILL WITH “it”].
[IF SVMISUSE12 = 1] How did you get the [SVLASTFILL]? If you got
the [SVLASTFILL] in more than one way, please choose one of these
ways as your best answer.
1
2

I got a prescription for the [SVLASTFILL] from just one doctor
I got prescriptions for the [SVLASTFILL] from more than one
doctor
3
I stole the [SVLASTFILL] from a doctor’s office, clinic, hospital,
or pharmacy
4
I got the [SVLASTFILL] from a friend or relative for free
5
I bought the [SVLASTFILL] from a friend or relative
6
I took the [SVLASTFILL] from a friend or relative without asking
7
I bought the [SVLASTFILL] from a drug dealer or other stranger
8
I got the [SVLASTFILL] in some other way
DK/REF

475

SVYGOTSP

[IF SVYGOT = 8] Please type in the other way you got the
[SVLASTFILL3].
You do not need to give a detailed description — just a few words will be
okay. When you have finished typing your answer, press [ENTER] to go
to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SVYGOTSP.

SVYFRL

[IF SVYGOT=4] You reported that you got the [SVLASTFILL] from a friend or
relative for free. How did your friend or relative get the [SVLASTFILL]?
1
2

He or she got a prescription for the [SVLASTFILL] from just one doctor
He or she got prescriptions for the [SVLASTFILL] from more than one
doctor
3
He or she stole the [SVLASTFILL] from a doctor’s office, clinic, hospital,
or pharmacy
4
He or she got the [SVLASTFILL] from another friend or relative for free
5
He or she bought the [SVLASTFILL] from another friend or relative
6
He or she took the [SVLASTFILL] from another friend or relative without
asking
7
He or she bought the [SVLASTFILL] from a drug dealer or other stranger
8
He or she got the [SVLASTFILL] in some other way
DK/REF

SVYFRLSP

[IF SVYFRL = 8] Please type in the other way your friend or relative got
the last [SVLASTFILL3] you used.
You do not need to give a detailed description — just a few words will be
okay. When you have finished typing your answer, press [ENTER] to go
to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SVYFRLSP.

476

Special Drugs
SPDINTR1

The next questions are about vaping flavoring and other substances using ecigarettes or other vaping devices.

SPDFLAVOR In the past 12 months, have you vaped only flavoring without nicotine or other
substances added?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW PAST 12 MONTH CALENDAR
DEFINE SPDFILL
IF (VPPM NE 1 AND VPREC NE 1 AND VPRECDK NE 1 AND VPRECREF NE 1) AND
MJMODEPY NE 2 AND SPDFLAVOR = 1, SPDFILL= ‘flavoring’
IF (VPPM=1 OR VPREC=1 OR VPRECDK=1 OR VPRECREF=1) AND MJMODEPY NE 2
AND SPDFLAVOR NE 1, SPDFILL= ‘nicotine’
IF (VPPM NE 1 AND VPREC NE 1 AND VPRECDK NE 1 AND VPRECREF NE 1) AND
MJMODEPY = 2 AND SPDFLAVOR NE 1, SPDFILL= ‘marijuana’
IF (VPPM=1 OR VPREC=1 OR VPRECDK=1 OR VPRECREF=1) AND MJMODEPY NE 2
AND SPDFLAVOR = 1, SPDFILL= ‘flavoring and nicotine’
IF (VPPM NE 1 AND VPREC NE 1 AND VPRECDK NE 1 AND VPRECREF NE 1) AND
MJMODEPY = 2 AND SPDFLAVOR = 1, SPDFILL= ‘flavoring and marijuana’
IF (VPPM=1 OR VPREC=1 OR VPRECDK=1 OR VPRECREF=1) AND MJMODEPY
=2 AND SPDFLAVOR NE 1, SPDFILL= ‘nicotine and marijuana’
IF (VPPM=1 OR VPREC=1 OR VPRECDK=1 OR VPRECREF=1) AND MJMODEPY =2
AND SPDFLAVOR = 1, SPDFILL= ‘flavoring, nicotine, and marijuana’

SPDOTHER
[(IF VPPM=1 OR VPREC=1 OR VPRECDK=1 OR VPRECREF=1 OR MJMODEPY=2 OR
SPDFLAVOR=1) AND SPDFILL NE EMPTY]:
You reported vaping (SPDFILL). In the past 12 months, have you vaped any other substance?
[ELSE]
In the past 12 months, have you vaped any substance?

1 Yes
2 No
DK/REF
PROGRAMMER: SHOW PAST 12 MONTH CALENDAR

477

POTPYOa

[IF SPDOTHER=1] Please type in the name of one or more other substances you
have vaped in the past 12 months.
If you’re not sure how to spell the name, just make your best guess.
[PROGRAMMER: PROVIDE 5 ROWS.]

VPDKPY

In the past 12 months, have you vaped something without knowing what it was?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW PAST 12 MONTH CALENDAR

SD01

The last questions Earlier you were asked about prescription drugs. The next
question is about non-prescription cough or cold medicines, also known as
“over-the-counter” medicines. Have you ever, even once, taken a nonprescription cough or cold medicine just to get high?
1
Yes
2
No
DK/REF

SD02

[IF SD01 = 1] How long has it been since you last took one of these nonprescription cough or cold medicines to get high?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SD02a

[IF SD02 = 1 OR 2] Now think about the past 12 months, that is, since
[DATEFILL ]. Please type in the name of one of the cough or cold medicines
you used in the past 12 months just to get high. If you’re not sure how to spell
the name of the medicine you used, just make your best guess.
When you have finished, press the [ENTER] key to go to the next question.
______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SD02a.

SD02b

[IF SD02a NE (BLANK OR DK/REF)] Please type in the name of any other

478

cough or cold medicine you used in the past 12 months just to get high. If you
have not used any other cough or cold medicines, press the [ENTER] key to go to
the next question.
______________
DK/REF
SD02c

[IF SD02b NE (BLANK OR DK/REF)] Please type in the name of any other
cough or cold medicine you used in the past 12 months just to get high. If you
have not used any other cough or cold medicines, press the [ENTER] key to go to
the next question.
______________
DK/REF

SD02d

[IF SD02c NE (BLANK OR DK/REF)] Please type in the name of any other
cough or cold medicine you used in the past 12 months just to get high. If you
have not used any other cough or cold medicines, press the [ENTER] key to go to
the next question.
______________
DK/REF

SD02e

[IF SD02d NE (BLANK OR DK/REF)] Please type in the name of any other
cough or cold medicine you used in the past 12 months just to get high. If you
have not used any other cough or cold medicines, press the [ENTER] key to go to
the next question.
______________
DK/REF

SD03

The next question is about GHB, also called “G,” “Georgia Home Boy,”
“Grievous Bodily Harm,” “Liquid G,” or gamma hydroxybutyrate. Have you
ever, even once, used GHB?
1
Yes
2
No
DK/REF

SD04

[IF SD03 = 1] How long has it been since you last used GHB?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

479

KRAINTRO This next question is about kratom, which can come in forms such as powder,
pills, or leaf.
KRALIF

Have you ever, even once, used kratom?
1
Yes
2
No
DK/REF

KRALAST

[IF KA01=1] How long has it been since you last used kratom?
1
Within the past 30 days – that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago but within the past 3 years
4
More than 3 years ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SMLIF

The next question is about synthetic marijuana or fake weed, also called K2 or Spice.
Have you ever, even once, used synthetic marijuana or fake weed?
1 Yes
2 No
DK/REF

SMREC [IF SMLIF = 1] How long has it been since you last used synthetic marijuana or fake
weed?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SSLIF

The next question is about synthetic stimulants that people use to get high, also called
"bath salts" or flakka.
Have you ever, even once, used these synthetic stimulants?
1 Yes
2 No
DK/REF

480

SSREC

[IF SSLIF = 1] How long has it been since you last used these synthetic stimulants,
also called "bath salts" or flakka?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

IFLIF

Earlier, you were asked whether you had used prescription fentanyl, also known as
Duragesic or Fentora, in the past 12 months.
This next question is about illegally made fentanyl, which is fentanyl that people can't
get from a doctor or pharmacy. Illegally made fentanyl can come in forms such as
powder, pills, or blotter paper. It can also be mixed with heroin or other drugs.
Have you ever, even once, used illegally made fentanyl?
1 Yes
2 No
DK/REF

IFREC

[IF IFLIF = 1] How long has it been since you last used illegally made fentanyl?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

IFNDLLIF [IF IFLIF = 1] Have you ever, even once, used a needle to inject illegally made
fentanyl?
1 Yes
2 No
DK/REF
IFNDRECa [IF IFNDLLIF = 1 AND (IFREC = 1 OR IFREC = DK or REF)] How long has it
been since you last used a needle to inject illegally made fentanyl?
1 Within the past 30 days – that is, since [DATEFILL]
2 More than 30 days ago but within the past 12 months
3 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

481

IFNDRECb [IF IFNDLLIF = 1 AND IFREC = 2] How long has it been since you last used a
needle to inject illegally made fentanyl?
1 More than 30 days ago but within the past 12 months
2 More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE PRNAMEFILL2:
IF PRMISCOUNT =1 AND (PRYOTH = 2 OR PRYOTH = BLANK) AND PRDKREFFLAG
=2 THEN PRNAMEFILL2= “[DRUG NAME FROM PRY01-PRY36]”
ELSE IF PRMISCOUNT=1 AND PRYOTH NE 1 AND PRDKREFFLAG=1 THEN
PRNAMEFILL2=”[DRUG NAME FROM PRY01-PRY36] or another prescription pain
reliever”
ELSE IF PRMISCOUNT >1 THEN PRNAMEFILL2= “prescription pain relievers”
DEFINE STNAMEFILL2:
IF STMISCOUNT=1 AND (STYOTH=2 OR STYOTH=BLANK) AND STDKREFFLAG=2
THEN STNAMEFILL2= “[DRUG NAME FROM STY01-STY26]”
ELSE IF STMISCOUNT=1 AND STYOTH NE 1 AND STDKREFFLAG=1 THEN
STNAMEFILL2=”[DRUG NAME FROM STY01-STY26] or another prescription stimulant”
ELSE IF STMISCOUNT >1 THEN STNAMEFILL2= “prescription stimulants”

SDNLINTR The next questions are about using needles to inject drugs.
DEFINE INJECTFILL:
INJECTFILL LISTS ALL INDIVIDUAL DRUGS WITH NEEDLE USE REPORTED
(CCNDLLIF=1, CKNDLLIF=1, HENDLLIF=1, IFNDLLIF=1, MENDLLIF=1, PRNDLLIF=1,
AND STNDLLIF=1).
SEPARTE EACH ITEM WITH A COMMA. PRECEDE LAST ITEM WITH “and”. IF
PRNAMEFILL2= “fentanyl” AND IFNDLLIF=1, LIST “fentanyl” ONLY ONCE.
•
•
•
•
•
•
•

cocaine
crack
heroin
methamphetamine
PRNAMEFILL2
STNAMEFILL2
fentanyl

SDNDLLIF [IF CCNDLLIF=1 OR CKNDLLIF=1 OR HENDLLIF=1 OR IFNDLLIF=1 OR
MENDLLIF=1 OR PRNDLLIF=1 OR STNDLLIF=1] The computer recorded
that you have used a needle to inject [INJECTFILL].

482

Have you ever, even once, used a needle to inject any other drug without a doctor
directing you to inject it?

[IF CCNDLLIF NE 1 AND CKNDLLIF NE 1 AND HENDLLIF NE 1 AND
IFNDLLIF NE 1 AND MENDLLIF NE 1 AND PRNDLLIF NE 1 AND
STNDLLIF NE 1] Have you ever, even once, used a needle to inject any drug
without a doctor directing you to inject it?
1
Yes
2
No
DK/REF
SDNDLREC [IFSDNDLLIF=1] How long has it been since you last used a needle to inject
[any other drug / any drug] without a doctor directing you to inject it?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SDNDLSPa [IF SDNDLREC=1 OR 2] Please type in the name of one or more of these (IF
CCNDLLIF=1 OR CKNDLLIF=1 OR HENDLLIF=1 OR IFNDLLIF=1 OR
MENDLLIF=1 OR PRNDLLIF=1 OR STNDLLIF=1, FILL: other) drugs you
have used a needle to inject in the past 12 months without a doctor directing you
to inject it. If you’re not sure how to spell the name of the drug you used a needle
to inject, just make your best guess.
[PROGRAMMER: PROVIDE 5 ROWS.]
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS
SDNDLSPb [IF SDNDLREC=1 OR 2] Please type in the name of any other drug you have
used a needle to inject in the past 12 months without a doctor directing you to
inject it.
If you have not used a needle to inject any other drugs, click Next.
________________
DK/REF
SDNDLSPc [IF SDNDLSPb NE (BLANK OR DK/REF)] Please type in the name of any other
drug you have used a needle to inject in the past 12 months without a doctor
directing you to inject it.

483

If you have not used a needle to inject any other drugs, click Next.
________________
DK/REF
SDNDLSPd [IF SDNDLSPc NE (BLANK OR DK/REF)] Please type in the name of any other
drug you have used a needle to inject in the past 12 months without a doctor
directing you to inject it.
If you have not used a needle to inject any other drugs, click Next.
________________
DK/REF
SDNDLSPe [IF SDNDLSPd NE (BLANK OR DK/REF)] Please type in the name of any other
drug you have used a needle to inject in the past 12 months without a doctor
directing you to inject it.
If you have not used a needle to inject any other drugs, click Next.
________________
DK/REF
NARCANPY If someone appears to be overdosing on opioids, they might be treated with an
overdose reversal medicine, such as Narcan or naloxone.
During the past 12 months, have you been treated with an overdose reversal
medicine?
1
Yes
2
No
DK/REF

[Note to Programmers regarding CA08: Create a vertical list of all drugs (not including
alcohol) for which *30USE = 1. The names used in this list should be taken from the
DRUGFILL list. The first letter of each line should be capitalized. For example, if ALC30USE
= 1, COC30USE = 1 (where CCLAST3=1 and CKLAST3=1) and HER30USE = 1, then the list
would include ‘Cocaine or ‘crack’’ and ‘Heroin.’]
CA08

[IF ALC30USE = 1 AND AT LEAST ONE IN (MAR30USE AND COC30USE
AND HER30USE AND HAL30USE AND INH30USE AND MTH30USE=1]
[IF CA01 NE DK/REF] Think again about this the last time you drank any alcoholic
beverages, when you had [CA01 FILL] [drink/drinks]. Did you also use
[DRUGFILL] while you were drinking or within a couple of hours of drinking?
[IF CA01 = DK/REF] Think again about this the last time you drank any alcoholic
beverages during the past 30 days. Did you also use [DRUGFILL] while you were
drinking or within a couple of hours of drinking?

484

[IF ALC30USE = 1 AND ((MORE THAN ONE IN (MAR30USE AND COC30USE
AND HER30USE AND HAL30USE AND INH30USE AND MTH30USE ):
DISPLAY LIST OF SUBSTANCES.]
1 Yes
2 No
DK/REF
[Note to Programmers regarding CA09: Only display the response options that correspond to
the list displayed in CA08. Audio files should be played only for the displayed response options.
Responses not displayed will be invalid for CA09; they will trigger a hard error below.]
CA09

[IF CA08 = 1 AND MORE THAN ONE IN (MAR30USE AND COC30USE AND
HER30USE AND HAL30USE AND INH30USE AND MTH30USE) = 1] What
other drug or drugs did you use while you were drinking or within a couple of hours
of drinking?
To select more than one drug from the list, press the space bar between each number
you type. When you have finished, press the [ENTER] key to go to the next question.
1 Marijuana or hashish
2 Cocaine or ‘crack’
3 Heroin
4 Hallucinogens
5 Inhalants
6 Methamphetamine
DK/REF

HARD ERROR: [IF ANY RESPONSE (1-9) IS SELECTED THAT WAS NOT
DISPLAYED]: THIS IS NOT ONE OF YOUR CHOICES. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN.

NOTE TO PROGRAMMERS REGARDING ALPOLY CA09: ONLY INCLUDE DRUGS FOR
WHICH PAST MONTH USE WAS ENDORSED AS ROW OPTIONS IN THE GRID.
DEFINE NIC30USE:
IF CG05 = 1 OR VPPM =1 THEN NIC30USE = 1
ELSE NIC30USE = 2
DEFINE MAR30USE:
IF MJLAST3 = 1 OR MJRECDK = 1 OR MJRECRE = 1 THEN MAR30USE=1
ELSE MAR30USE = 2

485

DEFINE COC30USE:
IF CCLAST3 = 1 OR CCRECDK = 1 OR CCRECRE = 1 OR CKLAST3 = 1 OR
CKRECDK = 1 OR CKRECRE = 1 OR SD06 = 1 THEN COC30USE = 1
ELSE COC30USE = 2
DEFINE HER30USE:
IF HELAST3=1 OR HERECDK=1 OR HERECRE=1 OR SD08=1 OR SD10=1 OR
SDHEUSE3=1 OR SDHEUSE4=1 OR SD12=1 THEN HER30USE = 1
ELSE HER30USE = 2
DEFINE HAL30USE:
IF HALLREC = 1 OR LSDREC = 1 OR PCPREC = 1 OR ECSTREC = 1 OR
KETREC=1 OR DMTREC=1 OR SLVREC=1 THEN HAL30USE = 1
ELSE HAL30USE = 2
DEFINE INH30USE:
IF INLAST = 1 OR INRECDK = 1 OR INRECRE = 1 THEN INH30USE = 1
ELSE INH30USE = 2
DEFINE MTH30USE:
IF MELAST3 = 1 OR MERECRE = 1 OR MERECDK = 1 OR SD14=1 THEN
MTH30USE = 1
ELSE MTH30USE = 2
(RX DRUG MISUSE IS DEFINED IN THE MODULES)
ALPOLY

[IF ALC30USE = 1 AND AT LEAST ONE OF (NIC30USE OR MAR30USE
OR COC30USE OR HER30USE OR HAL30USE OR INH30USE OR
MTH30USE OR PR12MON OR TR12MON ORST12MON OR TSV12MON) =
1] Think about the times you drank any alcoholic beverages in the past 30 days.
Did you also use any of the following drugs while you were drinking or within a
couple hours of drinking?

ALPOLYa [IF
NIC30USE = 1] Nicotine?
ALPOLYb [IF
MAR30USE = 1]
Marijuana or any cannabis
product?
ALPOLYc [IF
INH30USE = 1] Inhalants?
ALPOLYc [IF
COC30USE = 1] Any
form of cocaine?
ALPOLYd [IF

486

YES
1

NO
2

1

2

1

2

1

2

HAL30USE = 1]
Hallucinogens?
ALPOLYd [IF
HER30USE = 1] Any
form of heroin?
ALPOLYe [IF
COC30USE = 1] Any
form of cocaine?
ALPOLYe [IF
HAL30USE = 1]
Hallucinogens?
ALPOLYf [IF
HER30USE = 1] Any
form of heroin?
ALPOLYf [IF INH30USE
= 1] Inhalants?
ALPOLYg [IF
MTH30USE = 1]
Methamphetamine?
ALPOLYh [IF
PR12MON = 1]
Prescription pain relievers?
ALPOLYi [IF TR12MON
= 1] Prescription
tranquilizers?
ALPOLYj ALPOLYi [IF
ST12MON = 1]
Prescription stimulants?
ALPOLYk ALPOLYj [IF
TR12MON=1 OR
SV12MON=1 TS12MON
= 1] Prescription
tranquilizers or sedatives?

1

2

1

2

1

2

1

2

1

2

1

2

1

2

MJPOLY [IF MAR30USE = 1 AND (NIC30USE OR COC30USE OR HER30USE OR
HAL30USE OR INH30USE OR MTH30USE OR PR12MON OR TR12MON OR
ST12MON OR TSV12MON) = 1] Think about the times you used marijuana or any
cannabis product in the past 30 days. Did you also use any of the following drugs
while you were using marijuana or any cannabis product or within a couple hours of
using marijuana or any cannabis product?

MJPOLYa [IF
NIC30USE = 1]
Nicotine?
MJPOLYb [IF

YES
1

NO
2

1

2

487

INH30USE = 1]
Inhalants? MJPOLYb
[IF COC30USE = 1] Any
form of cocaine?
MJPOLYc [IF
HAL30USE = 1]
Hallucinogens?
MJPOLYc [IF
HER30USE = 1] Any
form of heroin?
MJPOLYd [IF
COC30USE = 1] Any
form of cocaine?
MJPOLYd [IF
HAL30USE = 1]
Hallucinogens?
MJPOLYe [IF
HER30USE = 1] Any
form of heroin?
MJPOLYe [IF
INH30USE = 1]
Inhalants?
MJPOLYf [IF
MTH30USE = 1]
Methamphetamine?
MJPOLYg [IF
PR12MON = 1]
Prescription pain
relievers?
MJPOLYh [IF
TR12MON = 1]
Prescription
tranquilizers?
MJPOLYiMJPOLYh
[IF ST12MON = 1]
Prescription stimulants?
MJPOLYij [IF
TR12MON=1 OR
SV12MON=1 TS12MON
= 1] Prescription
tranquilizers or sedatives?

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

SDANYOTH In the past 12 months, have you used any other substances for fun or to get high
that you have not already been asked about?
1

Yes

488

2
No
DK/REF
SDANYOTH1/ SDANYOTH2/ SDANYOTH3/ SDANYOTH4/ SDANYOTH5 [IF
SDANYOTH = 1] Please type in the name of one or more substances you have
used for fun or to get high in the past 12 months that you have not already been
asked about.
[PROGRAMMER: PROVIDE 5 ROWS.]
DK/REF

INTROSD

[IF CC01=1 OR CCREF=1 OR HE01=1 OR HEREF=1 OR ME01=1 OR
MEREF=1]
The next questions are about the different ways that certain drugs can be used.

Press [ENTER] to continue.
SD05

[IF CC01 = 1 OR CCREF = 1] Have you ever, even once, used a needle to inject
cocaine?
1
Yes
2
No
DK/REF

SD06

[IF SD05 = 1] How long has it been since you last used a needle to inject
cocaine?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SD07

[IF HE01 = 1 OR HEREF = 1] Have you ever, even once, smoked heroin?
1
Yes
2
No
DK/REF

SD08

[IF SD07 = 1] How long has it been since you last smoked heroin?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF

489

PROGRAMMER: SHOW 12 MONTH CALENDAR
SD09

[IF HE01 = 1 OR HEREF = 1] Have you ever, even once, sniffed or ‘snorted’
heroin powder through your nose?
1
Yes
2
No
DK/REF

SD10

[IF SD09 = 1] How long has it been since you last sniffed or ‘snorted’ heroin
powder through your nose?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SD11

[IF HE01 = 1 OR HEREF = 1] Have you ever, even once, used a needle to inject
heroin?
1
Yes
2
No
DK/REF

SDHEUSE

[IF SD07 = 2 AND SD09 = 2 AND SD11 = 2] Earlier the computer recorded that
you had used heroin. In what way have you used heroin?
To select more than one way, press the space bar between each number you type.
When you have finished, press the [ENTER] key to go to the next question.
1
You smoked heroin
2
You sniffed or "snorted" heroin powder
3
You injected heroin with a needle
4
You used heroin some other way
DK/REF

SDHEUSE2 [IF SDHEUSE = 4 ONLY -- NO OTHER CATEGORIES SELECTED] Please
type in the way you have used heroin. When you have finished typing your
answer, press the [ENTER] key to go to the next question.
________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SDHEUSE2.
SDHEUSE3 [IF SDHEUSE = 1] How long has it been since you last smoked heroin?

490

1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SDHEUSE4 [IF SDHEUSE = 2] How long has it been since you last sniffed or ‘snorted’
heroin powder through your nose?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SD12

[IF SD11 = 1 OR SDHEUSE = 3] How long has it been since you last used a
needle to inject heroin?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SD13

[IF ME01 = 1 OR MEREF = 1] Have you ever, even once, used a needle to inject
methamphetamine?
1
Yes
2
No
DK/REF

SD14

[IF SD13 = 1] How long has it been since you last used a needle to inject
methamphetamine?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SD15

[IF STYNDL =1 OR SD05 = 1 OR SD11 = 1 OR SD13 = 1 OR SDHEUSE = 3]
Have you ever, even once, used a needle to inject any other drug that was not
prescribed for you?

491

[IF STYNDL NE 1 AND SD05 NE 1 AND SD11 NE 1 AND SD13 NE 1 AND
SDHEUSE NE 3] Have you ever, even once, used a needle to inject any drug
that was not prescribed for you?
1
Yes
2
No
DK/REF

SD15SP

[SD15=1]

[IF (STYNDL =1 OR SD05 = 1 OR SD11 = 1 OR SD13 = 1 OR SDHEUSE = 3)
AND SD15=1 “The computer recorded that you have used a needle to inject
another drug that was not prescribed for you.”] Please type in the name of one of
these drugs you have used a needle to inject. If you’re not sure how to spell the
name of the drug you used a needle to inject, just make your best guess. When
you have finished, press the [ENTER] key to go to the next question.
________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SD15SP.
SD15a

[IF SD15 = 1] Please type in the name of any other drug you have used a needle
to inject when it was not prescribed for you.
If you have not used a needle to inject any other drugs, press [ENTER].
________________
DK/REF

SD15b

[IF SD15a NE (BLANK OR DK/REF)] Please type in the name of any other drug
you have used a needle to inject when it was not prescribed for you.
If you have not used a needle to inject any other drugs, press [ENTER].
________________
DK/REF

SD15c

[IF SD15b NE (BLANK OR DK/REF)] Please type in the name of any other drug
you have used a needle to inject when it was not prescribed for you.
If you have not used a needle to inject any other drugs, press [ENTER].
________________
DK/REF

SD15d

[IF SD15c NE (BLANK OR DK/REF)] Please type in the name of any other drug

492

you have used a needle to inject when it was not prescribed for you.

SD16

If you have not used a needle to inject any other drugs, press [ENTER] .
________________
DK/REF
[IFSD15=1] How long has it been since you last used a needle to inject [any
other drug / any drug] that was not prescribed for you?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE INJECTFILL, INJECTFILL2:
IF SD05 = 1 AND SD11 NE 1 AND SDHEUSE NE 3 AND SD13 NE 1 AND SD15 NE
1 AND STYNDL NE 1 THEN
INJECTFILL = “cocaine”
INJECTFILL2 = “to inject cocaine”
ELSEIF SD05 NE 1 AND (SD11 = 1 OR SDHEUSE = 3) AND SD13 NE 1 AND SD15
NE 1 AND STYNDL NE 1 THEN
INJECTFILL = “heroin”
INJECTFILL2 = “to inject heroin”
ELSEIF SD05 NE 1 AND SD11 NE 1 AND SDHEUSE NE 3 AND SD13 = 1 AND
SD15 NE 1 AND STYNDL NE 1 THEN
INJECTFILL = “methamphetamine”
INJECTFILL2 = “to inject methamphetamine”
ELSEIF SD05 NE 1 AND SD11 NE 1 AND SDHEUSE NE 3 AND SD13 NE 1 AND
SD15 NE 1 AND STYNDL = 1 THEN
INJECTFILL = “STNAMEFILL”
INJECTFILL2 = “to inject STNAMEFILL”
ELSE
INJECTFILL = “drugs”
INJECTFILL2 = “for injecting drugs”

SD17

[IF STYNDL =1 AND SD05 NE 1 AND SD11 NE 1 AND SD13 NE 1 AND
SD15 NE 1 AND SD15 NE DK AND SD15 NE REF AND SDHEUSE NE 3]
Earlier the computer recorded that you used a needle for injecting
[STNAMEFILL].
[IF STYNDL = 1 OR SD11 = 1 OR SDHEUSE=3 OR SD13 = 1 OR SD05 = 1
OR SD15 = 1] Think about the last time you used a needle for injecting
[INJECTFILL]. The last time you used a needle [INJECTFILL2], were you
reusing a needle that you had used before?

493

1
Yes
2
No
DK/REF
SD18

[IF STYNDL =1 OR SD11 = 1 OR SDHEUSE = 3 OR SD13 = 1 OR SD05 = 1
OR SD15 = 1] The last time you used a needle for injecting drugs, did you use a
needle that you knew or suspected someone else had used before?
1
Yes
2
No
DK/REF

SD19

[IF STYNDL =1 OR SD11 = 1 OR SDHEUSE = 3 OR SD13 = 1 OR SD05 = 1
OR SD15 = 1] The last time you used a needle for injecting drugs, did you use
bleach to clean the needle before you used it?
1
Yes
2
No
DK/REF

SD20

[IF STYNDL =1 OR SD11 = 1 OR SDHEUSE = 3 OR SD13 = 1 OR SD15 = 1
OR SD05 = 1] The last time you used a needle for injecting drugs, did someone
else use the needle after you?
1
Yes
2
No
DK/REF

SD21

[IF STYNDL =1 OR SD11 = 1 OR SDHEUSE = 3 OR SD13 = 1 OR SD05 = 1
OR SD15 = 1] The last time you used a needle for injecting drugs, how did you
get the needle?
1
I bought the needle from a pharmacy
2
I got the needle from a needle exchange
3
I bought the needle on the street
4
I got the needle in a shooting gallery
5
I got the needle some other way
DK/REF

SD21SP

[IF SD21 = 5] Please type a description of how you got the needle you used the
last time you used a needle for injecting drugs. You do not need to give a
detailed description — just a few words will be sufficient. When you have
finished typing your answer, press the [ENTER] key to go to the next question.
________________
DK/REF

494

PROGRAMMER: DO NOT ALLOW BLANKS IN SD21SP.

495

Definitions for Use in the Drugs Module
DEFINE CIG30DAY:
IF CG05 = 1 THEN CIG30DAY = 1
ELSE CIG30DAY = 2
DEFINE ALC12MON:
IF (ALLAST3 = 1 OR 2 OR ALRECDK = 1 OR 2 OR ALRECRE = 1 OR 2)AND
TOTDRINK = DK/REF, THEN ALC12MON = 1
ELSE TOTDRINK > 5, THEN ALC12MON = 2
ELSE ALCC30 > 5 OR ALCC29b = 3 - 6 OR ALCC29a > 5 OR (AL08 >5 AND
ALCC27 = 4) OR AL06 > 5 OR ESTIALC > 5, THEN ALC12MON = 3
ELSE, ALC12MON = 2
DEFINE AL12MON2:
IF (ALLAST3 = 1 OR 2 OR ALRECDK = 1 OR 2 OR ALRECRE = 1 OR 2), THEN
AL12MON2 = 1
ELSE AL12MON2 = 2
DEFINE MAR12MON:
IF (MJLAST3 = 1 OR 2 OR MJRECDK = 1 OR 2 OR MJRECRE = 1 OR 2)AND
TOTMJ = DK/REF, THEN MAR12MON = 1
ELSE TOTMJ > 5, THEN MAR12MON = 2
ELSE MJCC16 > 5 OR MJCC13a > 5 OR MJC13b = 3 - 6 OR (ME06 > 5 AND
MJCC07a = 4) OR (MJ06DKRE = 3 - 6 AND MJCC07b = 4), THEN
MAR12MON = 3ELSE MAR12MON = 2
DEFINE MJ12MON2:
IF (MJLAST3 = 1 OR 2 OR MJRECDK = 1 OR 2 OR MJRECRE = 1 OR 2), THEN
MJ12MON2 = 1
ELSE MJ12MON2 = 2
DEFINE COC12MON:
IF CCLAST3 = 1 OR 2 OR CCRECDK = 1 OR 2 OR CCRECRE = 1 OR 2OR SD06 = 1
OR 2, THEN COC12MON = 1
ELSE COC12MON = 2
DEFINE CRK12MON:
IF CKLAST3 = 1 OR 2 OR CKRECDK = 1 OR 2 OR CKRECRE = 1 OR 2, THEN
CRK12MON = 1
ELSE CRK12MON = 2
DEFINE HER12MON:
IF HELAST3 = 1 OR 2 OR HERECDK = 1 OR 2 OR HERECRE = 1 OR 2 OR SD08 =
1 OR 2 OR SD10 = 1 OR 2 OR SD12 = 1 OR 2, THEN HER12MON = 1
ELSE HER12MON = 2

496

DEFINE HAL12MON:
IF HALLREC = 1 OR 2 OR LSDREC = 1 OR 2 OR PCPREC = 1 OR 2 OR ECSTREC
= 1 OR 2, OR LS33 = 1 OR2, OR LS34 = 1 OR, 2 OR LS35 = 1 OR2, THEN
HAL12MON = 1
ELSE HAL12MON = 2
DEFINE INH12MON:
IF INLAST = 1 OR 2 OR INRECDK = 1 OR 2 OR INRECRE = 1 OR 2, THEN
INH12MON = 1
ELSE INH12MON = 2
DEFINE MET12MON:
IF MELAST3 = 1 OR 2 OR MERECDK = 1 OR 2 OR MERECRE = 1 OR 2 OR
SD14=1 OR 2, THEN MET12MON = 1
ELSE MET12MON = 2
DEFINE PAI12MON:
IF PRY01 = 1 OR PRY02 = 1 OR PRY03 = 1 OR PRY04 = 1 OR PRY05 = 1 OR
PRY06 = 1 OR PRY07 =1 OR PRY08 = 1 OR PRY09 = 1 OR PRY10 = 1 OR
PRY11 = 1 OR PRY12 = 1 OR PRY13 = 1 OR PRY14 =1 OR PRY15 = 1 OR
PRY16 = 1 OR PRY17 = 1 OR PRY18 = 1 OR PRY19 = 1 OR PRY20 = 1 OR
PRY21 = 1 OR PRY22 = 1 OR PRY23 = 1 OR PRY24 = 1 OR PRY25 = 1 OR
PRY26 = 1 OR PRY27 = 1 OR PRY28 = 1 OR PRY29 = 1 OR PRY30 = 1 OR
PRY31 = 1 OR PRY32 = 1 OR PRY33 = 1 OR PRY34 = 1 OR PRY35 = 1 OR
PRY36 = 1 OR PRYOTH = 1, THEN PAI12MON = 1
ELSE PAI12MON = 2
DEFINE TRA12MON:
IF TRY01 = 1 OR TRY02 = 1 OR TRY03 = 1 OR TRY04 = 1 OR TRY05 = 1 OR
TRY06 = 1 OR TRY07 = 1 OR TRY08 = 1 OR TRY09 = 1 OR TRY10 = 1 OR
TRY11 = 1 OR TRY12 = 1 OR TRYOTH = 1, THEN TRA12MON = 1
ELSE TRA12MON = 2
DEFINE STI12MON:
IF STY01 = 1 OR STY02 = 1 OR STY03 = 1 OR STY04 = 1 OR STY05 = 1 OR STY06
= 1 OR STY07 = 1 OR STY08 = 1 OR STY09 = 1 OR STY10 = 1 OR STY11 = 1 OR
STY12 = 1 OR STY13 = 1 OR STY14 = 1 OR STY15 = 1 OR STY16 = 1 OR STY17 =
1 OR STY18 = 1 OR STY19 = 1 OR STY20 = 1 OR STY21 = 1 OR STY22 = 1 OR
STY23 = 1 OR STY24 = 1 OR STY25 = 1 OR STY26 = 1 OR STYOTH = 1, THEN
STI12MON= 1
ELSE STI12MON = 2
DEFINE TRSED12MON
IF SVY01 TSY01 = 1 OR SVY02 TSY02 = 1 OR SVY03 TSY03 = 1 OR SVY04
TSY04 = 1 OR SVY05 TSY05 = 1 OR SVY06 TSY06 = 1 OR SVY07 TSY07 = 1 OR

497

SVY08 TSY08 = 1 OR SVY09 TSY09 = 1 OR SVY10 TSY10 = 1 OR SVY11 TSY11 =
1 OR SVY12 TSY12 = 1 OR SVY13 TSY13 = 1 OR SVY14 TSY14 = 1 OR TSY15 = 1
OR TSY16 = 1 OR TSY17 = 1 OR TSY18 = 1 OR TSY19 = 1 OR TSY20 = 1 OR
TSY21 = 1 OR TSY22 = 1 OR TSY23 = 1 OR TSY24 = 1 OR TSY25 = 1 OR TSY26 =
1 OR SVYOTH TSOTH = 1, THEN TRSED12MON = 1
ELSE TRSED12MON = 2

498

DSM-5 SUD
DPINTRO

[IF CIG30DAY = 1 OR AL12MON2= 1 OR MJ12MON2 = 1 OR COC12MON =
1 OR CRK12MON = 1 OR HER12MON = 1 OR HAL12MON = 1 OR
INH12MON = 1 OR MET12MON = 1 OR PR12MON = 1 OR TR12MON = 1
OR ST12MON = 1 OR SV12MON = 1] Now we’d like for you to tell us about
your experiences with the
[CIG30DAY = 1 AND AL12MON2= 2 AND (MJ12MON2= 2 AND
COC12MON = 2 AND CRK12MON = 2 AND HER12MON = 2 AND
HAL12MON = 2 AND INH12MON = 2 AND MET12MON = 2 AND
PR12MON = 2 AND TR12MON = 2 AND ST12MON = 2 AND SV12MON =
2)] cigarettes you smoked.
[CIG30DAY = 1 AND AL12MON2= 1 AND (MJ12MON2= 2 AND
COC12MON = 2 AND CRK12MON = 2 AND HER12MON = 2 AND
HAL12MON = 2 AND INH12MON = 2 AND MET12MON = 2 AND
PR12MON = 2 AND TR12MON = 2 AND ST12MON = 2 AND SV12MON =
2)] cigarettes you smoked and the alcohol you drank.
[CIG30DAY = 2 AND AL12MON2=1 AND (MJ12MON2= 2 AND
COC12MON = 2 AND CRK12MON = 2 AND HER12MON = 2 AND
HAL12MON = 2 AND INH12MON = 2 AND MET12MON = 2 AND
PR12MON = 2 AND TR12MON = 2 AND ST12MON = 2 AND SV12MON =
2)] alcohol you drank.
[CIG30DAY = 1 AND AL12MON2= 2 AND (MJ12MON2= 1 OR COC12MON
= 1 OR CRK12MON =1 OR HER12MON = 1 OR HAL12MON = 1 OR
INH12MON = 1 OR MET12MON = 1 OR PR12MON = 1 OR TR12MON = 1
OR ST12MON = 1 OR SV12MON = 1)] cigarettes you smoked and the other
drugs that you used.
[CIG30DAY = 2 AND AL12MON2= 1 AND (MJ12MON2= 1 OR 2 OR 3 OR
COC12MON = 1 OR CRK12MON =1 OR HER12MON = 1 OR HAL12MON =
1 OR INH12MON = 1 OR MET12MON = 1 OR PR12MON = 1 OR TR12MON
= 1 OR ST12MON = 1 OR SV12MON = 1)] alcohol you drank and the other
drugs that you used.
[CIG30DAY = 1 AND AL12MON2= AND (MJ12MON2= 1 OR COC12MON =
1 OR CRK12MON =1 OR HER12MON = 1 OR HAL12MON = 1 OR
INH12MON = 1 OR MET12MON = 1 OR PR12MON = 1 OR TR12MON = 1
OR ST12MON = 1 OR SV12MON = 1)]cigarettes you smoked, the alcohol you
drank, and the other drugs that you used.
[CIG30DAY = 2 AND AL12MON2= 2 AND (MJ12MON2= 1 OR COC12MON
= 1 OR CRK12MON =1 OR HER12MON = 1 OR HAL12MON = 1 OR

499

INH12MON = 1 OR MET12MON = 1 OR PR12MON = 1 OR TR12MON = 1
OR ST12MON = 1 OR SV12MON = 1)]drugs that you used.
Press [ENTER] to continue.

DRCIG

[IF CIG30DAY = 1] Think about your use of cigarettes during the past 30 days
as you answer these next questions.
Press [ENTER] to continue.
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE01

[IF CIG30DAY=1] Please think about how true each statement is of you.
After not smoking for a while, you need to smoke in order to feel less restless and
irritable.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE02

[IF CIG30DAY=1] When you don’t smoke for a few hours, you start to crave
cigarettes.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE03

[IF CIG30DAY=1] You sometimes have strong cravings for a cigarette where it
feels like you’re in the grip of a force you can’t control.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

500

DRCGE04

[IF CIG30DAY=1] You feel a sense of control over your smoking — that is, you
can “take it or leave it” at any time.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE05

[IF CIG30DAY=1] You tend to avoid places that don’t allow smoking, even if
you would otherwise enjoy them.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE06a [IF CIG30DAY=1] Do you have any friends who do not smoke cigarettes?
1
Yes
2
No
DK/REF
DRCGE06b [IF DRCGE06a = 1] Think about your use of cigarettes during the past 30 days
as you answer these next questions. There are times when you choose not to be
around your friends who don’t smoke because they won’t like it if you smoke.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DRCGE07

[IF CIG30DAY=1]
[ADD IF DRCGE06b = BLANK] Think about your use of cigarettes during the
past 30 days as you answer these next questions.

501

Even if you’re traveling a long distance, you’d rather not travel by airplane
because you wouldn’t be allowed to smoke.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DRCGE08

[IF CIG30DAY=1] You sometimes worry that you will run out of cigarettes.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE09

[IF CIG30DAY=1] You smoke cigarettes fairly regularly throughout the day.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE10

[IF CIG30DAY=1] You smoke about the same amount on weekends as on
weekdays.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE11

[IF CIG30DAY=1] You smoke just about the same number of cigarettes from day
to day.
1

Not at all true

502

2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DRCGE12

[IF CIG30DAY=1] It’s hard to say how many cigarettes you smoke per day
because the number often changes.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE13

[IF CIG30DAY=1] It’s normal for you to smoke several cigarettes in an hour,
then not have another one until hours later.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE14

[IF CIG30DAY=1] The number of cigarettes you smoke per day is often
influenced by other things -- how you’re feeling, or what you’re doing, for
example.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE15

[IF CIG30DAY=1] Your smoking is not affected much by other things. For
example, you smoke about the same amount whether you’re relaxing or working,
happy or sad, alone or with others.
1

Not at all true

503

2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DRCGE16

[IF CIG30DAY=1] Since you started smoking, the amount you smoke has
increased.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE17

[IF CIG30DAY=1] Compared to when you first started smoking, you need to
smoke a lot more now in order to be satisfied.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE18

[IF CIG30DAY=1] Compared to when you first started smoking, you can smoke
much, much more now before you start to feel anything.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE19a [IF CIG30DAY=1 AND (CG07=30 OR CG07DKRE = 6)] How soon after you
wake up do you have your first cigarette?
1
2
3

Within the first 5 minutes after you wake up
Between 6 and 30 minutes after you wake up
Between 31 and 60 minutes after you wake up

504

4
More than 60 minutes after you wake up
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DRCGE19b [IF DRCGE19a = BLANK AND CIG30DAY=1 AND (CG07 = 1 - 29 OR
CG07DKRE - 1-5)] On the days that you smoke, how soon after you wake up do
you have your first cigarette?
1
Within the first 5 minutes after you wake up
2
Between 6 and 30 minutes after you wake up
3
Between 31 and 60 minutes after you wake up
4
More than 60 minutes after you wake up
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DPALINT

[IF AL12MON2 = 1] Think about your use of alcohol during the past 12 months
as you answer these next questions.
Press [ENTER] to continue.

(IF AL12MON2 = 2 OR BLANK, SKIP TO DPMJINT)
DPALFEEL During the past 12 months, did you spend a great deal of your time
drinking alcohol, feeling its effects, or getting over the effects of drinking?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALGET [IF DPALFEEL=2 OR DK/REF] During the past 12 months, did you
spend a great deal of your time getting or trying to get alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALLRGR During the past 12 months, were there many times when you ended up drinking
alcohol in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

505

DPALBDLY During the past 12 months, were there times when you wanted to drink alcohol so
badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALURGE [IF DPALBDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to drink alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALMORE Do you need to drink a lot more alcohol than you used to in order to get the
feeling you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALLESS [IF DPALMORE = 2 OR DK/REF] Does drinking the same amount of alcohol
have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALSTOP During the past 12 months, did you try to cut down or try to stop drinking
alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALCANT [IF DPALSTOP=1] Some people who drink alcohol try to cut down or stop but
find they can’t. Was there more than one time in the past 12 months when you tried but were
unable to cut down or stop drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

506

DPALWISH [IF DPALSTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALPCNT [IF DPALPHYS = 1]: Did you continue to drink alcohol even though it was
causing long-lasting or repeated physical health problems or making your physical health
problems worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALMNTL [IF DPALPHYS = 2 OR DK/REF OR DPALPCNT = 2 OR DK/REF] During the
past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALMCNT [IF DPALMNTL = 1]: Did you continue to drink alcohol even though it was
causing long-lasting or repeated problems with your emotions or mental health or making your
emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALBLCK [IF (DPALPHYS = 2 OR DK/REF OR DPALPCNT = 2 OR DK/REF) AND
(DPALMNTL=2 OR DK/REF OR DPALMCNT = 2 OR DK/REF)] A blackout is lack of
memory. That is, you were awake, but you have no recall of the things you did or that were done
to you.

507

During the past 12 months, did you repeatedly have blackouts while drinking or after drinking
alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALBCNT [IF DPALBLCK = 1] Did you continue to drink alcohol even though drinking
gave you repeated blackouts?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your alcohol use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALSERI Sometimes people who drink alcohol have serious problems at work, school, or
home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your alcohol use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

508

DPALARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your alcohol use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALACNT [IF DPALARGU = 1]: Did you continue to drink alcohol even though it often
caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALHURT During the past 12 months, did you repeatedly get into situations where drinking
alcohol increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPALWD People may experience withdrawal symptoms when they drink less or stop drinking
alcohol. Withdrawal symptoms are stronger and last longer than a hangover.
During the past 12 months, did you have the following withdrawal symptoms after you drank
less or stopped drinking alcohol for a while?

DPALWD_1 Sweating or feeling that your heart
was beating fast
DPALWD _2 Having your hands tremble
DPALWD _3 Having trouble sleeping
DPALWD _4 Vomiting or having an upset stomach
DPALWD _5 Seeing, hearing, or feeling things that
weren't really there
DPALWD _6 Feeling like you couldn't sit still
DPALWD _7 Feeling anxious
DPALWD _8 Having seizures or fits
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1

⃝2

⃝1

⃝2

⃝1
⃝1
⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2
⃝2
⃝2

DPALOVER During the past 12 months, did you use alcohol or another drug to get over or
avoid having alcohol withdrawal symptoms?

509

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] Click the question mark button to see these symptoms again.
DPALUSE [IF DPALOVER=1] Which of the following did you use to get over or avoid having
alcohol withdrawal symptoms during the past 12 months?

DPALUSE _1 Alcohol
DPALUSE _2 Prescription sedatives, tranquilizers,
sleeping pills, or downers
DPALUSE _3 Something else
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1

⃝2

⃝1

⃝2

⃝1

⃝2

DPALOTH [IF DPALUSE_3=1] You indicated that you took something else to get over or
avoid having alcohol withdrawal symptoms during the past 12 months. What did you take?
______________________________________
DK/REF

DPMJINT [IF MAR12MONMJ12MON2= 1-3] Think about your use of marijuana or during
the past 12 months as you answer these next questions.
Press [ENTER] to continue.
(IF MAR12MONMJ12MON2= 2 OR BLANK, SKIP TO DPCCINT)
DPMJFEEL During the past 12 months, did you spend a great deal of your time using
marijuana or hashish cannabis products, feeling its effects, or getting over the effects of
marijuana or hashish cannabis products?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJGET [IF DPMJFEEL=2 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get marijuana or hashish cannabis products?
510

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJLRGR During the past 12 months, were there many times when you ended up using
marijuana or hashish cannabis products in larger amounts or for a longer time than you meant
to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJBDLY During the past 12 months, were there times when you wanted to use marijuana
or hashish cannabis products so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJURGE [IF DPMJBDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to use marijuana or hashish cannabis products?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJMORE Do you need to use a lot more marijuana or hashish cannabis products than
you used to in order to get the feeling you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJLESS [IF DPMJMORE = 2 OR DK/REF] Does using the same amount of marijuana or
hashish cannabis products have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJSTOP During the past 12 months, did you try to cut down or try to stop using
marijuana or hashish cannabis products?

511

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJCANT [IF DPMJSTOP = 1] Some people who use marijuana or cannabis products
hashish try to cut down or stop but find they can’t. Was there more than one time in the past 12
months when you tried but were unable to cut down or stop using marijuana or hashish
cannabis products?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJWISH [IF DPMJSTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using marijuana or hashish cannabis products?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using marijuana or hashish cannabis
products?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJPCNT [IF DPMJPHYS = 1]: Did you continue to use marijuana or hashish cannabis
products even though it was causing long-lasting or repeated physical health problems or
making your physical health problems worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJMNTL [IF DPMJPHYS = 2 OR DK/REF OR DPMJPCNT = 2 OR DK/REF] During the
past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using marijuana or hashish cannabis products?
1
2

Yes
No

512

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJMCNT [IF DPMJMNTL = 1]: Did you continue to use marijuana or hashish cannabis
products even though it was causing long-lasting or repeated problems with your emotions or
mental health or making your emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of marijuana or hashish cannabis products?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJSERI Sometimes people who use marijuana or hashish cannabis products have serious
problems at work, school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of marijuana or hashish cannabis products?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of marijuana or hashish
cannabis products?

513

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJACNT [IF DPMJARGU = 1]: Did you continue to use marijuana or hashish cannabis
products even though it often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJHURT During the past 12 months, did you repeatedly get into situations where using
marijuana or hashish cannabis products increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJWDa People may experience withdrawal symptoms when they use less or stop using
marijuana or hashish cannabis products.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using marijuana or hashish cannabis products for a while?

DPMJWD1 Feeling irritable or angry
DPMJWD2 Feeling anxious or nervous
DPMJWD3 Having trouble sleeping
DPMJWD4 Losing your appetite or losing weight
without trying to
DPMJWD5 Feeling like you couldn’t sit still
DPMJWD6 Feeling depressed
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1
⃝1

⃝2
⃝2
⃝2

⃝1
⃝1

⃝2
⃝2

⃝1

⃝2

DPMJWDb During the past 12 months, did you have the following withdrawal symptoms after
you used less or stopped using marijuana or hashish cannabis products for a while?

DPMJWD7 Stomach ache
DPMJWD8 Shaking or tremors

514

Yes

No

⃝1
⃝1

⃝2
⃝2

DPMJWD9 Sweating
DPMJWD10 Fever
DPMJWD11 Chills
DPMJWD12 Headache
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

DPMJOVER During the past 12 months, did you use marijuana, hashish, another cannabis
product, or another drug to get over or avoid having marijuana or hashish cannabis products
withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] Click the question mark button to see these symptoms again.
DPMJUSE [IF DPMJOVER=1] Which of the following did you use to get over or avoid having
marijuana or hashish cannabis products withdrawal symptoms during the past 12 months?

DPMJUSE_1 Marijuana, or hashish, or another cannabis products
DPMJUSE_2 Something else
DK/REF

Yes

No

⃝1
⃝1

⃝2
⃝2

PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMJOTH [IF DPMJUSE_2=1] You indicated that you took something else to get over or
avoid having marijuana or hashish cannabis products withdrawal symptoms during the past
12 months. What did you take?
______________________________________
DK/REF

DPCCINT [IF COC12MON = 1] Think about your use of cocaine, including the form of
cocaine called “crack,” during the past 12 months as you answer these next
questions.
Press [ENTER] to continue.

(IF COC12MON = 2, SKIP TO DPHEINT)

515

DPCCFEEL During the past 12 months, did you spend a great deal of your time using
cocaine, feeling its effects, or getting over the effects of cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCGET [IF DPCCFEEL=2 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCLRGR During the past 12 months, were there many times when you ended up using
cocaine in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCBDLY During the past 12 months, were there times when you wanted to use cocaine so
badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCURGE [IF DPCCBDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to use cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCMORE Do you need to use a lot more cocaine than you used to in order to get the feeling
you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

516

DPCCLESS [IF DPCCMORE = 2 OR DK/REF] Does using the same amount of cocaine have
much less effect on you than it used to ?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCSTOP During the past 12 months, did you try to cut down or try to stop using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCCANT [IF DPCCSTOP = 1] Some people who use cocaine try to cut down or stop but
find they can’t. Was there more than one time in the past 12 months when you tried but were
unable to cut down or stop using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCWISH [IF DPCCSTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCPCNT [IF DPCCPHYS = 1]: Did you continue to use cocaine even though it was causing
long-lasting or repeated physical health problems or making your physical health problems
worse?
1
Yes
2
No
DK/REF

517

PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCMNTL [IF DPCCPHYS = 2 OR DK/REF OR DPCCPCNT = 2 OR DK/REF] During the
past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCMCNT [IF DPCCMNTL = 1]: Did you continue to use cocaine even though it was
causing long-lasting or repeated problems with your emotions or mental health or making your
emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCSERI Sometimes people who use cocaine have serious problems at work, school, or
home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of cocaine?
1

Yes

518

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCACNT [IF DPCCARGU = 1]: Did you continue to use cocaine even though it often
caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCHURT During the past 12 months, did you repeatedly get into situations where using
cocaine increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCBLUE People may experience withdrawal symptoms when they use less or stop using
cocaine.
During the past 12 months, have you felt kind of blue or down after you used less or stopped
using cocaine for a while?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPCCWD [IF DPCCBLUE = 1] During the past 12 months, did you have the following
withdrawal symptoms after you used less or stopped using cocaine for a while?

DPCCWD_1 Feeling tired or exhausted
DPCCWD_2 Having bad dreams
DPCCWD_3 Having trouble sleeping or sleeping
more than you normally do

519

Yes

No

⃝1
⃝1

⃝2
⃝2

⃝1

⃝2

DPCCWD_4 Feeling hungry more often
DPCCWD_5 Feeling either very slowed down or
like you couldn’t sit still
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

⃝1
⃝1

⃝2
⃝2

DPCCOVER During the past 12 months, did you use cocaine or another drug to get over or
avoid having cocaine withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] Click the question mark button to see these symptoms again.
DPCCUSE [IF DPCCOVER=1] Which of the following did you use to get over or avoid having
cocaine withdrawal symptoms during the past 12 months?

DPCCUSE_1 Cocaine
DPCCUSE_2 Methamphetamine
DPCCUSE_3 Prescription stimulants or uppers
DPCCUSE_4 Something else
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

DPCCOTH [IF DPCCUSE_4=1] You indicated that you took something else to get over or
avoid having cocaine withdrawal symptoms during the past 12 months. What did you take?
______________________________________
DK/REF

DPHEINT [IF HER12MON = 1] Think about your use of heroin during the past 12 months
as you answer these next questions.
Press [ENTER] to continue.
(IF HER12MON = 2, SKIP TO DPHAINT)
DPHEFEEL During the past 12 months, did you spend a great deal of your time using heroin,
feeling its effects, or getting over the effects of heroin?

520

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEGET [IF DPHEFEEL=2 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHELRGR During the past 12 months, were there many times when you ended up using
heroin in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEBDLY During the past 12 months, were there times when you wanted to use heroin so
badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEURGE [IF DPHEBDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to use heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEMORE Do you need to use a lot more heroin than you used to in order to get the feeling
you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHELESS [IF DPHEMORE = 2 OR DK/REF] Does using the same amount of heroin have
much less effect on you than it used to?
1

Yes

521

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHESTOP During the past 12 months, did you try to cut down or try to stop using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHECANT [IF DPHESTOP = 1] Some people who use heroin try to cut down or stop but find
they can’t. Was there more than one time in the past 12 months when you tried but were unable
to cut down or stop using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEWISH [IF DPHESTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEPCNT [IF DPHEPHYS = 1]: Did you continue to use heroin even though it was causing
long-lasting or repeated physical health problems or making your physical health problems
worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

522

DPHEMNTL [IF DPHEPHYS = 2 OR DK/REF OR DPHEPCNT = 2 OR DK/REF] During the
past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEMCNT [IF DPHEMNTL = 1]: Did you continue to use heroin even though it was
causing long-lasting or repeated problems with your emotions or mental health or making your
emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHESERI Sometimes people who use heroin have serious problems at work, school, or
home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of heroin?
1
Yes
2
No
DK/REF

523

PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEACNT [IF DPHEARGU = 1]: Did you continue to use heroin even though it often
caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEHURT During the past 12 months, did you repeatedly get into situations where using
heroin increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHEWD People may experience withdrawal symptoms when they use less or stop using
heroin.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using heroin for a while?

DPHEWD_1 Feeling kind of blue or down
DPHEWD_2 Vomiting or feeling nauseous
DPHEWD_3 Having cramps or muscle aches
DPHEWD_4 Having teary eyes or a runny nose
DPHEWD_5 Feeling sweaty, having enlarged eye
pupils, or having body hair standing up on your skin
DPHEWD_6 Having diarrhea
DPHEWD_7 Yawning
DPHEWD_8 Having a fever
DPHEWD_9 Having trouble sleeping
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

524

Yes

No

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

⃝1

⃝2

DPHEOVER During the past 12 months, did you use heroin or another drug to get over or avoid
having heroin withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] Click the question mark button to see these symptoms again.
DPHEUSE [IF DPHEOVER=1] Which of the following did you use to get over or avoid having
heroin withdrawal symptoms during the past 12 months?

DPHEUSE_1 Heroin
DPHEUSE_2 Prescription pain relievers
DPHEUSE_3 Something else
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1
⃝1

⃝2
⃝2
⃝2

DPHEOTH [IF DPHEUSE_3=1] You indicated that you took something else to get over or
avoid having heroin withdrawal symptoms during the past 12 months. What did you take?
______________________________________
DK/REF

DPHAINT [IF HAL12MON = 1] Think about your use of hallucinogens, such as LSD, ‘acid,’
PCP, ‘Ecstasy’ or ‘Molly,’ psilocybin or mushrooms, mescaline, or peyote, during the past 12
months as you answer these next questions.
Press [ENTER] to continue.
(IF HAL12MON = 2, SKIP TO DPININT)
DPHAFEEL During the past 12 months, did you spend a great deal of your time using
hallucinogens, feeling their effects, or getting over the effects of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAGET [IF DPHAFEEL=2 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get hallucinogens?

525

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHALRGR During the past 12 months, were there many times when you ended up using
hallucinogens in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHABDLY During the past 12 months, were there times when you wanted to use
hallucinogens so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAURGE [IF DPHABDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to use hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAMORE Do you need to use a lot more hallucinogens than you used to in order to get the
feeling you want?
1
2

Yes
No

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHALESS [IF DPHAMORE = 2 OR DK/REF] Does using the same amount of hallucinogens
have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHASTOP During the past 12 months, did you try to cut down or try to stop using
hallucinogens?

526

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHACANT [IF DPHASTOP = 1] Some people who use hallucinogens try to cut down or stop
but find they can’t. Was there more than one time in the past 12 months when you tried but
were unable to cut down or stop using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAWISH [IF DPHASTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAPCNT [IF DPHAPHYS = 1]: Did you continue to use hallucinogens even though they
were causing long-lasting or repeated physical health problems or making your physical health
problems worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAMNTL [IF DPHAPHYS = 2 OR DK/REF OR DPHAPCNT = 2 OR DK/REF] During the
past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

527

DPHAMCNT [IF DPHAMNTL = 1]: Did you continue to use hallucinogens even though they
were causing long-lasting or repeated problems with your emotions or mental health or making
your emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHASERI Sometimes people who use hallucinogens have serious problems at work, school,
or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of hallucinogens?
1
Yes
2
No
DK/REF

528

PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAACNT [IF DPHAARGU = 1]: Did you continue to use hallucinogens even though they
often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPHAHURT During the past 12 months, did you repeatedly get into situations where using
hallucinogens increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DPININT [IF INH12MON = 1] Think about your use of inhalants, such as amyl nitrite,
‘poppers,’ nitrous oxide, gasoline or lighter fluids, glue, spray paints, or correction
fluids, during the past 12 months as you answer these next questions.
Press [ENTER] to continue.
(IF INH12MON = 2, SKIP TO DPMEINT)
DPINFEEL During the past 12 months, did you spend a great deal of your time using
inhalants, feeling their effects, or getting over the effects of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINGET [IF DPINFEEL=2 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINLRGR During the past 12 months, were there many times when you ended up using
inhalants in larger amounts or for a longer time than you meant to?
1
2

Yes
No

529

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINBDLY During the past 12 months, were there times when you wanted to use inhalants so
badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINURGE [IF DPINBDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to use inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINMORE Do you need to use a lot more inhalants than you used to in order to get the
feeling you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINLESS [IF DPINMORE = 2 OR DK/REF] Does using the same amount of inhalants have
much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINSTOP During the past 12 months, did you try to cut down or try to stop using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINCANT [IF DPINSTOP = 1] Some people who use inhalants try to cut down or stop but
find they can’t. Was there more than one time in the past 12 months when you tried but were
unable to cut down or stop using inhalants?
1
2

Yes
No

530

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINWISH [IF DPINSTOP=2 OR DK/REF] In the past 12 months, did you often wish that you
could cut down or stop using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINPCNT [IF DPINPHYS = 1]: Did you continue to use inhalants even though they were
causing long-lasting or repeated physical health problems or making your physical health
problems worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINMNTL [IF DPINPHYS = 2 OR DK/REF OR DPINPCNT = 2 OR DK/REF] During the
past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINMCNT [IF DPINMNTL = 1]: Did you continue to use inhalants even though they were
causing long-lasting or repeated problems with your emotions or mental health or making your
emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINACTV This question is about important activities such as:
• Spending time with friends and family
531

•
•
•

Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINSERI Sometimes people who use inhalants have serious problems at work, school, or
home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINACNT [IF DPINARGU = 1]: Did you continue to use inhalants even though they often
caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPINHURT During the past 12 months, did you repeatedly get into situations where using
inhalants increased your chances of getting physically hurt?

532

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEINT [IF MET12MON = 1] Think about your use of methamphetamine during the
past 12 months as you answer these next questions.
Press [ENTER] to continue.
(IF MET12MON = 2, SKIP TO DPPRINT)
DPMEFEEL During the past 12 months, did you spend a great deal of your time using
methamphetamine, feeling its effects, or getting over the effects of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEGET [IF DPMEFEEL=2 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMELRGR During the past 12 months, were there many times when you ended up using
methamphetamine in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEBDLY During the past 12 months, were there times when you wanted to use
methamphetamine so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEURGE [IF DPMEBDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to use methamphetamine?
1

Yes
533

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEMORE Do you need to use a lot more methamphetamine than you used to in order to
get the feeling you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMELESS [IF DPMEMORE = 2 OR DK/REF] Does using the same amount of
methamphetamine have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMESTOP During the past 12 months, did you try to cut down or try to stop using
methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMECANT [IF DPMESTOP=1] Some people who use methamphetamine try to cut down or
stop but find they can’t. Was there more than one time in the past 12 months when you tried but
were unable to cut down or stop using methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEWISH [IF DPMESTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using methamphetamine?

534

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEPCNT [IF DPMEPHYS = 1]: Did you continue to use methamphetamine even though it
was causing long-lasting or repeated physical health problems or making your physical health
problems worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEMNTL [IF DPMEPHYS = 2 OR DK/REF OR DPMEPCNT = 2 OR DK/REF] During
the past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEMCNT [IF DPMEMNTL = 1]: Did you continue to use methamphetamine even though
it was causing long-lasting or repeated problems with your emotions or mental health or making
your emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

535

DPMESERI Sometimes people who use methamphetamine have serious problems at work,
school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEACNT [IF DPMEARGU = 1]: Did you continue to use methamphetamine even though
it often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEHURT During the past 12 months, did you repeatedly get into situations where using
methamphetamine increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEBLUE People may experience withdrawal symptoms when they use less or stop using
methamphetamine.
During the past 12 months, have you felt kind of blue or down after you used less or stopped
using methamphetamine for a while?
1
2

Yes
No
536

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPMEWD [IF DPMEBLUE=1] During the past 12 months, did you have the following
withdrawal symptoms after you used less or stopped using methamphetamine for a while?

DPMEWD_1 Feeling tired or exhausted
DPMEWD_2 Having bad dreams
DPMEWD_3 Having trouble sleeping or sleeping
more than you normally do
DPMEWD_4 Feeling hungry more often
DPMEWD_5 Feeling either very slowed down or
like you couldn’t sit still
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1

⃝2
⃝2

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

DPMEOVER During the past 12 months, did you use methamphetamine or another drug to get
over or avoid having methamphetamine withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] Click the question mark button to see these symptoms again.

DPMEUSE [IF DPMEOVER=1] Which of the following did you use to get over or avoid
having methamphetamine withdrawal symptoms during the past 12 months?

DPMEUSE_1 Methamphetamine
DPMEUSE_2 Cocaine or “crack”
DPMEUSE_3 Prescription stimulants or uppers
DPMEUSE_4 Something else
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

537

Yes

No

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

DPMEOTH [IF DPMEUSE_4=1] You indicated that you took something else to get over or
avoid having methamphetamine withdrawal symptoms during the past 12 months. What did
you take?
______________________________________
DK/REF

DPPRINT
[IF PR12MON = 1] Think about your use of prescription pain relievers during
the past 12 months as you answer these next questions.
Earlier the computer recorded that in the past 12 months you used [IF
PRYRCOUNT=1 FILL PRFILL][IF PRYRCOUNT >=2 FILL WITH “the pain
relievers listed below” ].
[IF PRYRCOUNT >=2 FILL WITH THE INDIVIDUAL DRUGS SELECTED
FROM PR01-PR10 BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF
PRYANYOTH = 1, ADD "some other prescription pain reliever."]
The next questions refer to [IF PRYANYOTH NE 1 AND PRYRCOUNT =1 FILL
PRFILL as a prescription pain reliever; IF PRYANYOTH = 1 AND PRYRCOUNT
=1 FILL WITH “this other prescription pain reliever”; IF PRYRCOUNT >=2 FILL
WITH “these as prescription pain relievers”].
Press [ENTER] to continue.
(IF PR12MON = 2, SKIP TO DPTRSTINT)
DPPRFEEL During the past 12 months, did you spend a great deal of your time using any
prescription pain relievers, feeling their effects, or getting over the effects of any prescription
pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRGET [IF DPPRFEEL=2 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get any prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRLRGR During the past 12 months, were there many times when you ended up using any
prescription pain relievers in larger amounts or for a longer time than you meant to?

538

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRBDLY During the past 12 months, were there times when you wanted to use any
prescription pain relievers so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRURGE [IF DPPRBDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to use any prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRMORE Do you need to use a lot more of any prescription pain relievers than you used
to in order to get the feeling you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRLESS [IF DPPRMORE = 2 OR DK/REF] Does using the same amount of any
prescription pain relievers have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRSTOP During the past 12 months, did you try to cut down or try to stop using any
prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRCANT [IF DPPRSTOP=1] Some people who use prescription pain relievers try to cut
down or stop but find they can’t. Was there more than one time in the past 12 months when you
tried but were unable to cut down or stop using any prescription pain relievers?

539

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRWISH [IF DPPRSTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using any prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using a prescription pain reliever?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRPCNT [IF DPPRPHYS = 1]: Did you continue to use any prescription pain relievers
even though they were causing long-lasting or repeated physical health problems or making your
physical health problems worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRMNTL [IF DPPRPHYS = 2 OR DK/REF OR DPPRPCNT = 2 OR DK/REF] During the
past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using a prescription pain reliever?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRMCNT [IF DPPRMNTL = 1]: Did you continue to use any prescription pain relievers
even though they were causing long-lasting or repeated problems with your emotions or mental
health or making your emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

540

DPPRACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of any prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRSERI Sometimes people who use prescription pain relievers have serious problems at
work, school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of any prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of a prescription pain reliever?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRACNT [IF DPPRARGU = 1]: Did you continue to use any prescription pain relievers
even though they often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

541

DPPRHURT During the past 12 months, did you repeatedly get into situations where using a
prescription pain reliever increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPPRWD People may experience withdrawal symptoms when they use less or stop using
prescription pain relievers.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using any prescription pain relievers for a while?

DPPRWD_1 Feeling kind of blue or down
DPPRWD_2 Vomiting or feeling nauseous
DPPRWD_3 Having cramps or muscle aches
DPPRWD_4 Having teary eyes or a runny nose
DPPRWD_5 Feeling sweaty, having enlarged eye
pupils, or having body hair standing up on your skin
DPPRWD_6 Having diarrhea
DPPRWD_7 Yawning
DPPRWD_8 Having a fever
DPPRWD_9 Having trouble sleeping
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

⃝1

⃝2

DPPROVER During the past 12 months, did you use any prescription pain relievers or other
drugs to get over or avoid having prescription pain reliever withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] Click the question mark button to see these symptoms again.
DPPRUSE [IF DPPROVER=1] Which of the following did you use to get over or avoid having
prescription pain reliever withdrawal symptoms during the past 12 months?

DPPRUSE_1 Prescription pain relievers

542

Yes

No

⃝1

⃝2

DPPRUSE_2 Heroin
DPPRUSE_3 Something else
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

⃝1
⃝1

⃝2
⃝2

DPPROTH [IF DPPRUSE_3=1] You indicated that you took something else to get over or
avoid having prescription pain reliever withdrawal symptoms during the past 12 months. What
did you take?
______________________________________
DK/REF

DPTSRINT [IF TSR12MON = 1] Think about your use of prescription tranquilizers or
sedatives during the past 12 months as you answer these next questions.
Earlier the computer recorded that in the past 12 months you used [IF
TSRYRCOUNT=1 FILL TSRFILL][IF TSRYRCOUNT >=2 FILL WITH “the
tranquilizers or sedatives listed below” ].
[IF TSRYRCOUNT >=2 FILL WITH THE INDIVIDUAL DRUGS SELECTED
FROM TR01-TR04 TS01 – TS08 BELOW. USE MULTIPLE COLUMNS AS
NEEDED. IF TSRANYOTH = 1, ADD "some other prescription tranquilizer or
sedative."]
The next questions refer to [IF TRSYANYOTH NE 1 AND TSRYRCOUNT =1 FILL
TSRFILL as a prescription tranquilizer or sedative; IF TSRYANYOTH = 1 AND
TSRYRCOUNT =1 FILL WITH “this other prescription tranquilizer or sedative”; IF
TSRYRCOUNT >=2 FILL WITH “these as prescription tranquilizers or sedatives”].
Press [ENTER] to continue.
(IF TSR12MON = 2, SKIP TO DPSTINT)
DPTSRFEEL During the past 12 months, did you spend a great deal of your time using any
prescription tranquilizers or sedatives, feeling their effects, or getting over the effects of any
prescription tranquilizers or sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRGET [IF DPTSRFEEL=2 OR DK/REF] During the past 12 months, did you spend a
great deal of your time getting or trying to get any prescription tranquilizers or sedatives?
1

Yes

543

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRLRGR During the past 12 months, were there many times when you ended up using
any prescription tranquilizers or sedatives in larger amounts or for a longer time than you
meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRBDLY During the past 12 months, were there times when you wanted to use any
prescription tranquilizers or sedatives so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRURGE [IF DPTSRBDLY = 2 OR DK/REF] During the past 12 months, were there
times when you had a strong urge to use any prescription tranquilizers or sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRMORE Do you need to use a lot more of any prescription tranquilizers or sedatives
than you used to in order to get the feeling you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRLESS [IF DPTSRMORE= 2 OR DK/REF] Does using the same amount of any
prescription tranquilizers or sedatives have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRSTOP During the past 12 months, did you try to cut down or try to stop using any
prescription tranquilizers or sedatives?
1

Yes

544

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRCANT [IF DPTSRSTOP=1] Some people who use prescription tranquilizers or
sedatives try to cut down or stop but find they can’t. Was there more than one time in the past
12 months when you tried but were unable to cut down or stop using any prescription
tranquilizers or sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRWISH [IF DPTSRSTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using any prescription tranquilizers or sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using a prescription tranquilizer or
sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRPCNT [IF DPTSRPHYS = 1]: Did you continue to use any prescription tranquilizers
or sedatives even though they were causing long-lasting or repeated physical health problems or
making your physical health problems worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRMNTL [IF DPTSRPHYS = 2 OR DK/REF OR DPTSRPCNT = 2 OR DK/REF] During
the past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using a prescription tranquilizer or sedative?
1
Yes
2
No
DK/REF

545

PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRMCNT [IF DPTSRMNTL = 1]: Did you continue to use any prescription tranquilizers
or sedatives even though they were causing long-lasting or repeated problems with your
emotions or mental health or making your emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of a prescription tranquilizer or sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRSERI Sometimes people who use prescription tranquilizers or sedatives have serious
problems at work, school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of a prescription tranquilizer or sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of a prescription tranquilizer or
sedative?
1

Yes

546

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRACNT [IF DPTSRARGU = 1]: Did you continue to use any prescription tranquilizers
or sedatives even though they often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRHURT During the past 12 months, did you repeatedly get into situations where using a
prescription tranquilizer or sedative increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRWD People may experience withdrawal symptoms when they use less or stop using
prescription tranquilizers or sedatives.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using any prescription tranquilizers or sedatives for a while?

DPTRWD_1 Sweating or feeling that your heart
was beating fast
DPTRWD_2 Having your hands tremble
DPTRWD_3 Having trouble sleeping
DPTRWD_4 Vomiting or having an upset stomach
DPTRWD_5 Seeing, hearing, or feeling things that
weren't really there
DPTRWD_6 Feeling like you couldn't sit still
DPTRWD_7 Feeling anxious
DPTRWD_8 Having seizures or fits
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1

⃝2

⃝1

⃝2

⃝1
⃝1
⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2
⃝2
⃝2

DPTSROVER During the past 12 months, did you use any prescription tranquilizers or sdatives
or other drugs to get over or avoid having prescription tranquilizer or sedative withdrawal
symptoms?
1

Yes

547

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] Click the question mark button to see these symptoms again.
DPTSRUSE [IF DPTSROVER=1] Which of the following did you use to get over or avoid
having prescription tranquilizer or sedative withdrawal symptoms during the past 12 months?

DPTRUSE_1 Prescription tranquilizers, sedatives,
downers, or sleeping pills
DPTRUSE_2 Alcohol
DPTRUSE_3 Something else
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

DPTSROTH [IF DPTSRUSE_3=1] You indicated that you took something else to get over or
avoid having prescription tranquilizer or sedative withdrawal symptoms during the past 12
months. What did you take?
______________________________________
DK/REF

DPSTINT [IF ST12MON = 1] Think about your use of prescription stimulants during the past
12 months as you answer these next questions.
Earlier the computer recorded that in the past 12 months you used [IF STYRCOUNT
=1 FILL STFILL][IF STYRCOUNT >=2 FILL WITH “the stimulants listed below” ].
[IF STYRCOUNT >=2 FILL WITH THE INDIVIDUAL DRUGS SELECTED
FROM ST01- ST07 BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF
STANYOTH = 1, ADD "some other prescription stimulant."]
The next questions refer to [IF STANYOTH NE 1 AND STYRCOUNT =1 FILL
STFILL as a prescription stimulant; IF STANYOTH = 1 AND STYRCOUNT =1
FILL WITH “this other prescription stimulant”; IF STYRCOUNT >=2 FILL
WITH “these as prescription stimulants”].
Press [ENTER] to continue.
(IF ST12MON = 2, SKIP TO DPSVINT DPTSRINT)

548

DPSTFEEL During the past 12 months, did you spend a great deal of your time using any
prescription stimulants, feeling their effects, or getting over the effects of any prescription
stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTGET [IF DPSTFEEL=2 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get any prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTLRGR During the past 12 months, were there many times when you ended up using any
prescription stimulants in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTBDLY During the past 12 months, were there times when you wanted to use any
prescription stimulants so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTURGE [IF DPSTBDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to use any prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTMORE Do you need to use a lot more of any prescription stimulants than you used to in
order to get the feeling you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

549

DPSTLESS [IF DPSTMORE = 2 OR DK/REF] Does using the same amount of any
prescription stimulants have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTSTOP During the past 12 months, did you try to cut down or try to stop using any
prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTCANT [IF DPSTSTOP=1] Some people who use prescription stimulants try to cut down
or stop but find they can’t. Was there more than one time in the past 12 months when you tried
but were unable to cut down or stop using any prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTWISH [IF DPSTSTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using any prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using a prescription stimulant?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTPCNT [IF DPSTPHYS = 1]: Did you continue to use any prescription stimulants even
though they were causing long-lasting or repeated physical health problems or making your
physical health problems worse?
1
2

Yes
No

550

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTMNTL [IF DPSTPHYS = 2 OR DK/REF OR DPSTPCNT = 2 OR DK/REF] During the
past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using a prescription stimulant?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTMCNT [IF DPSTMNTL = 1]: Did you continue to use any prescription stimulants even
though they were causing long-lasting or repeated problems with your emotions or mental health
or making your emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of a prescription stimulant?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTSERI Sometimes people who use prescription stimulants have serious problems at work,
school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of a prescription stimulant?

551

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of a prescription stimulant?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTACNT [IF DPSTARGU = 1]: Did you continue to use any prescription stimulants even
though they often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTHURT During the past 12 months, did you repeatedly get into situations where using a
prescription stimulant increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTBLUE People may experience withdrawal symptoms when they use less or stop using
prescription stimulants.
During the past 12 months, have you felt kind of blue or down after you used less or stopped
using any prescription stimulants for a while?

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSTWD [IF DPSTBLUE=1] During the past 12 months, did you have the following
withdrawal symptoms after you used less or stopped using prescription stimulants for a while?

DPSTWD_1 Feeling tired or exhausted

552

Yes

No

⃝1

⃝2

DPSTWD_2 Having bad dreams
DPSTWD_3 Having trouble sleeping or sleeping
more than you normally do
DPSTWD_4 Feeling hungry more often
DPSTWD_5 Feeling either very slowed down or
like you couldn’t sit still
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

⃝1

⃝2

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

DPSTOVER During the past 12 months, did you use any prescription stimulants or other drugs
to get over or avoid having prescription stimulant withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] Click the question mark button to see these symptoms again.
DPSTUSE [IF DPSTOVER=1] Which of the following did you use to get over or avoid having
prescription stimulant withdrawal symptoms during the past 12 months?

DPSTUSE_1 Prescription stimulants or uppers
DPSTUSE_2 Cocaine or “crack”
DPSTUSE_3 Methamphetamine
DPSTUSE_4 Something else
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

DPSTOTH [IF DPSTUSE_4=1] You indicated that you took something else to get over or avoid
having prescription stimulant withdrawal symptoms during the past 12 months. What did you
take?
______________________________________
DK/REF
DPTSRINT [IF TSR12MON = 1] Think about your use of prescription tranquilizers or
sedatives during the past 12 months as you answer these next questions.

553

Earlier the computer recorded that in the past 12 months you used [IF
TSRYRCOUNT=1 FILL TSRFILL][IF TSRYRCOUNT >=2 FILL WITH “the
tranquilizers or sedatives listed below” ].
[IF TSRYRCOUNT >=2 FILL WITH THE INDIVIDUAL DRUGS SELECTED
FROM TR01-TR04 TS01 – TS08 BELOW. USE MULTIPLE COLUMNS AS
NEEDED. IF TSRANYOTH = 1, ADD "some other prescription tranquilizer or
sedative."]
The next questions refer to [IF TRSYANYOTH NE 1 AND TSRYRCOUNT =1 FILL
TSRFILL as a prescription tranquilizer or sedative; IF TSRYANYOTH = 1 AND
TSRYRCOUNT =1 FILL WITH “this other prescription tranquilizer or sedative”; IF
TSRYRCOUNT >=2 FILL WITH “these as prescription tranquilizers or sedatives”].
Press [ENTER] to continue.
(IF TSR12MON = 2, SKIP TO DPSTINT RKINTRO)
DPTSRFEEL During the past 12 months, did you spend a great deal of your time using any
prescription tranquilizers or sedatives, feeling their effects, or getting over the effects of any
prescription tranquilizers or sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRGET [IF DPTSRFEEL=2 OR DK/REF] During the past 12 months, did you spend a
great deal of your time getting or trying to get any prescription tranquilizers or sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRLRGR During the past 12 months, were there many times when you ended up using
any prescription tranquilizers or sedatives in larger amounts or for a longer time than you
meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRBDLY During the past 12 months, were there times when you wanted to use any
prescription tranquilizers or sedatives so badly that you couldn't think of anything else?
1

Yes
554

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRURGE [IF DPTSRBDLY = 2 OR DK/REF] During the past 12 months, were there
times when you had a strong urge to use any prescription tranquilizers or sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRMORE Do you need to use a lot more of any prescription tranquilizers or sedatives
than you used to in order to get the feeling you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRLESS [IF DPTSRMORE= 2 OR DK/REF] Does using the same amount of any
prescription tranquilizers or sedatives have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRSTOP During the past 12 months, did you try to cut down or try to stop using any
prescription tranquilizers or sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRCANT [IF DPTSRSTOP=1] Some people who use prescription tranquilizers or
sedatives try to cut down or stop but find they can’t. Was there more than one time in the past
12 months when you tried but were unable to cut down or stop using any prescription
tranquilizers or sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRWISH [IF DPTSRSTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using any prescription tranquilizers or sedatives?

555

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using a prescription tranquilizer or
sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRPCNT [IF DPTSRPHYS = 1]: Did you continue to use any prescription tranquilizers
or sedatives even though they were causing long-lasting or repeated physical health problems or
making your physical health problems worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRMNTL [IF DPTSRPHYS = 2 OR DK/REF OR DPTSRPCNT = 2 OR DK/REF] During
the past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using a prescription tranquilizer or sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRMCNT [IF DPTSRMNTL = 1]: Did you continue to use any prescription tranquilizers
or sedatives even though they were causing long-lasting or repeated problems with your
emotions or mental health or making your emotions or mental health worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events

556

During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of a prescription tranquilizer or sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRSERI Sometimes people who use prescription tranquilizers or sedatives have serious
problems at work, school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of a prescription tranquilizer or sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of a prescription tranquilizer or
sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRACNT [IF DPTSRARGU = 1]: Did you continue to use any prescription tranquilizers
or sedatives even though they often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRHURT During the past 12 months, did you repeatedly get into situations where using a
prescription tranquilizer or sedative increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF

557

PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSRWD People may experience withdrawal symptoms when they use less or stop using
prescription tranquilizers or sedatives.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using any prescription tranquilizers or sedatives for a while?

DPTRWD_1 Sweating or feeling that your heart
was beating fast
DPTRWD_2 Having your hands tremble
DPTRWD_3 Having trouble sleeping
DPTRWD_4 Vomiting or having an upset stomach
DPTRWD_5 Seeing, hearing, or feeling things that
weren't really there
DPTRWD_6 Feeling like you couldn't sit still
DPTRWD_7 Feeling anxious
DPTRWD_8 Having seizures or fits
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1

⃝2

⃝1

⃝2

⃝1
⃝1
⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2
⃝2
⃝2

DPTSROVER During the past 12 months, did you use any prescription tranquilizers or sdatives
or other drugs to get over or avoid having prescription tranquilizer or sedative withdrawal
symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] Click the question mark button to see these symptoms again.
DPTSRUSE [IF DPTSROVER=1] Which of the following did you use to get over or avoid
having prescription tranquilizer or sedative withdrawal symptoms during the past 12 months?

DPTRUSE_1 Prescription tranquilizers, sedatives,
downers, or sleeping pills
DPTRUSE_2 Alcohol
DPTRUSE_3 Something else
DK/REF

558

Yes

No

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

PROGRAMMER: SHOW 12 MONTH CALENDAR
DPTSROTH [IF DPTSRUSE_3=1] You indicated that you took something else to get over or
avoid having prescription tranquilizer or sedative withdrawal symptoms during the past 12
months. What did you take?
______________________________________
DK/REF

DPSVINT [IF SV12MON = 1] Think about your use of prescription sedatives during the past
12 months as you answer these next questions.
Earlier the computer recorded that in the past 12 months you used [IF SVYRCOUNT
=1 FILL SVFILL][IF SVYRCOUNT >=2 FILL WITH “the sedatives listed below” ].
[IF SVYRCOUNT >= 2 FILL WITH THE INDIVIDUAL DRUGS SELECTED
FROM SV01-SV04 BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF
SVANYOTH = 1, ADD "some other prescription sedative".]
The next questions refer to [IF SVANYOTH NE 1 AND SVYRCOUNT =1 FILL
SVFILL as a prescription sedative; IF SVANYOTH = 1 AND SVYRCOUNT =1
FILL WITH “this other prescription sedative”; IF SVYRCOUNT >=2 FILL
WITH “these as prescription sedatives”].
Press [ENTER] to continue.
(IF SV12MON = 2, SKIP TO INTROSP)
DPSVFEEL During the past 12 months, did you spend a great deal of your time using any
prescription sedatives, feeling their effects, or getting over the effects of any prescription
sedatives?
1
2

Yes
No

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVGET [IF DPSVFEEL=2 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get any prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

559

DPSVLRGR During the past 12 months, were there many times when you ended up using any
prescription sedatives in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVBDLY During the past 12 months, were there times when you wanted to use any
prescription sedatives so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVURGE [IF DPSVBDLY = 2 OR DK/REF] During the past 12 months, were there times
when you had a strong urge to use any prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVMORE Do you need to use a lot more of any prescription sedatives than you used to in
order to get the feeling you want?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVLESS [IF DPSVMORE = 2 OR DK/REF] Does using the same amount of any
prescription sedatives have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVSTOP During the past 12 months, did you try to cut down or try to stop using any
prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

560

DPSVCANT [IF DPSVSTOP=1] Some people who use prescription sedatives try to cut down or
stop but find they can’t. Was there more than one time in the past 12 months when you tried but
were unable to cut down or stop using any prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVWISH [IF DPSVSTOP=2 OR DK/REF] In the past 12 months, did you often wish that
you could cut down or stop using any prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVPHYS During the past 12 months, did you have any long-lasting or repeated physical
health problems that were caused or made worse by using a prescription sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVPCNT [IF DPSVPHYS = 1]: Did you continue to use any prescription sedatives even
though they were causing long-lasting or repeated physical health problems or making your
physical health problems worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVMNTL [IF DPSVPHYS = 2 OR DK/REF OR DPSVPCNT = 2 OR DK/REF] During the
past 12 months, did you have any long-lasting or repeated problems with emotions or mental
health that were caused or made worse by using a prescription sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVMCNT [IF DPSVMNTL = 1]: Did you continue to use any prescription sedatives even
though they were causing long-lasting or repeated problems with your emotions or mental health
or making your emotions or mental health worse?
1

Yes

561

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVACTV This question is about important activities such as:
• Spending time with friends and family
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of a prescription sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVSERI Sometimes people who use prescription sedatives have serious problems at work,
school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• not being able to get a job or keep a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have any serious problems like these at work, school, or
home because of your use of a prescription sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVARGU During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of a prescription sedative?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVACNT [IF DPSVARGU = 1]: Did you continue to use any prescription sedatives even
though they often caused arguments or problems with family or friends?
1

Yes

562

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVHURT During the past 12 months, did you repeatedly get into situations where using a
prescription sedative increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DPSVWD People may experience withdrawal symptoms when they use less or stop using
prescription sedatives.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using any prescription sedatives for a while?

DPSVWD_1 Sweating or feeling that your heart
was beating fast
DPSVWD_2 Having your hands tremble
DPSVWD_3 Having trouble sleeping
DPSVWD_4 Vomiting or having an upset stomach
DPSVWD_5 Seeing, hearing, or feeling things that
weren't really there
DPSVWD_6 Feeling like you couldn't sit still
DPSVWD_7 Feeling anxious
DPSVWD_8 Having seizures or fits
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1

⃝2

⃝1

⃝2

⃝1
⃝1
⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2
⃝2
⃝2

DPSVOVER During the past 12 months, did you use any prescription sedatives or other drugs to
get over or avoid having prescription sedative withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2] to see these symptoms again.
DPSVUSE [IF DPSVOVER=1] Which of the following did you use to get over or avoid having
prescription sedative withdrawal symptoms during the past 12 months?

563

DPSVUSE_1 Prescription sedatives, tranquilizers,
sleeping pills, or downers
DPSVUSE_2 Alcohol
DPSVUSE_3 Something else
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

DPSVOTH [IF DPSVUSE_3=1] You indicated that you took something else to get over or
avoid having prescription sedative withdrawal symptoms during the past 12 months. What did
you take?
______________________________________
DK/REF

564

Substance Use Disorder Dependence and Abuse
DEPINTRO [IF ALC12MON = 1 OR 2 OR 3 OR MAR12MON = 1 OR 2 OR 3 OR
COC12MON = 1 OR HER12MON = 1 OR HAL12MON = 1 OR INH12MON =
1 OR MET12MON = 1 OR PAI12MON = 1 OR TRA12MON = 1 OR
STI12MON = 1 OR SED12MON = 1] Now we’d like for you to tell us about
your experiences with the
[AND ALC12MON =1 OR 2 OR 3 AND (MAR12MON = 2 AND COC12MON
= 2 AND HER12MON = 2 AND HAL12MON = 2 AND INH12MON = 2 AND
MET12MON = 2 AND PAI12MON = 2 AND TRA12MON = 2 AND
STI12MON = 2 AND SED12MON = 2)] alcohol you drank.
[ALC12MON = 1 OR 2 OR 3 OR AND (MAR12MON = 1 OR 2 OR 3 OR
COC12MON = 1 OR HER12MON = 1 OR HAL12MON = 1 OR INH12MON =
1 OR MET12MON = 1 OR PAI12MON = 1 OR TRA12MON = 1 OR
STI12MON = 1 OR SED12MON = 1)] alcohol you drank and the other drugs that
you used.
[ALC12MON = 2 AND (MAR12MON = 1 OR 2 OR 3 OR COC12MON = 1 OR
HER12MON = 1 OR HAL12MON = 1 OR INH12MON = 1 OR MET12MON =
1 OR PAI12MON = 1 OR TRA12MON = 1 OR STI12MON = 1 OR
SED12MON = 1)] drugs that you used.

Alcohol
DRALC [IF ALC12MON = 1 - 3] Think about your use of alcohol during the past 12 months
as you answer these next questions.
(IF ALC12MON = 2, SKIP TO DRMJ)
DRALC01 During the past 12 months, did you spend a great deal of your time drinking alcohol,
feeling its effects, or getting over the effects of drinking?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC02 [IF DRALC01=1 OR DK/REF] During the past 12 months, did you spend a great
deal of your time getting or trying to get alcohol?
1
Yes
2
No
DK/REF

565

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC03 During the past 12 months, were there many times when you ended up drinking
alcohol in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC04 During the past 12 months, were there times when you wanted to drink alcohol so
badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC05 [IF DRALC04 = 2 OR DK/REF] During the past 12 months, were there times when
you had a strong urge to drink alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC06 During the past 12 months, did you need to drink a lot more alcohol than you used to
in order to get the feeling you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC07 [IF DRALCO6DRALC06 = 2 OR DK/REF] During the past 12 months, did drinking
the same amount of alcohol have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC08 During the past 12 months, did you often want to cut down or stop drinking
alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

566

DRALC09 [IF DRALC08 = 2 OR DK/REF] During the past 12 months, did you try to cut down
or stop drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC10a [IF DRALC09 = 1] In the past 12 months, were you able to cut down or stop
drinking alcohol every time you tried?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC10b [IF DRALC10a = 2 OR DK/REF] Was there more than one time in the past 12
months when you tried but were unable to cut down or stop drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC12 [IF DRALC11 = 1]: Did you continue to drink alcohol even though it was causing
these physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC13 [IF DRALC11 = 2 OR DK/REF OR DRALC12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by drinking alcohol?
1
Yes
2
No
DK/REF

567

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC14 [IF DRALC13 = 1]: Did you continue to drink alcohol even though it was causing
these problems with your emotions or mental health or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC15 [IF DRALC11 = 2 OR DK/REF OR DRALC12 = 2 OR DK/REF or DRALC13=2
OR DK/REF OR DRALC14 = 2 OR DK/REF] During the past 12 months, did you have
blackouts, that is, woke the next day not being able to remember some of the things that
happened while drinking or after drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC16 [IF DRALC15 = 1]: Did you continue to drink alcohol even though drinking gave
you blackouts?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
• Spending time with friends and family
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your alcohol use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC18 Sometimes people who drink alcohol have serious problems at work, school, or
home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school

568

•

failing to take care of family

During the past 12 months, did you have serious problems like this either at work, school, or
home because of your alcohol use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your alcohol use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC20 [IF DRALC19 = 1]: Did you continue to drink alcohol even though it often caused
arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC21 During the past 12 months, did you repeatedly get into situations where drinking
alcohol increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC22 People may experience withdrawal symptoms when they drink less or stop drinking
alcohol. Withdrawal symptoms are stronger and last longer than a hangover.
During the past 12 months, did you have the following withdrawal symptoms after you drank
less or stopped drinking alcohol for a while?

DRALC22_1 Sweating or feeling that your heart
was beating fast
DRALC22_2 Having your hands tremble
DRALC22_3 Having trouble sleeping
DRALC22_4 Vomiting or having an upset stomach

569

Yes

No

⃝1

⃝2

⃝1
⃝1
⃝1

⃝2
⃝2
⃝2

DRALC22_5 Seeing, hearing, or feeling things that
weren't really there
DRALC22_6 Feeling like you couldn't sit still
DRALC22_7 Feeling anxious
DRALC22_8 Having seizures or fits
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

DRALC23 During the past 12 months, did you use alcohol or another drug to get over or avoid
having alcohol withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2]Click the question mark button to see these symptoms again.
DRALC24 [IF DRALC23=1] Did you use any of the following to get over or avoid having
alcohol withdrawal symptoms during the past 12 months?

DRALC24_1 Alcohol
DRALC24_2 Prescription sedatives, tranquilizers, sleeping
pills, or downers
DRALC24_3 Something else

Yes

No

⃝1

⃝2

⃝1

⃝2

⃝1

⃝2

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC25 [IF DRALC24_3=1] You indicated that you took something else to get over or avoid
having alcohol withdrawal symptoms during the past 12 months. What did you take?
______________________________________
PROGRAMMER: DO NOT ALLOW BLANKS
DK/REF
Marijuana
DRMJ [IF MAR12MON = 1 - 3] Think about your use of marijuana or hashish during the
past 12 months as you answer these next questions.
Press [ENTER] to continue.

570

(IF MAR12MON =, SKIP TO DRCC)
DRMJ01 During the past 12 months, did you spend a great deal of your time using marijuana
or hashish, feeling their effects, or getting over the effects of marijuana?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ02 [IF DRMJ01=1 OR DK/REF] During the past 12 months, did you spend a great deal
of your time getting or trying to get marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ03 During the past 12 months, were there many times when you ended up using
marijuana or hashish in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ04 During the past 12 months, were there times when you wanted to use marijuana or
hashish so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ05 [IF DRMJ04 = 2 OR DK/REF] During the past 12 months, were there times when you
had a strong urge to use marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ06 During the past 12 months, did you need to use a lot more marijuana or hashish than
you used to in order to get the feeling you wanted?
1
Yes
2
No
DK/REF

571

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ07 [IF DRMJO6 DRMJ06 = 2 OR DK/REF] During the past 12 months, did using the
same amount of marijuana or hashish have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ08 During the past 12 months, did you often want to cut down or stop using marijuana
or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ09 [IF DRMJ08 = 2 OR DK/REF] During the past 12 months, did you try to cut down or
stop using marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ10a [IF DRMJ09 = 1] In the past 12 months, were you able to cut down or stop using
marijuana or hashish every time you tried?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ10b [IF DRMJ0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using marijuana or
hashish?
1
Yes
2
No
DK/REF

572

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ12 [IF DRMJ11 = 1]: Did you continue to use marijuana or hashish even though it was
causing these physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ13 [IF DRMJ11 = 2 OR DK/REF OR DRMJ12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ14 [IF DRMJ13 = 1]: Did you continue to use marijuana or hashish even though it was
causing these problems with your emotions or mental health or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
• Spending time with friends and family
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ18 Sometimes people who use marijuana or hashish have serious problems at work,
school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
573

During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ20 [IF DRMJ19 = 1]: Did you continue to use marijuana or hashish even though it often
caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ21 During the past 12 months, did you repeatedly get into situations where using
marijuana or hashish increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ22a People may experience withdrawal symptoms when they use less or stop using
marijuana or hashish.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using marijuana or hashish for a while?

DRMJ22_1 Feeling irritable or angry
DRMJ22_2 Feeling anxious or nervous
DRMJ22_3 Having trouble sleeping
DRMJ22_4 Losing your appetite or losing weight
without trying to
DRMJ22_5 Feeling like you couldn’t sit still
DRMJ22_6 Feeling depressed
DK/REF
574

Yes

No

⃝1
⃝1
⃝1

⃝2
⃝2
⃝2

⃝1
⃝1

⃝2
⃝2

⃝1

⃝2

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ22b During the past 12 months, did you have the following withdrawal symptoms after
you used less or stopped using marijuana or hashish for a while?

DRMJ22_7 Stomach ache
DRMJ22_8 Shaking or tremors
DRMJ22_9 Sweating
DRMJ22_10 Fever
DRMJ22_11 Chills
DRMJ22_12 Headache
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1
⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2
⃝2
⃝2

DRMJ23 During the past 12 months, did you use marijuana, hashish or another cannabis product
to get over or avoid having marijuana or hashish withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2]Click the question mark button to see these symptoms again.
DRMJ24 [IF DRMJ23=1] Did you use any of the following to get over or avoid having
marijuana or hashish withdrawal symptoms during the past 12 months?

DRMJ24_1 Marijuana or hashish
DRMJ24_2 Something else

Yes

No

⃝1
⃝1

⃝2
⃝2

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ25 [IF DRMJ24_2=1] You indicated that you took something else to get over or avoid
having marijuana or hashish withdrawal symptoms during the past 12 months. What did you
take?
______________________________________
DK/REF
Inhalants

575

DRIN

[IF INH12MON = 1] Think about your use of inhalants, such as amyl nitrite,
‘“poppers,’” nitrous oxide, gasoline or lighter fluids, glue, spray paints, or correction
fluids during the past 12 months as you answer these next questions.
Press [ENTER] to continue.
(IF INH12MON = 2, SKIP TO DRME)
DRIN01 During the past 12 months, did you spend a great deal of your time using inhalants,
feeling their effects, or getting over the effects of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN02 [IF DRIN01=1 OR DK/REF] During the past 12 months, did you spend a great deal of
your time getting or trying to get inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN03 During the past 12 months, were there many times when you ended up using inhalants
in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN04 During the past 12 months, were there times when you wanted to use inhalants so
badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN05 [IF DRIN04 = 2 OR DK/REF] During the past 12 months, were there times when you
had a strong urge to use inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN06 During the past 12 months, did you need to use a lot more inhalants than you used to
in order to get the feeling you wanted?

576

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN07 [IF DRINO6 DRIN06 = 2 OR DK/REF] During the past 12 months, did using the same
amount of inhalants have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN08 During the past 12 months, did you often want to cut down or stop using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN09 [IF DRIN08 = 2 OR DK/REF] During the past 12 months, did you try to cut down or
stop using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN10a [IF DRIN09 = 1] In the past 12 months, were you able to cut down or stop using
inhalants every time you tried?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN10b [IF DRIN0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using inhalants?
1
Yes
2
No
DK/REF
577

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN12 [IF DRIN11 = 1]: Did you continue to use inhalants even though it was causing these
physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN13 [IF DRIN11 = 2 OR DK/REF OR DRIN12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN14 [IF DRIN13 = 1]: Did you continue to use inhalants even though it was causing these
problems with your emotions or mental health or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
• Spending time with friends and family
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN18 Sometimes people who use inhalants have serious problems at work, school, or
home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
578

During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN20 [IF DRIN19 = 1]: Did you continue to use inhalants even though it often caused
arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN21 During the past 12 months, did you repeatedly get into situations where using
inhalants increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
Hallucinogens
DRLS [IF HAL12MON = 1] Think about your use of hallucinogens, such as LSD, ‘“acid’”,
PCP, ‘“Ecstasy’” or ‘“Molly’”, psilocybin or mushrooms, mescaline, or peyote during the past
12 months as you answer these next questions.
Press [ENTER] to continue.(IF HAL12MON = 2, SKIP TO DRIN)
DRLS01 During the past 12 months, did you spend a great deal of your time using
hallucinogens, feeling their effects, or getting over the effects of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

579

DRLS02 [IF DRLS01=1 OR DK/REF] During the past 12 months, did you spend a great deal of
your time getting or trying to get hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS03 During the past 12 months, were there many times when you ended up using
hallucinogens in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS04 During the past 12 months, were there times when you wanted to use hallucinogens so
badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS05 [IF DRLS04 = 2 OR DK/REF] During the past 12 months, were there times when you
had a strong urge to use hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS06 During the past 12 months, did you need to use a lot more hallucinogens than you used
to in order to get the feeling you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS07 [IF DRLSO6 DRLS06 = 2 OR DK/REF] During the past 12 months, did using the
same amount of hallucinogens have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

580

DRLS08 During the past 12 months, did you often want to cut down or stop using
hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS09 [IF DRLS08 = 2 OR DK/REF] During the past 12 months, did you try to cut down or
stop using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS10a [IF DRLS09 = 1] In the past 12 months, were you able to cut down or stop using
hallucinogens every time you tried?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS10b [IF DRLS0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS12 [IF DRLS11 = 1]: Did you continue to use hallucinogens even though it was causing
these physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

581

DRLS13 [IF DRLS11 = 2 OR DK/REF OR DRLS12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS14 [IF DRLS13 = 1]: Did you continue to use hallucinogens even though it was causing
these problems with your emotions or mental health or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
• Spending time with friends and family
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS18 Sometimes people who use hallucinogens have serious problems at work, school, or
home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

582

DRLS19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS20 [IF DRLS19 = 1]: Did you continue to use hallucinogens even though it often caused
arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS21 During the past 12 months, did you repeatedly get into situations where using
hallucinogens increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
Cocaine
DRCC

[IF COC12MON = 1] Think about your use of cocaine, including the form of
cocaine called ‘“crack’” during the past 12 months as you answer these next
questions.
Press [ENTER] to continue.
(IF COC12MON = 2, SKIP TO DRHE)
DRCC01 During the past 12 months, did you spend a great deal of your time using cocaine,
feeling its effects, or getting over the effects of cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC02 [IF DRCC01=1 OR DK/REF] During the past 12 months, did you spend a great deal
of your time getting or trying to get cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

583

DRCC03 During the past 12 months, were there many times when you ended up using cocaine
in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC04 During the past 12 months, were there times when you wanted to use cocaine so badly
that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC05 [IF DRCC04 = 2 OR DK/REF] During the past 12 months, were there times when you
had a strong urge to use cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC06 During the past 12 months, did you need to use a lot more cocaine than you used to in
order to get the feeling you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC07 [IF DRCCO6 DRCC06 = 2 OR DK/REF] During the past 12 months, did using the
same amount of cocaine have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC08 During the past 12 months, did you often want to cut down or stop using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

584

DRCC09 [IF DRCC08 = 2 OR DK/REF] During the past 12 months, did you try to cut down or
stop using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC10a [IF DRCC09 = 1] In the past 12 months, were you able to cut down or stop using
cocaine every time you tried?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC10b [IF DRCC0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC12 [IF DRCC11 = 1]: Did you continue to use cocaine even though it was causing these
physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC13 [IF DRCC11 = 2 OR DK/REF OR DRCC12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

585

DRCC14 [IF DRCC13 = 1]: Did you continue to use cocaine even though it was causing these
problems with your emotions or mental health?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
• Spending time with friends and family
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC18 Sometimes people who use cocaine have serious problems at work, school, or home—
such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of cocaine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

586

DRCC20 [IF DRCC19 = 1]: Did you continue to use cocaine even though it often caused
arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC21 During the past 12 months, did you repeatedly get into situations where using cocaine
increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC22a People may experience withdrawal symptoms when they use less or stop using
cocaine.
During the past 12 months, have you felt kind of blue or down when you used less or stopped
using cocaine for a while?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC22b [IF DRCC22a=1 ] During the past 12 months, did you have the following withdrawal
symptoms after you used less or stopped using cocaine for a while?

DRCC22_1 Feeling tired or exhausted
DRCC22_2 Having bad dreams
DRCC22_3 Having trouble sleeping or sleeping
more than you normally do
DRCC22_4 Feeling hungry more often
DRCC22_5 Feeling either very slowed down or like
you couldn’t sit still
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1

⃝2
⃝2

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

DRCC23 During the past 12 months, did you use cocaine or another drug to get over or avoid
having cocaine withdrawal symptoms?
1
2

Yes
No

587

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2]Click the question mark button to see these symptoms again.
DRCC24 [IF DRCC23=1] Did you use any of the following to get over or avoid having cocaine
withdrawal symptoms during the past 12 months?

DRCC24_1 Cocaine
DRCC24_2 Methamphetamine
DRCC24_3 Prescription stimulants or uppers
DRCC24_4 Something else
DK/REF

Yes

No

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC25 [IF DRCC24_4=1] You indicated that you took something else to get over or avoid
having cocaine withdrawal symptoms during the past 12 months. What did you take?
______________________________________
DK/REF
Heroin
DRHE

[IF HER12MON = 1] Think about your use of heroin during the past 12 months as
you answer these next questions.
Press [ENTER] to continue.

(IF HER12MON = 2, SKIP TO DRLS)
DRHE01 During the past 12 months, did you spend a great deal of your time using heroin,
feeling its effects, or getting over the effects of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE02 [IF DRHE01=1 OR DK/REF] During the past 12 months, did you spend a great deal
of your time getting or trying to get heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

588

DRHE03 During the past 12 months, were there many times when you ended up using heroin
in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE04 During the past 12 months, were there times when you wanted to use heroin so badly
that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE05 [IF DRHE04 = 2 OR DK/REF] During the past 12 months, were there times when you
had a strong urge to use heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE06 During the past 12 months, did you need to use a lot more heroin than you used to in
order to get the feeling you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE07 [IF DRHEO6 DRHE06 = 2 OR DK/REF] During the past 12 months, did using the
same amount of heroin have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE08 During the past 12 months, did you often want to cut down or stop using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE09 [IF DRHE08 = 2 OR DK/REF] During the past 12 months, did you try to cut down or
stop using heroin?

589

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE10a [IF DRHE09 = 1] In the past 12 months, were you able to cut down or stop using
heroin every time you tried?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE10b [IF DRHE0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE12 [IF DRHE11 = 1]: Did you continue to use heroin even though it was causing these
physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE13 [IF DRHE11 = 2 OR DK/REF OR DRHE12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE14 [IF DRHE13 = 1]: Did you continue to use heroin even though it was causing these
problems with your emotions or mental health or making them worse?
1

Yes

590

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
• Spending time with friends and family
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE18 Sometimes people who use heroin have serious problems at work, school, or home—
such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE20 [IF DRHE19 = 1]: Did you continue to use heroin even though it often caused
arguments or problems with family or friends?
1
2

Yes
No

591

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE21 During the past 12 months, did you repeatedly get into situations where using heroin
increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE22 People may experience withdrawal symptoms when they use less or stop using heroin.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using heroin for a while?

DRHE22_1 Feeling kind of blue or down
DRHE22_2 Vomiting or feeling nauseous
DRHE22_3 Having cramps or muscle aches
DRHE22_4 Having teary eyes or a runny nose
DRHE22_5 Feeling sweaty, having enlarged eye
pupils, or having body hair standing up on your skin
DRHE22_6 Having diarrhea
DRHE22_7 Yawning
DRHE22_8 Having a fever
DRHE22_9 Having trouble sleeping
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

⃝1

⃝2

DRHE23 During the past 12 months, did you use heroin or another drug to get over or avoid
having heroin withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2]Click the question mark button to see these symptoms again.
DRHE24 [IF DRHE23=1] Did you use any of the following to get over or avoid having heroin
withdrawal symptoms during the past 12 months?

592

DRHE24_1 Heroin
DRHE24_2 Prescription pain relievers
DRHE24_3 Something else
DK/REF

Yes

No

⃝1
⃝1
⃝1

⃝2
⃝2
⃝2

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE25 [IF DRHE24_3=1] You indicated that you took something else to get over or avoid
having heroin withdrawal symptoms during the past 12 months. What did you take?
______________________________________
DK/REF
Methamphetamine
DRME

[IF MET12MON = 1] Think about your use of methamphetamine during the past 12
months as you answer these next questions.
Press [ENTER] to continue.

(IF MET12MON = 2, SKIP TO DRPR)
DRME01 During the past 12 months, did you spend a great deal of your time using
methamphetamine, feeling its effects, or getting over the effects of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME02 [IF DRME01=1 OR DK/REF] During the past 12 months, did you spend a great deal
of your time getting or trying to get methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME03 During the past 12 months, were there many times when you ended up using
methamphetamine in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME04 During the past 12 months, were there times when you wanted to use
methamphetamine so badly that you couldn't think of anything else?
593

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME05 [IF DRME04 = 2 OR DK/REF] During the past 12 months, were there times when
you had a strong urge to use methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME06 During the past 12 months, did you need to use a lot more methamphetamine than
you used to in order to get the feeling you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME07 [IF DRMEO6 DRME06 = 2 OR DK/REF] During the past 12 months, did using the
same amount of methamphetamine have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME08 During the past 12 months, did you often want to cut down or stop using
methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME09 [IF DRME08 = 2 OR DK/REF] During the past 12 months, did you try to cut down
or stop using methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME10a [IF DRME09 = 1] In the past 12 months, were you able to cut down or stop using
methamphetamine every time you tried?
1
2

Yes
No

594

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME10b [IF DRNE0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using
methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME12 [IF DRME11 = 1]: Did you continue to use methamphetamine even though it was
causing these physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME13 [IF DRME11 = 2 OR DK/REF OR DRME12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME14 [IF DRME13 = 1]: Did you continue to use methamphetamine even though it was
causing these problems with your emotions or mental health or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports

595

•
•

Attending religious services and events
Spending time with friends and family

During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME18 Sometimes people who use methamphetamine have serious problems at work,
school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME20 [IF DRME19 = 1]: Did you continue to use methamphetamine even though it often
caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME21 During the past 12 months, did you repeatedly get into situations where using
methamphetamine increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
596

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME22a People may experience withdrawal symptoms when they use less or stop using
methamphetamine.
During the past 12 months, have you felt kind of blue or down after you used less or stopped
using methamphetamine for a while?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME22b [IF DRME22a=1] During the past 12 months, did you have the following withdrawal
symptoms after you used less or stopped using methamphetamine for a while?

DRME22_1 Feeling tired or exhausted
DRME22_2 Having bad dreams
DRME22_3 Having trouble sleeping or sleeping
more than you normally do
DRME22_4 Feeling hungry more often
DRME22_5 Feeling either very slowed down or
like you couldn’t sit still
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1

⃝2
⃝2

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

DRME23 During the past 12 months, did you use methamphetamine or another drug to get over
or avoid having methamphetamine withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2]Click the question mark button to see these symptoms again.
DRME24 [IF DRME23=1] Did you use any of the following to get over or avoid having
methamphetamine withdrawal symptoms during the past 12 months?

DRME24_1 Methamphetamine
DRME24_2 Cocaine or crack

597

Yes

No

⃝1
⃝1

⃝2
⃝2

⃝1
⃝1

DRME24_3 Prescription stimulants or uppers
DRME24_4 Something else
DK/REF

⃝2
⃝2

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME25 [IF DRME24_4=1] You indicated that you took something else to get over or avoid
having methamphetamine withdrawal symptoms during the past 12 months. What did you
take?
______________________________________
DK/REF
Rx Drugs
DRPR

[IF PAI12MON = 1] Think about your use of prescription pain relievers during the
past 12 months as you answer these next questions. Remember, we are only interested
in prescription pain relievers that you used in any way a doctor did not direct you
to.
Earlier the computer recorded that in the past 12 months you used [IF
PRMISCOUNT=1 FILL PRFILL2][IF PRMISCOUNT>=2 FILL WITH “the pain
relievers listed below” ] in a way a doctor did not direct you to use [PRNUMFILL].
[IF PRMISCOUNT>=2 FILL WITH DRUG NAMES FROM PRY01-PRY36
BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF PRYOTH = 1, ADD
"Some other prescription pain reliever".]
The next questions refer to [IF PRYOTH NE 1 AND PRMISCOUNT=1 FILL
PRFILL2 as a prescription pain reliever; IF PRYOTH = 1 AND PRMISCOUNT=1
FILL WITH “this other prescription pain reliever”; IF PRMISCOUNT>=2 FILL
WITH “these as prescription pain relievers”].

Press [ENTER] to continue.(IF PAI12MON = 2, SKIP TO DRTR)
DRPR01 During the past 12 months, did you spend a great deal of your time using prescription
pain relievers, feeling their effects, or getting over the effects of prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR02 [IF DRPR01=1 OR DK/REF] During the past 12 months, did you spend a great deal of
your time getting or trying to get prescription pain relievers?
1
2

Yes
No

598

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR03 During the past 12 months, were there many times when you ended up using
prescription pain relievers in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR04 During the past 12 months, were there times when you wanted to use prescription
pain relievers so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR05 [IF DRPR04 = 2 OR DK/REF] During the past 12 months, were there times when you
had a strong urge to use prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR06 During the past 12 months, did you need to use a lot more prescription pain relievers
than you used to in order to get the feeling you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR07 [IF DRPRO6 DRPR06 = 2 OR DK/REF] During the past 12 months, did using the
same amount of prescription pain relievers have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR08 During the past 12 months, did you often want to cut down or stop using prescription
pain relievers?
1
Yes
2
No
DK/REF

599

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR09 [IF DRPR08 = 2 OR DK/REF] During the past 12 months, did you try to cut down or
stop using prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR10a [IF DRPR09 = 1] In the past 12 months, were you able to cut down or stop using
prescription pain relievers every time you tried?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR10b [IF DRPR0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using prescription pain
relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR12 [IF DRPR11 = 1]: Did you continue to use prescription pain relievers even though it
was causing these physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR13 [IF DRPR11 = 2 OR DK/REF OR DRPR12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using prescription pain relievers?
1
Yes
2
No
DK/REF
600

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR14 [IF DRPR13 = 1]: Did you continue to use prescription pain relievers even though it
was causing these problems with your emotions or mental health or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
• Spending time with friends and family
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR18 Sometimes people who use prescription pain relievers have serious problems at
work, school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

601

DRPR20 [IF DRPR19 = 1]: Did you continue to use prescription pain relievers even though it
often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR21 During the past 12 months, did you repeatedly get into situations where using
prescription pain relievers increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR22 People may experience withdrawal symptoms when they use less or stop using
prescription pain relievers.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using prescription pain relievers for a while?

DRPR22_1 Feeling kind of blue or down
DRPR22_2 Vomiting or feeling nauseous
DRPR22_3 Having cramps or muscle aches
DRPR22_4 Having teary eyes or a runny nose
DRPR22_5 Feeling sweaty, having enlarged eye
pupils, or having body hair standing up on your skin
DRPR22_6 Having diarrhea
DRPR22_7 Yawning
DRPR22_8 Having a fever
DRPR22_9 Having trouble sleeping
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

⃝1

⃝2

DRPR23 During the past 12 months, did you use prescription pain relievers or another drug to
get over or avoid having prescription pain reliever withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:

602

Press [F2]Click the question mark button to see these symptoms again.
DRPR24 [IF DRPR23=1] Did you use any of the following to get over or avoid having
prescription pain reliever withdrawal symptoms during the past 12 months?

DRPR24_1 Prescription pain relievers
DRPR24_2 Heroin
DRPR24_3 Something else
DK/REF

Yes

No

⃝1
⃝1
⃝1

⃝2
⃝2
⃝2

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR25 [IF DRPR24_3=1] You indicated that you took something else to get over or avoid
having prescription pain reliever withdrawal symptoms during the past 12 months. What did
you take?
______________________________________
DK/REF

DRTR

[IF TRA12MON = 1] Think about your use of prescription tranquilizers during the
past 12 months as you answer these next questions. Remember, we are only interested
in prescription tranquilizers that you used in any way a doctor did not direct you to.
Earlier the computer recorded that in the past 12 months you used [IF
TRMISCOUNT=1 FILL TRFILL2][IF TRMISCOUNT>=2 FILL WITH “the
tranquilizers listed below” ] in a way a doctor did not direct you to use
[TRNUMFILL].
[IF TRMISCOUNT >=2 FILL WITH DRUG NAMES FROM TRY01- TRY12
BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF TRYOTH = 1, ADD
"Some other prescription tranquilizer".]
The next questions refer to [IF TRYOTH NE 1 AND TRMISCOUNT =1 FILL
TRFILL2 as a prescription tranquilizer; IF TRYOTH = 1 AND TRMISCOUNT =1
FILL WITH “this other prescription tranquilizer”; IF TRMISCOUNT >=2 FILL
WITH “these as prescription tranquilizers”].

Press [ENTER] to continue.(IF TRA12MON = 2, SKIP TO DRST)
DRTR01 During the past 12 months, did you spend a great deal of your time using prescription
tranquilizers, feeling their effects, or getting over the effects of prescription tranquilizers?
1
Yes
2
No
DK/REF

603

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR02 [IF DRTR01=1 OR DK/REF] During the past 12 months, did you spend a great deal of
your time getting or trying to get prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR03 During the past 12 months, were there many times when you ended up using
prescription tranquilizers in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR04 During the past 12 months, were there times when you wanted to use prescription
tranquilizers so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR05 [IF DRTR04 = 2 OR DK/REF] During the past 12 months, were there times when you
had a strong urge to use prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR06 During the past 12 months, did you need to use a lot more prescription tranquilizers
than you used to in order to get the feeling you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR07 [IF DRTRO6 DRTR06 = 2 OR DK/REF] During the past 12 months, did using the
same amount of prescription tranquilizers have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

604

DRTR08 During the past 12 months, did you often want to cut down or stop using prescription
tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR09 [IF DRTR08 = 2 OR DK/REF] During the past 12 months, did you try to cut down or
stop using prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR10a [IF DRTR09 = 1] In the past 12 months, were you able to cut down or stop using
prescription tranquilizers every time you tried?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR10b [IF DRTR0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using prescription
tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR12 [IF DRTR11 = 1]: Did you continue to use prescription tranquilizers even though it
was causing these physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

605

DRTR13 [IF DRTR11 = 2 OR DK/REF OR DRTR12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR14 [IF DRTR13 = 1]: Did you continue to use prescription tranquilizers even though it
was causing these problems with your emotions or mental health or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
• Spending time with friends and family
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR18 Sometimes people who use prescription tranquilizers have serious problems at work,
school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

606

DRTR19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR20 [IF DRTR19 = 1]: Did you continue to use prescription tranquilizers even though it
often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR21 During the past 12 months, did you repeatedly get into situations where using
prescription tranquilizers increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR22 People may experience withdrawal symptoms when they use less or stop using
prescription tranquilizers.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using prescription tranquilizers for a while?

DRTR22_1 Sweating or feeling that your heart was
beating fast
DRTR22_2 Having your hands tremble
DRTR22_3 Having trouble sleeping
DRTR22_4 Vomiting or having an upset stomach
DRTR22_5 Seeing, hearing, or feeling things that
weren't really there
DRTR22_6 Feeling like you couldn't sit still
DRTR22_7 Feeling anxious
DRTR22_8 Having seizures or fits
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

607

Yes

No

⃝1

⃝2

⃝1

⃝2

⃝1
⃝1
⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2
⃝2
⃝2

DRTR23 During the past 12 months, did you use prescription tranquilizers or another drug to get
over or avoid having prescription tranquilizer withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2]Click the question mark button to see these symptoms again.
DRTR24 [IF DRTR23=1] Did you use any of the following to get over or avoid having
prescription tranquilizer withdrawal symptoms during the past 12 months?

DRTR24_1 Prescription tranquilizers, sedatives, downers, or
sleeping pills
DRTR24_2 Alcohol
DRTR24_3 Something else

Yes

No

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR25 [IF DRTR24_3=1] You indicated that you took something else to get over or avoid
having prescription tranquilizer withdrawal symptoms during the past 12 months. What did
you take?
______________________________________
DK/REF
DRST

[IF ST12MON = 1] Think about your use of prescription stimulants during the past
12 months as you answer these next questions. Remember, we are only interested in
prescription stimulants that you used in any way a doctor did not direct you to.
Earlier the computer recorded that in the past 12 months you used [IF
STMISCOUNT =1 FILL STFILL2][IF STMISCOUNT >=2 FILL WITH “the
stimulants listed below” ] in a way a doctor did not direct you to use
[STNUMFILL].
[IF STMISCOUNT >=2 FILL WITH DRUG NAMES FROM STY01-STY26
BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF STYOTH = 1, ADD
"Some other prescription stimulant".]
The next questions refer to [IF STYOTH NE 1 AND STMISCOUNT =1 FILL
STFILL2 as a prescription stimulant; IF STYOTH = 1 AND STMISCOUNT =1 FILL
WITH “this other prescription stimulant”; IF STMISCOUNT >=2 FILL
WITH “these as prescription stimulants”].

608

Press [ENTER] to continue.
(IF ST12MON = 2, SKIP TO DRSV)
DRST01 During the past 12 months, did you spend a great deal of your time using prescription
stimulants, feeling their effects, or getting over the effects of prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST02 [IF DRST01=1 OR DK/REF] During the past 12 months, did you spend a great deal of
your time getting or trying to get prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST03 During the past 12 months, were there many times when you ended up using
prescription stimulants in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST04 During the past 12 months, were there times when you wanted to use prescription
stimulants so badly that you couldn't think of anything else?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST05 [IF DRST04 = 2 OR DK/REF] During the past 12 months, were there times when you
had a strong urge to use prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST06 During the past 12 months, did you need to use a lot more prescription stimulants
than you used to in order to get the feeling you wanted?
1
Yes
2
No
DK/REF

609

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST07 [IF DRSTO06 = 2 OR DK/REF] During the past 12 months, did using the same
amount of prescription stimulants have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST08 During the past 12 months, did you often want to cut down or stop using prescription
stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST09 [IF DRST08 = 2 OR DK/REF] During the past 12 months, did you try to cut down or
stop using prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST10a [IF DRST09 = 1] In the past 12 months, were you able to cut down or stop using
prescription stimulants every time you tried?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST10b [IF DRST0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using prescription
stimulants?
1
Yes
2
No
DK/REF

610

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST12 [IF DRST11 = 1]: Did you continue to use prescription stimulants even though it was
causing these physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST13 [IF DRST11 = 2 OR DK/REF OR DRST12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST14 [IF DRST13 = 1]: Did you continue to use prescription stimulants even though it was
causing these problems with your emotions or mental health or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports
• Attending religious services and events
• Spending time with friends and family
During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST18 Sometimes people who use prescription stimulants have serious problems at work,
school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
611

During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST20 [IF DRST19 = 1]: Did you continue to use prescription stimulants even though it
often caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST21 During the past 12 months, did you repeatedly get into situations where using
prescription stimulants increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST22a People may experience withdrawal symptoms when they use less or stop using
prescription stimulants.
During the past 12 months, have you felt kind of blue or down after you used less or stopped
using prescription stimulants for a while?

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST22b [IF DRST22a=1 ] During the past 12 months, did you have the following withdrawal
symptoms after you used less or stopped using prescription stimulants for a while?

612

DRST22_1 Feeling tired or exhausted
DRST22_2 Having bad dreams
DRST22_3 Having trouble sleeping or sleeping
more than you normally do
DRST22_4 Feeling hungry more often
DRST22_5 Feeling either very slowed down or like
you couldn’t sit still
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1
⃝1

⃝2
⃝2

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

DRST23 During the past 12 months, did you use prescription stimulants or another drug to get
over or avoid having prescription stimulant withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2]Click the question mark button to see these symptoms again.
DRST24 [IF DRST23=1] Did you use any of the following to get over or avoid having
prescription stimulant withdrawal symptoms during the past 12 months?

DRST24_1 Prescription stimulants or uppers
DRST24_2 Cocaine or crack
DRST24_3 Methamphetamine
DRST24_4 Something else
DK/REF

Yes

No

⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST25 [IF DRST24_4=1] You indicated that you took something else to get over or avoid
having prescription stimulant withdrawal symptoms during the past 12 months. What did you
take?
______________________________________
DK/REF

613

DRSV

[IF SV12MON = 1] Think about your use of prescription sedatives during the past
12 months as you answer these next questions. Remember, we are only interested in
prescription sedatives that you used in any way a doctor did not direct you to.
Earlier the computer recorded that in the past 12 months you used [IF
SVMISCOUNT =1 FILL SVFILL2][IF SVMISCOUNT >=2 FILL WITH “the
sedatives listed below” ] in a way a doctor did not direct you to use
[SVNUMFILL].
[IF SVMISCOUNT >= 2 FILL WITH DRUG NAMES FROM SVY01-SVY14
BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF SVYOTH = 1, ADD
"Some other prescription sedative".]
The next questions refer to [IF SVYOTH NE 1 AND SVMISCOUNT =1 FILL
SVFILL2 as a prescription sedative; IF SVYOTH = 1 AND SVMISCOUNT =1 FILL
WITH “this other prescription sedative”; IF SVMISCOUNT >=2 FILL WITH “these
as prescription sedatives”].

Press [ENTER] to continue.
(IF SV12MON = 2, SKIP TO PENTER1RKINTRO)
DRSV01 During the past 12 months, did you spend a great deal of your time using prescription
sedatives, feeling their effects, or getting over the effects of prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV02 [IF DRSV01=1 OR DK/REF] During the past 12 months, did you spend a great deal of
your time getting or trying to get prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV03 During the past 12 months, were there many times when you ended up using
prescription sedatives in larger amounts or for a longer time than you meant to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV04 During the past 12 months, were there times when you wanted to use prescription
sedatives so badly that you couldn't think of anything else?

614

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV05 [IF DRSV04 = 2 OR DK/REF] During the past 12 months, were there times when you
had a strong urge to use prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV06 During the past 12 months, did you need to use a lot more prescription sedatives than
you used to in order to get the feeling you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV07 [IF DRSVO6 DRSV06 = 2 OR DK/REF] During the past 12 months, did using the
same amount of prescription sedatives have much less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV08 During the past 12 months, did you often want to cut down or stop using prescription
sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV09 [IF DRSV08 = 2 OR DK/REF] During the past 12 months, did you try to cut down or
stop using prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV10a [IF DRSV09 = 1] In the past 12 months, were you able to cut down or stop using
prescription sedatives every time you tried?
1
2

Yes
No

615

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV10b [IF DRSV0a = 2 OR DK/REF] Was there more than one time in the past 12 months
when you tried but were unable to cut down or stop using prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV11 During the past 12 months, did you have any long-lasting [IF VERSION=2: or
repeated] physical health problems that were caused or made worse by using prescription
sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV12 [IF DRSV11 = 1]: Did you continue to use prescription sedatives even though it was
causing these physical health problems or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV13 [IF DRSV11 = 2 OR DK/REF OR DRSV12 = 2 OR DK/REF] During the past 12
months, did you have any long-lasting [IF VERSION=2: or repeated] problems with emotions or
mental health that were caused or made worse by using prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV14 [IF DRSV13 = 1]: Did you continue to use prescription sedatives even though it was
causing these problems with your emotions or mental health or making them worse?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV17 This question is about important activities such as:
• Attending special events at work or school
• Participating in hobbies and sports

616

•
•

Attending religious services and events
Spending time with friends and family

During the past 12 months, did you give up or spend a lot less time doing any of these types of
important activities because of your use of prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV18 Sometimes people who use prescription sedatives have serious problems at work,
school, or home—such as:
• missing a lot of work or school
• getting demoted, having your hours cut, or losing a job
• getting suspended, expelled, or dropping out of school
• failing to take care of family
During the past 12 months, did you have serious problems like this either at work, school, or
home because of your use of prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV19 During the past 12 months, did you often have arguments or other problems with
family or friends that were caused or made worse by your use of prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV20 [IF DRSV19 = 1]: Did you continue to use prescription sedatives even though it often
caused arguments or problems with family or friends?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV21 During the past 12 months, did you repeatedly get into situations where using
prescription sedatives increased your chances of getting physically hurt?
1
Yes
2
No
DK/REF
617

PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV22 People may experience withdrawal symptoms when they use less or stop using
prescription sedatives.
During the past 12 months, did you have the following withdrawal symptoms after you used less
or stopped using prescription sedatives for a while?

DRSV22_1 Sweating or feeling that your heart was
beating fast
DRSV22_2 Having your hands tremble
DRSV22_3 Having trouble sleeping
DRSV22_4 Vomiting or having an upset stomach
DRSV22_5 Seeing, hearing, or feeling things that
weren't really there
DRSV22_6 Feeling like you couldn't sit still
DRSV22_7 Feeling anxious
DRSV22_8 Having seizures or fits
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes

No

⃝1

⃝2

⃝1

⃝2

⃝1
⃝1
⃝1
⃝1
⃝1
⃝1

⃝2
⃝2
⃝2
⃝2
⃝2
⃝2

DRSV23 During the past 12 months, did you use prescription sedatives or another drug to get
over or avoid having prescription sedative withdrawal symptoms?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
PROGRAMMER: DISPLAY IN LOWER RIGHT:
Press [F2]Click the question mark button to see these symptoms again.

DRSV24 [IF DRSV23=1] Did you use any of the following to get over or avoid having
prescription sedative withdrawal symptoms during the past 12 months?

DRSV24_1 Prescription sedatives, tranquilizers, sleeping pills,
or downers
DRSV24_2 Alcohol
DRSV24_3 Something else

DK/REF

618

Yes

No

⃝1

⃝2

⃝1
⃝1

⃝2
⃝2

PROGRAMMER: SHOW 12 MONTH CALENDAR

DRSV25 [IF DRSV24_3=1] You indicated that you took something else to get over or avoid
having prescription sedative withdrawal symptoms during the past 12 months. What did you
take?
______________________________________
DK/REF

INTRODR

[IF CIG30DAY = 1 OR ALC12MON = 1 OR 2 OR 3 OR MAR12MON = 1 OR 2
OR 3 OR COC12MON = 1 OR CRK12MON = 1 OR HER12MON = 1 OR
HAL12MON = 1 OR INH12MON = 1 OR MET12MON = 1 OR PAI12MON = 1
OR TRA12MON = 1 OR STI12MON = 1 OR SED12MON = 1] Now we’d like
for you to tell us about your experiences with the
[CIG30DAY = 1 AND ALC12MON = 4 AND (MAR12MON = 4 AND
COC12MON = 2 AND CRK12MON = 2 AND HER12MON = 2 AND
HAL12MON = 2 AND INH12MON = 2 AND MET12MON = 2 AND
PAI12MON = 2 AND TRA12MON = 2 AND STI12MON = 2 AND
SED12MON = 2)] cigarettes you smoked.
[CIG30DAY = 1 AND ALC12MON = 1 OR 2 OR 3 AND (MAR12MON = 4
AND COC12MON = 2 AND CRK12MON = 2 AND HER12MON = 2 AND
HAL12MON = 2 AND INH12MON = 2 AND MET12MON = 2 AND
PAI12MON = 2 AND TRA12MON = 2 AND STI12MON = 2 AND
SED12MON = 2)] cigarettes you smoked and the alcohol you drank.
[CIG30DAY = 2 AND ALC12MON =1 OR 2 OR 3 AND (MAR12MON = 4
AND COC12MON = 2 AND CRK12MON = 2 AND HER12MON = 2 AND
HAL12MON = 2 AND INH12MON = 2 AND MET12MON = 2 AND
PAI12MON = 2 AND TRA12MON = 2 AND STI12MON = 2 AND
SED12MON = 2)] alcohol you drank.
[CIG30DAY = 1 AND ALC12MON = 4 AND (MAR12MON = 1 OR 2 OR 3 OR
COC12MON = 1 OR CRK12MON =1 OR HER12MON = 1 OR HAL12MON =
1 OR INH12MON = 1 OR MET12MON = 1 OR PAI12MON = 1 OR
TRA12MON = 1 OR STI12MON = 1 OR SED12MON = 1)] cigarettes you
smoked and the other drugs that you used.
[CIG30DAY = 2 AND ALC12MON = 1 OR 2 OR 3 OR AND (MAR12MON = 1
OR 2 OR 3 OR COC12MON = 1 OR CRK12MON =1 OR HER12MON = 1 OR
HAL12MON = 1 OR INH12MON = 1 OR MET12MON = 1 OR PAI12MON = 1
OR TRA12MON = 1 OR STI12MON = 1 OR SED12MON = 1)] alcohol you
drank and the other drugs that you used.

619

[CIG30DAY = 1 AND ALC12MON = 1 OR 2 OR 3 AND (MAR12MON = 1 OR
2 OR 3 OR COC12MON = 1 OR CRK12MON =1 OR HER12MON = 1 OR
HAL12MON = 1 OR INH12MON = 1 OR MET12MON = 1 OR PAI12MON = 1
OR TRA12MON = 1 OR STI12MON = 1 OR SED12MON = 1)]cigarettes you
smoked, the alcohol you drank, and the other drugs that you used.
[CIG30DAY = 2 AND ALC12MON = 4 AND (MAR12MON = 1 OR 2 OR 3 OR
COC12MON = 1 OR CRK12MON =1 OR HER12MON = 1 OR HAL12MON =
1 OR INH12MON = 1 OR MET12MON = 1 OR PAI12MON = 1 OR
TRA12MON = 1 OR STI12MON = 1 OR SED12MON = 1)]drugs that you used.
Press [ENTER] to continue.
DRCIG

[IF CIG30DAY = 1] Think about your use of cigarettes during the past 30 days
as you answer these next questions.
Press [ENTER] to continue.
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE01

[IF CIG30DAY=1] Please think about how true each statement is of you.
After not smoking for a while, you need to smoke in order to feel less restless and
irritable.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE02

[IF CIG30DAY=1] When you don’t smoke for a few hours, you start to crave
cigarettes.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE03

[IF CIG30DAY=1] You sometimes have strong cravings for a cigarette where it
feels like you’re in the grip of a force you can’t control.

620

1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DRCGE04

[IF CIG30DAY=1] You feel a sense of control over your smoking — that is, you
can “take it or leave it” at any time.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE05

[IF CIG30DAY=1] You tend to avoid places that don’t allow smoking, even if
you would otherwise enjoy them.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE06a [IF CIG30DAY=1] Do you have any friends who do not smoke cigarettes?
1
Yes
2
No
DK/REF
DRCGE06b [IF DRCGE06a = 1] Think about your use of cigarettes during the past 30 days
as you answer these next questions. There are times when you choose not to be
around your friends who don’t smoke because they won’t like it if you smoke.
1
2
3
4
5

Not at all true
Somewhat true
Moderately true
Very true
Extremely true

621

DRCGE07

DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
[IF CIG30DAY=1]
[ADD IF DRCGE06b = BLANK] Think about your use of cigarettes during the
past 30 days as you answer these next questions.
Even if you’re traveling a long distance, you’d rather not travel by airplane
because you wouldn’t be allowed to smoke.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE08

[IF CIG30DAY=1] You sometimes worry that you will run out of cigarettes.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE09

[IF CIG30DAY=1] You smoke cigarettes fairly regularly throughout the day.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE10

[IF CIG30DAY=1] You smoke about the same amount on weekends as on
weekdays.
1
2
3
4
5

Not at all true
Somewhat true
Moderately true
Very true
Extremely true

622

DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DRCGE11

[IF CIG30DAY=1] You smoke just about the same number of cigarettes from day
to day.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE12

[IF CIG30DAY=1] It’s hard to say how many cigarettes you smoke per day
because the number often changes.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE13

[IF CIG30DAY=1] It’s normal for you to smoke several cigarettes in an hour,
then not have another one until hours later.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE14

[IF CIG30DAY=1] The number of cigarettes you smoke per day is often
influenced by other things -- how you’re feeling, or what you’re doing, for
example.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF

623

PROGRAMMER: SHOW 30 DAY CALENDAR
DRCGE15

[IF CIG30DAY=1] Your smoking is not affected much by other things. For
example, you smoke about the same amount whether you’re relaxing or working,
happy or sad, alone or with others.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE16

[IF CIG30DAY=1] Since you started smoking, the amount you smoke has
increased.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE17

[IF CIG30DAY=1] Compared to when you first started smoking, you need to
smoke a lot more now in order to be satisfied.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

DRCGE18

[IF CIG30DAY=1] Compared to when you first started smoking, you can smoke
much, much more now before you start to feel anything.
1
Not at all true
2
Somewhat true
3
Moderately true
4
Very true
5
Extremely true
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

624

DRCGE19a [IF CIG30DAY=1 AND (CG07=30 OR CG07DKRE = 6] How soon after you
wake up do you have your first cigarette?
1
Within the first 5 minutes after you wake up
2
Between 6 and 30 minutes after you wake up
3
Between 31 and 60 minutes after you wake up
4
More than 60 minutes after you wake up
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DRCGE19b [IF DRCGE19a = BLANK AND CIG30DAY=1 AND (CG07 = 1 - 29 OR
CG07DKRE - 1-5] On the days that you smoke, how soon after you wake up do
you have your first cigarette?
1
Within the first 5 minutes after you wake up
2
Between 6 and 30 minutes after you wake up
3
Between 31 and 60 minutes after you wake up
4
More than 60 minutes after you wake up
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DRALC

[IF ALC12MON = 1 - 3] Think about your use of alcohol during the past 12
months as you answer these next questions.
Press [ENTER] to continue.

DRALC01

[IF ALC12MON = 1 - 3] During the past 12 months, was there a month or more
when you spent a lot of your time getting or drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC02

[IF DRALC01 = 2 OR DK/REF] During the past 12 months, was there a month or
more when you spent a lot of time getting over the effects of the alcohol you
drank?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC04

[IF ALC12MON = 1 - 3] During the past 12 months, did you try to set limits on
how often or how much alcohol you would drink?

625

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC05

[IF DRALC04 = 1] Were you able to keep to the limits you set, or did you often
drink more than you intended to?
1
Usually kept to the limits set
2
Often drank more than intended
DK/REF

DRALC06

[IF ALC12MON = 1 - 3] During the past 12 months, did you need to drink more
alcohol than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC07

[IF DRALCO6=2 OR DK/REF] During the past 12 months, did you notice that
drinking the same amount of alcohol had less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC08

[IF ALC12MON = 1 - 3] During the past 12 months, did you want to or try to
cut down or stop drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC09

[IF DRALC08 = 1] During the past 12 months, were you able to cut down or stop
drinking alcohol every time you wanted to or tried to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC10

[IF DRALC08 = 2 OR DK/REF OR DRALC09 = 2 OR DK/REF] During the past

626

12 months, did you cut down or stop drinking at least one time?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC11

[IF DRALC09 = 1 OR DRALC10 = 1] Please look at the symptoms listed below.
During the past 12 months, did you have 2 or more of these symptoms after you
cut back or stopped drinking alcohol?
•
•
•
•
•
•
•
•

Sweating or feeling that your heart was beating fast
Having your hands tremble
Having trouble sleeping
Vomiting or feeling nauseous
Seeing, hearing, or feeling things that weren’t really there
Feeling like you couldn’t sit still
Feeling anxious
Having seizures or fits

1
Yes
2
No
DK/REF
DRALC12

[IF DRALC11 = 1] Please look at the symptoms listed below. During the past 12
months, did you have 2 or more of these symptoms at the same time that lasted
for longer than a day after you cut back or stopped drinking alcohol?
•
•
•
•
•
•
•
•

Sweating or feeling that your heart was beating fast
Having your hands tremble
Having trouble sleeping
Vomiting or feeling nauseous
Seeing, hearing, or feeling things that weren’t really there
Feeling like you couldn’t sit still
Feeling anxious
Having seizures or fits

1
Yes
2
No
DK/REF
DRALC13

[IF ALC12MON = 1 - 3] During the past 12 months, did you have any problems
with your emotions, nerves, or mental health that were probably caused or made
worse by drinking alcohol?
1

Yes

627

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRALC14

[IF DRALC13 = 1] Did you continue to drink alcohol even though you thought
drinking was causing you to have problems with your emotions, nerves, or mental
health?
1
Yes
2
No
DK/REF

DRALC15

[IF DRALC13 = 2 OR DK/REF OR DRALC14 = 2 OR DK/REF] During the past
12 months, did you have any physical health problems that were probably caused
or made worse by drinking alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC16

[IF DRALC15 = 1] Did you continue to drink alcohol even though you thought
drinking was causing you to have physical problems?
1
Yes
2
No
DK/REF

DRALC17

[IF ALC12MON = 1 - 3] This question is about important activities such as
working, going to school, taking care of children, doing fun things such as
hobbies and sports, and spending time with friends and family.
During the past 12 months, did drinking alcohol cause you to give up or spend
less time doing these types of important activities?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC18

[IF ALC12MON = 1 - 3] Sometimes people who drink alcohol have serious
problems at home, work or school — such as:
•
•

neglecting their children
missing work or school

628

•
•

doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did drinking alcohol cause you to have serious
problems like this either at home, work, or school?
1
Yes
2
No
DK/REF
DRALC19

[IF ALC12MON = 1 - 3] During the past 12 months, did you regularly drink
alcohol and then do something where being drunk might have put you in physical
danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC20

[IF ALC12MON = 1 - 3] During the past 12 months, did drinking alcohol cause
you to do things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC21

[IF ALC12MON = 1 - 3] During the past 12 months, did you have any problems
with family or friends that were probably caused by your drinking?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRALC22

[IF DRALC21 = 1] Did you continue to drink alcohol even though you thought
your drinking caused problems with family or friends?
1
Yes
2
No
DK/REF

DRMJ

[IF MAR12MON = 1 - 3] Think about your use of marijuana or hashish during the
past 12 months as you answer these next questions.
Press [ENTER] to continue.

629

DRMJ01 [IF MAR12MON= 1 - 3] During the past 12 months, was there a month or more
when you spent a lot of your time getting or using marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ02 [IF DRMJ01 = 2 OR DK/REF] During the past 12 months, was there a month or
more when you spent a lot of your time getting over the effects of the marijuana or
hashish you used?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ04 [IF MAR12MON= 1 - 3] During the past 12 months, did you try to set limits on how
often or how much marijuana or hashish you would use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ05 [IF DRMJ04 = 1] Were you able to keep to the limits you set, or did you often use
marijuana or hashish more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF
DRMJ06 [IF MAR12MON = 1 - 3] During the past 12 months, did you need to use more
marijuana or hashish than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ07 [IF DRMJ06=2 OR DK/REF] During the past 12 months, did you notice that using
the same amount of marijuana or hashish had less effect on you than it used to?
1
2

Yes
No

630

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ08 [IF MAR12MON= 1 - 3] During the past 12 months, did you want to or try to cut
down or stop using marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ09 [IF DRMJ08 = 1] During the past 12 months, were you able to cut down or stop
using marijuana or hashish every time you wanted to or tried to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ13 [IF MAR12MON= 1 - 3] During the past 12 months, did you have any problems with
your emotions, nerves, or mental health that were probably caused or made worse by
your use of marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ14 [IF DRMJ13 = 1] Did you continue to use marijuana or hashish even though you
thought it was causing you to have problems with your emotions, nerves, or mental
health?
1
Yes
2
No
DK/REF
DRMJ15 [IF DRMJ13 = 2 OR DK/REF OR DRMJ14 = 2 OR DK/REF] During the past 12
months, did you have any physical health problems that were probably caused or
made worse by your use of marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ16 [IF DRMJ15 = 1] Did you continue to use marijuana or hashish even though you

631

thought it was causing you to have physical problems?
1
Yes
2
No
DK/REF
DRMJ17 [IF MAR12MON= 1 - 3] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and sports,
and spending time with friends and family.
During the past 12 months, did using marijuana or hashish cause you to give up or
spend less time doing these types of important activities?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ18 [IF MAR12MON= 1 - 3] Sometimes people who use marijuana or hashish have
serious problems at home, work or school — such as:
•
•
•
•

neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using marijuana or hashish cause you to have
serious problems like this either at home, work, or school?
1
Yes
2
No
DK/REF
DRMJ19 [IF MAR12MON= 1 - 3] During the past 12 months, did you regularly use
marijuana or hashish and then do something where using marijuana or hashish
might have put you in physical danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ20 [IF MAR12MON= 1 - 3] During the past 12 months, did using marijuana or
hashish cause you to do things that repeatedly got you in trouble with the law?
1

Yes

632

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ21 [IF MAR12MON= 1 - 3] During the past 12 months, did you have any problems with
family or friends that were probably caused by your use of marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRMJ22 [IF DRMJ21 = 1] Did you continue to use marijuana or hashish even though you
thought it caused problems with family or friends?
1
Yes
2
No
DK/REF

DRCC

[IF COC12MON = 1 OR CRK12MON = 1] Think about your use of cocaine [IF
CRK12MON = 1] , including the form of cocaine called ‘crack’ during the past 12
months as you answer these next questions.
Press [ENTER] to continue.

DEFINE COKEFILL:
IF COC12MON = 1 AND CRK12MON NE 1, THEN COKEFILL = ‘cocaine’
IF COC12MON = 1 AND CRK12MON = 1 THEN COKEFILL = ‘cocaine or ‘crack’
IF COC12MON NE 1 AND CRK12MON = 1 THEN COKEFILL = ‘crack’
ELSE COKEFILL = BLANK
DRCC01 [IF COC12MON = 1 OR CRK12MON = 1] During the past 12 months, was there a
month or more when you spent a lot of your time getting or using [COKEFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC02 [IF DRCC01 = 2 OR DK/REF] During the past 12 months, was there a month or
more when you spent a lot of your time getting over the effects of the [COKEFILL]
you used?
1
2

Yes
No

633

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC04 [IF COC12MON = 1 OR CRK12MON = 1] During the past 12 months, did you try to
set limits on how often or how much [COKEFILL] you would use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC05 [IF DRCC04 = 1] Were you able to keep to the limits you set, or did you often use
[COKEFILL] more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF
DRCC06 [IF COC12MON = 1 OR CRK12MON = 1] During the past 12 months, did you need
to use more [COKEFILL] than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC07 [IF DRCC06=2 OR DK/REF] During the past 12 months, did you notice that using
the same amount of [COKEFILL] had less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC08 [IF COC12MON = 1 OR CRK12MON = 1] During the past 12 months, did you want
to or try to cut down or stop using [COKEFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC09 [IF DRCC08 = 1] During the past 12 months, were you able to cut down or stop
using [COKEFILL] every time you wanted to or tried to?
1

Yes

634

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC10 [IF DRCC8 = 2 OR DK/REF OR DRCC9 = 2 OR DK/REF] During the past 12
months, did you cut down or stop using [COKEFILL] at least one time?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC10a [IF DRCC09 = 1 OR DRCC10 = 1] During the past 12 months, have you felt kind of
blue or down when you cut down or stopped using [COKEFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC11 [IF DRCC10a = 1] Please look at the symptoms listed below. During the past 12
months, did you have 2 or more of these symptoms after you cut back or stopped
using [COKEFILL]?
•
•
•
•
•

Feeling tired or exhausted
Having bad dreams
Having trouble sleeping or sleeping more than you normally do
Feeling hungry more often
Feeling either very slowed down or like you couldn’t sit still

1
Yes
2
No
DK/REF

DRCC12 [IF DRCC11 = 1] Please look at the symptoms listed below. During the past 12
months, did you have 2 or more of these symptoms at the same time that lasted for
longer than a day after you cut back or stopped using [COKEFILL]?
•
•
•
•
•

Feeling tired or exhausted
Having bad dreams
Having trouble sleeping or sleeping more than you normally do
Feeling hungry more often
Feeling either very slowed down or like you couldn’t sit still

635

1
Yes
2
No
DK/REF
DRCC13 [IF COC12MON = 1 OR CRK12MON = 1] During the past 12 months, did you have
any problems with your emotions, nerves, or mental health that were probably caused
or made worse by your use of [COKEFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC14 [IF DRCC13 = 1] Did you continue to use [COKEFILL] even though you thought it
was causing you to have problems with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF
DRCC15 [IF DRCC13 = 2 OR DK/REF OR DRCC14 = 2 OR DK/REF] During the past 12
months, did you have any physical health problems that were probably caused or
made worse by your use of [COKEFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC16 [IF DRCC15 = 1] Did you continue to use [COKEFILL] even though you thought it
was causing you to have physical problems?
1
Yes
2
No
DK/REF
DRCC17 [IF COC12MON = 1 OR CRK12MON = 1] This question is about important
activities such as working, going to school, taking care of children, doing fun things
such as hobbies and sports, and spending time with friends and family.
During the past 12 months, did using [COKEFILL] cause you to give up or spend
less time doing these types of important activities?
1
2

Yes
No

636

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC18 [IF COC12MON = 1 OR CRK12MON = 1] Sometimes people who use
[COKEFILL] have serious problems at home, work or school — such as:
•
•
•
•

neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using [COKEFILL] cause you to have serious
problems like this either at home, work, or school?
1
Yes
2
No
DK/REF
DRCC19 [IF COC12MON = 1 OR CRK12MON = 1] During the past 12 months, did you
regularly use [COKEFILL] and then do something where using [COKEFILL]
might have put you in physical danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC20 [IF COC12MON = 1 OR CRK12MON = 1] During the past 12 months, did using
[COKEFILL] cause you to do things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC21 [IF COC12MON = 1 OR CRK12MON = 1] During the past 12 months, did you have
any problems with family or friends that were probably caused by your use of
[COKEFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRCC22 [IF DRCC21 = 1] Did you continue to use [COKEFILL] even though you thought it
caused problems with family or friends?

637

1
Yes
2
No
DK/REF
DRHE

[IF HER12MON = 1] Think about your use of heroin during the past 12 months as
you answer these next questions.
Press [ENTER] to continue.

DRHE01 [IF HER12MON = 1] During the past 12 months, was there a month or more when
you spent a lot of your time getting or using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE02 [IF DRHE01 = 2 OR DK/REF] During the past 12 months, was there a month or
more when you spent a lot of your time getting over the effects of the heroin you
used?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE04 [IF HER12MON = 1] During the past 12 months, did you try to set limits on how
often or how much heroin you would use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE05 [IF DRHE04 = 1] Were you able to keep to the limits you set, or did you often use
heroin more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF

DRHE06 [IF HER12MON = 1] During the past 12 months, did you need to use more heroin
than you used to in order to get the effect you wanted?

638

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE07 [IF DRHE06=2 OR DK/REF] During the past 12 months, did you notice that using
the same amount of heroin had less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE08 [IF HER12MON = 1] During the past 12 months, did you want to or try to cut down
or stop using heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE09 [IF DRHE08 = 1] During the past 12 months, were you able to cut down or stop
using heroin every time you wanted to or tried to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE10 [IF DRHE08 = 2 OR DK/REF OR DRHE09 = 2 OR DK/REF] During the past 12
months, did you cut down or stop using heroin at least one time?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE11 [IF DRHE09 = 1 OR DRHE10 = 1] Please look at the symptoms listed below.
During the past 12 months, did you have 3 or more of these symptoms after you cut
back or stopped using heroin?
•
•
•
•
•

Feeling kind of blue or down
Vomiting or feeling nauseous
Having cramps or muscle aches
Having teary eyes or a runny nose
Feeling sweaty, having enlarged eye pupils, or having body hair standing up

639

•
•
•
•

on your skin
Having diarrhea
Yawning
Having a fever
Having trouble sleeping

1
Yes
2
No
DK/REF
DRHE12 [IF DRHE11 = 1] Please look at the symptoms listed below. During the past 12
months, did you have 3 or more of these symptoms at the same time that lasted for
longer than a day after you cut back or stopped using heroin?
•
•
•
•
•
•
•
•
•

Feeling kind of blue or down
Vomiting or feeling nauseous
Having cramps or muscle aches
Having teary eyes or a runny nose
Feeling sweaty, having enlarged eye pupils, or having body hair standing up
on your skin
Having diarrhea
Yawning
Having a fever
Having trouble sleeping

1
Yes
2
No
DK/REF
DRHE13 [IF HER12MON = 1] During the past 12 months, did you have any problems with
your emotions, nerves, or mental health that were probably caused or made worse by
your use of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE14 [IF DRHE13 = 1] Did you continue to use heroin even though you thought it was
causing you to have problems with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF
DRHE15 [IF DRHE13 = 2 OR DK/REF OR DRHE14 = 2 OR DK/REF] During the past 12

640

months, did you have any physical health problems that were probably caused or
made worse by your use of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE16 [IF DRHE15 = 1] Did you continue to use heroin even though you thought it was
causing you to have physical problems?
1
Yes
2
No
DK/REF
DRHE17 [IF HER12MON = 1] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and sports,
and spending time with friends and family.
During the past 12 months, did using heroin cause you to give up or spend less time
doing these types of important activities?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE18 [IF HER12MON = 1] Sometimes people who use heroin have serious problems at
home, work or school — such as:
•
•
•
•

neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using heroin cause you to have serious problems like
this either at home, work, or school?
1
Yes
2
No
DK/REF
DRHE19 [IF HER12MON = 1] During the past 12 months, did you regularly use heroin and
then do something where using heroin might have put you in physical danger?
1

Yes

641

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE20 [IF HER12MON = 1] During the past 12 months, did using heroin cause you to do
things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE21 [IF HER12MON = 1] During the past 12 months, did you have any problems with
family or friends that were probably caused by your use of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRHE22 [IF DRHE21 = 1] Did you continue to use heroin even though you thought it caused
problems with family or friends?
1
Yes
2
No
DK/REF
DRLS

[IF HAL12MON = 1] Think about your use of hallucinogens, such as LSD, ‘acid’,
PCP, ‘Ecstasy’ or ‘Molly’, psilocybin or mushrooms, mescaline, or peyote during the
past 12 months as you answer these next questions.
Press [ENTER] to continue.

DRLS01 [IF HAL12MON = 1] During the past 12 months, was there a month or more when
you spent a lot of your time getting or using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS02 [IF DRLS01 = 2 OR DK/REF] During the past 12 months, was there a month or more
when you spent a lot of your time getting over the effects of the hallucinogens you
used?
1

Yes

642

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS04 [IF HAL12MON = 1] During the past 12 months, did you try to set limits on how
often or how much hallucinogens you would use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS05 [IF DRLS04 = 1] Were you able to keep to the limits you set, or did you often use
hallucinogens more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF

DRLS06 [IF HAL12MON = 1] During the past 12 months, did you need to use more
hallucinogens than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS07 IF DRLS06=2 OR DK/REF] During the past 12 months, did you notice that using the
same amount of hallucinogens had less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS08 [IF HAL12MON = 1] During the past 12 months, did you want to or try to cut down
or stop using hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS09 [IF DRLS08 = 1] During the past 12 months, were you able to cut down or stop using
hallucinogens every time you wanted to or tried to?

643

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS13 [IF HAL12MON = 1] During the past 12 months, did you have any problems with
your emotions, nerves, or mental health that were probably caused or made worse by
your use of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS14 [IF DRLS13 = 1] Did you continue to use hallucinogens even though you thought
this was causing you to have problems with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF
DRLS15 [IF DRLS13 = 2 OR DK/REF OR DRLS14 = 2 OR DK/REF] During the past 12
months, did you have any physical health problems that were probably caused or
made worse by your use of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS16 [IF DRLS15 = 1] Did you continue to use hallucinogens even though you thought
this was causing you to have physical problems?
1
Yes
2
No
DK/REF
DRLS17 [IF HAL12MON = 1] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and sports,
and spending time with friends and family.
During the past 12 months, did using hallucinogens cause you to give up or spend
less time doing these types of important activities?
1

Yes

644

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS18 [IF HAL12MON = 1] Sometimes people who use hallucinogens have serious
problems at home, work or school — such as:
•
•
•
•

neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using hallucinogens cause you to have serious
problems like this either at home, work, or school?
1
Yes
2
No
DK/REF

DRLS19 [IF HAL12MON = 1] During the past 12 months, did you regularly use
hallucinogens and then do something where using hallucinogens put you in physical
danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS20 [IF HAL12MON = 1] During the past 12 months, did using hallucinogens cause you
to do things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRLS21 [IF HAL12MON = 1] During the past 12 months, did you have any problems with
family or friends that were probably caused by your use of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

645

DRLS22 [IF DRLS21 = 1] Did you continue to use hallucinogens even though you thought
this caused problems with family or friends?
1
Yes
2
No
DK/REF
DRIN

[IF INH12MON = 1] Think about your use of inhalants, such as amyl nitrite,
‘poppers,’ nitrous oxide, gasoline or lighter fluids, glue, spray paints, or correction
fluids during the past 12 months as you answer these next questions.
Press [ENTER]Click Next. to continue.
PROGRAMMER: SHOW 12 MONTH CALENDAR

DRIN01 [IF INH12MON = 1] During the past 12 months, was there a month or more when
you spent a lot of your time getting or using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN02 [IF DRIN01 = 2 OR DK/REF] During the past 12 months, was there a month or more
when you spent a lot of your time getting over the effects of the inhalants you used?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN04 [IF INH12MON = 1] During the past 12 months, did you try to set limits on how
often or how much inhalants you would use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN05 [IF DRIN04 = 1] Were you able to keep to the limits you set, or did you often use
inhalants more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF
DRIN06 [IF INH12MON = 1] During the past 12 months, did you need to use more inhalants

646

than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN07 [IF DRIN06=2 OR DK/REF] During the past 12 months, did you notice that using the
same amount of inhalants had less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN08 [IF INH12MON = 1] During the past 12 months, did you want to or try to cut down
or stop using inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN09 [IF DRIN08 = 1] During the past 12 months, were you able to cut down or stop using
inhalants every time you wanted to or tried to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN13 [IF INH12MON = 1] During the past 12 months, did you have any problems with
your emotions, nerves, or mental health that were probably caused or made worse by
your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN14 [IF DRIN13 = 1] Did you continue to use inhalants even though you thought this
was causing you to have problems with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF

647

DRIN15 [IF DRIN13 = 2 OR DK/REF OR DRIN14 = 2 OR DK/REF] During the past 12
months, did you have any physical health problems that were probably caused or
made worse by your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN16 [IF DRIN15 = 1] Did you continue to use inhalants even though you thought this
was causing you to have physical problems?
1
Yes
2
No
DK/REF
DRIN17 [IF INH12MON = 1] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and sports,
and spending time with friends and family.
During the past 12 months, did using inhalants cause you to give up or spend less
time doing these types of important activities?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN18 [IF INH12MON = 1] Sometimes people who use inhalants have serious problems at
home, work or school — such as:
•
•
•
•

neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using inhalants cause you to have serious problems
like this either at home, work, or school?
1
Yes
2
No
DK/REF

DRIN19 [IF INH12MON = 1] During the past 12 months, did you regularly use inhalants and

648

then do something where using inhalants might have put you in physical danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN20 [IF INH12MON = 1] During the past 12 months, did using inhalants cause you to do
things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN21 [IF INH12MON = 1] During the past 12 months, did you have any problems with
family or friends that were probably caused by your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRIN22 [IF DRIN21 = 1] Did you continue to use inhalants even though you thought this
caused problems with family or friends?
1
Yes
2
No
DK/REF
DRME

[IF MET12MON = 1] Think about your use of methamphetamine during the past 12
months as you answer these next questions.
Press [ENTER] to continue.

DRME01 [IF MET12MON = 1] During the past 12 months, was there a month or more when
you spent a lot of your time getting or using methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME02 [IF DRME01 = 2 OR DK/REF] During the past 12 months, was there a month or
more when you spent a lot of your time getting over the effects of the

649

methamphetamine you used?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME04 [IF MET12MON= 1] During the past 12 months, did you try to set limits on how
often or how much methamphetamine you would use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME05 [IF DRME04 = 1] Were you able to keep to the limits you set, or did you often use
methamphetamine more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF
DRME06 [IF MET12MON = 1] During the past 12 months, did you need to use more
methamphetamine than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME07 [IF DRME06=2 OR DK/REF] During the past 12 months, did you notice that using
the same amount of methamphetamine had less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME08 [IF MET12MON= 1] During the past 12 months, did you want to or try to cut down
or stop using methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

650

DRME09 [IF DRME08 = 1] During the past 12 months, were you able to cut down or stop
using methamphetamine every time you wanted to or tried to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME10 [IF DRME08 = 2 OR DK/REF OR DRME09 = 2 OR DK/REF] During the past 12
months, did you cut down or stop using methamphetamine at least one time?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME10a [IF DRME09 = 1 OR DRME10 = 1] During the past 12 months, have you felt
kind of blue or down when you cut down or stopped using methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME11 [IF DRME10a = 1] Please look at the symptoms listed below. During the past 12
months, did you have 2 or more of these symptoms after you cut back or stopped
using methamphetamine?
•
•
•
•
•

Feeling tired or exhausted
Having bad dreams
Having trouble sleeping or sleeping more than you normally do
Feeling hungry more often
Feeling either very slowed down or like you couldn’t sit still

1
Yes
2
No
DK/REF
DRME12 [IF DRME11 = 1] Please look at the symptoms listed below. During the past 12
months, did you have 2 or more of these symptoms at the same time that lasted for
longer than a day after you cut back or stopped using methamphetamine?
•
•
•
•

Feeling tired or exhausted
Having bad dreams
Having trouble sleeping or sleeping more than you normally do
Feeling hungry more often

651

•

Feeling either very slowed down or like you couldn’t sit still

1
Yes
2
No
DK/REF

DRME13 [IF MET12MON= 1] During the past 12 months, did you have any problems with
your emotions, nerves, or mental health that were probably caused or made worse by
your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME14 [IF DRME13 = 1] Did you continue to use methamphetamine even though you
thought it was causing you to have problems with your emotions, nerves, or mental
health?
1
Yes
2
No
DK/REF
DRME15 [IF DRME13 = 2 OR DK/REF OR DRME14 = 2 OR DK/REF] During the past 12
months, did you have any physical health problems that were probably caused or
made worse by your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME16 [IF DRME15 = 1] Did you continue to use methamphetamine even though you
thought it was causing you to have physical problems?
1
Yes
2
No
DK/REF
DRME17 [IF MET12MON= 1] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and sports,
and spending time with friends and family.
During the past 12 months, did using methamphetamine cause you to give up or
spend less time doing these types of important activities?

652

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME18 [IF MET12MON= 1] Sometimes people who use methamphetamine have serious
problems at home, work or school — such as:
•
•
•
•

neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using methamphetamine cause you to have serious
problems like this either at home, work, or school?
1
Yes
2
No
DK/REF
DRME19 [IF MET12MON= 1] During the past 12 months, did you regularly use
methamphetamine and then do something where using methamphetamine might
have put you in physical danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME20 [IF MET12MON= 1] During the past 12 months, did using methamphetamine cause
you to do things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRME21 [IF MET12MON= 1] During the past 12 months, did you have any problems with
family or friends that were probably caused by your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

653

DRME22 [IF DRME21 = 1] Did you continue to use methamphetamine even though you
thought it caused problems with family or friends?
1
Yes
2
No
DK/REF
DRPR

[IF PAI12MON = 1] Think about your use of prescription pain relievers during the
past 12 months as you answer these next questions. Remember, we are only interested
in prescription pain relievers that you used in any way a doctor did not direct you
to.
Earlier the computer recorded that in the past 12 months you used [IF
PRMISCOUNT=1 FILL PRFILL2][IF PRMISCOUNT>=2 FILL WITH “the pain
relievers listed below” ] in a way a doctor did not direct you to use [PRNUMFILL].
[IF PRMISCOUNT>=2 FILL WITH DRUG NAMES FROM PRY01-PRY36
BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF PRYOTH = 1, ADD
"Some other prescription pain reliever".]
The next questions refer to [IF PRYOTH NE 1 AND PRMISCOUNT=1 FILL
PRFILL2 as a prescription pain reliever; IF PRYOTH = 1 AND PRMISCOUNT=1
FILL WITH “this other prescription pain reliever”; IF PRMISCOUNT>=2 FILL
WITH “these as prescription pain relievers”].
Press [ENTER] to continue.

DRPR01 [IF PAI12MON = 1] During the past 12 months, was there a month or more when
you spent a lot of your time getting or using prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR02 [IF DRPR01 = 2 OR DK/REF] During the past 12 months, was there a month or more
when you spent a lot of your time getting over the effects of the prescription pain
relievers you used?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

654

DRPR04 [IF PAI12MON = 1] During the past 12 months, did you try to set limits on how
often or how much prescription pain relievers you would use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR05 [IF DRPR04 = 1] Were you able to keep to the limits you set, or did you often use
prescription pain relievers more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF
DRPR06 [IF PAI12MON = 1] During the past 12 months, did you need to use more
prescription pain relievers than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR07 [IF DRPR06=2 OR DK/REF] During the past 12 months, did you notice that using
the same amount of prescription pain relievers had less effect on you than it used
to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR08 [IF PAI12MON = 1] During the past 12 months, did you want to or try to cut down
or stop using prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR09 [IF DRPR08 = 1] During the past 12 months, were you able to cut down or stop
using prescription pain relievers every time you wanted to or tried to?
1
2

Yes
No

655

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR10 [IF DRPR08 = 2 OR DK/REF OR DRPR09 = 2 OR DK/REF] During the past 12
months, did you cut down or stop using prescription pain relievers at least one
time?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR11 [IF DRPR09 = 1 OR DRPR10 = 1] Please look at the symptoms listed below.
During the past 12 months, did you have 3 or more of these symptoms after you cut
back or stopped using prescription pain relievers?
•
•
•
•
•
•
•
•
•

Feeling kind of blue or down
Vomiting or feeling nauseous
Having cramps or muscle aches
Having teary eyes or a runny nose
Feeling sweaty, having enlarged eye pupils, or having body hair standing up
on your skin
Having diarrhea
Yawning
Having a fever
Having trouble sleeping

1
Yes
2
No
DK/REF
DRPR12 [IF DRPR11 = 1] Please look at the symptoms listed below. During the past 12
months, did you have 3 or more of these symptoms at the same time that lasted for
longer than a day after you cut back or stopped using prescription pain relievers?
•
•
•
•
•
•
•
•
•

Feeling kind of blue or down
Vomiting or feeling nauseous
Having cramps or muscle aches
Having teary eyes or a runny nose
Feeling sweaty, having enlarged eye pupils, or having body hair standing up
on your skin
Having diarrhea
Yawning
Having a fever
Having trouble sleeping

656

1
Yes
2
No
DK/REF
DRPR13 [IF PAI12MON = 1] During the past 12 months, did you have any problems with
your emotions, nerves, or mental health that were probably caused or made worse by
your use of prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR14 [IF DRPR13 = 1] Did you continue to use prescription pain relievers even though
you thought this was causing you to have problems with your emotions, nerves, or
mental health?
1
Yes
2
No
DK/REF
DRPR15 [IF DRPR13 = 2 OR DK/REF OR DRPR14 = 2 OR DK/REF] During the past 12
months, did you have any physical health problems that were probably caused or
made worse by your use of prescription pain relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR16 [IF DRPR15 = 1] Did you continue to use prescription pain relievers even though
you thought this was causing you to have physical problems?
1
Yes
2
No
DK/REF
DRPR17 [IF PAI12MON = 1] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and sports,
and spending time with friends and family.
During the past 12 months, did using prescription pain relievers cause you to give
up or spend less time doing these types of important activities?
1
2

Yes
No

657

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR18 [IF PAI12MON = 1] Sometimes people who use prescription pain relievers have
serious problems at home, work or school — such as:
•
•
•
•

neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using prescription pain relievers cause you to have
serious problems like this either at home, work, or school?
1
Yes
2
No
DK/REF
DRPR19 [IF PAI12MON = 1] During the past 12 months, did you regularly use prescription
pain relievers and then do something where using prescription pain relievers might
have put you in physical danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR20 [IF PAI12MON = 1] During the past 12 months, did using prescription pain
relievers cause you to do things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR21 [IF PAI12MON = 1] During the past 12 months, did you have any problems with
family or friends that were probably caused by your use of prescription pain
relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRPR22 [IF DRPR21 = 1] Did you continue to use prescription pain relievers even though
you thought this caused problems with family or friends?

658

1
Yes
2
No
DK/REF
DRTR

[IF TRA12MON = 1] Think about your use of prescription tranquilizers during the
past 12 months as you answer these next questions. Remember, we are only interested
in prescription tranquilizers that you used in any way a doctor did not direct you to.
Earlier the computer recorded that in the past 12 months you used [IF
TRMISCOUNT=1 FILL TRFILL2][IF TRMISCOUNT>=2 FILL WITH “the
tranquilizers listed below” ] in a way a doctor did not direct you to use
[TRNUMFILL].
[IF TRMISCOUNT >=2 FILL WITH DRUG NAMES FROM TRY01- TRY12
BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF TRYOTH = 1, ADD
"Some other prescription tranquilizer".]
The next questions refer to [IF TRYOTH NE 1 AND TRMISCOUNT =1 FILL
TRFILL2 as a prescription tranquilizer; IF TRYOTH = 1 AND TRMISCOUNT =1
FILL WITH “this other prescription tranquilizer”; IF TRMISCOUNT >=2 FILL
WITH “these as prescription tranquilizers”].
Press [ENTER] to continue.

DRTR01 [IF TRA12MON = 1] During the past 12 months, was there a month or more when
you spent a lot of your time getting or using prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR02 [IF DRTR01 = 2 OR DK/REF] During the past 12 months, was there a month or
more when you spent a lot of your time getting over the effects of the prescription
tranquilizers you used?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR04 [IF TRA12MON = 1] During the past 12 months, did you try to set limits on how
often or how much prescription tranquilizers you would use?

659

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR05 [IF DRTR04 = 1] Were you able to keep to the limits you set, or did you often use
prescription tranquilizers more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF

DRTR06 [IF TRA12MON = 1] During the past 12 months, did you need to use more
prescription tranquilizers than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR07 [IF DRTR06=2 OR DK/REF] During the past 12 months, did you notice that using
the same amount of prescription tranquilizers had less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR08 [IF TRA12MON = 1] During the past 12 months, did you want to or try to cut down
or stop using prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR09 [IF DRTR08 = 1] During the past 12 months, were you able to cut down or stop
using prescription tranquilizers every time you wanted to or tried to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

660

DRTR13 [IF TRA12MON = 1] During the past 12 months, did you have any problems with
your emotions, nerves, or mental health that were probably caused or made worse by
your use of prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR14 [IF DRTR13 = 1] Did you continue to use prescription tranquilizers even though
you thought this was causing you to have problems with your emotions, nerves, or
mental health?
1
Yes
2
No
DK/REF
DRTR15 [IF DRTR13 = 2 OR DK/REF OR DRTR14 = 2 OR DK/REF] During the past 12
months, did you have any physical health problems that were probably caused or
made worse by your use of prescription tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR16 [IF DRTR15 = 1] Did you continue to use prescription tranquilizers even though
you thought this was causing you to have physical problems?
1
Yes
2
No
DK/REF
DRTR17 [IF TRA12MON = 1] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and sports,
and spending time with friends and family.
During the past 12 months, did using prescription tranquilizers cause you to give up
or spend less time doing these types of important activities?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR18 [IF TRA12MON = 1] Sometimes people who use prescription tranquilizers have

661

serious problems at home, work or school — such as:
•
•
•
•

neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using prescription tranquilizers cause you to have
serious problems like this either at home, work, or school?
1
Yes
2
No
DK/REF
DRTR19 [IF TRA12MON = 1] During the past 12 months, did you regularly use prescription
tranquilizers and then do something where using prescription tranquilizers might
have put you in physical danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR20 [IF TRA12MON = 1] During the past 12 months, did using prescription
tranquilizers cause you to do things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR21 [IF TRA12MON = 1] During the past 12 months, did you have any problems with
family or friends that were probably caused by your use of prescription
tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRTR22 [IF DRTR21 = 1] Did you continue to use prescription tranquilizers even though
you thought this caused problems with family or friends?
1
Yes
2
No
DK/REF

662

DRST

[IF ST12MON = 1] Think about your use of prescription stimulants during the past
12 months as you answer these next questions. Remember, we are only interested in
prescription stimulants that you used in any way a doctor did not direct you to.
Earlier the computer recorded that in the past 12 months you used [IF
STMISCOUNT =1 FILL STFILL2][IF STMISCOUNT >=2 FILL WITH “the
stimulants listed below” ] in a way a doctor did not direct you to use
[STNUMFILL].
[IF STMISCOUNT >=2 FILL WITH DRUG NAMES FROM STY01-STY26
BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF STYOTH = 1, ADD
"Some other prescription stimulant".]
The next questions refer to [IF STYOTH NE 1 AND STMISCOUNT =1 FILL
STFILL2 as a prescription stimulant; IF STYOTH = 1 AND STMISCOUNT =1 FILL
WITH “this other prescription stimulant”; IF STMISCOUNT >=2 FILL
WITH “these as prescription stimulants”].
Press [ENTER] to continue.

DRST01 [IF STI12MON = 1] During the past 12 months, was there a month or more when you
spent a lot of your time getting or using prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST02 [IF DRST01 = 2 OR DK/REF] During the past 12 months, was there a month or more
when you spent a lot of your time getting over the effects of the prescription
stimulants you used?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST04 [IF STI12MON = 1] During the past 12 months, did you try to set limits on how often
or how much prescription stimulants you would use?
1
2

Yes
No

663

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST05 [IF DRST04 = 1] Were you able to keep to the limits you set, or did you often use
prescription stimulants more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF

DRST06 [IF STI12MON = 1] During the past 12 months, did you need to use more
prescription stimulants than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST07 [IF DRST06=2 OR DK/REF] During the past 12 months, did you notice that using
the same amount of prescription stimulants had less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST08 [IF STI12MON = 1] During the past 12 months, did you want to or try to cut down
or stop using prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST09 [IF DRST08 = 1] During the past 12 months, were you able to cut down or stop using
prescription stimulants every time you wanted to or tried to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST10 [IF DRST08 = 2 OR DK/REF OR DRST09 = 2 OR DK/REF] During the past 12
months, did you cut down or stop using prescription stimulants at least one time?

664

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST10a [IF DRST09 = 1 OR DRST10 = 1] During the past 12 months, have you felt kind of
blue or down when you cut down or stopped using prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST11 [IF DRST10a = 1] Please look at the symptoms listed below. During the past 12
months, did you have 2 or more of these symptoms after you cut back or stopped
using prescription stimulants?
•
•
•
•
•

Feeling tired or exhausted
Having bad dreams
Having trouble sleeping or sleeping more than you normally do
Feeling hungry more often
Feeling either very slowed down or like you couldn’t sit still

1
Yes
2
No
DK/REF
DRST12 [IF DRST11 = 1] Please look at the symptoms listed below. During the past 12
months, did you have 2 or more of these symptoms at the same time that lasted for
longer than a day after you cut back or stopped using prescription stimulants?
•
•
•
•
•

Feeling tired or exhausted
Having bad dreams
Having trouble sleeping or sleeping more than you normally do
Feeling hungry more often
Feeling either very slowed down or like you couldn’t sit still

1
Yes
2
No
DK/REF
DRST13 [IF STI12MON = 1] During the past 12 months, did you have any problems with
your emotions, nerves, or mental health that were probably caused or made worse by
your use of prescription stimulants?
1

Yes

665

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST14 [IF DRST13 = 1] Did you continue to use prescription stimulants even though you
thought this was causing you to have problems with your emotions, nerves, or mental
health?
1
Yes
2
No
DK/REF

DRST15 [IF DRST13 = 2 OR DK/REF OR DRST14 = 2 OR DK/REF] During the past 12
months, did you have any physical health problems that were probably caused or
made worse by your use of prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST16 [IF DRST15 = 1] Did you continue to use prescription stimulants even though this
was causing you to have physical problems?
1
Yes
2
No
DK/REF
DRST17 [IF STI12MON = 1] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and sports,
and spending time with friends and family.
During the past 12 months, did using prescription stimulants cause you to give up
or spend less time doing these types of important activities?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST18 [IF STI12MON = 1] Sometimes people who use prescription stimulants have
serious problems at home, work or school — such as:
•

neglecting their children

666

•
•
•

missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using prescription stimulants cause you to have
serious problems like this either at home, work, or school?
1
Yes
2
No
DK/REF
DRST19 [IF STI12MON = 1] During the past 12 months, did you regularly use prescription
stimulants and then do something where using prescription stimulants might have
put you in physical danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST20 [IF STI12MON = 1] During the past 12 months, did using prescription stimulants
cause you to do things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST21 [IF STI12MON = 1] During the past 12 months, did you have any problems with
family or friends that were probably caused by your use of prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRST22 [IF DRST21 = 1] Did you continue to use prescription stimulants even though you
thought this caused problems with family or friends?
1
Yes
2
No
DK/REF
DRSV

[IF SV12MON = 1] Think about your use of prescription sedatives during the past
12 months as you answer these next questions. Remember, we are only interested in
prescription sedatives that you used in any way a doctor did not direct you to.

667

Earlier the computer recorded that in the past 12 months you used [IF
SVMISCOUNT =1 FILL SVFILL2][IF SVMISCOUNT >=2 FILL WITH “the
sedatives listed below” ] in a way a doctor did not direct you to use
[SVNUMFILL].
[IF SVMISCOUNT >= 2 FILL WITH DRUG NAMES FROM SVY01-SVY14
BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF SVYOTH = 1, ADD
"Some other prescription sedative".]
The next questions refer to [IF SVYOTH NE 1 AND SVMISCOUNT =1 FILL
SVFILL2 as a prescription sedative; IF SVYOTH = 1 AND SVMISCOUNT =1 FILL
WITH “this other prescription sedative”; IF SVMISCOUNT >=2 FILL WITH “these
as prescription sedatives”].
Press [ENTER] to continue.

DRSV01 [IF SED12MON = 1] During the past 12 months, was there a month or more when
you spent a lot of your time getting or using prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV02 [IF DRSV01 = 2 OR DK/REF] During the past 12 months, was there a month or
more when you spent a lot of your time getting over the effects of the prescription
sedatives you used?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV04 [IF SED12MON = 1] During the past 12 months, did you try to set limits on how
often or how much prescription sedatives you would use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV05 [IF DRSV04 = 1] Were you able to keep to the limits you set, or did you often use

668

prescription sedatives more than you intended to?
1
Usually kept to the limits set
2
Often used more than intended
DK/REF
DRSV06 [IF SED12MON = 1] During the past 12 months, did you need to use more
prescription sedatives than you used to in order to get the effect you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV07 [IF DRSV06=2 OR DK/REF] During the past 12 months, did you notice that using
the same amount of prescription sedatives had less effect on you than it used to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV08 [IF SED12MON = 1] During the past 12 months, did you want to or try to cut down
or stop using prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV09 [IF DRSV08 = 1] During the past 12 months, were you able to cut down or stop
using prescription sedatives every time you wanted to or tried to?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV10 [IF DRSV08 = 2 OR DK/REF OR DRSV09 = 2 OR DK/REF] During the past 12
months, did you cut down or stop using prescription sedatives at least one time?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

669

DRSV11 [IF DRSV09 = 1 OR DRSV10 = 1] Please look at the symptoms listed below.
During the past 12 months, did you have 2 or more of these symptoms after you cut
back or stopped using prescription sedatives?
•
•
•
•
•
•
•
•

Sweating or feeling that your heart was beating fast
Having your hands tremble
Having trouble sleeping or sleeping more than you normally do
Vomiting or feeling nauseous
Seeing, hearing, or feeling things that weren’t really there
Feeling like you couldn’t sit still
Feeling anxious
Having seizures or fits

1
Yes
2
No
DK/REF
DRSV12 [IF DRSV11 = 1] Please look at the symptoms listed below. During the past 12
months, did you have 2 or more of these symptoms at the same time that lasted for
longer than a day after you cut back or stopped using prescription sedatives?
•
•
•
•
•
•
•
•

Sweating or feeling that your heart was beating fast
Having your hands tremble
Having trouble sleeping or sleeping more than you normally do
Vomiting or feeling nauseous
Seeing, hearing, or feeling things that weren’t really there
Feeling like you couldn’t sit still
Feeling anxious
Having seizures or fits

1
Yes
2
No
DK/REF
DRSV13 [IF SED12MON = 1] During the past 12 months, did you have any problems with
your emotions, nerves, or mental health that were probably caused or made worse by
your use of prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV14 [IF DRSV13 = 1] Did you continue to use prescription sedatives even though you
thought this was causing you to have problems with your emotions, nerves, or mental
health?

670

1
Yes
2
No
DK/REF
DRSV15 [IF DRSV13 = 2 OR DK/REF OR DRSV14 = 2 OR DK/REF] During the past 12
months, did you have any physical health problems that were probably caused or
made worse by your use of prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV16 [IF DRSV15 = 1] Did you continue to use prescription sedatives even though you
thought this was causing you to have physical problems?
1
Yes
2
No
DK/REF

DRSV17 [IF SED12MON = 1] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and sports,
and spending time with friends and family.
During the past 12 months, did using prescription sedatives cause you to give up or
spend less time doing these types of important activities?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV18 [IF SED12MON = 1] Sometimes people who use prescription sedatives have
serious problems at home, work or school — such as:
•
•
•
•

neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school

During the past 12 months, did using prescription sedatives cause you to have
serious problems like this either at home, work, or school?
1
2

Yes
No

671

DK/REF

DRSV19 [IF SED12MON = 1] During the past 12 months, did you regularly use prescription
sedatives and then do something where using prescription sedatives might have put
you in physical danger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV20 [IF SED12MON = 1] During the past 12 months, did using prescription sedatives
cause you to do things that repeatedly got you in trouble with the law?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV21 [IF SED12MON = 1] During the past 12 months, did you have any problems with
family or friends that were probably caused by your use of prescription sedatives?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DRSV22 [IF DRSV21 = 1] Did you continue to use prescription sedatives even though you
thought this caused problems with family or friends?
1
Yes
2
No
DK/REF

672

Risk/Availability Section
RKINTRO The next questions ask for your opinion about how much people risk harming
themselves when using certain substances.
If you’re not sure, choose an answer for the amount of risk that comes closest to what you
think might be true.
RKALED

How much do people risk harming themselves when they drink alcohol nearly
every day?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RKALWK

How much do people risk harming themselves when they routinely have four or
more alcoholic drinks on the same occasion about once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RKCGED

How much do people risk harming themselves when they smoke cigarettes nearly
every day?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RKCGWK

How much do people risk harming themselves when they routinely smoke
cigarettes about once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RKVPED

The next questions are about vaping nicotine with e-cigarettes or other devices.

673

How much do people risk harming themselves when they vape nicotine nearly
every day?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF
RKVPWK

How much do people risk harming themselves when they routinely vape nicotine
about once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RKMJED

How much do people risk harming themselves when they use marijuana or any
cannabis product nearly every day?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RKMJWK

RKPRWK

How much do people risk harming themselves when they routinely use marijuana
or any cannabis product about once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF
How much do people risk harming themselves when they routinely use
prescription opioid pain relievers about once or twice a week in any way not
directed by a doctor?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

674

RKSTWK

Prescription stimulants are medications for attention deficit disorders, weight loss,
or staying awake. How much do people risk harming themselves when they
routinely use prescription stimulants about once or twice a week in any way not
directed by a doctor?
1
2
3
4
DK/REF

No risk
Slight risk
Moderate risk
Great risk

RKLSDWK How much do people risk harming themselves when they routinely use LSD
about once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF
RKXWK

How much do people risk harming themselves when they routinely use “Ecstasy”,
“Molly”, or MDMA about once or twice a week?
1
2
3
4
DK/REF

RKHEWK

No risk
Slight risk
Moderate risk
Great risk

How much do people risk harming themselves when they routinely use any form
of heroin about once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RKCCWK

How much do people risk harming themselves when they routinely use any form
of cocaine about once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

675

RKMEWK

How much do people risk harming themselves when they routinely use
methamphetamine, also called meth or crystal meth, about once or twice a
week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RKQ1 We are interested in your opinion about the effects of using certain drugs and other
substances, about whether it’s difficult or easy to get drugs, and the extent to which drugs
are available in your neighborhood.
Please indicate how much you think people risk harming themselves physically and in
other ways when they do each of the following activities.
If you’re not sure, choose an answer for the amount of risk that comes closest to what you
think might be true for that activity.
Press [ENTER] to continue.
RK01a

How much do people risk harming themselves physically and in other ways when
they smoke one or more packs of cigarettes per day?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RK01b
How much do people risk harming themselves physically and in other ways when
they smoke marijuana once a month?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF
RK01c

How much do people risk harming themselves physically and in other ways when
they smoke marijuana once or twice a week?
1
2

No risk
Slight risk

676

3
Moderate risk
4
Great risk
DK/REF
RK01d
How much do people risk harming themselves physically and in other ways when
they try LSD once or twice?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF
RK01e

How much do people risk harming themselves physically and in other ways when
they use LSD once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RK01f

How much do people risk harming themselves physically and in other ways when
they try heroin once or twice?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RK01g

How much do people risk harming themselves physically and in other ways when
they use heroin once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RK01h
How much do people risk harming themselves physically and in other ways when
they use cocaine once a month?
1
2
3

No risk
Slight risk
Moderate risk

677

4
Great risk
DK/REF
RK01i

How much do people risk harming themselves physically and in other ways when
they use cocaine once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RK01j

How much do people risk harming themselves physically and in other ways when
they have four or five drinks of an alcoholic beverage nearly every day?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF

RK01k
How much do people risk harming themselves physically and in other ways when
they have five or more drinks of an alcoholic beverage once or twice a week?
1
No risk
2
Slight risk
3
Moderate risk
4
Great risk
DK/REF
RKQ2 The next questions ask how difficult you think it would be for you to get each of the
following types of drugs, if you wanted some.
If you’re not sure, choose an answer that comes closest to what you think might be true.

Press [ENTER] to continue.
RK02a How difficult or easy would it be for you to get some marijuana or cannabis
products, if you wanted some?
1
Probably impossible
2
Very difficult
3
Fairly difficult
4
Fairly easy
5
Very easy
DK/REF

678

AVAILPR

How difficult or easy would it be for you to get prescription opioid pain relievers
without a prescription of your own, if you wanted some?
1
Probably impossible
2
Very difficult
3
Fairly difficult
4
Fairly easy
5
Very easy
DK/REF

AVAILST

How difficult or easy would it be for you to get prescription stimulants without
a prescription of your own, if you wanted some?
1
Probably impossible
2
Very difficult
3
Fairly difficult
4
Fairly easy
5
Very easy
DK/REF

RK02bAVAILLSD How difficult or easy would it be for you to get some LSD, if you wanted
some?
1
Probably impossible
2
Very difficult
3
Fairly difficult
4
Fairly easy
5
Very easy
DK/REF
AVAILX

How difficult or easy would it be for you to get “Ecstasy”, “Molly”, or MDMA,
if you wanted some?
1
Probably impossible
2
Very difficult
3
Fairly difficult
4
Fairly easy
5
Very easy
DK/REF

RK02c

How difficult or easy would it be for you to get some any form of cocaine, if you
wanted some?
1

Probably impossible

679

2
Very difficult
3
Fairly difficult
4
Fairly easy
5
Very easy
DK/REF
RK02d
How difficult or easy would it be for you to get some ‘crack’, if you wanted
some?
1
Probably impossible
2
Very difficult
3
Fairly difficult
4
Fairly easy
5
Very easy
DK/REF
RK02eAVAILHE
How difficult or easy would it be for you to get some any form of
heroin, if you wanted some?
1
Probably impossible
2
Very difficult
3
Fairly difficult
4
Fairly easy
5
Very easy
DK/REF
RK02cAVAILCC
How difficult or easy would it be for you to get some any form of cocaine,
if you wanted some?
1 Probably impossible
2 Very difficult
3 Fairly difficult
4 Fairly easy
5 Very easy
DK/REF
RK03 In the past 30 days, has anyone approached you to sell you an illegal drug?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
RK04a How often do you get a real kick out of doing things that are a little dangerous?
1

Never

680

2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
RK04b How often do you like to test yourself by doing something a little risky?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
RK04c How often do you wear a seatbelt when driving or riding you ride in the front passenger
seat of in a car?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45 Always
6
I don’t drive or ride in a car
DK/REF
RK04d

[IF CURNTAGE > 14] How often do you wear a seatbelt when you drive a car?

1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
56
I don’t drive
DK/REF

681

Alcohol and Drug Treatment
/*lifetime drug use*/
DEFINE SUBUSE
IF MJ01 = 1 OR MJREF = 1 OR
CC01 = 1 OR CCREF = 1 OR CK01 = 1 OR CKREF = 1 OR
HE01 = 1 OR HEREF = 1 OR
HALIF= 1 OR
INLIF=1 OR
ME01=1 OR MEREF=1 OR
PR12MON = 1 OR PRLANY=1 OR
ST12MON=1 OR STLANY=1 OR
TS12MON=1 OR TSLANY=1 THEN SUBUSE=1;
ELSE, SUBUSE = 2
/*lifetime alcohol use */
DEFINE ALCUSE
IF AL01 = 1 OR ALREF = 1 then ALCUSE=1; else ALCUSE=2;
/*different combinations of alcohol or drug use */
DEFINE SUBUSE2
If SUBUSE=1 or ALCUSE=1 then SUBUSE2=1
TXSBINTa

[IF SUBUSE2 = 1] The next questions ask about help you may have received for
your alcohol or drug use, not including nicotine or tobacco.

TXSBSUPP [IF SUBUSE2 = 1] During the past 12 months, have you participated in a support
group for your alcohol or drug use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXSBER

[IF SUBUSE2 = 1] During the past 12 months, were you seen in an emergency
room or emergency department for your alcohol or drug use use of alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBHELP [IF (TXSBSUPP=1 OR TXSBER=1) AND ALCUSE=1 AND SUBUSE=1]
When you received the following help in the past 12 months, was it for your
alcohol use only, your drug use only, or for both your alcohol and drug use?

682

For both
For Alcohol For Drug use Alcohol and
use only
only
Drug use

Help Received
[If TXSBSUPP=1] Support groups
[If TXSBER=1] Emergency room or
emergency department

TXSBINTB [IF SUBUSE2 = 1] The next questions ask about professional counseling,
medication, or other treatment you may have received for your alcohol or drug
use where you stayed overnight or longer. This is sometimes called inpatient or
residential treatment.
TXSBIPT

[IF SUBUSE2 = 1] [REPEAT IN GRAY FONT: The next questions ask about
professional counseling, medication, or other treatment you may have received for
your alcohol or drug use where you stayed overnight or longer. This is sometimes
called inpatient or residential treatment.]
During the past 12 months, have you stayed overnight or longer to receive
professional counseling, medication, or other treatment for your alcohol or drug
use in…
Stayed overnight or longer for treatment in…
TXSBIPTa a hospital as an inpatient?
TXSBIPTb a residential drug or alcohol rehab or treatment
center?
TXSBIPTc a residential mental health treatment center?
TXSBIPTd some other place where you stayed overnight
or longer?
DK/REF
PROGRAMMER SHOW 12 MONTH CALENDAR
PROGRAMMER: USE STATIC GRID

Yes
1
1

No
2
2

1
1

2
2

TXSBIPTdO [IF TXSBIPTd = 1] Please describe the other place where you stayed overnight or
longer to received treatment for your alcohol or drug use in the past 12 months.
Then, click Next.
_______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS
DEFINE INFILL2
IF INLIFQa = 1, THEN INFILL2 = felt-tip pens or markers
IF INLIFQb = 1, THEN INFILL2 = amyl nitrites or poppers
IF INLIFQc = 1, THEN INFILL2 = nitrous or whippits
IF INLIFQd = 1, THEN INFILL2 = computer keyboard cleaner
IF INLIFQe = 1, THEN INFILL2 = correction fluid

683

IF INLIFQf = 1, THEN INFILL2 = gasoline or lighter fluid
IF INLIFQg = 1, THEN INFILL2 = glue or toluene
IF INLIFQh = 1, THEN INFILL2 = halothane or ether
IF INLIFQi = 1, THEN INFILL2 = lacquer thinner or paint solvents
IF INLIFQj = 1, THEN INFILL2 = butane or propane
IF INLIFQk = 1, THEN INFILL2 = spray paints
IF INLIFQl = 1, THEN INFILL2 = nitrous or whippits
DEFINE HALLFILL2
IF HALIFQa = 1, THEN HALLFILL2 = LSD or acid
IF HALIFQb = 1, THEN HALLFILL2 = Ecstasy, Molly, or MDMA
IF HALIFQc = 1, THEN HALLFILL2 = mushrooms or psilocybin
IF HALIFQd = 1, THEN HALLFILL2 = PCP or angel dust
IF HALIFQe = 1, THEN HALLFILL2 = ketamine or “Special K”
IF HALIFQf = 1, THEN HALLFILL2 = mescaline or peyote
IF HALIFQg = 1, THEN HALLFILL2 = Salvia divinorum
IF HALIFQh = 1, THEN HALLFILL2 = DMT, AMT, or Foxy
IF HALIFQi = 1, THEN HALLFILL2 = LSD or acid
PROGRAMMER: INCLUDE ONLY FIRST 2 INHALANTS AND HALLUCINOGENS
ENDORSED WITH “or” BETWEEN FILLS
IF # OF SUBSTANCES ENDORSED >= 2 AND FIRST_SUBSTANCE NE
SECOND_SUBSTANCE THEN
INFILL2/HALLFILL2 = “SUCH AS “ + FIRST_SUBSTANCE, OR
SECOND_SUBSTANCE
ELSEIF # OF SUBSTANCES ENDORSED = 1 OR (# OF SUBSTANCES ENDORSED = 2
AND FIRST_SUBSTANCE = SECOND_SUBSTANCE) THEN
INFILL2/HALLFILL2 = “SUCH AS “ + FIRST_SUBSTANCE
ELSE
INFILL2/HALLFILL2 = BLANK
TXSBSUBI [IF (TXSBIPTa OR TXSBIPTb OR TXSBIPTc OR TXSBIPTd = 1)] For which of
the following substances did you stay overnight or longer to receive treatment in the
past 12 months?
Substance
TXSBSUBIa [IF AL01=1 OR ALREF=1] Alcohol?
TXSBSUBIb [IF MJ01=1 OR MJREF=1]Marijuana or
cannabis products?
TXSBSUBIc [INLIF=1] Inhalants such as [INFILL2]?
TXSBSUBId [HALIF=1] Hallucinogens such as
[HALLFILL2]?
TXSBSUBIe [CC01 = 1 OR CCREF = 1 OR CK01 = 1
OR CKREF = 1] Cocaine or "crack"?
TXSBSUBIf [HE01 = 1 OR HEREF = 1] Heroin?
TXSBSUBIg [ME01= OR MEREF=1]

684

Yes

No

1

2

1
1

2
2

1

2

1
1

2
2

Methamphetamine?
TXSBSUBIh [PR12MON=1 OR PRLANY=1]
Prescription pain relievers?
TXSBSUBIi [ST12MON=1 OR STLANY=1]
Prescription stimulants?
TXSBSUBIj [TS12MON=1 OR TSLANY=1]
Prescription tranquilizers or sedatives?
TXSBSUBIk Some other drug?
DK/REF
PROGRAMMER: USE STATIC GRID

1

2

1

2

1

2

1

2

TXSBIPSP [IF TXSBSUBIk = 1] Please type in the name of the other drug for which you
received treatment in the past 12 months. Then, click Next.
_______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS
TXSBINTC Professional counseling, medication or other treatment can also be provided
without needing to stay overnight. This type of care is called outpatient
treatment.
TXSBOPT

[IF SUBUSE2 = 1] [REPEAT IN GRAY FONT: Professional counseling,
medication or other treatment can also be provided without needing to stay
overnight. This type of care is called outpatient treatment.]
During the past 12 months, have you received outpatient professional counseling,
medication, or other treatment for your alcohol or drug use at…

Received outpatient treatment at…
Yes
TXSBOPTa a drug or alcohol rehab or
1
treatment center as an outpatient?
TXSBOPTb a mental health treatment center
1
as an outpatient?
TXSBOPTc the office of a therapist,
1
psychologist, psychiatrist, or other substance
use treatment professional?
TXSBOPTd a general medical clinic or
1
doctor’s office?
TXSBOPTe a hospital as an outpatient?
1
TXSBOPTf your school’s health or
1
counseling center?
TXSBOPTg some other place as an
1
outpatient?
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

685

No
2
2
2

2
2
2
2

PROGRAMMER: USE STATIC GRID
TXSBOPTgO [IF TXSBOPTg = 1] Please describe the other place where you received
outpatient treatment for your alcohol or drug use in the past 12 months. When you have
finished typing your answer Then, click Next.
_______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS
TXSBSUBO [IF (TXSBOPTa=1 or TXSBOPTb=1 or TXSBOPTc=1 or TXSBOPTd=1 or
TXSBOPTe=1 or TXSBOPTf=1 or TXSBOPTg=1)] For which of the following
substances did you receive outpatient treatment in the past 12 months?
Substance
TXSBSUBOa [IF AL01=1 OR ALREF=1] Alcohol?
TXSBSUBOb [IF MJ01=1 OR MJREF=1]Marijuana or
cannabis products?
TXSBSUBOc [INLIF=1] Inhalants such as [INFILL2]?
TXSBSUBOd [HALIF=1] Hallucinogens such as
[HALLFILL2]?
TXSBSUBOe [CC01 = 1 OR CCREF = 1 OR CK01 = 1
OR CKREF = 1] Cocaine or "crack"?
TXSBSUBOf [HE01 = 1 OR HEREF = 1] Heroin?
TXSBSUBOg [ME01= OR MEREF=1]
Methamphetamine?
TXSBSUBOh [PR12MON=1 OR PRLANY=1]
Prescription pain relievers?
TXSBSUBOi [ST12MON=1 OR STLANY=1]
Prescription stimulants?
TXSBSUBOj [TS12MON=1 OR TSLANY=1]
Prescription tranquilizers or sedatives?
TXSBSUBOk Some other drug?
DK/REF
PROGRAMMER: USE STATIC GRID

Yes

No

1

2

1
1

2
2

1

2

1
1

2
2

1

2

1

2

1

2

1

2

TXSBOPSP [IF TXSBSUBOk = 1] Please type in the name of the other drug for which you
received treatment in the past 12 months. Then, click Next.
_______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS

TXALRX [IF AL01 = 1 OR ALREF = 1] The next questions are about prescription medication
you may have used to cut back or stop your alcohol use. These medications are

686

different from medications given to stop an overdose.
Some examples of these medications include:
•
•
•
•

Acamprosate, also known as Campral
Disulfiram, also known as Antabuse,
Naltrexone pills, also known as ReVia or Trexan
Injectable naltrexone, also known as Vivitrol

During the past 12 months, did you use medication prescribed to you to help cut back
or stop your alcohol use?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXDRRX [IF (HE01 =1 OR HEREF =1) OR (PR12MON = 1 OR PRLANY = 1)] The next
questions are about prescription medication you may have used to cut back or stop
your drug use. These medications are different from medications given to stop an
overdose.
Some examples of these medications include:
•
•
•
•
•
•

Methadone
Buprenorphine or buprenorphine-naloxone pills or film taken by mouth, also
known as Suboxone, Zubsolv, Bunavail, or Subutex
Injectable buprenorphine, also known as Sublocade
Buprenorphine implant placed under the skin, also known as Probuphine
Naltrexone pills, also known as ReVia or Trexan
Injectable naltrexone, also known as Vivitrol

During the past 12 months, did you use medication prescribed to you to help cut back or
stop your drug use?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBTELE [IF SUBUSE2= 1] During the past 12 months, have you received any professional
counseling, medication or treatment for your alcohol or drug use from a
therapist or other healthcare professional over the phone, by email, or through
video calling?
1

Yes

687

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXSBJAIL

[IF SUBUSE2 = 1] During the past 12 months, did you receive any professional
counseling, medication, or other treatment for your alcohol or drug use while you
were in a prison, jail or juvenile detention center?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBDTOX [IF AL12MON2= 1 OR MJ12MON2 = 1 OR COC12MON = 1 OR CRK12MON
= 1 OR HER12MON = 1 OR HAL12MON = 1 OR INH12MON = 1 OR MET12MON =
1 OR PR12MON = 1 OR ST12MON = 1 OR TS12MON = 1] During the past 12 months,
have you received detoxification services, or detox, from a health care professional to
manage symptoms of withdrawal from your alcohol or drug use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXSBPEER During the past 12 months, have you received help from a peer support specialist
or recovery coach who works with a substance use treatment program or other
treatment provider?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBSRVS IF (TXSBTELE=1 OR TXSBJAIL=1 OR TXSBDTOX=1 OR TXSBPEER)
AND ALCUSE=1 AND SUBUSE=1]When you received the following
professional treatment services in the past 12 months, was it for your alcohol use
only, your drug use only, or both your alcohol and drug use?

Treatment services received
[If TXSBTELE=1] Professional treatment over the
phone, by email, or through video calling
[If TXSBJAIL=1] Treatment while you were in a
prison, jail or juvenile detention center

688

For Alcohol
use only

For Drug
use only

For both
alcohol and
drug use

[If TXSBDTOX=1] Detoxification services, or detox
for symptoms of withdrawal
[If TXSBPEER=1] Peer support specialist or recovery
coach
TXSBSEK

[IF (IF SUBUSE2 = 1) AND [(TXSBSUPP AND TXSBPEER AND TXSBER
AND TXSBDTOX NE 1) AND (TXSBIPTa AND TXSBIPTb AND TXSBIPTc
AND TXSBIPTd NE 1) AND (TXSBOPTa AND TXSBOPTb AND TXSBOPTc
AND TXSBOPTd AND TXSBOPTe AND TXSBOPTf AND TXSBOPTg NE 1)
AND (TXSBJAIL NE 1) AND (TXALRX NE 1) AND (TXDRRX NE 1) AND
(TXSBTELE NE 1)]] During the past 12 months, did you seek professional
counseling, medication, or other treatment for your alcohol or drug use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBSEK2 [IF (IF SUBUSE2 = 1) AND (TXSBSUPP=1 OR TXSBPEER=1 OR TXSBER=1
or TXSBDTOX=1) AND TXSBIPTa AND TXSBIPTb AND TXSBIPTc AND
TXSBIPTd NE 1 AND TXSBOPTa AND TXSBOPTb AND TXSBOPTc AND
TXSBOPTd AND TXSBOPTe AND TXSBOPTf AND TXSBOPTg NE 1 AND
TXSBJAIL NE 1 AND TXSBRX NE 1 AND TXDRRX NE 1 AND TXSBTELE
NE 1] Other than the help you already reported receiving, did you seek additional
professional counseling, medication, or other treatment for your alcohol or drug
use in the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXSEKTYPE [IF TXSEK =1 or TXSEK2=1] During the past 12 months when you sought [if
TXSEK2=1, FILL: additional] professional treatment, was it for alcohol use
only, drug use only, or both alcohol and drug use?
1
Alcohol use only
2
Drug use only
3
Both alcohol and drug use
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXSBGET

[IF TXSBSEK = NO, DK/REF] During the past 12 months, did you think you
should get professional counseling, medication, or other treatment for your
alcohol or drug use?

689

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXSBGET2 [IF TXSBSEK2=NO, DK/REF] Other than the help you already reported receiving,
did you think you should get additional professional counseling, medication or
other treatment for your alcohol or drug use in the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXGETTYPE [IF TXGET =1 or TXGET2=1] During the past 12 months when you thought
you should get [if TXGET2=1, FILL: additional] professional treatment, was it
for alcohol use only, drug use only, or both alcohol and drug use?
1
Alcohol use only
2
Drug use only
3
Both alcohol and drug use
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBNONE [IF (TXSBGET OR TXSBGET2 OR TXSBSEK OR TXSBSEK2) = 1] There may
be many reasons you did not get (IF TXSBGET2=1 OR TXSBSEK2= 1, FILL:
additional) treatments during the past 12 months.
For each statement, please mark whether or not it was one of the reasons why you
did not get (IF TXSBGET2=1 OR TXSBSEK2= 1, FILL: additional) professional
counseling, medication, or other treatment for your alcohol or drug use.

TXSBNOa You thought it would cost too much.
TXSBNOb You did not have health insurance
coverage for alcohol or drug use treatment.
TXSBNOc Your health insurance would not pay
enough of the costs for treatment.
DK/REF
PROGRAMMER: ONE ROW AT A TIME

One of the
reasons
1
1

NOT one of
the reasons
2
2

1

2

TXSBNONE [IF (TXSBGET OR TXSBGET2 OR TXSBSEK OR TXSBSEK2) = 1] For each
statement, please mark whether or not it was one of the reasons why you did not

690

get (IF TXSBGET2=1 OR TXSBSEK2= 1, FILL: additional) professional
counseling, medication, or other treatment for your alcohol or drug use.

TXSBNOd You did not know how or where to get
treatment.
TXSBNOe You could not find a treatment program or
health care professional you wanted to go to.
TXSBNOf There were no openings in the treatment
program or with the health care professional you
wanted to go to.
TXSBNOg You had problems with things like
transportation, childcare, or getting appointments at
times that worked for you.
TXSBNOh You didn’t have enough time for
treatment.
TXSBNOi You were worried that your information
would not be kept private.
DK/REF
PROGRAMMER: ONE ROW AT A TIME

One of the
reasons
1

NOT one of
the reasons
2

1

2

1

2

1

2

1

2

1

2

TXSBNONE [IF (TXSBGET OR TXSBGET2 OR TXSBSEK OR TXSBSEK2) = 1] For each
statement, please mark whether or not it was one of the reasons why you did not
get (IF TXSBGET2=1 OR TXSBSEK2= 1, FILL: additional) professional
counseling, medication, or other treatment for your alcohol or drug use.

TXSBNOj You were worried about what people would
think or say if you got treatment.
TXSBNOk You thought that if people knew you were
in treatment bad things would happen, like losing your
job, home, or children.
TXSBNOl You were not ready to start treatment.
TXSBNOm You were not ready to stop or cut back
using alcohol or drugs.
TXSBNOn You thought you should have been able to
handle your alcohol or drug use on your own.
TXSBNOo You thought your family, friends, or
religious group wouldn’t like it if you got treatment.
TXSBNOp You thought you would be forced to stay
in rehab or treatment against your will.
TXSBNOq You didn’t think treatment would help
you.

691

One of the
reasons
1

NOT one of
the reasons
2

1

2

1
1

2
2

1

2

1

2

1

2

1

2

TXSBNOr You thought no one would care if you got
better.
DK/REF
PROGRAMMER: ONE ROW AT A TIME

692

1

2

Drug Treatment
INTROTX [IF AL01 = 1 OR ALREF = 1 OR MJ01 = 1 OR MJREF = 1 OR CC01 = 1 OR
CCREF = 1 OR CK01 = 1 OR CKREF = 1 OR HE01 = 1 OR HEREF = 1 OR LS01a = 1
OR LSREF1 = 1 OR LS01b = 1 OR LSREF2 = 1 OR LS01c = 1 OR LS01d = 1 OR
LS01e = 1 OR LS01f =1 OR LSREF3 = 1 OR LS01h = 1 OR LS01i=1 OR LS01j=1 OR
LS01k=1 OR IN01a =1 OR IN01b =1 OR IN01c = 1 OR IN01d = 1 OR IN01e = 1OR
IN01f = 1 OR IN01g = 1 OR IN01h = 1 OR IN01h1=1 OR IN01i = 1 OR IN01ii=1 OR
IN01j = 1 OR IN01l = 1 OR INREF = 1 OR ME01=1 OR MEREF=1 OR
PRMISUSE12=1 OR PRL01=1 OR PRL02=1 OR TRMISUSE12=1 OR TRL01=1 OR
TRL02=1 OR STMISUSE12=1 OR STL01=1 OR STL02=1 OR SVMISUSE12=1 OR
SVL01=1 OR SVL02=1 ] These next questions deal with treatment for alcohol and drug
problems, not including cigarettes. Please report treatment or counseling designed to
help you reduce or stop your alcohol or drug use. Please include detoxification and any
other treatment for medical problems associated with your alcohol or drug use.
Press [ENTER] to continue.
TX01 [IF AL01 = 1 OR ALREF = 1 OR MJ01 = 1 OR MJREF = 1 OR CC01 = 1 OR CCREF =
1 OR CK01 = 1 OR CKREF = 1 OR HE01 = 1 OR HEREF = 1 OR LS01a = 1 LSREF1
= 1 OR LS01b = 1 OR LSREF2 = 1 OR LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR
LS01f = 1 OR LSREF3 = 1 OR LS01h = 1 OR LS01i=1 OR LS01j=1 OR LS01k=1 OR
IN01a =1 OR IN01b =1 OR IN01c = 1 OR IN01d = 1 OR IN01e = 1OR IN01f = 1 OR
IN01g = 1 OR IN01h = 1 OR IN01h1=1 OR IN01i = 1 OR IN01ii=1 OR IN01j = 1 OR
IN01l = 1 OR INREF = 1 OR ME01=1 OR MEREF=1 OR PRMISUSE12=1 OR
PRL01=1 OR PRL02=1 OR TRMISUSE12=1 OR TRL01=1 OR TRL02=1 OR
STMISUSE12=1 OR STL01=1 OR STL02=1 OR SVMISUSE12=1 OR SVL01=1 OR
SVL02=1 ] Have you ever received treatment or counseling for your use of alcohol or
any drug, not counting cigarettes?
1
Yes
2
No
DK/REF

TX02 [IF TX01 = 1] During the past 12 months, that is, since [DATEFILL], have you received
treatment or counseling for your use of alcohol or any drug, not counting cigarettes?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX03 [IF TX02 = 1] During the past 12 months when you received treatment, was the treatment
for alcohol use only, drug use only, or both alcohol and drug use?

693

1
Alcohol use only
2
Drug use only
3
Both alcohol and drug use
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE TXFILL1:
IF TX03 = 1, TXFILL1 = alcohol use
IF TX03 = 2, TXFILL1 = drug use
IF TX03 = 3 OR DK/REF, TXFILL1 = alcohol or drug use
ELSE, TXFILL1 = BLANK
TX04a [IF TX03 NE BLANK ] During the past 12 months, have you received treatment for your
[TXFILL1] in a hospital overnight as an inpatient?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX04a1
[IF TX03 = 3 AND TX04a = 1] Was the treatment you received in a hospital
overnight as an inpatient for your alcohol use, your drug use, or both?
1
Alcohol use
2
Drug use
3
Both alcohol and drug use
DK/REF

TX04b [IF TX03 NE BLANK] During the past 12 months, have you received treatment for your
[TXFILL1] in a residential drug or alcohol rehabilitation facility where you stayed
overnight?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX04b1
[IF TX03 = 3 AND TX04b = 1] Was the treatment you received in a residential
drug or alcohol rehabilitation facility where you stayed overnight for your alcohol
use, your drug use, or both?
1
Alcohol use
2
Drug use
3
Both alcohol and drug use
DK/REF

694

TX04c [IF TX03 NE BLANK] During the past 12 months, have you received treatment for your
[TXFILL1] in a drug or alcohol rehabilitation facility as an outpatient?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX04c1
[IF TX03 = 3 AND TX04c = 1] Was the treatment you received in a drug or
alcohol rehabilitation facility as an outpatient for your alcohol use, your drug use, or
both?
1
Alcohol use
2
Drug use
3
Both alcohol and drug use
DK/REF
TX04d [IF TX03 NE BLANK] During the past 12 months, have you received treatment for your
[TXFILL1] in a mental health center or facility as an outpatient?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX04d1
[IF TX03 = 3 AND TX04d = 1] Was the treatment you received in a mental
health center or facility as an outpatient for your alcohol use, your drug use, or both?
1
Alcohol use
2
Drug use
3
Both alcohol and drug use
DK/REF
TX04e [IF TX03 NE BLANK] During the past 12 months, have you received treatment for your
[TXFILL1] in an emergency room?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX04e1
[IF TX03 = 3 AND TX04e = 1] Was the treatment you received in an emergency
room for your alcohol use, your drug use, or both?
1

Alcohol use

695

2
Drug use
3
Both alcohol and drug use
DK/REF
TX04f [IF TX03 NE BLANK] During the past 12 months, have you received treatment for your
[TXFILL1] in a private doctor’s office?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX04f1
[IF TX03 = 3 AND TX04f = 1] Was the treatment you received in a private
doctor’s office for your alcohol use, your drug use, or both?
1
Alcohol use
2
Drug use
3
Both alcohol and drug use
DK/REF
TX04g [IF TX03 NE BLANK] During the past 12 months, have you received treatment for your
[TXFILL1] in a prison or jail?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX04g1
[IF TX03 = 3 AND TX04g = 1] Was the treatment you received in a prison or
jail for your alcohol use, your drug use, or both?
1
Alcohol use
2
Drug use
3
Both alcohol and drug use
DK/REF
TX04h [IF TX03 NE BLANK] During the past 12 months, have you received treatment for your
[TXFILL1] in a self-help group such as Alcoholics Anonymous or Narcotics
Anonymous?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX04h1

[IF TX03 = 3 AND TX04h = 1] Was the treatment you received in a self-help

696

group for your alcohol use, your drug use, or both?
1
Alcohol use
2
Drug use
3
Both alcohol and drug use
DK/REF
TX04i [IF TX03 NE BLANK] During the past 12 months, have you received treatment for your
[TXFILL1] in some other place besides these that have been listed?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX04iSP
[IF TX04i = 1] Please type in a description of the place where you received
treatment or counseling for your [TXFILL1] other than the places just mentioned. When
you have finished typing your answer, press the [Enter] key to go to the next question.
_______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TX04iSP.
TX04i1
[IF TX03 = 3 AND TX04i = 1] Was the treatment you received in this other place
for your alcohol use, your drug use, or both?
1
Alcohol use
2
Drug use
3
Both alcohol and drug use
DK/REF
TX05 [IF TX03 = 2 OR 3 AND (MJ01 = 1 OR MJREF = 1 OR CC01 = 1 OR CCREF = 1 OR
CK01 = 1 OR CKREF = 1 OR HE01 = 1 OR HEREF = 1 OR LS01a = 1 OR LSREF1 =
1 OR LS01b = 1 OR LSREF2 = 1 OR ME01 = 1 OR MEREF = 1)] During the past 12
months, that is, since [DATEFILL], did you visit a hospital emergency room to receive
treatment for your use of cocaine, heroin, marijuana, PCP, LSD, or
methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX06 [IF TX05 = 1] During the past 12 months, how many times did you visit a hospital
emergency room to receive treatment for your use of cocaine, heroin, marijuana, PCP,
LSD, or methamphetamine?

697

# OF TIMES:
[RANGE: 1 - 90]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX07 [IF TX02 = 1 OR DK/REF] Are you currently receiving treatment or counseling for
your [TXFILL1]?
1
Yes
2
No
DK/REF
TX08 [IF (TX01 = 2 OR DK/REF) OR ((TX02 =2 OR DK/REF) AND TX07 NE 1)] During
the past 12 months, did you need treatment or counseling for your alcohol or drug use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX09 [IF TX02 = 1 AND TX07 NE 1] During the past 12 months, did you need additional
treatment or counseling for your alcohol or drug use?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX10 [IF TX09 = 1] During the past 12 months, for which of the following drugs did you need
additional treatment or counseling?
Type the number of each drug for which you needed additional treatment or counseling
during the past 12 months. To select more than one drug from the list, press the space bar
between each number you type. When you have finished, press [ENTER].
1. Alcohol
2. Marijuana or hashish
3. Cocaine or ‘crack’
4. Heroin
5. Hallucinogens
6. Inhalants
7. Methamphetamine
8. Prescription pain relievers
9. Prescription tranquilizers
10. Prescription stimulants
11. Prescription sedatives

698

12. Some other drug
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX11 [IF (AL01 = 1 OR ALREF = 1) AND TX08 = 1] During the past 12 months, did you
need treatment or counseling for your use of alcohol?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX12 [IF (MJ01 = 1 OR MJREF = 1) AND TX08 = 1] During the past 12 months, did you
need treatment or counseling for your use of marijuana or hashish?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX13 [IF (CC01 = 1 OR CCREF = 1 OR CK01 =1 OR CKREF = 1) AND TX08 = 1] During
the past 12 months, did you need treatment or counseling for your use of cocaine or
‘crack’?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX14 [IF (HE01 = 1 OR HEREF = 1) AND TX08 = 1] During the past 12 months, did you
need treatment or counseling for your use of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX15 [IF (LS01a =1 OR LSREF1 = 1 OR LS01b = 1 OR LSREF2 = 1 OR LS01c = 1 OR
LS01d =1 OR LS01e = 1 OR LS01f =1 OR LSREF3 = 1 OR LS01h = 1 OR LS01i=1 OR
LS01j=1 OR LS01k=1) AND TX08 =1] During the past 12 months, did you need
treatment or counseling for your use of hallucinogens?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

699

TX16 [IF (IN01a =1 OR IN01b =1 OR IN01c =1 OR IN01d = 1 OR IN01e = 1 OR IN01f = 1
OR IN01g = 1 OR IN01h = 1 OR IN01h1=1 OR IN01i = 1 OR IN01ii=1 OR IN01j = 1
OR IN01l = 1 OR INREF = 1) AND TX08 = 1] During the past 12 months, did you need
treatment or counseling for your use of inhalants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX16a [IF (ME01=1 OR ME01REF=1) AND TX08 = 1] During the past 12 months, did you
need treatment or counseling for your use of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX17 [IF (PRMISUSE12=1 OR PRL01=1 OR PRL02=1) AND TX08 = 1] During the past 12
months, did you need treatment or counseling for your use of prescription pain
relievers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX18 [IF (TRMISUSE12=1 OR TRL01=1 OR TRL02=1) AND TX08 = 1] During the past 12
months, did you need treatment or counseling for your use of prescription
tranquilizers?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX19 [IF STMISUSE12=1 OR STL01=1 OR STL02=1) AND TX08 = 1] During the past 12
months, did you need treatment or counseling for your use of prescription stimulants?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX20 [IF (SVMISUSE12=1 OR SVL01=1 OR SVL02=1) AND TX08 = 1] During the past 12
months, did you need treatment or counseling for your use of prescription sedatives?

700

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX21 [IF TX08 = 1] During the past 12 months, did you need treatment or counseling for your
use of some other drug besides the ones just listed?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX21SP1 [IF TX21 = 1] Please type in the name of one of the other drugs you needed treatment
or counseling for during the past 12 months. If you’re not sure how to spell the drug
name, just make your best guess. When you have finished typing your answer, press
the [ENTER] key to go to the next question.
____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TX21SP1.
TX21SP2 [IF TX21SP1 NE (BLANK OR DK/REF)] Please type in the name of any other
drug that you needed treatment or counseling for during the past 12 months other
than those you have already mentioned. If you have not needed treatment or
counseling for your use of any other drugs, press the [ENTER] key to go to the next
question.
____________
DK/REF
TX21SP3 [IF TX21SP2 NE (BLANK OR DK/REF)] Please type in the name of any other
drug that you needed treatment or counseling for during the past 12 months other
than those you have already mentioned. If you have not needed treatment or
counseling for your use of any other drugs, press the [ENTER] key to go to the next
question.
____________
DK/REF
TX21SP4 [IF TX21SP3 NE (BLANK OR DK/REF)] Please type in the name of any other
drug that you needed treatment or counseling for during the past 12 months other
than those you have already mentioned. If you have not needed treatment or
counseling for your use of any other drugs, press the [ENTER] key to go to the next
question.

701

____________
DK/REF
TX21SP5 [IF TX21SP4 NE (BLANK OR DK/REF)] Please type in the name of any other
drug that you needed treatment or counseling for during the past 12 months other
than those you have already mentioned. If you have not needed treatment or
counseling for your use of any other drugs, press the [ENTER] key to go to the next
question.
____________
DK/REF
DEFINE TXFILL2:
IF TX11 = 1 AND ALL OF TX12 - TX21 = 2 OR DK/REF, TXFILL2 = alcohol
IF TX11 = 2 OR DK/REF, AND ANY IN TX12 - TX21 = 1, TXFILL2 = any drug
ELSE, TXFILL2 = alcohol or any other drug
TX22 [IF TX08 = 1] During the past 12 months, did you make an effort to get treatment or
counseling for your use of [TXFILL2]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX22A
[IF TX22 IS NOT BLANK] Which of these statements explain why you did not
get the treatment or counseling you needed for your use of [TXFILL2]?
To select more than one reason from the list, press the space bar between each number
you type. When you have finished, press [ENTER].
1
2
3
4
5
6
7
8
9

You had no health care coverage, and you couldn’t afford the cost.
You did have health care coverage, but it didn’t cover treatment for [TXFILL2],
or didn’t cover the full cost.
You had no transportation to a program, or the programs were too far away, or the
hours were not convenient.
You didn’t find a program that offered the type of treatment or counseling you
wanted.
You were not ready to stop using [TXFILL2].
There were no openings in the programs.
You did not know where to go to get treatment.
You were concerned that getting treatment or counseling might cause your
neighbors or community to have a negative opinion of you.
You were concerned that getting treatment or counseling might have a negative
effect on your job.

702

10
Some other reason or reasons.
DK/REF
TX22B
[IF ANY ENTRY IN TX22A = 10] Which of these statements explain why you
did not get the treatment or counseling you needed for your use of [TXFILL2]?
To select more than one reason from the list, press the space bar between each number
you type. When you have finished, press [ENTER].
1
You didn't think you needed treatment at the time.
2
You thought you could handle the problem without treatment.
3
You didn't think treatment would help.
4
You didn't have time (because of job, childcare, or other commitments).
5
You didn't want others to find out that you needed treatment.
6
Some other reason or reasons.
DK/REF
TX22SP [IF ANY ENTRY IN TX22B = 6 ] Please type in the most important other reason
you did not get the treatment you needed. When you have finished typing your
answer, press the [ENTER] key to go to the next question.
____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TX22SP.
TX23 [IF TX09 = 1] During the past 12 months, did you make an effort to get additional
treatment or counseling for your use of alcohol or any other drug?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX23A
[IF TX23 IS NOT BLANK] Which of these statements explain why you did not
get the additional treatment or counseling you needed for your use of alcohol or drugs?
To select more than one reason from the list, press the space bar between each number
you type. When you have finished, press [ENTER].
1
2
3
4

You had no health care coverage, and you couldn’t afford the cost.
You did have health care coverage, but it didn’t cover treatment for alcohol or
drugs, or didn’t cover the full cost.
You had no transportation to a program, or the programs were too far away, or the
hours were not convenient.
You didn’t find a program that offered the type of treatment or counseling you
wanted.

703

5
6
7
8

You were not ready to stop using alcohol or drugs.
There were no openings in the programs.
You did not know where to go to get treatment.
You were concerned that getting treatment or counseling might cause your
neighbors or community to have a negative opinion of you.
9
You were concerned that getting treatment or counseling might have a negative
effect on your job.
10
Some other reason or reasons.
DK/REF
TX23B
[IF ANY ENTRY IN TX23A = 10] Which of these statements explain why you
did not get the additional treatment or counseling you needed for your use of alcohol or
drugs?
To select more than one reason from the list, press the space bar between each number
you type. When you have finished, press [ENTER].
1
You didn't think you needed treatment at the time.
2
You thought you could handle the problem without treatment.
3
You didn't think treatment would help.
4
You didn't have time (because of job, childcare, or other commitments).
5
You didn't want others to find out that you needed treatment.
6
Some other reason or reasons.
DK/REF
TX23SP [IF ANY ENTRY IN TX23B = 6] Please type in the most important other reason
you did not get the treatment you needed. When you have finished typing your
answer, press the [ENTER] key to go to the next question.
____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TX23SP.
TX24 [IF TX07 NE 1] How long has it been since you were last in treatment or counseling for
your alcohol or drug use, not counting cigarettes?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX25 [IF TX01 = 1 AND TX07 NE 1 OR BLANK] What was the main place where you
received treatment the last time you started treatment for your alcohol or other drug use,
not counting cigarettes?

704

[IF TX01 = 1 AND TX07 = 1] What is the main place where you are currently receiving
treatment for your alcohol or other drug use, not counting cigarettes?
1
2
3

A hospital overnight as an inpatient
A residential drug or alcohol rehabilitation facility where you stay at night
A drug or alcohol rehabilitation facility as an outpatient where you do not stay at
night
4
A mental health center or facility as an outpatient
5
An emergency room
6
A private doctor’s office
7
A prison or jail
8
A self-help group
9
Some other place
DK/REF
TX25SP [IF TX01 = 1 AND TX07 NE BLANK AND TX25 = 9] Please type in a description
of the place where you received treatment or counseling for your drug use other than
the places just mentioned. When you have finished typing your answer, press the
[Enter] key to go to the next question.
____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TX25SP.
TX26 [IF (AL01 = 1 OR ALREF = 1) AND TX01 = 1 AND TX07 NE 1 OR BLANK] The last
time you entered treatment, did you receive treatment or counseling for your use of
alcohol?
[IF (AL01 = 1 OR ALREF = 1) AND TX01 = 1 AND TX07 = 1] Are you currently
receiving treatment or counseling for your use of alcohol?
1
Yes
2
No
DK/REF
TX27 [IF (MJ01 =1 OR MJREF = 1) AND TX01 =1 AND TX07 NE 1 OR BLANK] The last
time you entered treatment, did you receive treatment or counseling for your use of
marijuana or hashish?
[IF (MJ01 = 1 OR MJREF = 1) AND TX01 = 1 AND TX07 = 1] Are you currently
receiving treatment or counseling for your use of marijuana or hashish?
1
Yes
2
No
DK/REF

705

TX28 [IF (CC01 =1 OR CCREF = 1 OR CK01 =1 OR CKREF = 1) AND TX01 = 1 AND
TX07 NE 1 OR BLANK] The last time you entered treatment, did you receive treatment
or counseling for your use of cocaine or ‘crack’?
[IF (CC01 = 1 OR CCREF = 1 OR CK01 =1 OR CKREF = 1) AND TX01 = 1 AND
TX07 = 1] Are you currently receiving treatment or counseling for your use of cocaine
or ‘crack’?
1
Yes
2
No
DK/REF
TX29 [IF (HE01 =1 OR HEREF = 1) AND TX01 =1 AND TX07 NE 1 OR BLANK] The last
time you entered treatment, did you receive treatment or counseling for your use of
heroin?
[IF (HE01 = 1 OR HEREF = 1) AND TX01 = 1 AND TX07 = 1] Are you currently
receiving treatment or counseling for your use of heroin?
1
Yes
2
No
DK/REF
TX30 [IF (LS01a =1 OR LSREF1 = 1 OR LS01b =1 OR LSREF2 = 1 OR LS01c =1 OR LS01d
=1 OR LS01e =1 OR LS01f = 1 OR LS01i=1 OR LS01j=1 OR LS01k=1 OR LSREF3 =
1 OR LS01h =1) AND TX01 =1 AND TX07 NE 1 OR BLANK] The last time you
entered treatment, did you receive treatment or counseling for your use of
hallucinogens?
[IF (LS01a =1 OR LSREF1 = 1 OR LS01b =1 OR LSREF2 = 1 OR LS01c =1 OR LS01d
= 1 OR LS01e = 1 OR LS01f = 1 OR LSREF3 = 1 OR LS01h =1 OR LS01i=1 OR
LS01j=1 OR LS01k=1) AND TX01 = 1 AND TX07 = 1] Are you currently receiving
treatment or counseling for your use of hallucinogens?
1
Yes
2
No
DK/REF
TX31 [IF (IN01a =1 OR IN01b =1 OR IN01c =1 OR IN01d = 1 OR IN01e = 1 OR IN01f = 1
OR IN01g = 1 OR IN01h = 1 OR IN01h1=1 OR IN01i = 1 OR IN01ii=1 OR IN01j = 1
OR IN01l = 1 OR INREF = 1) AND TX01 =1 AND TX07 NE 1 OR BLANK] The last
time you entered treatment, did you receive treatment or counseling for your use of
inhalants?
[IF (IN01a = 1 OR IN01b =1 OR IN01c =1 OR IN01d =1 OR IN01e = 1 OR IN01f =1
OR IN01g=1 OR IN01h =1 OR IN01h1=1 OR IN01i =1 OR IN01ii=1 OR IN01j =1 OR

706

IN01l =1 OR INREF = 1) AND TX01 = 1 AND TX07 = 1] Are you currently receiving
treatment or counseling for your use of inhalants?
1
Yes
2
No
DK/REF
TX31a [IF (ME01 =1 OR MEREF = 1) AND TX01 =1 AND TX07 NE 1 OR BLANK] The last
time you entered treatment, did you receive treatment or counseling for your use of
methamphetamine?
[IF (ME01 = 1 OR MEREF = 1) AND TX01 = 1 AND TX07 = 1] Are you currently
receiving treatment or counseling for your use of methamphetamine?
1
Yes
2
No
DK/REF
TX32 [IF ( PRMISUSE12=1 OR PRL01=1 OR PRL02=1) AND TX01 = 1 AND TX07 NE 1
OR BLANK] The last time you entered treatment, did you receive treatment or
counseling for your use of prescription pain relievers?
[IF (PRMISUSE12=1 OR PRL01=1 OR PRL02=1) AND TX01 = 1 AND TX07 = 1] Are
you currently receiving treatment or counseling for your use of prescription pain
relievers?
1
Yes
2
No
DK/REF
TX33 [IF (TRMISUSE12=1 OR TRL01=1 OR TRL02=1) AND TX01 =1 AND TX07 NE 1
OR BLANK] The last time you entered treatment, did you receive treatment or
counseling for your use of prescription tranquilizers?
[IF (TRMISUSE12=1 OR TRL01=1 OR TRL02=1) AND TX01 = 1 AND TX07 = 1]
Are you currently receiving treatment or counseling for your use of prescription
tranquilizers?
1
Yes
2
No
DK/REF
TX34 [IF (STMISUSE12=1 OR STL01=1 OR STL02=1) AND TX01 =1 AND TX07 NE 1
OR BLANK] The last time you entered treatment, did you receive treatment or
counseling for your use of prescription stimulants?

707

[IF (STMISUSE12=1 OR STL01=1 OR STL02=1)AND TX01 = 1 AND TX07 = 1] Are
you currently receiving treatment or counseling for your use of prescription
stimulants?
1
Yes
2
No
DK/REF
TX35 [IF (SVMISUSE12=1 OR SVL01=1 OR SVL02=1)AND TX01 = 1 AND TX07 NE 1
OR BLANK] The last time you entered treatment, did you receive treatment or
counseling for your use of prescription sedatives?
[IF (SVMISUSE12=1 OR SVL01=1 OR SVL02=1)AND TX01 = 1 AND TX07 = 1] Are
you currently receiving treatment or counseling for your use of prescription sedatives?
1
Yes
2
No
DK/REF
TX36 [IF TX01 = 1 AND TX07 NE 1 OR BLANK] The last time you entered treatment, did
you receive treatment or counseling for your use of any other drug?
[IF TX01 = 1 AND TX07 = 1] Are you currently receiving treatment or counseling for
your use of any other drug?
1
Yes
2
No
DK/REF
TX36SP1 [IF TX36 = 1 AND TX07 NE 1 OR BLANK] Please type in the name of one of the
drugs you received treatment for the last time. If you’re not sure how to spell the
name of the drug, just make your best guess.
When you have finished typing your answer, press the [ENTER] key to go to the next
question.
[IF TX36 = 1 AND TX07 = 1] Please type in the name of one of the drugs for which
you are currently being treated. If you’re not sure how to spell the name of the drug,
just make your best guess.
When you have finished typing your answer, press the [ENTER] key to go to the next
question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TX36SP1.

708

TX36SP2 [IF TX36SP1 NE (BLANK OR DK/REF) AND TX07 NE 1 OR BLANK] Please
type in the name of any other drug you received treatment or counseling for the last
time you entered treatment for your drug use. If there are no other drugs you
received treatment or counseling for the last time, other than those you already
mentioned, press the [ENTER] key to go to the next question.
[IF TX36SP1 NE (BLANK OR DK/REF) AND TX07 =1] Please type in the name of
any other drug for which you are currently receiving treatment or counseling. If
there are no other drugs you are currently receiving treatment or counseling for, other
than those you already mentioned, press the [ENTER] key to go to the next question.
_____________
DK/REF
TX36SP3 [IF TX36SP2 NE (BLANK OR DK/REF) AND TX07 NE 1 OR BLANK] Please
type in the name of any other drug you received treatment or counseling for the last
time you entered treatment for your drug use. If there are no other drugs you
received treatment or counseling for the last time, other than those you already
mentioned, press the [ENTER] key to go to the next question.
[IF TX36SP2 NE (BLANK OR DK/REF) AND TX07 =1] Please type in the name of
any other drug for which you are currently receiving treatment or counseling. If
there are no other drugs you are currently receiving treatment or counseling for, other
than those you already mentioned, press the [ENTER] key to go to the next question.
_____________
DK/REF
TX36SP4 [IF TX36SP3 NE (BLANK OR DK/REF) AND TX07 NE 1 OR BLANK] Please
type in the name of any other drug you received treatment or counseling for the last
time you entered treatment for your drug use. If there are no other drugs you
received treatment or counseling for the last time, other than those you already
mentioned, press the [ENTER] key to go to the next question.
[IF TX36SP3 NE (BLANK OR DK/REF) AND TX07 =1] Please type in the name of
any other drug for which you are currently receiving treatment or counseling. If
there are no other drugs you are currently receiving treatment or counseling for, other
than those you already mentioned, press the [ENTER] key to go to the next question.
_____________
DK/REF
TX36SP5 [IF TX36SP4 NE (BLANK OR DK/REF) AND TX07 NE 1 OR BLANK] Please
type in the name of any other drug you received treatment or counseling for the last
time you entered treatment for your drug use. If there are no other drugs you

709

received treatment or counseling for the last time, other than those you already
mentioned, press the [ENTER] key to go to the next question.
[IF TX36SP4 NE (BLANK OR DK/REF) AND TX07 =1] Please type in the name of
any other drug for which you are currently receiving treatment or counseling. If
there are no other drugs you are currently receiving treatment or counseling for, other
than those you already mentioned, press the [ENTER] key to go to the next question.
_____________
DK/REF
TX37 [IF MORE THAN 1 ITEM IN THE TX26 - TX36 SERIES = 1 OR DK/REF AND TX07
NE 1 OR BLANK] What was the main drug you entered treatment for the last time you
were treated?
[IF MORE THAN 1 ITEM IN THE TX26 - TX36 SERIES = 1 OR DK/REF AND TX07
= 1] What is the main drug for which you are currently receiving treatment or
counseling?
1
Alcohol
2
Marijuana or hashish
3
Cocaine or ‘crack’
4
Heroin
5
Hallucinogens
6
Inhalants
7
Methamphetamine
8
Prescription pain relievers
9
Prescription tranquilizers
10
Prescription stimulants
11
Prescription sedatives
12
Some other drug
DK/REF
TX38 [IF TX25 = 1 - 8 AND TX07 NE 1 OR BLANK] What was the outcome of the treatment
or counseling you last received at [FILL IN ANSWER FROM TX25]?
[IF TX25 = DK/REF OR TX25 = 9 AND TX07 NE 1 OR BLANK] What was the
outcome of the treatment or counseling you last received?
1
2
3
4
5
6
7

You are still in treatment
You successfully completed treatment
You left because you had a problem with the program
You left because you couldn’t afford to continue treatment
You left because your family needed you
You left because you began using drugs again
Your last treatment had some other outcome

710

DK/REF
TX38SP [IF TX38 = 7] Please type in a description of the outcome of your last treatment or
counseling for drug use. You do not need to give a detailed description — just a few
words will be sufficient.
When you have finished typing your answer, press the [ENTER] key to go to the next
question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TX38SP.
TX39 [IF TX25 = 1- 8 AND TX38 = 2 - 7 OR DK/REF] How long did you stay in treatment for
your alcohol or drug use during your last treatment at [FILL IN ANSWER FROM
TX25]?
[IF (TX25 = 1 - 8 AND TX38 = 1) OR (TX07 = 1 AND TX25 = 1 - 8)] How long have
you been in treatment for your alcohol or drug use at [FILL IN ANSWER FROM
TX17]?
[IF TX25 = 9 OR DK/REF AND TX38 = 2 - 7 OR DK/REF] How long did you stay in
treatment for your alcohol or drug use during your last treatment?
[IF (TX25 = 9 OR DK/REF AND TX38 = 1) OR TX07 = 1 AND TX25 = 9)] How long
have you been in treatment for your alcohol or drug use so far?
Please indicate whether you want to give your answer in days, months, or years.
1
Days
2
Months
3
Years
DK/REF
TX40DAY1 [IF (TX38 = 1 OR TX07 = 1) AND TX39 = 1 OR DK/REF] How many days
have you been in treatment for your alcohol or drug use so far?
# OF DAYS:
DK/REF

[RANGE: 1 - 366]

TX40DAY2 [IF TX38 = 2 - 7 OR DK/REF AND TX39 = 1 OR DK/REF] How many days did
you stay in treatment for your alcohol or drug use the last time?
# OF DAYS:
DK/REF

[RANGE: 1 - 366]

711

TX41MON1 [IF (TX38 = 1 OR TX07 = 1) AND TX39 = 2] How many months have you
been in treatment for your alcohol or drug use so far?
# OF MONTHS:
DK/REF

[RANGE: 1 - 400]

TX41MON2 [IF TX38 = 2 - 7 OR DK/REF AND TX39 = 2] How many months did you stay
in treatment for your alcohol or drug use the last time?
# OF MONTHS:
DK/REF
TX41YR1

[IF (TX38 = 1 OR TX07 = 1) AND TX39 = 3] How many years have you been in
treatment for your alcohol or drug use so far?
# OF YEARS:
DK/REF

TX41YR2

[RANGE: 1 - 400]

[RANGE: 1 - 60]

[IF TX38 = 2 - 7 OR DK/REF AND TX39 = 3] How many years did you stay in
treatment for your alcohol or drug use the last time?
# OF YEARS:
DK/REF

[RANGE: 1 - 60]

TX42A
[IF TX01 = 1 AND TX07 NE 1 OR BLANK] Did private health insurance pay
for the last treatment you received, even if it paid only part of the cost?
[IF TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will private health insurance pay for the
treatment you are currently receiving, even if it pays only part of the cost?
1
Yes
2
No
DK/REF
TX42B
[IF TX01 = 1 AND TX07 NE 1 OR BLANK] Did Medicare pay for the last
treatment you received, even if it paid only part of the cost?
[IF (TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will Medicare pay for the treatment you
are currently receiving, even if it pays only part of the cost?
1
Yes
2
No
DK/REF
TX42C
[IF TX01 = 1 AND TX07 NE 1 OR BLANK] Did Medicaid pay for the last
treatment you received, even if it paid only part of the cost?

712

[IF (TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will Medicaid pay for the treatment you
are currently receiving, even if it pays only part of the cost?
1
Yes
2
No
DK/REF
TX42D
[IF TX01 = 1 AND TX07 NE 1 OR BLANK] Did a public assistance program
other than Medicaid pay for the last treatment you received, even if it paid only part of
the cost?
[IF (TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will a public assistance program other
than Medicaid pay for the treatment you are currently receiving, even if it pays only part
of the cost?
1
Yes
2
No
DK/REF
TX42E
[IF TX01 = 1 AND TX07 NE 1 OR BLANK] Did you use your own savings or
earnings to pay for the last treatment you received, even if you paid only part of the
cost?
[IF (TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will you use your own savings or
earnings to pay for the treatment you are currently receiving, even if you pay only part of
the cost?
1
Yes
2
No
DK/REF
TX42F
[IF TX01 = 1 AND TX07 NE 1 OR BLANK] Did family members pay for the
last treatment you received, even if they paid only part of the cost?
[IF (TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will family members pay for the
treatment you are currently receiving, even if they pay only part of the cost?
1
Yes
2
No
DK/REF
TX42G
[IF TX01 = 1 AND TX07 NE 1 OR BLANK] Did the courts pay for the last
treatment you received, even if it paid only part of the cost?
[IF (TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will the courts pay for the treatment you

713

are currently receiving, even if it pays only part of the cost?
1
Yes
2
No
DK/REF
TX42H
[IF TX01 = 1 AND TX07 NE 1 OR BLANK] Did CHAMPUS or TRICARE,
CHAMPVA, the VA, or some other military health care pay for the last treatment you
received, even if it paid only part of the cost?
[IF (TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will CHAMPUS or TRICARE,
CHAMPVA, the VA, or some other military health care pay for the treatment you are
currently receiving, even if it pays only part of the cost?
1
Yes
2
No
DK/REF
TX42I [IF TX01 = 1 AND TX07 NE 1 OR BLANK] Did your employer pay for the last
treatment you received, even if it paid only part of the cost?
[IF (TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will your employer pay for the treatment
you are currently receiving, even if it pays only part of the cost?
1
Yes
2
No
DK/REF
TX42J [IF TX01 = 1 AND TX07 NE 1 OR BLANK] Was your last treatment paid for by some
other source besides those that have been listed?
[IF (TX01 = 1 AND TX07 = 1) OR TX38 = 1] Will the treatment you are currently
receiving be paid for by some other source besides those that have been listed?
1
Yes
2
No
DK/REF
TX42JSP [IF TX42J = 1 AND TX07 NE 1 OR BLANK] Please type in a description of the
source that paid for your last treatment or counseling for alcohol or drug use. You do
not need to give a detailed description — just a few words will be sufficient. When
you have finished typing your answer, press the [ENTER] key to go to the next
question.
[IF TX42J = 1 AND (TX07 = 1 OR TX38 = 1)] Please type in a description of the
source that will pay for your current treatment or counseling for alcohol or drug use.

714

You do not need to give a detailed description — just a few words will be sufficient.
When you have finished typing your answer, press the [ENTER] key to go to the next
question.
_____________

DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN TX42JSP.
TX42K

[IF TX42A - TX42J = 2 AND TX07 NE 1 OR BLANK] Was the last treatment you
received free?
[IF TX42A - TX42J = 2 AND (TX07 = 1 OR TX38 = 1)] Is the treatment you are
currently receiving free?
1
Yes
2
No
DK/REF

TX43 [IF TX01 = 1] Were you enrolled in a treatment program for your alcohol or drug use on
October 1, [CURRENT YEAR – 1]?
For this question, please include only treatment you received at a hospital, drug
rehabilitation facility, or mental health center.
1
Yes
2
No
DK/REF
TX44 [IF TX03 NE BLANK] Think about all the treatment or counseling you received for your
[TXFILL1] during the past 12 months. Was detoxification the only [TXFILL1]
treatment you received during the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX45 [IF TX01=1 AND TX02=2 AND (AL01 = 1 OR ALREF = 1) AND MJ01 NE 1 AND
MJREF NE 1 AND CC01 NE 1 AND CCREF NE 1 AND CK01 NE 1 AND CKREF NE
1 AND HE01 NE 1 AND HEREF NE 1 AND LS01a NE 1 AND LSREF1 NE 1 AND
LS01b NE 1 AND LSREF2 NE 1 AND LS01c NE 1 AND LS01d NE 1 AND LS01e NE
1 AND LS01f NE1 AND LSREF3 NE 1 AND LS01h NE 1 AND LS01i NE 1 AND
LS01j NE 1 AND LS01k NE 1 AND IN01a NE1 AND IN01b NE1 AND IN01c NE 1
AND IN01d NE 1 AND IN01e NE 1AND IN01f NE 1 AND IN01g NE 1 AND IN01h
NE 1 AND IN01h1 NE 1 AND IN01i NE 1 AND IN01ii NE 1 AND IN01j NE 1 AND
IN01l NE 1 AND INREF NE 1 AND ME01 NE 1 AND MEREF NE 1 AND
(PRMISUSE12 NE 1 OR PRL01 NE 1 OR PRL02 NE 1) AND (TRMISUSE12 NE 1 OR

715

TRL01 NE 1 OR TRL02 NE 1) AND (STMISUSE12 NE 12 OR STL01 NE 1 OR STL02
NE 1) AND (SVMISUSE12 NE 1 OR SVL01 NE 1 OR SVL02 NE 1)] Earlier you
reported that at some time in your life you received treatment or counseling for your use
of alcohol or any drug, not counting cigarettes. Have you ever received treatment for
your alcohol use?
1
Yes
2
No
DK/REF
TX45a [IF TX45 = 1] How old were you when you first received treatment for your alcohol use?
_____________[RANGE: 1-110]
DK/REF
TX46 [IF TX01=1 AND TX02=2 AND (AL01 NE 1 AND ALREF NE1) AND MJ01 = 1 OR
MJREF = 1 OR CC01 = 1 OR CCREF = 1 OR CK01 = 1 OR CKREF = 1 OR HE01 = 1
OR HEREF = 1 OR LS01a = 1 OR LSREF1 = 1 OR LS01b = 1 OR LSREF2 = 1 OR
LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR LS01f =1 OR LSREF3 = 1 OR LS01h = 1
OR LS01i=1 OR LS01j=1 OR LS01k=1 OR IN01a =1 OR IN01b =1 OR IN01c = 1 OR
IN01d = 1 OR IN01e = 1OR IN01f = 1 OR IN01g = 1 OR IN01h = 1 OR IN01h1=1 OR
IN01i = 1 OR IN01ii=1 OR IN01j = 1 OR IN01l = 1 OR INREF = 1 OR ME01=1 OR
MEREF=1 OR PRMISUSE12=1 OR PRL01=1 OR PRL02=1 OR TRMISUSE12=1 OR
TRL01=1 OR TRL02=1 OR STMISUSE12=1 OR STL01=1 OR STL02=1 OR
SVMISUSE12=1 OR SVL01=1 OR SVL02=1] Earlier you reported that at some time in
your life you received treatment or counseling for your use of alcohol or any drug, not
counting cigarettes. Have you ever received treatment or counseling for your drug use?
1
Yes
2
No
DK/REF
TX46a [IF TX46 = 1] How old were you when you first received treatment or counseling for
your drug use?
_____________[RANGE: 1-110]
DK/REF
TX47 [IF TX01=1 AND TX02=2 AND (AL01 = 1 OR ALREF = 1) AND (MJ01 = 1 OR
MJREF = 1 OR CC01 = 1 OR CCREF = 1 OR CK01 = 1 OR CKREF = 1 OR HE01 = 1
OR HEREF = 1 OR LS01a = 1 OR LSREF1 = 1 OR LS01b = 1 OR LSREF2 = 1 OR
LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR LS01f =1 OR LSREF3 = 1 OR LS01h = 1
OR LS01i=1 OR LS01j=1 OR LS01k=1 OR IN01a =1 OR IN01b =1 OR IN01c = 1 OR
IN01d = 1 OR IN01e = 1OR IN01f = 1 OR IN01g = 1 OR IN01h = 1 OR IN01h1=1 OR
IN01i = 1 OR IN01ii=1 OR IN01j = 1 OR IN01l = 1 OR INREF = 1 OR ME01=1 OR
MEREF=1 OR PRMISUSE12=1 OR PRL01=1 OR PRL02=1 OR TRMISUSE12=1 OR

716

TRL01=1 OR TRL02=1 OR STMISUSE12=1 OR STL01=1 OR STL02=1 OR
SVMISUSE12=1 OR SVL01=1 OR SVL02=1)] Earlier you reported that at some time in
your life you received treatment or counseling for your use of alcohol or any drug, not
counting cigarettes. Have you ever received treatment or counseling for your alcohol
use?
1
Yes
2
No
DK/REF
TX47a [IF TX47 = 1] How old were you when you first received treatment or counseling for
your alcohol use?
_____________[RANGE: 1-110]
DK/REF
TX48 [IF TX01=1 AND TX02=2 AND (AL01 = 1 OR ALREF = 1) AND (MJ01 = 1 OR
MJREF = 1 OR CC01 = 1 OR CCREF = 1 OR CK01 = 1 OR CKREF = 1 OR HE01 = 1
OR HEREF = 1 OR LS01a = 1 OR LSREF1 = 1 OR LS01b = 1 OR LSREF2 = 1 OR
LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR LS01f =1 OR LSREF3 = 1 OR LS01h = 1
OR LS01i=1 OR LS01j=1 OR LS01k=1 OR IN01a =1 OR IN01b =1 OR IN01c = 1 OR
IN01d = 1 OR IN01e = 1OR IN01f = 1 OR IN01g = 1 OR IN01h = 1 OR IN01h1=1 OR
IN01i = 1 OR IN01ii=1 OR IN01j = 1 OR IN01l = 1 OR INREF = 1 OR ME01=1 OR
MEREF=1 OR PRMISUSE12=1 OR PRL01=1 OR PRL02=1 OR TRMISUSE12=1 OR
TRL01=1 OR TRL02=1 OR STMISUSE12=1 OR STL01=1 OR STL02=1 OR
SVMISUSE12=1 OR SVL01=1 OR SVL02=1)] Have you ever received treatment or
counseling for your drug use?
1
Yes
2
No
DK/REF
TX48a [IF TX48 = 1] How old were you when you first received treatment or counseling for
your drug use?
_____________[RANGE: 1-110]
DK/REF
TX49 [IF TX03 = 1] Earlier you reported that you received treatment or counseling for your
use of alcohol during the past 12 months. How old were you when you first received
treatment or counseling for your alcohol use?
_____________[RANGE: 1-110]
DK/REF

717

TX49a [IF TX03 = 1 AND (MJ01 = 1 OR MJREF = 1 OR CC01 = 1 OR CCREF = 1 OR CK01
= 1 OR CKREF = 1 OR HE01 = 1 OR HEREF = 1 OR LS01a = 1 OR LSREF1 = 1 OR
LS01b = 1 OR LSREF2 = 1 OR LS01c = 1 OR LS01d = 1 OR LS01e = 1 OR LS01f =1
OR LSREF3 = 1 OR LS01h = 1 OR LS01i=1 OR LS01j=1 OR LS01k=1 OR IN01a =1
OR IN01b =1 OR IN01c = 1 OR IN01d = 1 OR IN01e = 1OR IN01f = 1 OR IN01g = 1
OR IN01h = 1 OR IN01h1=1 OR IN01i = 1 OR IN01ii=1 OR IN01j = 1 OR IN01l = 1
OR INREF = 1 OR ME01=1 OR MEREF=1 OR PRMISUSE12=1 OR PRL01=1 OR
PRL02=1 OR TRMISUSE12=1 OR TRL01=1 OR TRL02=1 OR STMISUSE12=1 OR
STL01=1 OR STL02=1 OR SVMISUSE12=1 OR SVL01=1 OR SVL02=1)] Have you
ever received treatment or counseling for your use of any drug, not including cigarettes
or alcohol?
1
Yes
2
No
DK/REF
TX49b [IF TX49a = 1] How old were you when you first received treatment or counseling for
your drug use?
_____________[RANGE: 1-110]
DK/REF
TX50 [IF TX03 = 2] Earlier you reported that you received treatment or counseling for your
drug use during the past 12 months. How old were you when you first received
treatment or counseling for your drug use?
_____________[RANGE: 1-110]
DK/REF
TX50a [IF TX03 = 2 AND (AL01 = 1 OR ALREF = 1)] Have you ever received treatment or
counseling for your alcohol use?
1
Yes
2
No
DK/REF
TX50b [IF TX50a = 1] How old were you when you first received treatment or counseling for
your alcohol use?
_____________[RANGE: 1-110]
DK/REF

TX51 [IF TX03=3] Earlier, you reported that you received treatment or counseling for your
drug and alcohol use during the past 12 months. How old were you when you first
received treatment or counseling for your use of alcohol?

718

_____________[RANGE: 1-110]
DK/REF

TX51a [IF TX03=3] How old were you when you first received treatment or counseling for your
drug use?
_____________[RANGE: 1-110]
DK/REF
TX52 [IF (TX01 NE BLANK) AND (TX04h NE 1)] The next question is about self-help
groups. Some examples of self-help groups for alcohol or drug use are AA or Alcoholics
Anonymous, NA or Narcotics Anonymous, CA or Cocaine Anonymous, and CMA or
Crystal Meth Anonymous.
During the past 12 months, did you go to any self-help group meetings or 12-step
programs to receive help for your own use of alcohol or any drug, not counting
cigarettes?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TX53 [IF TX52 = 1] Did you go to the self-help group because of your alcohol use only, your
drug use only, or because of both alcohol and drug use?
1
Alcohol use only
2
Drug use only
3
Both alcohol and drug use
DK/REF

719

Suicide and Self Harm
SUI01 [IF CURNTAGE=18 OR OLDER] The next few questions are about thoughts of suicide. At
any time in the past 12 months, that is from [DATEFILL] up to and including today, did
you seriously think about trying to kill yourself?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SUI02 [IF SUI01=1] During the past 12 months, did you make any plans to kill yourself?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SUI03 [IF SUI01=1] During the past 12 months, did you try to kill yourself?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SUI04 [IF SUI03=1] During the past 12 months, did you get medical attention from a doctor or
other health professional as a result of an attempt to kill yourself?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SUI05 [IF SUI04=1] Did you stay in a hospital overnight or longer because you tried to kill
yourself?
1 Yes
2 No
DK/REF
SUIYTTHK [IF CURNTAGE=12-17] The next few questions are about thoughts of suicide. At
any time in the past 12 months, that is, from [DATEFILL] up to and including today, did
you seriously think about trying to kill yourself?
1 Yes
2 No
DK/REF

720

PROGRAMMER: SHOW 12-MONTH CALENDAR
SUIYTPLN [IF CURNTAGE=12-17] During the past 12 months, did you make any plans to kill
yourself?
1 Yes
2
No
DK/REF
PROGRAMMER: SHOW 12-MONTH CALENDAR
SUIYTTRY [IF CURNTAGE=12-17] During the past 12 months, did you try to kill yourself?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12-MONTH CALENDAR
SUIYTMED [IF SUIYTTRY=1] During the past 12 months, did you get medical attention from
a doctor or other health professional as a result of an attempt to kill yourself?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12-MONTH CALENDAR
SUIYTHOS [IF SUIYTMED=1] Did you stay in a hospital overnight or longer because you
tried to kill yourself?
1 Yes
2 No
DK/REF

721

Adult Depression
[Questions administered only to respondents 18 years of age and older]
ASC21

[IF CURNTAGE = 18 OR OLDER] Have you ever in your life had a period of
time lasting several days or longer when most of the day you felt sad, empty or
depressed?
1
Yes
2
No
DK/REF

ASC22

[IF ASC21 = 2 OR DK/REF] Have you ever had a period of time lasting several
days or longer when most of the day you were very discouraged about how things were
going in your life?
1
Yes
2
No
DK/REF

ASC23

[IF ASC22 = 2 or DK/REF] Have you ever had a period of time lasting several
days or longer when you lost interest in most things you usually enjoy like work,
hobbies, and personal relationships?

1
Yes
2
No
DK/REF
AD01 [IF ASC21 =1] During times when you felt sad, empty, or depressed most of the day,
did you ever feel discouraged about how things were going in your life?
1
Yes
2
No
DK/REF
AD01a [IF AD01 = 1] During the times when you felt sad, empty, or depressed, did you ever
lose interest in most things like work, hobbies, and other things you usually enjoy?
1
Yes
2
No
DK/REF
AD01b

[IF AD01 = 2 OR DK/REF] During the times when you felt sad, empty, or
depressed, did you ever lose interest in most things like work, hobbies, and other things
you usually enjoy?

722

1
Yes
2
No
DK/REF
AD02 [IF ASC22 = 1] During times when you felt discouraged about how things were going in
your life, did you ever lose interest in most things like work, hobbies, and other things
you usually enjoy?
1
Yes
2
No
DK/REF
AD09 [IF ASC23= 1] Did you ever have a period of time like this that lasted most of the day
nearly every day for two weeks or longer?
1
Yes
2
No
DK/REF
DEFINE FEELFILL:
IF (AD01a = 1), THEN FEELFILL = “were sad, discouraged, or lost interest in most things”
IF (AD01a = 2 OR DK/REF), THEN FEELFILL = “were sad or discouraged”
IF (AD01b = 1), THEN FEELFILL = “were sad or lost interest in most things”
IF (AD01b = 2 OR DK/REF) THEN FEELFILL = “were sad”
IF (AD02 = 1), THEN FEELFILL = “were discouraged or lost interest in most things”
IF (AD02 = 2 OR DK/REF), THEN FEELFILL = “were discouraged about the way things were
going in your life”
IF (AD09 = 1), THEN FEELFILL = “lost interest in most things”
ELSE, FEELFILL = BLANK
DEFINE FEELNOUN:
IF (AD01a = 1), THEN FEELNOUN = “sadness, discouragement, or lack of interest”
IF (AD01a = 2 OR DK/REF), THEN FEELNOUN = “sadness or discouragement”
IF (AD01b = 1), THEN FEELNOUN = “sadness or lack of interest”
IF (AD01b = 2 OR DK/REF), THEN FEELNOUN = “sadness”
IF (AD02 = 1), THEN FEELNOUN = “discouragement or lack of interest”
IF (AD02 = 2 OR DK/REF), THEN FEELNOUN = “discouragement”
IF (AD09 = 1), THEN FEELNOUN = “lack of interest in most things”
ELSE FEELNOUN = BLANK
DEFINE NUMPROBS
IF AD01a NE BLANK OR AD01b = 1 OR AD02 = 1, THEN NUMPROBS = “these problems”
IF AD01b = (2 OR DK/REF) OR AD02 = (2 OR DK/REF) OR AD09 = 1, THEN NUMPROBS
= “this problem”
ELSE NUMPROBS = BLANK

723

DEFINE WASWERE:
IF AD01a NE BLANK OR AD01b = 1 OR AD02 = 1, THEN WASWERE = “were”
IF AD01b = (2 OR DK/REF) OR AD02 = (2 OR DK/REF) OR AD09 = 1, THEN WASWERE =
“was”
ELSE WASWERE = BLANK
AD12 [IF AD01a NE BLANK OR AD01b NE BLANK OR AD02 NE BLANK] Think about
the times when you [FEELFILL]. Did you ever have a period of time like this that lasted
most of the day, nearly every day, for two weeks or longer?
1
Yes
2
No
DK/REF
AD16 [IF AD09 = 1 OR AD12 = 1] Think of times lasting two weeks or longer when
[NUMPROBS] with your mood [WASWERE] most severe and frequent. During those
times, how long did your [FEELNOUN] usually last?
1
Less than 1 hour
2
At least 1 hour but no more than 3 hours
3
At least 3 hours but no more than 5 hours
4
5 hours or more
DK/REF
AD17 [IF AD16 = 2, 3, 4, OR DK/REF] Still thinking of times lasting two weeks or longer when
[NUMPROBS] with your mood [WASWERE] most severe and frequent, how severe was
your emotional distress during those times?
1
Mild
2
Moderate
3
Severe
4
Very severe
DK/REF
AD18 [IF AD16 = 2, 3, 4, OR DK/REF] Again, think of times lasting two weeks or longer when
[NUMPROBS] with your mood [WASWERE] most severe and frequent.
How often, during those times, was your emotional distress so severe that nothing could
cheer you up?
1
Often
2
Sometimes
3
Rarely
4
Never
DK/REF

724

AD19 [IF AD16 = 2, 3, 4, OR DK/REF] Once again, please think of times lasting two weeks or
longer when [NUMPROBS] with your mood [WASWERE]most severe and frequent.
How often, during those times, was your emotional distress so severe that you could not
carry out your daily activities?
1
Often
2
Sometimes
3
Rarely
4
Never
DK/REF
AD21 [IF AD16 = (2, 3, 4 OR DK/REF) AND NOT (AD17 = 1 AND AD18 = 4 AND AD19 =
4) AND (ASC21=1 OR ASC22=1 OR ASC23=1) AND AD09 NE (2 OR DK/REF)]
People who have problems with their mood often have other problems at the same time.
These problems may include things like changes in:
•
•
•
•
•

sleep
appetite
energy
the ability to concentrate and remember
feelings of low self-worth

Did you ever have any of these problems during a period of time when you [FEELFILL]
for two weeks or longer?
1
Yes
2
No
DK/REF

AD22 [IF AD21 = 1] Think again about these other problems we just mentioned. They include
things like changes in
•
•
•
•
•

sleep
appetite
energy
the ability to concentrate and remember
feelings of low self-worth

Please think of a time when you [FEELFILL] for two weeks or longer and you also had
the largest number of these other problems at the same time.
Is there one particular time like this that stands out in your mind as the worst one you
ever had?

725

1
Yes
2
No
DK/REF
AD22a

[IF AD22 = 1] How old were you when that worst period of time started?
__________ years old [RANGE: 1-110]
DK/REF

AD22c [IF AD22 = 2 OR DK/REF] Then think of the most recent time when you [FEELFILL]
for two weeks or longer and you also had the largest number of these other problems at
the same time.
How old were you when that time started?
__________ years old [RANGE: 1-110]
DK/REF
DEFINE TIMEFILL:
IF AD22a NE BLANK, THEN TIMEFILL = ‘“worst’”
IF AD22c NE BLANK, THEN TIMEFILL = ‘“most recent’”
AD24a

[IF AD22a NE BLANK] In answering the next questions, think about the period
of time when your [FEELNOUN] and other problems were the worst.
[IF AD22c NE BLANK] In answering the next questions, think about the most recent
period of time when you [FEELFILL] and had other problems at the same time.
During that time, did you feel sad, empty, or depressed most of the day nearly every
day?
1
Yes
2
No
DK/REF

AD24c

[IF AD22a NE BLANK OR AD22c NE BLANK] During that [TIMEFILL]
period of time, did you feel discouraged about how things were going in your life most of
the day nearly every day?
1
Yes
2
No
DK/REF

AD24e [IF AD22a NE BLANK OR AD22c NE BLANK] During that [TIMEFILL] period of
time, did you lose interest in almost all things like work and hobbies and things you like
to do for fun?

726

1
Yes
2
No
DK/REF
AD24f

[IF AD22a NE BLANK OR AD22c NE BLANK] During that [TIMEFILL]
period of time, did you lose the ability to take pleasure in having good things happen to
you, like winning something or being praised or complimented?
1
Yes
2
No
DK/REF

AD26a
and weight.

[IF ANY AD24a – AD24f = 1] The next questions are about changes in appetite

[IF AD22a NE BLANK] In answering the next questions, think about the period of time
when your [FEELNOUN] and other problems were the worst.
[IF AD22c NE BLANK] In answering the next questions, think about the most recent
period of time when you [FEELFILL] and had other problems at the same time.
Did you have a much smaller appetite than usual nearly every day during that time?
1
Yes
2
No
DK/REF
AD26b

[IF AD26a = 2 OR DK/REF] Did you have a much larger appetite than usual
nearly every day?
1
Yes
2
No
DK/REF

AD26c

[IF AD26a = 2 OR DK/REF] Did you gain weight without trying to during that
[TIMEFILL] period of time?
1
Yes
2
No
DK/REF

AD26c1
[IF AD26c = 1 AND (AD22a ≤ 21 OR AD22c ≤ 21)] Did you gain weight
without trying to because you were growing?

727

1
Yes
2
No
DK/REF
AD26c2
[IF AD26c = 1 AND AD26c1 NE YES AND QD01 = 9] Did you gain weight
without trying to because you were pregnant?
1
Yes
2
No
DK/REF
AD26d

[IF AD26c = 1 AND AD26c1 NE YES AND AD26c2 NE YES] How many
pounds did you gain?
Please enter your answer as a whole number.
# OF POUNDS:__________ pounds [RANGE: 0-200]
DK/REF

AD26e

[IF (AD26a = 1 OR AD26c=(2 OR DK/REF)] Did you lose weight without trying
to?
1
Yes
2
No
DK/REF

AD26e1

[IF AD26e = 1] Did you lose weight without trying to because you were sick or
on a diet?

1
Yes
2
No
DK/REF
AD26f [IF AD26e1 = 2 OR DK/REF] How many pounds did you lose?
Please enter your answer as a whole number.
__________ pounds [RANGE: 0-200]
DK/REF
AD26g [IF AD26a NE BLANK]
[IF AD22a NE BLANK] Again, please think about the period of time when your
[FEELNOUN] and other problems were the worst.

728

[IF AD22c NE BLANK] Again, please think about the most recent period of time when
you [FEELFILL] and had other problems at the same time.
Did you have a lot more trouble than usual falling asleep, staying asleep, or waking too
early nearly every night during that [TIMEFILL] period of time?
1
Yes
2
No
DK/REF
AD26h

[IF AD26g = 2 OR DK/REF] During that [TIMEFILL] period of time, did you
sleep a lot more than usual nearly every night?
1
Yes
2
No
DK/REF

AD26j

[IF AD26a NE BLANK] During that [TIMEFILL] period of time, did you feel
tired or low in energy nearly every day, even when you had not been working very hard?
1
Yes
2
No
DK/REF

AD26l [IF AD26a NE BLANK] Did you talk or move more slowly than is normal for you nearly
every day?
1
Yes
2
No
DK/REF
AD26m

[IF AD26l = 1] Did anyone else notice that you were talking or moving slowly?

1
Yes
2
No
DK/REF
AD26n

[IF AD26l = 2 OR DK/REF] Were you so restless or jittery nearly every day that
you paced up and down or couldn't sit still?
1
Yes
2
No
DK/REF

AD26o [AD26n = 1] Did anyone else notice that you were restless?

729

1
Yes
2
No
DK/REF
AD26p

[IF AD26a NE BLANK] The next questions are about changes in your ability to
concentrate, and your feelings about yourself.
[IF AD22a NE BLANK] Again, in answering these questions, think about the period of
time when your [FEELNOUN] and other problems were the worst.
[IF AD22c NE BLANK] Again, in answering these questions, think about the most
recent period of time when you [FEELFILL] and had other problems at the same time.
During that [TIMEFILL] time, did your thoughts come much more slowly than usual or
seem confused nearly every day?
1
Yes
2
No
DK/REF

AD26r [IF AD26a NE BLANK] Did you have a lot more trouble concentrating than usual nearly
every day?
1
Yes
2
No
DK/REF
AD26s [IF AD26a NE BLANK] Were you unable to make decisions about things you ordinarily
have no trouble deciding about?
1
Yes
2
No
DK/REF
AD26u

[IF AD26a NE BLANK] Did you feel that you were not as good as other people
nearly every day?
1
Yes
2
No
DK/REF

AD26v [IF AD26u = 1] Did you feel totally worthless nearly every day?
1
2

Yes
No

730

DK/REF
AD26aa [IF AD26a NE BLANK] The next questions are about thoughts of death or suicide.
[IF AD22a NE BLANK] Again, in answering these questions, think about the period of
time when your [FEELNOUN] and other problems were the worst.
[IF AD22c NE BLANK] Again, in answering these questions, think about the most
recent period of time when you [FEELFILL] and had other problems at the same time.
Did you often think a lot about death, either your own, someone else’s, or death in
general?
1
Yes
2
No
DK/REF
AD26bb

[IF AD26a NE BLANK] During that period, did you ever think that it would be
better if you were dead?

1
Yes
2
No
DK/REF
AD26cc

[IF AD26a NE BLANK] Did you think about committing suicide?

1
Yes
2
No
DK/REF
AD26dd

[IF AD26cc = 1] Did you make a suicide plan?

1
Yes
2
No
DK/REF
AD26ee

[IF AD26cc = 1] Did you make a suicide attempt?

1
Yes
2
No
DK/REF
DEFINE D_MDEA1:
IF AD24A = 1 OR AD24C = 1, THEN D_MDEA1= 1
ELSE IF AD24A = 2 AND AD24C = 2, THEN D_MDEA1= 2
ELSE IF AD24A = DK OR AD24C = DK, THEN D_MDEA1= DK

731

ELSE IF AD24A = REF OR AD24C = REF, THEN D_MDEA1= REF
ELSE D_MDEA1= BLANK
DEFINE D_MDEA2:
IF AD24E = 1 OR AD24F = 1, THEN D_MDEA2= 1
ELSE IF AD24E = 2 AND AD24F = 2, THEN D_MDEA2= 2
ELSE IF AD24E = DK OR AD24F = DK, THEN D_MDEA2= DK
ELSE IF AD24E = REF OR AD24F = REF, THEN D_MDEA2= REF
ELSE D_MDEA2= BLANK
DEFINE D_MDEA3:
IF AD26A = 1 OR AD26B = 1 OR AD26D ≥10 OR AD26F ≥10, THEN D_MDEA3= 1
ELSE IF AD26A = 2 AND AD26B = 2 AND ((AD26D < 10 OR AD26F < 10) OR (AD26C = (2
OR BLANK) AND AD26E = (2 OR BLANK)) OR (AD26C = 1 AND (AD26C1 = 1 OR
AD26C2 = 1)) OR (AD26E = 1 AND AD26E1 = 1)), THEN D_MDEA3= 2
ELSE IF AD26A = DK OR AD26B = DK OR AD26C = DK OR AD26D = DK OR AD26E =
DK OR AD26F = DK, THEN D_MDEA3= DK
ELSE IF AD26A = REF OR AD26B = REF OR AD26C = REF OR AD26D = REF OR AD26E
= REF OR AD26F = REF, THEN D_MDEA3= REF
ELSE D_MDEA3= BLANK
DEFINE D_MDEA4:
IF AD26G = 1 OR AD26H = 1, THEN D_MDEA4= 1
ELSE IF AD26G = 2 AND AD26H = 2, THEN D_MDEA4= 2
ELSE IF AD26G = DK OR AD26H = DK, THEN D_MDEA4= DK
ELSE IF AD26G = REF OR AD26H = REF, THEN D_MDEA4= REF
ELSE D_MDEA4= BLANK
DEFINE D_MDEA5:
IF AD26M = 1 OR AD26O = 1, THEN D_MDEA5= 1
ELSE IF (AD26L = (2 OR DK/REF) AND (AD26N = (2 OR DK/REF) OR AD26O = 2)) OR
AD26M = 2, THEN D_MDEA5= 2
ELSE IF AD26L = DK OR AD26M = DK OR AD26N = DK OR AD26O = DK, THEN
D_MDEA5= DK
ELSE IF AD26L = REF OR AD26M = REF OR AD26N = REF OR AD26O = REF, THEN
D_MDEA5= REF
ELSE D_MDEA5= BLANK
DEFINE D_MDEA6:
D_MDEA6= AD26J
DEFINE D_MDEA7:
IF AD26V = 1, THEN D_MDEA7= 1
ELSE IF AD26U = (2 OR DK/REF) OR AD26V = 2, THEN D_MDEA7= 2
ELSE D_MDEA7=AD26V
ELSE D_MDEA7= BLANK

732

DEFINE D_MDEA8:
IF AD26P = 1 OR AD26R = 1 OR AD26S = 1, THEN D_MDEA8= 1
ELSE IF AD26P = 2 AND AD26R = 2 AND AD26S = 2, THEN D_MDEA8= 2
ELSE IF AD26P = DK OR AD26R = DK OR AD26S = DK, THEN D_MDEA8= DK
ELSE IF AD26P = REF OR AD26R = REF OR AD26S = REF, THEN D_MDEA8= REF
ELSE D_MDEA8= BLANK
DEFINE D_MDEA9:
IF AD26AA = 1 OR D26BB = 1 OR AD26CC = 1 OR AD26DD = 1 OR AD26EE = 1, THEN
D_MDEA9= 1
ELSE IF AD26AA = 2 AND AD26BB = 2 AND AD26CC = 2, THEN D_MDEA9= 2
ELSE IF AD26AA = DK OR AD26BB = DK OR AD26CC = DK OR AD26DD = DK OR
AD26EE = DK, THEN D_MDEA9= DK
ELSE IF AD26AA = REF OR AD26BB = REF OR AD26CC = REF OR AD26DD = REF OR
AD26EE = REF, THEN D_MDEA9= REF
ELSE D_MDEA9= BLANK
DEFINE DSMMDEA2:
IF SUM (D_MDEA1 = 1, D_MDEA2 = 1, D_MDEA3 = 1, D_MDEA4 = 1, D_MDEA5 = 1,
D_MDEA6 = 1, D_MDEA7 = 1, D_MDEA8 = 1, D_MDEA9 = 1) ≥ 5, THEN DSMMDEA2 = 1
ELSE IF SUM (D_MDEA1 = (1 OR DK/REF), D_MDEA2 = (1 OR DK/REF), D_MDEA3 = (1
OR DK/REF), D_MDEA4 = (1 OR DK/REF), D_MDEA5 = (1 OR DK/REF), D_MDEA6 = (1
OR DK/REF), D_MDEA7 = (1 OR DK/REF), D_MDEA8 = (1 OR DK/REF), D_MDEA9 = (1
OR DK/REF)) < 5 AND N(OF D_MDEA1-D_MDEA9) > 0, THEN DSMMDEA2 = 2
ELSE IF D_MDEA1 = DK OR D_MDEA2 = DK OR D_MDEA3 = DK OR D_MDEA4 = DK
OR D_MDEA5 = DK OR D_MDEA6 = DK OR D_MDEA7 = DK OR D_MDEA8 = DK OR
D_MDEA9 = DK, THEN DSMMDEA2 = DK
ELSE IF D_MDEA1 = REF OR D_MDEA2 = REF OR D_MDEA3 = REF OR D_MDEA4 =
REF OR D_MDEA5 = REF OR D_MDEA6 = REF OR D_MDEA7 = REF OR D_MDEA8 =
REF OR D_MDEA9 = REF, THEN DSMMDEA2 = REF
AD28 [IF D_MDEA9 = 1 OR DSMMDEA2 = 1] You mentioned having some of the problems I
just asked you about.
During that [TIMEFILL] period of time, how much did your [FEELNOUN]
and these other problems interfere with your work, your social life, or your personal
relationships?
1
Not at all
2
A little
3
Some
4
A lot
5
Extremely
DK/REF

733

AD28a [IF AD28 NE (BLANK OR 1)] During that [TIMEFILL] period of time, how often were
you unable to carry out your daily activities because of these problems with your mood?
1
Often
2
Sometimes
3
Rarely
4
Never
DK/REF
AD37 [IF AD28 NE BLANK] Think of the very first period of time in your life lasting two
weeks or longer when you [FEELFILL] for most of the day nearly every day and also
had some of the other problems we just asked about.
Can you remember your exact age?
1
Yes
2
No
DK/REF
AD37a [IF AD37 = 1] How old were you?
__________ years old [RANGE: 1-110]
DK/REF
AD37b

[IF AD37 = 2 OR DK] About how old were you when you first had a period of time
like this?
__________ years old [RANGE: 1-110]
DK/REF

AD52 [IF AD28 NE BLANK] In your entire life, how many times did you feel [FEELNOUN]
for two weeks or longer while also having some of the other problems we asked about?
If you are not sure of your answer, just make your best guess.
______________
DK/REF

times NUMBER [RANGE: 1-1000]

AD38 [IF AD28 NE BLANK ] In the past 12 months, did you have a period of time when you
felt [FEELNOUN] for two weeks or longer while also having some of the other
problems we asked about?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

734

AD66a [IF AD38 = 1] Think about the time in the past 12 months when [NUMPROBS] with
your mood [WASWERE] most severe.
Using the 0 to 10 scale shown below, where 0 means no interference and 10 means very
severe interference, select the number that describes how much [NUMPROBS] interfered
with your ability to do each of the following activities during that period. You can use
any number between 0 and 10 to answer.
How much did your [FEELNOUN] interfere with your ability to do home management
tasks, like cleaning, shopping, and working around the house, apartment, or yard?

735

No
Very Severe
Interference
Interference
│
│
0
1
DK/REF
AD66b

Mild

2

Moderate

3

4

5

6

7

8

Severe

9

10

[IF AD38 = 1] During that time in the past 12 months when your [FEELNOUN]
was most severe, how much did this interfere with your ability to work?
You can use any number between 0 and 10 to answer.

No
Very Severe
Interference
Interference
│
│
0
1
DK/REF

Mild

2

Moderate

3

4

5

6

7

8

Severe

9

10

AD66c [IF AD38 = 1]How much did your [FEELNOUN] interfere with your ability to form
and maintain close relationships with other people during that period of time?
You can use any number between 0 and 10 to answer.

No
Very Severe
Interference
Interference
│
│
0
1
DK/REF

Mild

2

Moderate

3

4

5

6

7

8

Severe

9

10

AD66d
[IF AD38 = 1] How much did [NUMPROBS] interfere with your ability to have
a social life during that period of time?
You can use any number between 0 and 10 to answer.

736

No
Very Severe
Interference
Interference
│
│
0
1
DK/REF

Mild

2

Moderate

3

4

5

6

7

8

Severe

9

10

AD68 [IF ANY RESPONSES TO AD66a – AD66d = 1-10] About how many days out of 365
in the past 12 months were you totally unable to work or carry out your normal activities
because of your [FEELNOUN]?
You can use any number between 0 and 365 to answer.
__________ days in the past 12 months [RANGE: 0-365]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
AD86 [IF AD38 NE BLANK] Here is a list of professionals some people talk to about the
problems we have been asking about:
General practitioner or family doctor
Other medical doctor like a cardiologist, gynecologist, urologist
Psychologist
Psychiatrist or psychotherapist
Social Worker
Counselor
Other mental health professional, like a mental health nurse
A nurse, occupational therapist, or other health professional
A religious or spiritual advisor like a minister, priest, or rabbi
Another healer, like an herbalist, chiropractor, acupuncturist, or massage therapist
At any time in the past 12 months, did you see or talk to a medical doctor or other
professional about your [FEELNOUN]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
AD86a [IF AD86 = 1] During the past 12 months, which professionals did you see or talk to
about [NUMPROBS] with your mood?

737

Select all that apply. from the categories shown below. To select more than one answer from
the list, press the space bar between each number you type. When you have finished, press
the [ENTER] key to go to the next question.click the Next button to go to the next question.
1
General practitioner or family doctor
2
Other medical doctor like a cardiologist, gynecologist, urologist
3
Psychologist
4
Psychiatrist or psychotherapist
5
Social Worker
6
Counselor
7
Other mental health professional, like a mental health nurse
8
A nurse, occupational therapist, or other health professional
9
A religious or spiritual advisor like a minister, priest, or rabbi
10
An herbalist, chiropractor, acupuncturist, or massage therapist
11
Another type of helping professional
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
AD86aSP

[IF AD86a = 11] Please type in the other type of professional you saw or talked to
during the past 12 months about your [FEELNOUN]. When you have finished
typing in your answer, press the [ENTER] key to go to the next question.click the
Next button to go to the next question.
______________[RANGE: 50 CHARACTERS]
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN AD86aSP.

AD86b

[IF AD86 = 1] Are you currently receiving professional treatment or counseling
for [NUMPROBS] with your mood?
1
Yes
2
No
DK/REF

AD86c [IF AD38 NE BLANK] During the past 12 months, did you take prescription
medication that was prescribed for [NUMPROBS]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
AD86d

[IF AD86c = 1] Are you currently taking prescription medication that was
prescribed for [NUMPROBS]?
1

Yes

738

2
No
DK/REF
AD86e [IF AD86c = 1] During the past 12 months, how much has this prescription medication
helped you?
1
Not at all
2
A little
3
Some
4
A lot
5
Extremely
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
AD86f [IF AD86 = 1] During the past 12 months, how much has treatment or counseling helped
you?
1
Not at all
2
A little
3
Some
4
A lot
5
Extremely
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DEFINE FEELFILL:
IF (AD01a = 1), THEN FEELFILL = “were sad, discouraged, or lost interest in most things”
IF (AD01a = 2 OR DK/REF), THEN FEELFILL = “were sad or discouraged”
IF (AD01b = 1), THEN FEELFILL = “were sad or lost interest in most things”
IF (AD01b = 2 OR DK/REF) THEN FEELFILL = “were sad”
IF (AD02 = 1), THEN FEELFILL = “were discouraged or lost interest in most things”
IF (AD02 = 2 OR DK/REF), THEN FEELFILL = “were discouraged about the way things were
going in your life”
IF (AD09 = 1), THEN FEELFILL = “lost interest in most things”
ELSE, FEELFILL = BLANK.
ADIPTPY

[IF AD01a OR AD01b OR AD02 OR AD09 = 1] During the past 12 months,
because you [FEELFILL], did you stay overnight or longer in a hospital or
residential treatment center?
1
Yes
2
No
DK/REF

ADOPTPY

[IF AD01a OR AD01b OR AD02 OR AD09 = 1] During the past 12
months, because you [FEELFILL], did you receive outpatient professional

739

counseling, medication, or other treatment that did not include an
overnight stay?
1
Yes
2
No
DK/REF
ADMEDPY [IF AD01a OR AD01b OR AD02 OR AD09 = 1] During the past 12 months,
because you [FEELFILL], did you take any medication as directed by a doctor or
health care professional?
1
Yes
2
No
DK/REF

740

Adult Mental Health
(Questions administered only to respondents 18 or older.)
DIINTRO

[IF CURNTAGE = 18 OR OLDER] These questions ask how you have been
feeling during the past 30 days.
Press [ENTER] to continue.

NERVE30

[IF CURNTAGE = 18 OR OLDER]
During the past 30 days, how often did you feel nervous?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

HOPE30

[IF CURNTAGE = 18 OR OLDER]
During the past 30 days, how often did you feel hopeless?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

FIDG30

[IF CURNTAGE = 18 OR OLDER]
During the past 30 days, how often did you feel restless or fidgety?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

NOCHR30

[IF CURNTAGE = 18 OR OLDER]
During the past 30 days, how often did you feel so sad or depressed that nothing
could cheer you up?
1

All of the time

741

2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
EFFORT30 [IF CURNTAGE = 18 OR OLDER]
During the past 30 days, how often did you feel that everything was an effort?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DOWN30

[IF CURNTAGE = 18 OR OLDER]
During the past 30 days, how often did you feel down on yourself, no good or
worthless?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

WORST30

The last questions asked about how you have been feeling during the past 30
days. Now think about the past 12 months. Was there a month in the past 12
months when you felt more depressed, anxious, or emotionally stressed than you
felt during the past 30 days?
1
Yes
2
No
PROGRAMMER: SHOW 12 MONTH CALENDAR

DSNERV1

[IF CURNTAGE = 18 OR OLDER AND WORST30=1] Think of one month in
the past 12 months when you were the most depressed, anxious, or emotionally
stressed.
During that month, how often did you feel nervous?
1

All of the time

742

2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DSHOPE

[IF CURNTAGE = 18 OR OLDER AND WORST30=1] During that same month
when you were at your worst emotionally . . .
how often did you feel hopeless?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF

DSFIDG

[IF CURNTAGE = 18 OR OLDER AND WORST30=1] During that same month
when you were at your worst emotionally . . .
how often did you feel restless or fidgety?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF

DSNOCHR [IF CURNTAGE = 18 OR OLDER AND WORST30=1] During that same month
when you were at your worst emotionally . . .
how often did you feel so sad or depressed that nothing could cheer you up?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF
DSEFFORT [IF CURNTAGE = 18 OR OLDER AND WORST30=1] During that same month
when you were at your worst emotionally . . .

743

how often did you feel that everything was an effort?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF
DSDOWN

[IF CURNTAGE = 18 OR OLDER AND WORST30=1] During that same month
when you were at your worst emotionally . . .
how often did you feel down on yourself, no good, or worthless?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF

DEFINE DISTRESS:
IF NERVE30 = 1-4 OR HOPE30 = 1-4 OR FIDG30 = 1-4, OR NOCHR30 = 1-4 OR
EFFORT30= 1-4 OR DOWN30 = 1-4, OR DSNERV1 = 1-4 OR DSHOPE = 1-4
OR DSFIDG = 1-4 ORDSNOCHR = 1-4 OR DSEFFORT= 1-4 OR DSDOWN =
1-4, THEN DISTRESS = 1
ELSE, DISTRESS = 2
LIKERT

[IF DISTRESS=1] The next questions are about how much your emotions,
nerves, or mental health caused you to have difficulties in daily activities.
In answering, think of the one month in the past 12 months when your emotions,
nerves, or mental health interfered most with your daily activities.
Press [ENTER] to continue.

LIREMEM [IF DISTRESS =1] During that one month when your emotions, nerves or mental
health interfered most with your daily activities . . .
how much difficulty did you have remembering to do things you needed to do?
1
2
3
4

No difficulty
Mild difficulty
Moderate difficulty
Severe difficulty
744

DK/REF
LICONCEN [IF DISTRESS =1] During that one month when your emotions, nerves or mental
health interfered most with your daily activities . . .
how much difficulty did you have concentrating on doing something important
when other things were going on around you?
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
DK/REF

LIGOOUT1 [IF DISTRESS =1] During that one month when your emotions, nerves or mental
health interfered most with your daily activities . . .
how much difficulty did you have going out of the house and getting around on
your own?
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
You didn’t leave the house on your own
DK/REF
LIGOOUT2 [IF LIGOOUT1 = 5] Did problems with your emotions, nerves, or mental health
keep you from leaving the house on your own?
1
Yes
2
No
DK/REF
LISTRAN1

[IF DISTRESS =1] During that one month when your emotions, nerves or mental
health interfered most with your daily activities . . .
how much difficulty did you have dealing with people you did not know well?
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
You didn’t deal with people you did not know well
DK/REF

745

LISTRAN2

[IF LISTRAN1 = 5] Did problems with your emotions, nerves, or mental health
keep you from dealing with people you did not know well?
1
Yes
2
No
DK/REF

LISOC1

[IF DISTRESS =1] During that one month when your emotions, nerves or mental
health interfered most with your daily activities . . .
how much difficulty did you have participating in social activities, like visiting
friends or going to parties?
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
You didn’t participate in social activities
DK/REF

LISOC2

[IF LISOC1=5] Did problems with your emotions, nerves, or mental health keep
you from participating in social activities?
1
Yes
2
No
DK/REF

LIHHRES1 [IF DISTRESS =1] During that one month when your emotions, nerves or mental
health interfered most with your daily activities . . .
how much difficulty did you have taking care of household responsibilities?
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
You didn’t take care of household responsibilities
DK/REF
LIHHRES2 [IF LIHHRES1=5] Did problems with your emotions, nerves, or mental health
keep you from taking care of household responsibilities?
1
2

Yes
No

746

DK/REF

LIWKRES1 [IF DISTRESS =1] During that one month when your emotions, nerves or mental
health interfered most with your daily activities . . .
how much difficulty did you have taking care of your daily responsibilities at
work or school?
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
5
You didn’t work or go to school
DK/REF
LIWKRES2 [IF LIWKRES1=5] Did problems with your emotions, nerves, or mental health
keep you from working or going to school?
1
Yes
2
No
DK/REF

LIWKQUIC [IF DISTRESS =1 AND LIWKRES1 NE 5] During that one month when your
emotions, nerves or mental health interfered most with your daily activities . . .
how much difficulty did you have getting your daily work done as quickly as
needed?
1
No difficulty
2
Mild difficulty
3
Moderate difficulty
4
Severe difficulty
DK/REF
IMWEEK1

[IF LIREMEM = 2 - 4 OR LICONCEN = 2 - 4 OR LIGOOUT1 = 2 - 4 OR
LIGOOUT2 = 1 OR LISTRAN1 = 2 - 4 OR LISTRAN2 = 1 OR LISOC1 = 2 - 4
OR LISOC2 = 1 OR LIHHRES1 = 2 - 4 OR LIHHRES2 = 1 OR LIWKRES1 = 2
- 4 OR LIWKRES2 = 1 OR LIWKQUIC = 2 - 4] You mentioned having
difficulty with or being unable to do such things as [FILL WITH BOLDED
TEXT FROM UP TO ALL ITEMS WHERE LIREMEM = 2 - 4 OR
LICONCEN = 2 - 4 OR LIGOOUT1 = 2 - 4 OR LISTRAN1 = 2 - 4 OR
LISOC1 = 2 - 4 OR LIHHRES1 = 2 - 4 OR LIWKRES1 = 2 - 4 OR
LIWKQUIC = 2 - 4].

747

[Note to Programmers: Bolded text fills should appear in bold lower case and be
separated by semicolons. The last fill should be preceded by the word “and.”
IF LIREMEM = 2 – 4 THEN FILL = “remembering to do things you needed to
do”
IF LICONCEN = 2 – 4 THEN FILL = “concentrating on doing something
important when other things were going on around you”
IF LIGOOUT1 = 2 – 4 THEN FILL = “going out of the house and getting
around on your own”
IF LISTRAN1 = 2 – 4 THEN FILL = “dealing with people you did not know
well”
IF LISOC1 = 2 – 4 THEN FILL = “participating in social activities, like
visiting friends or going to parties”
IF LIHHRES1 = 2 – 4 THEN FILL = “taking care of your household
responsibilities”
IF LIWKRES1 = 2 – 4 THEN FILL = “taking care of your daily
responsibilities at work or school”
IF LIWKQUIC = 2 – 4 THEN FILL = “getting your daily work done as quickly
as needed”
Further IMWEEK1 Fill Specifications:
IF LIGOOUT2=1 USE FILL FOR LIGOOUT1.
IF LISTRAN2=1 USE FILL FOR LISTRAN1.
IF LISOC2=1 USE FILL FOR LISOC1.
IF LIHHRES2=1 USE FILL FOR LIHHRES1.
IF LIWKRES2=1 USE FILL FOR LIWKRES1.]
During the past 12 months, about how many weeks did you have any of these
difficulties because of your emotions, nerves, or mental health? If you can’t
remember the exact number, just give your best estimate.
weeks in the past 12 months [RANGE: 1 - 52]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
CREATE IMWEEK1 FILL.
IMDAYS

[IF IMWEEK1 =1-52] During (that [IMWEEK1FILL] week/those
[IMWEEK1 FILL] weeks), did you have these kinds of difficulties every day,
most days, or only one or two days a week?
1
Every day
2
Most days
3
Only one or two days a week
DK/REF

748

LIAD68

[IF LIREMEM = 2 – 4, OR LICONCEN = 2 - 4, OR LIGOOUT1 = 2 - 4 , OR
LIGOOUT2 = 1, OR LISTRAN1 = 2 – 4, OR LISTRAN2 = 1, OR LISOC1 = 2 4, OR LISOC2 = 1, OR LIHHRES1 = 2 - 4, OR LIHHRES2 = 1, OR
LIWKRES1 = 2 - 4, OR LIWKQUIC = 2 - 4] About how many days out of 365 in
the past 12 months were you totally unable to work or carry out your normal
activities because of your emotions, nerves or mental health?
You can use any number between 0 and 365 to answer.
__________ days in the past 12 months [RANGE: 0-365]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

749

750

Youth Distress (DPS) (12 month reference period)
YDINTRO

[IF CURNTAGE = 12-17] The next set of questions is about the kinds of things
you have been doing and feeling.

YDNOFUN

[IF CURNTAGE = 12-17] In the last 12 months, has there been a time when
nothing was fun for you and you just weren’t interested in anything?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDENRGY [IF CURNTAGE = 12-17] In the last 12 months, has there been a time when you
had less energy than you usually do?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YDCLDNT

[IF CURNTAGE = 12-17] In the last 12 months, has there been a time when you
felt you couldn’t do anything well or that you weren’t as good-looking or as smart
as other people?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDSUI

[IF CURNTAGE = 12-17] In the last 12 months, has there been a time when you
thought seriously about killing yourself?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDTRY

YDTIRED

[IF CURNTAGE = 12-17] Have you tried to kill yourself in the last 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
[IF CURNTAGE = 12-17] In the last 12 months, has there been a time when
doing even little things made you feel really tired?

751

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YDFOG

[IF CURNTAGE = 12-17] In the last 12 months, has there been a time when you
couldn’t think as clearly or as fast as usual?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDCONC

[IF CURNTAGE = 12-17] Everyone has times when they have trouble
concentrating or keeping their mind on what they are doing. What we want to
know is whether you have had difficulty concentrating, or keeping your mind on
what you are doing, most of the time.
In the last 12 months, have you often had trouble keeping your mind on what you
were doing most of the time?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDFRGTN

[IF CURNTAGE = 12-17] In the last 12 months, have you often forgotten what
you are supposed to be doing or what you had planned to do?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDTHNGS

[IF CURNTAGE = 12-17] In the last 12 months, have you often found it hard to
keep your mind on what you are doing when other things are going on?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDATTN

[IF CURNTAGE = 12-17] In the last 12 months, have you often tried not to do
things where you would need to pay attention for a long time?
1

Yes

752

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YDMSTK

[IF CURNTAGE = 12-17] In the last 12 months, have you often made a lot of
mistakes because it's hard for you to do things carefully?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDMED

[IF CURNTAGE = 12-17] In the last 12 months, have you taken medication for
being overactive, being hyperactive, or having trouble paying attention?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDGRP

[IF CURNTAGE = 12-17] In the last 12 months, have you often felt very nervous
or uncomfortable when you have been with a group of children or young people,
like in the lunchroom at school or at a party?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDFRNT

[IF CURNTAGE = 12-17] In the last 12 months, have you often felt very nervous
when you've had to do things in front of people?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDWRRD

[IF CURNTAGE = 12-17] In the last 12 months, have you often worried a lot
before you were going to play a sport or game or do some other activity?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDHDACH [IF CURNTAGE = 12-17] In the last 12 months, have you had a lot of

753

headaches?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YDPNS

[IF CURNTAGE = 12-17] In the last 12 months, have you had a lot of other aches
and pains?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDTNS

[IF CURNTAGE = 12-17] Are you the kind of person who is often very tense, or
who finds it very hard to relax?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDEXPLD

[IF CURNTAGE = 12-17] In the last 12 months, have you been expelled from
school for misbehavior - that is, told you could never go back to that school at all?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDSHPL

[IF CURNTAGE = 12-17] In the last 12 months, have you shoplifted - that is,
stolen something from a store when you thought no one was looking?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDLIED

[IF CURNTAGE = 12-17] In the last 12 months, have you lied to get money or
something else you wanted?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

754

YDSNTCH

[IF CURNTAGE = 12-17] In the last 12 months, have you snatched someone
else's phone, purse or jewelry?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDBRKN

[IF CURNTAGE = 12-17] In the last 12 months, have you broken something or
messed up some place on purpose, like breaking windows, writing on a building,
or slashing tires?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDSTLN

[IF CURNTAGE = 12-17] In the last 12 months, have you stolen from anyone
else when they weren't around or weren't looking?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDCRL

[IF CURNTAGE = 12-17] In the last 12 months, have you been physically cruel
to an animal and hurt it on purpose?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDBGL

[IF CURNTAGE = 12-17] In the last 12 months, have you broken into a house, a
building, or a car?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDINTRO2 [IF CURNTAGE = 12-17] The last questions were about how you have been
feeling and acting in the last 12 months. This included questions about the
following areas:

755

•
•
•
•
•
•

Feeling anxious or worried
Feeling sad or depressed
Being angry, irritable or in a bad mood
Your behavior
Alcohol or drugs
Other things you did

Now I'd like you to think about any problems you may have been having at home,
at school or with other people your age because of the way you have been feeling
or acting.
YDPWR

[IF CURNTAGE = 12-17] In the last 12 months, how often did your parent or
guardian feel worried or concerned about the way you were feeling or acting?
1
A lot of the time
2
Some of the time
3
Hardly ever
4
Not at all
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDPWRa

[IF YDPWR = 1–3] Which of the following made them worried or concerned
about the way you were feeling or acting?
Select all that apply.
1
You feeling anxious or worried
2
You feeling sad or depressed
3
You being angry, irritable or in a bad mood
4
Your problems with food, eating or weight
5
Your behavior
6
Your use of alcohol or drugs
7
Other things you did
DK/REF

YDUPST

[IF CURNTAGE = 12-17] In the last 12 months, how often did your parent or
guardian get annoyed or upset with you because of the way you were feeling or
acting?
1
A lot of the time
2
Some of the time
3
Hardly ever
4
Not at all
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

756

YDUPSTa

[IF DYUPST = 1–3] Which of the following made them annoyed or upset with
you?
Select all that apply.
1
You feeling anxious or worried
2
You feeling sad or depressed
3
You being angry, irritable or in a bad mood
4
Your problems with food, eating or weight
5
Your behavior
6
Your use of alcohol or drugs
7
Other things you did
DK/REF

YDFAM

[IF CURNTAGE = 12-17] In the last 12 months, how often were you not able to
do things or go places with your family because of the way you felt or acted?
1
A lot of the time
2
Some of the time
3
Hardly ever
4
Not at all
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDFAMa

[IF YDFAM = 1-3] Which of the following made you not able to do things or go
places with your family?
Select all that apply.
1
You feeling anxious or worried
2
You feeling sad or depressed
3
You being angry, irritable or in a bad mood
4
Your problems with food, eating or weight
5
Your behavior
6
Your use of alcohol or drugs
7
Other things you did
DK/REF

YDSCH

[IF CURNTAGE = 12-17] In the last 12 months, how often did the way you were
feeling or acting make it difficult to do your schoolwork or cause problems
with your grades?
1
2
3
4

A lot of the time
Some of the time
Hardly ever
Not at all

757

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YDSCHa

[IF YDSCH = 1-3] Which of the following is why you had problems with your
schoolwork or grades?
Select all that apply.
1
You feeling anxious or worried
2
You feeling sad or depressed
3
You being angry, irritable or in a bad mood
4
Your problems with food, eating or weight
5
Your behavior
6
Your use of alcohol or drugs
7
Other things you did
DK/REF

YDTAN

[IF CURNTAGE = 12-17] In the last 12 months, how often were your teachers
annoyed or upset with you because of the way you were feeling or acting?
1
A lot of the time
2
Some of the time
3
Hardly ever
4
Not at all
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YDTANa

[IF YDTAN = 1-3] Which of the following made your teachers annoyed or
upset with you?
Select all that apply.
1
You feeling anxious or worried
2
You feeling sad or depressed
3
You being angry, irritable or in a bad mood
4
Your problems with food, eating or weight
5
Your behavior
6
Your use of alcohol or drugs
7
Other things you did
DK/REF

YDUPS

[IF CURNTAGE = 12-17] In the last 12 months, how often did the way you were
feeling or acting make you feel bad or feel upset?
1
2

A lot of the time
Some of the time

758

3
Hardly ever
4
Not at all
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YDUPSa

[IF YDUPS = 1-3] Which of the following made you feel bad or upset?
Select all that apply.
1
You feeling anxious or worried
2
You feeling sad or depressed
3
You being angry, irritable or in a bad mood
4
Your problems with food, eating or weight
5
Your behavior
6
Your use of alcohol or drugs
7
Other things you did
DK/REF

YDSEE

[IF CURNTAGE = 12-17] In the last 12 months, have you been to see someone at
a hospital, at a clinic, or at their office because of the way you were feeling or
acting?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DEFINE FEELFILL:
IF (YD01a = 1), THEN FEELFILL = “were sad, discouraged, or really bored”
IF (YD01a = 2 OR DK/REF), THEN FEELFILL = “were sad or discouraged”
IF (YD01b = 1), THEN FEELFILL = “were sad or really bored”
IF (YD01b = 2 OR DK/REF) THEN FEELFILL = “were sad”
IF (YD02 = 1), THEN FEELFILL = “were discouraged or really bored”
IF (YD02 = 2 OR DK/REF), THEN FEELFILL = “were discouraged about the way things were
going in your life”
IF (YD09 = 1), THEN FEELFILL = “were really bored”
ELSE, FEELFILL = BLANK.
INPATIENT YDIPTPY
During the past 12 months, because you [FEELFILL], did you stay
overnight or longer in a hospital or residential treatment center?
1
Yes
2
No
DK/REF

759

OUTPATIENTYDODPTPY
During the past 12 months, because you [FEELFILL], did
you receive outpatient professional counseling, medication, or other
treatment that did not include an overnight stay?
1
Yes
2
No
DK/REF
MEDYDMEDPY
During the past 12 months, because you [FEELFILL], did you take any
medication as directed by a doctor or health care professional?
1
Yes
2
No
DK/REF
YDS21

[IF CURNTAGE = 12-17] Have you ever in your life had a period of time lasting
several days or longer when most of the day you felt sad, empty, or depressed?
1
Yes
2
No
DK/REF

YDS22

[IF YDS21 = 2 OR DK/REF] Have you ever had a period of time lasting several
days or longer when most of the day you felt very discouraged or hopeless about how
things were going in your life?
1
Yes
2
No
DK/REF

YDS23

[IF YDS22 = 2 OR DK/REF] Have you ever had a period of time lasting several
days or longer when you lost interest and became bored with most things you usually
enjoy, like work, hobbies, and personal relationships?
1
Yes
2
No
DK/REF

YD01 [IF YDS21 = 1] During times when you felt sad, empty, or depressed most of the day,
did you ever feel discouraged about how things were going in your life?
1
Yes
2
No
DK/REF

760

YD01a [IF YD01 = 1] During the times when you felt sad, empty, or depressed, did you ever
lose interest and become really bored with most things like school, work, hobbies, and
other things that are usually fun for you, like listening to music, watching TV, movies, or
sports, playing computer games, or going out with friends?
1
Yes
2
No
DK/REF
YD01b

[YD01 = 2 OR DK/REF] During times when you felt sad, empty, or depressed,
did you ever lose interest and become really bored with most things like school, work,
hobbies, and other things that are usually fun for you, like listening to music, watching
TV, movies, or sports, playing computer games, or going out with friends?
1
Yes
2
No
DK/REF

YD02 [IF YDS22 = 1] During times when you felt discouraged about how things were going in
your life, did you ever lose interest and become really bored with most things like
school, work, hobbies, and other things that are usually fun for you, like listening to
music, watching TV, movies, or sports, playing computer games, or going out with
friends?
1
Yes
2
No
DK/REF
YD09 [IF YDS23 = 1] Did you ever have a period of time like this that lasted most of the day
almost every day for two weeks or longer?

1
Yes
2
No
DK/REF
DEFINE FEELFILL:
IF (YD01a = 1), THEN FEELFILL = “were sad, discouraged, or really bored”
IF (YD01a = 2 OR DK/REF), THEN FEELFILL = “were sad or discouraged”
IF (YD01b = 1), THEN FEELFILL = “were sad or really bored”
IF (YD01b = 2 OR DK/REF) THEN FEELFILL = “were sad”
IF (YD02 = 1), THEN FEELFILL = “were discouraged or really bored”
IF (YD02 = 2 OR DK/REF), THEN FEELFILL = “were discouraged about the way things were
going in your life”
IF (YD09 = 1), THEN FEELFILL = “were really bored”

761

ELSE, FEELFILL = BLANK
DEFINE FEELNOUN:
IF (YD01a = 1), THEN FEELNOUN = “sadness, discouragement, or boredom”
IF (YD01a = 2 OR DK/REF), THEN FEELNOUN = “sadness or discouragement”
IF (YD01b = 1), THEN FEELNOUN = “sadness or boredom”
IF (YD01b = 2 OR DK/REF), THEN FEELNOUN = “sadness”
IF (YD02 = 1), THEN FEELNOUN = “discouragement or boredom”
IF (YD02 = 2 OR DK/REF), THEN FEELNOUN = “discouragement”
IF (YD09 = 1), THEN FEELNOUN = “boredom”
ELSE FEELNOUN = BLANK
DEFINE NUMPROBS
IF YD01a NE BLANK OR YD01b = 1 OR YD02 = 1, THEN NUMPROBS = these problems
IF YD01b = (2 OR DK/REF) OR YD02 = (2 OR DK/REF) OR YD09 = 1, THEN NUMPROBS
= this problem
ELSE NUMPROBS = BLANK
DEFINE WASWERE:
IF YD01a NE BLANK OR YD01b = 1 OR YD02 = 1, THEN WASWERE = “were”
IF YD01b = (2 OR DK/REF) OR YD02 = (2 OR DK/REF) OR YD09 = 1, THEN WASWERE =
“was”
ELSE WASWERE = BLANK
YD12 [IF YD01a NE BLANK OR YD01b NE BLANK OR YD02 NE BLANK] Think about
the times when you [FEELFILL]. Did you ever have a period of time like this that lasted
most of the day, almost every day, for two weeks or longer?
1
Yes
2
No
DK/REF

YD16 [IF YD09 = 1 OR YD12 = 1] Think of times lasting two weeks or longer when
[NUMPROBS] with your mood [WASWERE] most severe and frequent. During those
times, how long did your [FEELNOUN] usually last?
1
Less than 1 hour
2
At least 1 hour but less than 3 hours
3
At least 3 hours but less than 5 hours
4
5 hours or more
DK/REF
YD17 [IF YD16 = 2, 3, 4, OR DK/REF] Still thinking of times lasting two weeks or longer when
[NUMPROBS] with your mood [WASWERE] most severe and frequent, how strong were
your bad feelings during those times?

762

1
Mild
2
Moderate
3
Severe
4
Very severe
DK/REF
YD18 [IF YD16 = 2, 3, 4, OR DK/REF] Again, think of times lasting two weeks or longer when
[NUMPROBS] with your mood [WASWERE] most severe and frequent.
How often, during those times, did you feel so bad that nothing could cheer you up?
1
Often
2
Sometimes
3
Not very often
4
Never
DK/REF
YD19 [IF YD16 = 2, 3, 4, OR DK/REF] Once again, please think of times lasting two weeks or
longer when [NUMPROBS] with your mood [WASWERE] most severe and frequent.
How often, during those times, did you feel so bad that you could not carry out your
daily activities?
1
Often
2
Sometimes
3
Not very often
4
Never
DK/REF
YD21 [IF YD16 = (2, 3, 4 OR DK/REF) AND NOT (YD17 = 1 AND YD18 = 4 AND YD19 =
4) AND (YDS21=1 OR YDS22=1 OR YDS23=1) AND YD09 NE (2 OR DK/REF)]
People who have problems with their mood often have other problems at the same time.
These problems may include things like changes in:
•
•
•
•
•

sleep
eating
energy
the ability to keep their mind on things
feeling badly about themselves

Did you ever have any of these problems during a period of time when you [FEELFILL]
for two weeks or longer?
1
2

Yes
No

763

DK/REF
YD22 [IF YD21=1] Think again about these other problems we just mentioned. They include
things like changes in:
•
•
•
•
•

sleep
eating
energy
the ability to keep their mind on things
feeling badly about themselves

Can you think of the worst time when you [FEELFILL] for two weeks or longer and also
had these other problems at the same time?
1
Yes
2
No
DK/REF
YD22a [IF YD22 = 1] How old were you when that worst period of time started?
AGE: __________ [RANGE: 1-17]
DK/REF
YD22c [IF YD22 = 2 OR DK/REF] Then think of the most recent time you [FEELFILL] for two
weeks or longer and you had these other problems at the same time.
How old were you when that time started?
AGE: __________ [RANGE: 1-17]
DK/REF
DEFINE TIMEFILL:
IF YD22a NE BLANK, THEN TIMEFILL = ‘worst’
IF YD22c NE BLANK, THEN TIMEFILL = ‘most recent’
YD24a [IF YD22a NE BLANK] In answering the next questions, think about the period of time
when your [FEELNOUN] and other problems were the worst.
[IF YD22c NE BLANK] In answering the next questions, think about the most recent period of
time when you [FEELFILL] and had other problems at the same time.
During that time, did you feel sad, empty, or depressed for most of the day nearly every
day?
1
2

Yes
No

764

DK/REF
YD24c [IF YD22a NE BLANK OR YD22c NE BLANK] During that [TIMEFILL] period of
time, did you feel discouraged about how things were going in your life most of the day
nearly every day?
1
Yes
2
No
DK/REF
YD24e [IF YD22a NE BLANK OR YD22c NE BLANK] During that [TIMEFILL] period of
time, did you become bored with almost everything like school, work, hobbies, and things
you like to do for fun?
1
Yes
2
No
DK/REF
YD24f [IF YD22a NE BLANK OR YD22c NE BLANK] During that [TIMEFILL] period of
time, did you feel like nothing was fun even when good things were happening?
1
Yes
2
No
DK/REF
YD26a [IF ANY YD24a - YD24f = 1] The next questions are about changes in appetite and
weight.
[IF YD22a NE BLANK] In answering these questions, think about the period of time when your
[FEELNOUN] and other problems were the worst.
[IF YD22c NE BLANK] In answering these questions, think about the most recent period of
time when you [FEELFILL] and had other problems at the same time.
Did you eat much less than usual almost every day during that time?
1
Yes
2
No
DK/REF
YD26b [IF YD26a = 2 OR DK/REF] Did you eat much more than usual almost every day?
1
Yes
2
No
DK/REF

765

YD26c

[IF YD26a = 2 OR DK/REF]Did you gain weight without trying to during that
[TIMEFILL] period of time?
1
Yes
2
No
DK/REF

YD26c1

[IF YD26c = 1] Did you gain weight without trying to because you were growing?

1
Yes
2
No
DK/REF
YD26c2
[IF YD26c1 = (2 OR DK/REF) AND QD01 = 9] Did you gain weight without
trying to because you were pregnant?
1
Yes
2
No
DK/REF
YD26d [IF (YD26c1=(2 OR DK/REF) AND YD26c2=BLANK, 2 OR DK/REF] How many
pounds did you gain?
Please enter your answer as a whole number.
# OF POUNDS:__________ [RANGE: 0-200]
DK/REF
YD26e

[IF YD26a = 1 OR YD26c = (2 OR DK/REF)] Did you lose weight without trying
to?
1
Yes
2
No
DK/REF

YD26e1

[IF YD26e = 1] Did you lose weight without trying to because you were sick or on a
diet?

1
Yes
2
No
DK/REF
YD26f [IF YD26e1=2 OR DK/REF] How many pounds did you lose?
Please enter your answer as a whole number.

766

# OF POUNDS:__________ [RANGE: 0-200]
DK/REF
YD26g [IF YD26a NE BLANK]
[IF YD22a NE BLANK] Again, please think about the period of time when your [FEELNOUN]
and other problems were the worst.
[IF YD22c NE BLANK] Again, please think about the most recent period of time when you
[FEELFILL]and had other problems at the same time.
Did you have a lot more trouble than usual falling asleep or staying asleep most nights or
waking too early most mornings during that [TIMEFILL] time?
1
Yes
2
No
DK/REF
YD26h [IF YD26g=2 OR DK/REF]During that [TIMEFILL] period of time, did you sleep a lot
more than usual?
1
Yes
2
No
DK/REF
YD26j [IF YD26a NE BLANK] On most days during that [TIMEFILL] period of time, did you
feel that you didn’t have much energy?
1
Yes
2
No
DK/REF
YD26l [IF YD26a NE BLANK] Did you feel as though you were talking or moving more slowly
than usual on most days during that [TIMEFILL] period of time?
1
Yes
2
No
DK/REF
YD26m
[IF YD26l = 1] Did anyone else notice that you were talking or moving more
slowly than usual?
1
Yes
2
No
DK/REF

767

YD26n [IF YD26l = 2 OR DK/REF] Were you so restless or jittery that you walked up or down or
couldn't sit still?
1
Yes
2
No
DK/REF
YD26o [IF YD26n = 1] Did anyone else notice that you couldn’t sit still?
1
Yes
2
No
DK/REF
YD26p [IF YD26a NE BLANK] The next questions are about changes in your ability to
concentrate, and your feelings about yourself.
[IF YD22a NE BLANK] Again, in answering these questions, think about the period of time
when your [FEELNOUN] and other problems were the worst.
[IF YD22c NE BLANK] Again, in answering these questions, think about the most recent
period of time when you [FEELFILL] and had other problems at the same time.
On most days during that [TIMEFILL] time, did your thinking seem slower than usual or
seem mixed up?
1
Yes
2
No
DK/REF
YD26r [IF YD26a NE BLANK] On most days, did you have a lot more trouble than usual keeping
your mind on things?
1
Yes
2
No
DK/REF
YD26s [IF YD26a NE BLANK] Were you unable to make up your mind about things you
ordinarily have no trouble deciding about?
1
Yes
2
No
DK/REF
YD26u

[IF YD26a NE BLANK] Did you feel that you were not as good as other people
nearly every day?

768

1 Yes
2
No
DK/REF
YD26v

[IF YD26u = 1] Did you feel totally worthless nearly every day?
1 Yes
2
No
DK/REF

YD26aa

[IF YD26a NE BLANK] The next questions are about thoughts of death or
suicide.
[IF YD22a NE BLANK] Again, in answering these questions, think about the
period of time when your [FEELNOUN] and other problems were the worst.
[IF YD22c NE BLANK] Again, in answering these questions, think about the
most recent period of time when you [FEELFILL] and had other problems at the
same time.
Did you often think a lot about death, either your own, someone else’s, or death in
general?
1 Yes
2
No
DK/REF

YD26bb

[IF YD26a NE BLANK] During that time, did you ever think that it would be
better if you were dead?
1 Yes
2
No
DK/REF

YD26cc

[IF YD26a NE BLANK] Did you think about killing yourself?
1 Yes
2
No
DK/REF

YD26dd

[IF YD26cc = 1] Did you make a plan to kill yourself?
1 Yes
2
No
DK/REF

769

YD26ee

[IF YD26cc = 1] Did you make a suicide attempt or try to kill yourself?
1 Yes
2
No
DK/REF

DEFINE D_MDEA1Y:
IF YD24A = 1 OR YD24C = 1, THEN D_MDEA1Y= 1
ELSE IF YD24A = 2 AND YD24C = 2, THEN D_MDEA1Y= 2
ELSE IF YD24A = DK OR YD24C = DK, THEN D_MDEA1Y= DK
ELSE IF YD24A = REF OR YD24C = REF, THEN D_MDEA1Y= REF
ELSE D_MDEA1Y= BLANK
DEFINE D_MDEA2Y:
IF YD09 = 1 OR YD24E = 1 OR YD24F = 1 THEN D_MDEA2Y = 1
ELSE IF (YDS21 = 1 OR YDS22 = 1 OR YD09 = 2) AND YD24E = 2 AND YD24F = 2 THEN
D_MDEA2Y = 2
ELSE IF YD09 = DK OR YD24E = DK OR YD24F = DK THEN D_MDEA2Y = DK
ELSE IF YD09 = REF OR YD24E = REF OR YD24F = REF THEN D_MDEA2Y = REF
ELSE D_MDEA2Y=BLANK
DEFINE D_MDEA3Y:
IF YD26A = 1 OR YD26B = 1 OR YD26D ≥10 OR YD26F ≥10, THEN D_MDEA3Y= 1
ELSE IF YD26A = 2 AND YD26B = 2 AND ((YD26D < 10 OR YD26F < 10) OR (YD26C = (2
OR BLANK) AND YD26E = (2 OR BLANK)) OR (YD26C = 1 AND (YD26C1 = 1 OR YD26C2 = 1))
OR (YD26E = 1 AND YD26E1 = 1)), THEN D_MDEA3Y= 2
ELSE IF YD26A = DK OR YD26B = DK OR YD26C = DK OR YD26D = DK OR YD26E =
DK OR YD26F = DK, THEN D_MDEA3Y= DK
ELSE IF YD26A = REF OR YD26B = REF OR YD26C = REF OR YD26D = REF OR YD26E
= REF OR YD26F = REF, THEN D_MDEA3Y= REF
ELSE D_MDEA3Y= BLANK
DEFINE D_MDEA4Y:
IF YD26G = 1 OR YD26H = 1, THEN D_MDEA4Y= 1
ELSE IF YD26G = 2 AND YD26H = 2, THEN D_MDEA4Y= 2
ELSE IF YD26G = DK OR YD26H = DK, THEN D_MDEA4Y= DK
ELSE IF YD26G = REF OR YD26H = REF, THEN D_MDEA4Y= REF
ELSE D_MDEA4Y= BLANK
DEFINE D_MDEA5Y:
IF YD26M = 1 OR YD26O = 1, THEN D_MDEA5Y= 1
ELSE IF (YD26L = (2 OR DK/REF) AND (YD26N = (2 OR DK/REF) OR YD26O = 2)) OR
YD26M = 2, THEN D_MDEA5Y= 2
ELSE IF YD26L = DK OR YD26M = DK OR YD26N = DK OR YD26O = DK, THEN
D_MDEA5Y= DK

770

ELSE IF YD26L = REF OR YD26M = REF OR YD26N = REF OR YD26O = REF, THEN
D_MDEA5Y= REF
ELSE D_MDEA5Y= BLANK
DEFINE D_MDEA6Y:
D_MDEA6Y= YD26J
DEFINE D_MDEA7Y:
IF YD26V = 1, THEN D_MDEA7Y= 1
ELSE IF YD26U = (2 OR DK/REF) OR YD26V = 2, THEN D_MDEA7Y= 2
ELSE D_MDEA7Y=YD26V
ELSE D_MDEA7Y= BLANK
DEFINE D_MDEA8Y:
IF YD26P = 1 OR YD26R = 1 OR YD26S = 1, THEN D_MDEA8Y= 1
ELSE IF YD26P = 2 AND YD26R = 2 AND YD26S = 2, THEN D_MDEA8Y= 2
ELSE IF YD26P = DK OR YD26R = DK OR YD26S = DK, THEN D_MDEA8Y= DK
ELSE IF YD26P = REF OR YD26R = REF OR YD26S = REF, THEN D_MDEA8Y= REF
ELSE D_MDEA8Y= BLANK
DEFINE D_MDEA9Y:
IF YD26AA = 1 OR D26BB = 1 OR YD26CC = 1 OR YD26DD = 1 OR YD26EE = 1, THEN
D_MDEA9Y= 1
ELSE IF YD26AA = 2 AND YD26BB = 2 AND YD26CC = 2, THEN D_MDEA9Y= 2
ELSE IF YD26AA = DK OR YD26BB = DK OR YD26CC = DK OR YD26DD = DK OR
YD26EE = DK, THEN D_MDEA9Y= DK
ELSE IF YD26AA = REF OR YD26BB = REF OR YD26CC = REF OR YD26DD = REF OR
YD26EE = REF, THEN D_MDEA9Y= REF
ELSE D_MDEA9Y= BLANK
DEFINE DSMMDEAY:
IF SUM (D_MDEA1Y = 1, D_MDEA2Y = 1, D_MDEA3Y = 1, D_MDEA4Y = 1,
D_MDEA5Y = 1, D_MDEA6Y = 1, D_MDEA7Y = 1, D_MDEA8Y = 1, D_MDEA9Y = 1) ≥ 5,
THEN DSMMDEAY = 1
ELSE IF SUM (D_MDEA1Y = (1 OR DK/REF), D_MDEA2Y = (1 OR DK/REF),
D_MDEA3Y = (1 OR DK/REF), D_MDEA4Y = (1 OR DK/REF), D_MDEA5Y = (1 OR
DK/REF), D_MDEA6Y = (1 OR DK/REF), D_MDEA7Y = (1 OR DK/REF), D_MDEA8Y = (1
OR DK/REF), D_MDEA9Y = (1 OR DK/REF)) < 5 AND N(OF D_MDEA1Y-D_MDEA9Y) >
0, THEN DSMMDEAY = 2
ELSE IF D_MDEA1Y = DK OR D_MDEA2Y = DK OR D_MDEA3Y = DK OR D_MDEA4Y
= DK OR D_MDEA5 = DK OR D_MDEA6Y = DK OR D_MDEA7Y = DK OR D_MDEA8Y =
DK OR D_MDEA9Y = DK, THEN DSMMDEAY = DK
ELSE IF D_MDEA1Y = REF OR D_MDEA2Y = REF OR D_MDEA3Y = REF OR
D_MDEA4Y = REF OR D_MDEA5Y = REF OR D_MDEA6Y = REF OR D_MDEA7Y = REF
OR D_MDEA8Y = REF OR D_MDEA9Y = REF, THEN DSMMDEAY = REF

771

YD28 [IF D_MDEA9Y = 1 OR DSMMDEAY = 1] You mentioned having some of the
problems I just asked you about.
During that [TIMEFILL] period of time, how much did your [FEELNOUN]
interfere or cause problems with your school work, your job, or your relationships with
family and friends?
1
2
3
4
5
DK/REF

Not at all
A little
Some
A lot
Extremely

YD28a [IF YD28 = 2, 3, 4, 5 OR DK/REF] During that [TIMEFILL] period of time, how often
were you unable to carry out your daily activities or to take care of yourself because of
these problems with your mood?
1
2
3
4
DK/REF

Often
Sometimes
Not very often
Never

YD37 [IF YD28 NE BLANK] Think of the very first period of time in your life lasting two
weeks or longer when you [FEELFILL] and also had some of the other problems we just
asked about.
Can you remember your exact age?
1
Yes
2
No
DK/REF

YD37a [IF YD37 = 1] How old were you?
AGE:__________ [RANGE: 1-17]
DK/REF
YD37b

[IF YD37 = 2 OR DK] About how old were you when you first had a period of time
like this?
AGE:__________ [RANGE: 1-17]
DK/REF

772

YD52 [IF YD28 NE BLANK] In your entire life, how many times did you feel [FEELNOUN]
for two weeks or longer while also having some of the other problems we asked about?
If you are not sure of your answer, just make your best guess.
# OF EPISODES______________ [RANGE: 1-1000]
DK/REF
YD38 [IF YD28 NE BLANK] In the past 12 months, did you have a period of time when you
felt [FEELNOUN] for two weeks or longer while also having some of the other problems
we asked about?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YD66a [IF YD38 = 1] Think about the time in the past 12 months when [NUMPROBS] with
your mood [WASWERE] the worst.
Using the 0 to 10 scale shown below, where 0 means no problems and 10 means very
severe problems, select the number that describes how much your [FEELNOUN] caused
problems with your ability to do each of the following activities during that time. You
can use any number between 0 and 10 to answer.
How much did your [FEELNOUN] cause problems with your chores at home?
No
Problems
Problems
│
│
0

Mild

1

2

Very Severe
Severe

Moderate

3

4

5

6

7

8

9

10

NUMBER: ______________[RANGE: 0-10]
DK/REF
YD66b

[IF YD38 = 1] During that time in the past 12 months when your [FEELNOUN]
was worst, how much did this cause problems with your ability to do well at school or
work?

You can use any number between 0 and 10 to answer.
No
Problems
Mild
Moderate
Problems

773

Very Severe
Severe

│

│
0

1

2

3

4

5

6

7

8

9

10

NUMBER: ______________[RANGE: 0-10]
DK/REF
YD66c [IF YD38 = 1] How much did your [FEELNOUN] cause problems with your ability to
get along with your family during that time?
You can use any number between 0 and 10 to answer.

No
Problems
Problems
│
│
0

Mild

1

2

Very Severe
Severe

Moderate

3

4

5

6

7

8

9

10

NUMBER: ______________[RANGE: 0-10]
DK/REF

YD66d

[IF YD38 = 1] How much did your [FEELNOUN] cause problems with your
ability to have a social life during that time?
You can use any number between 0 and 10 to answer.

No
Problems
Problems
│
│
0

Mild

1

2

Very Severe
Severe

Moderate

3

4

5

6

7

8

9

10

NUMBER: ______________[RANGE: 0-10]
DK/REF
YD68 [IF ANY RESPONSES TO YD66a – YD66d = 1-10] About how many days out of 365
in the past 12 months were you totally unable to go to school or work or carry out your
normal activities because of your [FEELNOUN]?
You can use any number between 0 and 365 to answer.

774

# OF DAYS:__________ [RANGE: 0-365]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YD86

[IF YD38 NE BLANK] Here is a list of professionals some people talk to about
the problems we have been asking about:
General practitioner or family doctor
Other medical doctor like a cardiologist, gynecologist, urologist
Psychologist
Psychiatrist or psychotherapist
Social Worker
Counselor
Other mental health professional, like a mental health nurse
A nurse, occupational therapist, or other health professional
A religious or spiritual advisor like a minister, priest, or rabbi
Another healer, like an herbalist, chiropractor, acupuncturist, or massage therapist
At any time in the past 12 months, did you see or talk to a medical doctor or
other professional about your [FEELNOUN]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YD86a [IF YD86 = 1] During the past 12 months, which professionals did you see or talk to
about [NUMPROBS] with your mood?
To select more than one professional from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to the next
question.
1 General practitioner or family doctor
2 Other medical doctor like a cardiologist, gynecologist, urologist
3 Psychologist
4 Psychiatrist or psychotherapist
5 Social Worker
6 Counselor
7 Other mental health professional, like a mental health nurse
8 A nurse, occupational therapist, or other health professional
9 A religious or spiritual advisor like a minister, priest, or rabbi
10 An herbalist, chiropractor, acupuncturist, or massage therapist
11 Another type of helping professional
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

775

YD86aSP [IF ANY RESPONSE IN YD86a =11] Please type in the type of other professional
you saw or talked to during the past 12 months about your [FEELNOUN]. When you
have finished typing your answer, press the [ENTER] key to go to the next question.
_____________ [RANGE: 50 CHARACTERS]
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN YD86aSP.
YD86b

[IF YD86= 1] Are you currently receiving treatment or counseling for
[NUMPROBS] with your mood?
1
Yes
2
No
DK/REF

YD86c [IF YD38 NE BLANK] During the past 12 months, did you take prescription
medication that was prescribed for[NUMPROBS]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YD86d

[IF YD86c = 1] Are you currently taking prescription medication that was
prescribed for [NUMPROBS]?
1
Yes
2
No
DK/REF

YD86e [IF YD86c = 1] During the past 12 months, how much has this prescription medication
helped you?
1
Not at all
2
A little
3
Some
4
A lot
5
Extremely
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YD86f [IF YD86 = 1] During the past 12 months, how much has treatment or counseling helped
you?
1

Not at all

776

2
A little
3
Some
4
A lot
5
Extremely
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

777

Adult Mental Health Service Utilization
TXMHINT

These next questions ask about help you may have received for your mental
health, emotions, or behavior.

TXMHSUPP During the past 12 months, have you participated in a self-help group or support
group to help you with your mental health, emotions, or behavior?
These are groups of people who share a mental health, emotional, or behavioral
issue and meet in person or online to provide support for each other.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXMHPEER During the past 12 months, have you received help for your mental health,
emotions, or behavior from someone who has had similar mental health issues
and is trained to help others? This person could be called a peer counselor
support specialist or recovery coach.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHER

During the past 12 months, were you seen in an emergency room or emergency
department for your mental health, emotions, or behavior?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHINTb The next questions are about professional counseling, medication, or other
treatment you may have received to help with your mental health, emotions, or
behavior for which where you stayed overnight or longer. This is sometimes
called inpatient or residential treatment
TXMHIPT

[REPEAT IN GRAY FONT: The next question asks about professional
counseling, medication, or other treatment you may have received for your
mental health, emotions, or behavior use for which where you stayed overnight or
longer. This is sometimes called inpatient or residential treatment.]
During the past 12 months, have you stayed overnight or longer to receive

778

professional counseling, medication, or other treatment for your mental health,
emotions, or behavior in…
Location Stayed overnight or longer for treatment in…
TXMHIPTa a hospital as an inpatient?
TXMHIPTb a residential mental health treatment center?
drug or alcohol rehab or treatment center?
TXMHIPTc a residential drug or alcohol rehab or treatment
center? mental health treatment center?
TXMHIPTd some other place in which where you stayed
overnight or longer?
DK/REF
PROGRAMMER SHOW 12 MONTH CALENDAR
PROGRAMMER: USE STATIC GRID

Yes
1
1

No
2
2

1

2

1

2

TXMHIPTdO [IF TXMHIPTd = 1] Please describe the other place where you received
treatment overnight or longer for your mental health, emotions, or behavior in the
past 12 months. When you have finished typing your answer, click Next.
_______________
DK/REF
TXMHINTC Professional counseling, medication or other treatment can also be provided
without needing to stay overnight. This type of care is called outpatient
treatment.
TXMHOPT [REPEAT IN GRAY FONT: Professional counseling, medication or other
treatment can also be provided without needing to stay overnight. This type of
care is called outpatient treatment.]
Treatment also can be provided without needing to stay overnight. This type of
care is called outpatient treatment. During the past 12 months, have you received
outpatient professional counseling, medication, or other treatment for your
mental health, emotions, or behavior at…
Location Received outpatient treatment at…
TXMHOPTa a mental health treatment center as an
outpatient?
TXMHOPTb a drug or alcohol treatment or rehab center
as an outpatient?
TXMHOPTc the office of a therapist, psychologist,
psychiatrist, or mental health professional?
TXMHOPTd a general medical clinic or doctor’s office?
TXMHOPTe a hospital as an outpatient?
TXMHOPTf school, college, or from a university clinic
your school’s health or counseling center?

779

Yes

No

1

2

1

2

1
1
1

2
2
2

TXMHOPTg some other place as an outpatient?
DKRE
PROGRAMMER: USE STATIC GRID
PROGRAMMER: SHOW 12 MONTH CALENDAR

1

2

TXMHOPTgO [IF TXMHOPTg = 1] Please describe the other place where you received
outpatient treatment for your mental health, emotions, or behavior in the past 12
months. When you have finished typing your answer Then, click Next.
_______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS
TXMHRX

During the past 12 months, did you take any medication that was prescribed to
you to help with your mental health, emotions, or behavior?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHTELE During the past 12 months have you received any professional counseling,
medication or treatment for your mental health, emotions, or behavior from a
therapist or other healthcare professional over the phone, by email, or through
video calling or instant chat programs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXMHJAIL During the past 12 months, did you receive any professional counseling,
medication, or other treatment for your mental health, emotions, or behavior while
you were in a prison, jail or juvenile detention center?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXMHPEER During the past 12 months, have you received help from a peer support specialist
or recovery coach who works with a mental health treatment program or other
treatment provider?
1
2

Yes
No

780

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXMHSEK [IF (TXMHSUPP NE 1 OR TXMHPEER NE 1 OR TXMHER NE 1) AND
(TXMHIPTa AND TXMHIPTb AND TXMHIPTc AND TXMHIPTd NE 1)
AND (TXMHOPTa AND TXMHOPTb AND TXMHOPTc AND TXMHOPTd
AND TXMHOPTe AND TXMHOPTf AND TXMHOPTg NE 1) AND
(TXMHJAIL NE 1) AND (TXMHRX NE 1) AND (TXMHTELE NE 1)] During
the past 12 months, did you seek need professional counseling, medication, or
other treatment for your mental health, emotions, or behavior?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXMHSEK2 [IF (TXMHSUPP=1 OR TXMHPEER=1 OR TXMHER=1) AND (TXMHIPTa
AND TXMHIPTb AND TXMHIPTc AND TXMHIPTd NE 1) AND
(TXMHOPTa AND TXMHOPTb AND TXMHOPTc AND TXMHOPTd AND
TXMHOPTe AND TXMHOPTf AND TXMHOPTg NE 1) AND (TXMHJAIL
NE 1) AND (TXMHRX NE 1) AND (TXMHTELE NE 1)] Other than the help
you already reported, did you seek additional professional counseling,
medication, or other treatment for your mental health, emotions, or behavior in
the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXMHGET [IF TXMHSEK = NO, DK/REF] During the past 12 months, did you think you
should get professional counseling, medication, or other treatment for your
mental health, emotions, or behavior?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TXMHGET2 [IF TXMHSEK2=NO, DK/REF] Other than the help you already reported, did
you think you should get additional professional counseling, medication or other
treatment for your mental health, emotions, or behavior in the past 12 months?
1
Yes
2
No
DK/REF

781

PROGRAMMER: SHOW 12 MONTH CALENDAR
TXMHNONE [IF (TXMHGET OR TXMHGET2 OR TXMHSEK OR TXMHSEK2) 1] There
may be many reasons you did not get the (IF TXMHGET2=1 OR TXMHSEK2= 1,
FILL: additional) treatments you needed during the past 12 months.
For each statement, please mark whether or not it was one of the reasons why you did
not get (IF TXMHGET2=1 OR TXMHSEK2= 1, FILL: additional) professional
counseling, medication or other treatment for your mental health, emotions, or
behavior.

One of the reasons
TXMHNOa You thought it
1
would cost too much.
TXMHNOb You did not
1
have health insurance
coverage for mental health
treatment.
TXMHNOc Your health
1
insurance would not pay
enough of the costs for
treatment.
DK/REF
PROGRAMMER: ONE ROW AT A TIME

Not one of the reasons
2
2

2

TXMHNONE [IF (TXMHGET OR TXMHGET2 OR TXMHSEK OR TXMHSEK2] For each
statement, please mark whether or not it was one of the reasons why you did not get (IF
TXMHGET2=1 OR TXMHSEK2= 1, FILL: additional) professional counseling, medication or
other treatment for your mental health, emotions, or behavior.

TXMHNOd You did not
know how or where to get
treatment.
TXMHNOe You could not
find a treatment program or
health care professional you
wanted to go to.
TXMHNOf There were no
openings in the treatment
program or with the health
care professional you wanted
to go to.

One of the reasons
1

Not one of the reasons
2

1

2

1

2

782

TXMHNOg You had
problems with things like
transportation, childcare, or
getting appointments at times
that worked for you.
TXMHNOh You didn’t have
enough time for treatment.
TXMHNOi You were
worried that your information
would not be kept private.
DK/REF
PROGRAMMER: ONE ROW AT A TIME

1

2

1

2

1

2

TXMHNONE [IF (TXMHGET OR TXMHGET2 OR TXMHSEK OR TXMHSEK2)] For each
statement, please mark whether or not it was one of the reasons why you did not get (IF
TXMHGET2=1 OR TXMHSEK2= 1, FILL: additional) professional counseling, medication or
other treatment for your mental health, emotions, or behavior.

TXMHNOj You were
worried about what people
would think or say if you got
treatment.
TXMHNOk You thought that
if people knew you were in
treatment bad things would
happen, like losing your job,
home, or children.
TXMHNOl You were not
ready to start treatment.
TXMHNOm You thought
you should have been able to
handle your mental health,
emotions, or behavior on your
own.
TXMHNOn You thought
your family, friends, or
religious group wouldn’t like
it if you got treatment.
TXMHNOo You were afraid
of being committed to a
hospital or forced into
treatment against your will.
TXMHNOp You thought you
would be told you needed to
take medication.

One of the reasons
1

Not one of the reasons
2

1

2

1

2

1

2

1

2

1

2

1

2

783

TXMHNOq You didn’t think
treatment would help you.
TXMHNOr You thought no
one would care if you got
better.
DK/REF
PROGRAMMER: ONE ROW AT A TIME

1

2

1

2

(Questions Administered only to respondents 18 or older)
ADINTRO

[IF CURNTAGE = 18 OR OLDER] These next questions are about treatment and
counseling for problems with emotions, nerves or mental health. [IF TX01 = 1
OR DK/REF] Please do not include treatment for alcohol or drug use.
Press [ENTER] to continue.

ADMT01

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, have you stayed
overnight or longer in a hospital or other facility to receive treatment or
counseling for any problem you were having with your emotions, nerves, or
mental health? [IF TX01 = 1 OR DK/REF] Please do not include treatment for
alcohol or drug use.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMTREF1 [IF ADMT01 = REF] The answers that people give us about mental health
treatment are important to this study’s success. We know that this information is
personal, but remember your answers will be kept confidential.
Please think again about answering this question: During the past 12 months, have
you stayed overnight or longer in a hospital or other facility to receive treatment
or counseling for any problem you were having with your emotions, nerves, or
mental health? [IF TX01 = 1 OR DK/REF] Please do not include treatment for
alcohol or drug use.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT02

[IF ADMT01 = 1 OR ADMTREF1 = 1] Where did you stay overnight or longer
to receive mental health treatment or counseling during the past 12 months?
To select more than one place, press the space bar between each number you type.

784

When you have finished, press the [ENTER] key to go to the next question.
1
A private or public psychiatric hospital
2
A psychiatric unit of a general hospital
3
A medical unit of a general hospital
4
Another type of hospital
5
A residential treatment center
6
Some other type of facility
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT04

[IF ADMT02 = 1] During the past 12 months, how many nights did you spend in
a private or public psychiatric hospital for mental health care?
# OF NIGHTS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT05

[IF ADMT02 = 2] During the past 12 months, how many nights did you spend in
the psychiatric unit of a general hospital for mental health care?
# OF NIGHTS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT06

[IF ADMT02 = 3] During the past 12 months, how many nights did you spend in
the medical unit of a general hospital for mental health care?
# OF NIGHTS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT07

[IF ADMT02 = 4] During the past 12 months, how many nights did you spend in
some other type of hospital for mental health care?
# OF NIGHTS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT08

[IF ADMT02 = 5] During the past 12 months, how many nights did you spend in
a residential treatment center for mental health care?
# OF NIGHTS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

785

ADMT09

[IF ADMT02 = 6] During the past 12 months, how many nights did you spend in
some other type of facility for mental health care?
# OF NIGHTS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT10

[IF ADMT02 NE BLANK] Who paid or will pay for the inpatient mental health
care you received during the past 12 months?
To select more than one answer, press the space bar between each number you
type. When you have finished, press the [ENTER] key to go to the next question.
1
Self or a family member living with you
2
A family member who does not live with you
3
Private health insurance
4
Medicare
5
Medicaid
6
Rehabilitation program
7
Employer
8
VA or other military program
9
Other public source
10
Other private source
11
No one paid because the treatment was free
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT11

[IF MORE THAN 1 RESPONSE SELECTED IN ADMT10 AND ADMT02 NE
DK/REF] Who paid or will pay most of the cost for the inpatient mental health
care you received during the past 12 months?
Please select only one answer from those that are shown in blue below.
[NOTE TO PROGRAMMERS: RESPONSES CHOSEN IN ADMT10 SHOULD
BE SHOWN IN BLUE. IMPLEMENT AN ERROR MESSAGE IF THE
RESPONDENT SELECTS ONE OF THE OTHER RESPONSES.]
1
2
3
4
5
6
7
8
9
10

Self or a family member living with you
A family member who does not live with you
Private health insurance
Medicare
Medicaid
Rehabilitation program
Employer
VA or other military program
Other public source
Other private source

786

11
No one paid because the treatment was free
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT12

[IF ADMT10 = 1 AND ADMT02 NE DK/REF] How much did you or your
family pay for the inpatient mental health care you received during the past 12
months? Do not count any money that has been or will be reimbursed by
insurance or any other source.
[IF ADMT10 = 2 AND NE 1 AND ADMT02 NE DK/REF] How much did your
family pay for the inpatient mental health care you received during the past 12
months? Do not count any money that has been or will be reimbursed by
insurance or any other source.
1
Less than $100
2
$100 to $200
3
$201 to $500
4
$501 to $900
5
$901 to $1,500
6
$1,501 to $2,000
7
$2,001 to $5,000
8
$5,001 to $7,500
9
$7,501 to $10,000
10
More than $10,000
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT13

[IF CURNTAGE = 18 OR OLDER] The list below includes some of the places
where people can get outpatient treatment or counseling for problems with their
emotions, nerves, or mental health.
During the past 12 months, did you receive any outpatient treatment or
counseling for any problem you were having with your emotions, nerves, or
mental health at any of the places listed below? [IF TX01 = 1 OR DK/REF]
Please do not include treatment for alcohol or drug use.
•
•
•
•
•
•

An outpatient mental health clinic or center
The office of a private therapist, psychologist, psychiatrist, social worker,
or counselor that was not part of a clinic
A doctor’s office that was not part of a clinic
An outpatient medical clinic
A partial day hospital or day treatment program
Some other place

1
2

Yes
No

787

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMTREF13
[IF ADMT13 = REF] The answers that people give us about mental health
treatment are important to this study’s success. We know that this information is
personal, but remember your answers will be kept confidential.
Please think again about answering this question: During the past 12 months, did
you receive any outpatient treatment or counseling for any problem you were
having with your emotions, nerves, or mental health at any of the places listed
below? [IF TX01 = 1 OR DK/REF] Please do not include treatment for alcohol or
drug use.
•
•
•
•
•
•

An outpatient mental health clinic or center
The office of a private therapist, psychologist, psychiatrist, social worker,
or counselor that was not part of a clinic
A doctor’s office that was not part of a clinic
An outpatient medical clinic
A partial day hospital or day treatment program
Some other place

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT14

[IF ADMT13 = 1 OR ADMTREF13 = 1] Where did you receive outpatient
mental health treatment or counseling during the past 12 months?
To select more than one place, press the space bar between each number you type.
When you have finished, press the [ENTER] key to go to the next question.
1
2

An outpatient mental health clinic or center
The office of a private therapist, psychologist, psychiatrist, social worker,
or counselor that was not part of a clinic
3
A doctor’s office that was not part of a clinic
4
An outpatient medical clinic
5
A partial day hospital or day treatment program
6
Some other place
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT15

[IF ADMT14 = 6] Please type in a description of this other place where you
received outpatient mental health treatment or counseling. When you have
finished, press the [ENTER] key to go to the next question.

788

________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN ADMT15.
ADMT16

[IF ADMT14 = 1] During the past 12 months, how many visits did you make to
an outpatient mental health clinic or center for mental health care?
# OF VISITS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT17

[IF ADMT14 = 2] During the past 12 months, how many outpatient visits did
you make to a private therapist, psychologist, psychiatrist, social worker, or
counselor for mental health care?
# OF VISITS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT18

[IF ADMT14 = 3] During the past 12 months, how many outpatient visits did
you make to a doctor’s office for mental health care?
# OF VISITS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT19

[IF ADMT14 = 4] During the past 12 months, how many outpatient visits did
you make to an outpatient medical clinic for mental health care?
# OF VISITS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT20

[IF ADMT14 = 5] During the past 12 months, how many outpatient visits did
you make to a partial day hospital or day treatment program for mental health
care?
# OF VISITS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT21

[IF ADMT14 = 6] During the past 12 months, how many outpatient visits did
you make to some other type of facility for mental health care?
# OF VISITS:
DK/REF

[RANGE: 1 - 366]

789

PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT22

[IF ADMT14 NE BLANK] Who paid or will pay for the outpatient mental health
care you received during the past 12 months?
To select more than one answer, press the space bar between each number you
type. When you have finished, press the [ENTER] key to go to the next question.
1
Self or a family member living with you
2
A family member who does not live with you
3
Private health insurance
4
Medicare
5
Medicaid
6
Rehabilitation program
7
Employer
8
VA or other military program
9
Other public source
10
Other private source
11
No one paid because the treatment was free
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT23

[IF MORE THAN 1 RESPONSE SELECTED IN ADMT22 AND ADMT14 NE
DK/REF] Who paid or will pay most of the cost for the outpatient mental health
care you received during the past 12 months?
Please select only one answer from those that are shown in blue below.
[NOTE TO PROGRAMMERS: RESPONSES CHOSEN IN ADMT22 SHOULD
BE SHOWN IN BLUE. IMPLEMENT AN ERROR MESSAGE IF THE
RESPONDENT SELECTS ONE OF THE OTHER RESPONSES.]
1
Self or a family member living with you
2
A family member who does not live with you
3
Private health insurance
4
Medicare
5
Medicaid
6
Rehabilitation program
7
Employer
8
VA or other military program
9
Other public source
10
Other private source
11
No one paid because the treatment was free
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT24

[IF ADMT22 = 1 AND ADMT14 NE DK/REF] How much did you or your

790

family pay for the outpatient mental health care you received during the past 12
months? Do not count any money that has been or will be reimbursed by
insurance or any other source.
[IF ADMT22 = 2 AND NE 1 AND ADMT14 NE DK/REF] How much did your
family pay for the outpatient mental health care you received during the past 12
months? Do not count any money that has been or will be reimbursed by
insurance or any other source.
1
Less than $100
2
$100 to $200
3
$201 to $500
4
$501 to $900
5
$901 to $1,500
6
$1,501 to $2,000
7
$2,001 to $5,000
8
More than $5,000
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT25

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, did you take any
prescription medication that was prescribed for you to treat a mental or
emotional condition?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMTREF25
[IF ADMT25 = REF] The answers that people give us about their use of
prescription medications are important to this study’s success. We know that this
information is personal, but remember your answers will be kept confidential.
Please think again about answering this question: During the past 12 months, did
you take any prescription medication that was prescribed for you to treat a
mental or emotional condition?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT26

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, was there any
time when you needed mental health treatment or counseling for yourself but
didn’t get it?

791

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT27

[IF ADMT26 = 1] Which of these statements explain why you did not get the
mental health treatment or counseling you needed?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press [ENTER].
1
2

You couldn’t afford the cost.
You were concerned that getting mental health treatment or counseling
might cause your neighbors or community to have a negative opinion of
you.
3
You were concerned that getting mental health treatment or counseling
might have a negative effect on your job.
4
Your health insurance does not cover any mental health treatment or
counseling.
5
Your health insurance does not pay enough for mental health treatment or
counseling.
6
You did not know where to go to get services.
7
You were concerned that the information you gave the counselor might
not be kept confidential.
8
You were concerned that you might be committed to a psychiatric hospital
or might have to take medicine.
9
Some other reason or reasons.
DK/REF
ADMT27A

[IF ANY ENTRY IN ADMT27 = 9] Which of these statements explain why you
did not get the mental health treatment or counseling you needed?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press [ENTER].
1
2
3
4
5
6

You didn't think you needed treatment at the time.
You thought you could handle the problem without treatment.
You didn't think treatment would help.
You didn't have time (because of job, childcare, or other commitments).
You didn't want others to find out that you needed treatment.
You had no transportation, or treatment was too far away, or the hours
were not convenient.
7
Some other reason or reasons.
DK/REF
ADMT27SP [IF ADMT27A = 7] Please type in the most important other reason you did not

792

get the mental health treatment or counseling you needed. When you have
finished, press the [ENTER] key to go to the next question.
__________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN ADMT27SP.
ADMT29a

[IF CURNTAGE = 18 OR OLDER] Earlier, we asked whether you have received
prescription medicines, inpatient treatment or outpatient treatment for your
emotions, nerves or mental health. The list below contains possible sources of
treatment, counseling or support that were not mentioned before.
Acupuncturist or acupressurist
Chiropractor
Herbalist
In-person support group or self-help group
Internet support group or chat room
Spiritual or religious advisor, such as a pastor, priest, rabbi
Telephone hotline
Massage therapist
Did you receive treatment, counseling or support from any other sources such as
these during the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ADMT29b

[IF ADMT29a = 1] From what source did you receive other treatment,
counseling or support for problems with your emotions, nerves or mental health in
the past 12 months?
To select more than one source from the list, press the space bar between each
number you type. When you have finished, press [ENTER].
1
Acupuncturist or acupressurist
2
Chiropractor
3
Herbalist
4
In-person support group or self-help group
5
Internet support group or chat room
6
Spiritual or religious advisor, such as a pastor, priest, rabbi
7
Telephone hotline
8
Massage therapist
9
Other (specify)
DK/REF

793

PROGRAMMER: SHOW 12 MONTH CALENDAR
ADMT29bSP [IF ADMT29b = 9] Please type in the source of the other treatment, counseling or
support you received. When you have finished, press the [ENTER] key to go to
the next question.
____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN ADMT29bSP.
ADMT30

[IF ADMT01 = 1 OR ADMTREF1 = 1 OR ADMT13 = 1 OR ADMTREF13 = 1
OR ADMT25 = 1 OR ADMTREF25 = 1 OR ADMT29a=1] Please think about
the mental health treatment or counseling you received during the past 12 months.
Which of these statements best describes how you were prompted to get
treatment?
1
I decided on my own to get treatment
2
I got treatment mainly because someone else thought I should
3
I was ordered to get treatment
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

794

Health
HLTHINT

These next questions are about your health and health care.

Press [ENTER] to continue.
HLTH02 [IF QD01 = 9 AND CURNTAGE = 12 - 4450] Are you currently pregnant?
1
Yes
2
No
DK/REF
[Upper limit of the age range for this question was increased. This is in line with the age range
used by the American Community Survey.]
HLTH03 [IF HLTH02 = 1] How many months weeks pregnant are you?
# OF MONTHS: ________ weeks [RANGE: 1 – 944]
DK/REF
HLTH04

This question asks about your height.
To answer in feet and inches, press 1. To answer in meters and
centimeters, press 2. To answer in inches only, press 3. To answer in
centimeters only, press 4. Then press [ENTER] to continue.
1
I would rather answer in feet and inches
2
I would rather answer in meters and centimeters
3
I would rather answer only in inches
4
I would rather answer only in centimeters
DK/REF

HLTH05

[IF HLTH04=1] This question asks about your height. About how tall are
you, without shoes? First, please type in the number of feet, then press
[ENTER]click Next inches.
______feet [RANGE: 2-8] ____ inches [RANGE 0-11]
DK/REF

[Height and weight questions have been simplified to only ask in standard measurement units.
This is similar to the National Mental Health Survey pilot test.]
HLTH06a

[IF HLTH04 = 1 AND HLTH05 NE DK/RF] Please type in the number of
inches and then press [ENTER].

795

______inch(es) [RANGE: 0-11]
DK/REF
HLTH06b

(IF HLTH04 = 3) About how tall are you, without shoes? Please type in
the number of inches and then press [ENTER].

______inch(es) [RANGE: 24-96]
DK/REF
HLTH07

[IF HLTH04=2] About how tall are you, without shoes? First, please type
in the number of meters, then press [ENTER].
_______ meters [RANGE: 0-2]
DK/REF

HLTH08a

[IF HLTH04 = 2 AND HLTH07 NE DK/REF] Please type in the number
of centimeters and then press [ENTER].

______centimeter(s) [RANGE: 0-99. ]
DK/REF
HLTH08b

(IF HLTH04 = 4) About how tall are you, without shoes? Please type in
the number of centimeters and then press [ENTER].
______centimeter(s) [RANGE: 60-250]
DK/REF

HLTH09

The next question asks about your weight.
To answer in pounds, press 1. To answer in kilograms, press 2. Then
press [ENTER] to continue.
1
I would rather answer in pounds
2
I would rather answer in kilograms
DK/REF

HLTH10

[IF HLTH09=1 AND HLTH02 NE 1] The next question asks about your
weight. About how much do you weigh? Please type in the number of
pounds and then press [ENTER]click Next..
________pounds [RANGE: 40-900]
DK/REF

796

HLTH12

[IF HLTH09=2 AND HLTH02 NE 1] About how much do you weigh?
Please type in the number of kilograms and then press [ENTER].
_______ kilograms [RANGE: 18.00-999.00]
DK/REF

HLTH13

[IF HLTH02=1 AND HLTH09=1] The next question asks about your
weight. About how much did you weigh before you got pregnant? Please
type in the number of pounds and then press [ENTER]click Next..
________pounds [RANGE: 40-999]
DK/REF

HLTH14

[IF HLTH02=1 AND HLTH09 =2] About how much did you weigh
before you got pregnant? Please type in the number of kilograms and then
press [ENTER].
_______ kilograms [RANGE: 18.00-999.00]
DK/REF

HLTH19

During the past 12 months, how many times have you visited a doctor nurse,
physician assistant or nurse practitioner or healthcare professional about your own
health at a doctor’s office, a clinic, or some other place?
1
2

Yes
No

NUMBER OF VISITS:
[(RANGE: 0 - 366)]
DK/REF
SHOW 12-MONTH CALENDAR
HLTH16 During the past 12 months, that is, since [DATEFILL], how many different times
have you been treated in an emergency room or emergency department for any
reason?
1
2

Yes
No

# OF TIMES: ____________ [RANGE: 0 - 90]
DK/REF
SHOW 12-MONTH CALENDAR
HLTH17 During the past 12 months, have you stayed overnight or longer as an inpatient in a
hospital?

797

1
Yes
2
No
DK/REF
SHOW 12-MONTH CALENDAR
HLTH18 [IF HLTH17 = 1] During the past 12 months, how many nights were you an
inpatient in a hospital?
# OF NIGHTS:
DK/REF

[RANGE: 1 - 366]

SHOW 12-MONTH CALENDAR

HLTH19

During the past 12 months, how many times have you visited a doctor, nurse,
physician assistant or nurse practitioner about your own health at a doctor’s
office, a clinic, or some other place?
NUMBER OF VISITS:
DK/REF

[(RANGE: 0 - 366)]

SHOW 12-MONTH CALENDAR

HLTH19DK [IF HLTH19=DK/REF] What is your best guess of how many times you have
visited a doctor, nurse, physician assistant or nurse practitioner about your own
health at a doctor’s office, a clinic, or some other place in the past 12 months?

0.
I have not visited a health care professional in the past 12 months
1.
1 time
2.
2-3 times
3.
4-5 times
4.
6-7 times
5.
8-9 times
6.
10-12 times
7.
13-15 times
8.
16 or more times
DK/REF
SHOW 12-MONTH CALENDAR
DEFINE VISITFILL:
IF HLTH16=1 THEN VISITFILL= “your visit to the emergency room or emergency
department”

798

IF HLTH16>1 THEN VISITFILL = “your visits to the emergency room or emergency
department”
IF HLTH17=1 THEN VISITFILL= “your hospitalization’”
IF HLTH19=1 OR HLTH19DK=1 THEN VISITFILL = “the talk you had with a doctor
or other health care professional”
IF HLTH19>1 OR HLTH19DK>1 THEN VISITFILL = “the talks you had with a doctor
or other health care professional”
HLTH20

[IF HLTH16>0=1 OR HLTH17=1 OR HLTH19=1>0 OR HLTH19DK>0]
During the past 12 months, did any doctor, nurse, or other health care professional
ask, either in person, on paper, or on a computer or on a form, if you…:

Yes
1

No
2

HLTH20a smoke
cigarettes, vape nicotine, or
use any other tobacco
products?
HLTH20b drink alcohol?
1
HLTH20c use marijuana
1
or other illegal drugs?
DK/REF
PROGRAMMER: ONE ROW AT A TIME

2
2

a. Smoke cigarettes or use any other tobacco products?
b. Drink alcohol?
c. Use marijuana or other illegal drugs?
HLTH21

1. Yes 2. No DK/REF
1. Yes 2. No DK/REF
1. Yes 2. No DK/REF

[(IF HLTH16=1>0 OR HLTH17=1 OR HLTH19=1>0 OR HLTH19DK>0) AND
(CG05 = 1 OR CG06=1 OR CG06DK=1 OR CG06RE=1 OR CG27=1 OR
CG28=1 OR CG28DK=1 OR CG28RE=1 OR CG36=1 OR CG37=1 OR
CG37DK=1 OR CG37RE=1 OR CG43=1)] During the past 12 months, did any
doctor or other health care professional advise you to quit smoking cigarettes,
vaping nicotine, or quit using any other tobacco products?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

HLTH22

[((IF HLTH16>=1 AND (HLTH17=1 OR HLTH19>=1 OR HLTH19DK>=1))
OR (HLTH17=1 AND (HLTH16>=1 OR HLTH19>=1 OR HLTH19DK>=1))
OR ((HLTH19>=1 OR HLTH19DK>=1) AND (HLTH16>=1 OR HLTH17=1)))
AND (ALLAST3=1 OR 2 OR ALRECDK=1 OR 2 OR ALRECRE=1 OR 2)]
Please think about all of the talks you have had with a doctor or other health care
professional during the past 12 months when you answer this question. Choose

799

the statement or statements below that describe any discussions you may have had
in person with a doctor or other health professional about your alcohol use.
[((IF HLTH16>=1 AND HLTH17 NE 1 AND HLTH19<1 NE 1 AND
HLTH19DK<1) OR (HLTH17 =1 AND HLTH16 = 0NE 1 AND HLTH19<1NE
1 AND HLTH19DK<1) OR ((HLTH19 >=1 OR HLTH19DK>=1) AND
HLTH16 = 0NE 1 AND HLTH17 NE 1)) AND (ALLAST3=1 OR 2 OR
ALRECDK=1 OR 2 OR ALRECRE=1 OR 2)] Please think about [VISITFILL]
during the past 12 months when you answer this question. Choose the statement
or statements below that describe any discussion you may have had in person
with a doctor or other health professional about your alcohol use.
Select all that apply.
To select more than one statement, press the space bar between each number you type. When
you have finished, press [ENTER].
1. The doctor asked how much I drink.
2. The doctor asked how often I drink.
3. The doctor asked if I have any problems because of my drinking.
4. The doctor advised me to cut down on my drinking.
5. The doctor offered to give me more information about alcohol use and
treatment for problems with alcohol use.
95 The doctor didn’t discuss my alcohol use with me in the past 12 months.
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
4, OR 5.

HARD ERROR: [IF 95 AND AT LEAST ONE IN (1-5) SELECTED]: You have entered “The
doctor didn’t discuss my alcohol use with me in the past 12 months,” but you have also entered
one or more statements from the list. Press [Enter] to answer the question againPlease answer
the question again.HLTH23 [(IF HLTH16>0=1 OR HLTH17=1 OR HLTH19>0=1 OR
HLTH19DK>0) AND [(MJLAST3=1 OR 2 OR MJRECDK=1 OR 2 OR MJRECRE=1 OR 2)
OR COC12MON=1 OR CRK12MON=1 OR HER12MON=1 OR INH12MON = 1 OR
HAL12MON = 1 OR MET12MON=1] During the past 12 months, did any doctor or other health
care professional talk to you about your use of
[FILLMARIJUANA/COCAINE/CRACK/HEROIN/ INHALANTS /
HALLUCINOGENS/METHAMPHETAMINE]?
PROGRAMMERS: SEPARATE MULTIPLE FILLS WITH AN ‘OR’
1
Yes
2
No
DK/REF
HLTH24

These next questions are about certain medical conditions.

800

During the past 12 months, did you have a sexually transmitted infection disease
such as chlamydia, gonorrhea, herpes, or syphilis?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MHSCR During the past 12 months, has a doctor, or other health care professional asked you
about being sad, worried, or having thoughts about harming yourself?
You may have answered in person, on paper, or on a computer.
1
Yes
2
No
DK/REF
SCHSCR

[IF QD17 = 1 OR YE09 = 1] During the past 12 months, has a school guidance
counselor, school psychologist, school social worker, or another staff member
at your school asked you about being sad, worried, or having thoughts about
harming yourself?
You may have answered in person, on paper, or on a computer.
1
Yes
2
No
DK/REF

HLTH25

Below is a list of health conditions that you may have had during your lifetime.
Please read the list and select type in the numbers of all of the conditions that a
doctor or other health care professional has ever told you that you had.
Select all that apply. To select more than one condition, press the space bar
between each number you type. When you have finished, press [ENTER].
1. Any kind of heart condition or heart disease
2. Diabetes or sugar diabetes
3. Chronic bronchitis, emphysema, chronic obstructive pulmonary disease, also
called COPD
4. Cirrhosis of the liver
5. Hepatitis B or C
6. Kidney disease, not including bladder infection or incontinence
7. Asthma
8. HIV or AIDS
9. Cancer or a malignancy of any kind

801

10. Hypertension, also called high blood pressure
95 None of the above - I have never had any of these conditions
DK/REF
DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3,
4, 5, 6, 7, 8, 9, OR 10.

DIATYPE

[IF HLTH25 = 2] Which types of diabetes have you had in your lifetime?

Select all that apply.
1
Type I diabetes
2
Type II diabetes or sugar diabetes
3
[IF QD01 = 9] Gestational diabetes, that is diabetes some women
experience only during pregnancy
DK/REF
HARD ERROR: [IF 95 AND AT LEAST ONE IN (1-10) SELECTED]: You have entered “I
have never had any of these conditions,” but you have also entered one or more health conditions
from the list. Press [ENTER] to answer the question againPlease answer the question again.
DEFINE NONCACOUNT:
INITIALIZE NONCACOUNT TO 0.
ADD 1 TO NONCACOUNT FOR EVERY RESPONSE OF 1 TO 8 OR 10 IN HLTH25.
DEFINE NONCAFILL:
NONCAFILL LISTS SPECIFIC HEALTH CONDITIONS OTHER THAN CANCER WHEN
ONLY 1 OTHER CONDITION BESIDES CANCER WAS REPORTED.
IF HLTH25=9 AND HLTH25=1 AND NONCACOUNT=1 THEN NONCAFILL = “your heart
condition or heart disease”
ELSE IF HLTH25=9 AND HLTH25=2 AND NONCACOUNT=1 THEN NONCAFILL = “your
diabetes or sugar diabetes”
ELSE IF HLTH25=9 AND HLTH25=3 AND NONCACOUNT=1 THEN NONCAFILL = “your
chronic bronchitis, emphysema, or chronic obstructive pulmonary disease, also called COPD”
ELSE IF HLTH25=9 AND HLTH25=4 AND NONCACOUNT=1 THEN NONCAFILL = “your
cirrhosis of the liver”
ELSE IF HLTH25=9 AND HLTH25=5 AND NONCACOUNT=1 THEN NONCAFILL = “your
hepatitis”
ELSE IF HLTH25=9 AND HLTH25=6 AND NONCACOUNT=1 THEN NONCAFILL = “your
kidney disease”
ELSE IF HLTH25=9 AND HLTH25=7 AND NONCACOUNT=1 THEN NONCAFILL = “your
asthma”
ELSE IF HLTH25=9 AND HLTH25=8 AND NONCACOUNT=1 THEN NONCAFILL = “your
HIV or AIDS”

802

ELSE IF HLTH25=9 AND HLTH25=10 AND NONCACOUNT=1 THEN NONCAFILL =
“your high blood pressure”
ELSE IF HLTH25=9 AND NONCACOUNT >1 THEN NONCAFILL = “the other health
conditions you reported”
HLTH26

[IF HLTH25=9] What kind of cancer was it? Enter all that apply.

Select all that apply.
To select more than one category, press the space bar between the numbers. When you have
finished, press [ENTER].
1. Bladder
2. Blood
3. Bone
4. Brain
5. Breast
6. [IF QD01 = 9] Cervix
7. Colon
8. Esophagus
9. Gallbladder
10. Kidney
11. Larynx/windpipe
12. Leukemia
13. Liver
14. Lung
15. Lymphoma
16. Melanoma
17. Mouth/tongue/lip
18. [IF QD01 = 9] Ovary
19. Pancreas
20. [IF QD01 = 5] Prostate
21. Rectum
22. Skin (not melanoma)
23. Skin (don’t know which kind)
24. Soft tissue (muscle or fat)
25. Stomach
26. [IF QD01 = 5] Testis
27. Throat/pharynx
28. Thyroid
29. [IF QD01 = 9] Uterus
30. Other
HLTH26othr [IF HLTH26=30] Please tell me which other kind of cancer you had.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN HTLH26othr.

803

HLTH27 [IF HLTH26=1] How old were you when your bladder cancer was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF
HARD ERROR: [HLTH27 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28a

[IF HLTH26=2] How old were you when your blood cancer was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28a > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28b

[IF HLTH26=3] How old were you when your bone cancer was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28b > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28c

[IF HLTH26=4] How old were you when your brain cancer was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28c > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28d

[IF HLTH26=5] How old were you when your breast cancer was first diagnosed?

804

If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF
HARD ERROR: [HLTH28d > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28e

[IF HLTH26=6] How old were you when your cervical cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28e > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28f

[IF HLTH26=7] How old were you when your colon cancer was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28f > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28g

[IF HLTH26=8] How old were you when your esophageal cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28g > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.

805

HLTH28h

[IF HLTH26=9] How old were you when your gallbladder cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28h > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28i

[IF HLTH26=10] How old were you when your kidney cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28i > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28j

[IF HLTH26=11] How old were you when your larynx/windpipe cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28j > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28k

[IF HLTH26=12] How old were you when your leukemia was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28k > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.

806

HLTH28l

[IF HLTH26=13] How old were you when your liver cancer was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28l > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28m

[IF HLTH26=14] How old were you when your lung cancer was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28m > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28n

[IF HLTH26=15] How old were you when your lymphoma was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28n > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28o

[IF HLTH26=16] How old were you when your melanoma was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28o > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.

807

HLTH28p

[IF HLTH26=17] How old were you when your mouth/tongue/lip cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28p > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28q

[IF HLTH26=18] How old were you when your ovarian cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28q > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28r

[IF HLTH26=19] How old were you when your pancreatic cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28r > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28s

[IF HLTH26=20] How old were you when your prostate cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

808

HARD ERROR: [HLTH28s > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28t

[IF HLTH26=21] How old were you when your rectal cancer was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28t > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28u

[IF HLTH26=22] How old were you when your skin [not melanoma] cancer was
first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28u > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28v

[IF HLTH26=23] How old were you when your skin cancer was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28v > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28w

[IF HLTH26=24] How old were you when your soft tissue cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

809

HARD ERROR: [HLTH28w > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28x

[IF HLTH26=25] How old were you when your stomach cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28x > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28y

[IF HLTH26=26] How old were you when your testicular cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28y > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28z

[IF HLTH26=27] How old were you when your throat/pharynx cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28z > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28aa

[IF HLTH26=28] How old were you when your thyroid cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]

810

DK/REF
HARD ERROR: [HLTH28aa > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28bb [IF HLTH26=29] How old were you when your uterine cancer was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF
HARD ERROR: [HLTH28bb > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH28cc

[IF HLTH26=30] How old were you when the type of cancer listed below was
first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
[FILL HLTH26othr]
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH28cc > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH29

[IF HLTH25=9 AND HLTH27 AND HLTH28a AND HLTH28b AND HLTH28c
AND HLTH28c AND HLTH28d AND HLTH28e AND HLTH28f AND
HLTH28g AND HLTH28h AND HLTH28i AND HLTH28j AND HLTH28k
AND HLTH28l AND HLTH28m AND HLTH28n AND HLTH28o AND
HLTH28p AND HLTH28q AND HLTH28r AND HLTH28s AND HLTH28t
AND HLTH28u AND HLTH28v AND HLTH28w AND HLTH28x AND
HLTH28y AND HLTH28z AND HLTH28aa AND HLTH28bb AND HLTH28cc
NE CALCAGE] Did you have cancer during the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

811

HLTHOTHint

[IF HLTH25=9 AND (NONCACOUNT > 1 OR (NONCACOUNT = 1
AND (NONCAFILL = “your heart condition or heart disease” OR
NONCAFILL = “your asthma” OR NONCAFILL = “your high blood
pressure”))] The next questions are about [NONCAFILL].

[IF HLTH25=9 AND NONCACOUNT = 1 AND NONCAFILL NE “your heart
condition or heart disease” AND NONCAFILL NE “your asthma” AND
NONCAFILL NE “your high blood pressure”] The next question is about
[NONCAFILL].
Press [ENTER] to continue.
HLTH30

[IF HLTH25=1] How old were you when your heart condition or heart disease
was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH30 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH31

[IF HLTH25=1 AND HLTH30 NE CALCAGE] Did you have any kind of heart
condition or heart disease in the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

HLTH32

[IF HLTH25=2] How old were you when your diabetes or sugar diabetes was
first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH32 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH33

[IF HLTH25=3] How old were you when your chronic bronchitis, emphysema, or
chronic obstructive pulmonary disease, also called COPD were first diagnosed?

812

If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF
HARD ERROR: [HLTH33 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH34

[IF HLTH25=4] How old were you when your cirrhosis of the liver was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH34 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH35

[IF HLTH25=5] How old were you when your hepatitis was first diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH35 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH36

[IF HLTH25=6] How old were you when your kidney disease was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH36 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH37

[IF HLTH25=7] How old were you when your asthma was first diagnosed?

813

If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF
HARD ERROR: [HLTH37 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH38

[IF HLTH25=7] Do you still have asthma?
1 Yes
2 No
DK/REF

HLTH39

[IF HLTH25=8] How old were you when you found out you had HIV/AIDS?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF

HARD ERROR: [HLTH39 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.
HLTH40

[IF HLTH25=10] Are you currently taking prescription medicine for your high
blood pressure?
1 Yes
2 No
DK/REF

HLTH41 [IF HLTH40=1] How old were you when your high blood pressure was first
diagnosed?
If you were first diagnosed before you were 1 year old, please enter 1.
Age: _____________________ [RANGE: 1-CURNTAGE]
DK/REF
HARD ERROR: [HLTH41 > CURNTAGE] The age you entered when you were first
diagnosed is older than your current age. Press [Enter] to answer the
question again.

814

HLTH24

These next questions are about certain medical conditions.
During the past 12 months, did you have a sexually transmitted infection disease
such as chlamydia, gonorrhea, herpes, or syphilis HPV?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SLPINTRO The next three questions are about your sleep.
SLPFALL

During the past 30 days, on how many nights did it take you two hours or more
before you could fall asleep?
Nights
[RANGE: 0 – 30; IF OUT OF RANGE: “Please enter a value between 0 and 30.”]
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR

SLPBCKTO During the past 30 days, on how many nights did you wake up and it took an
hour or more to get back to sleep?
Nights
[RANGE: 0 – 30; IF OUT OF RANGE: “Please enter a value between 0 and 30.”]
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR
SLPEARLY During the past 30 days, on how many nights did you wake up at least two
hours earlier than you wanted to?
Nights
[RANGE: 0 – 30; IF OUT OF RANGE: “Please enter a value between 0 and 30.”]
DK/REF
PROGRAMMER: SHOW 30-DAY CALENDAR
PAIN3M

[IF CURNTAGE = 18 OR OLDER] In the past 3 months, how often did you have
physical pain?
1 Never
2 Some days
3 Most days
4 Every day
DK/REF
PROGRAMMER: SHOW 3 MONTH CALENDAR

815

PAINLIM

[IF PAIN3M=2-4 OR DK/REF] Over the past 3 months, how often did physical
pain limit your life or work activities?
1 Never
2 Some days
3 Most days
4 Every day
DK/REF
PROGRAMMER: SHOW 3 MONTH CALENDAR

816

Special Topics
leadsen

[IF CURNTAGE = 18 OR OLDER] The next questions are about things you might or
might not have done recently.
Press [ENTER] to continue.

YE18a [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
argued or had a fight with at least one of your parents or guardians?
10
0 times
21
1 or 2 times
32
3 to 5 times
43
6 to 9 times
54
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YE18b [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
gotten into a serious fight at school or work?
10
0 times
21
1 or 2 times
32
3 to 5 times
43
6 to 9 times
54
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18c [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
taken part in a fight where a group of your friends fought against another group?
10
0 times
21
1 or 2 times
32
3 to 5 times
43
6 to 9 times
54
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18d [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
carried a handgun?
10
21
32

0 times
1 or 2 times
3 to 5 times

817

43
6 to 9 times
54
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18e [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you sold
illegal drugs?
10
0 times
21
1 or 2 times
32
3 to 5 times
43
6 to 9 times
54
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18f [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
stolen or tried to steal anything worth more than $50?
10
0 times
21
1 or 2 times
32
3 to 5 times
43
6 to 9 times
54
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18g [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
attacked someone with the intent to seriously hurt them?
10
0 times
21
1 or 2 times
32
3 to 5 times
43
6 to 9 times
54
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SEN12a

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, how many times
have you sold illegal drugs?
1
2
3
4
5

0 times
1 or 2 times
3 to 5 times
6 to 9 times
10 or more times

818

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
sen12b

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, how many times
have you stolen or tried to steal anything worth more than $50?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

sen12c

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, how many times
have you attacked someone with the intent to seriously hurt them?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SPINTRO

The next questions are about encounters with the police or the court system that
resulted in your being held in a prison, jail, or juvenile detention center. For these
questions, do not include minor traffic violations that did not result in an arrest.

SPJLLIF

[PROGRAMMER, SHOW IN GRAY FONT: The next questions are about
encounters with the police or the court system that resulted in your being held in a
prison, jail, or juvenile detention center. For these questions, do not include minor
traffic violations that did not result in an arrest.]
Have you ever been held in a prison, jail, or juvenile detention center, even for a
short time?
1
Yes
2
No
DK/REF

SPJLPYNU [IF SPJLLIF = 1] How many times during the past 12 months have you been
held in a prison, jail, or juvenile detention center, even for a short time?
0
1

0 times
1 time

819

2
2 times
3
3 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SPJLLONG [IF SPJLPYNU = 1] Think about the time you were held in a prison, jail, or
juvenile detention center during the past 12 months. For what length of time
were you held?
[IF SPJLPYNU = 2 OR 3] Of those times you were held in a prison, jail, or
juvenile detention center during the past 12 months, think about the one time
you were held the longest. For what length of time were you held?
1
Less than 1 day
2
1 day to less than 3 days
3
3 days to less than 1 week
4
1 week to less than one month
5
1 month to less than 6 months
6
6 months to less than 1 year
7
1 year or more
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SPJLCHRG

[IF SPJLPYNU = 1, 2, 3 or DK/REF] During the past 12 months, were
you held in a prison, jail or juvenile detention center because you were arrested
and charged with breaking the law?
1
Yes
2
No
DK/REF

SPCHRG

[IF SPJLCHRG = YES OR DK/REF] The next questions are about different
offenses that are against the law. During the past 12 months, were you arrested
and charged for …

SPCHRGa
SPCHRGb
SPCHRGc
SPCHRGd
SPCHRGe
SPCHRGf
SPCHRGg

[IF CURNTAGE=12-17] possession of tobacco?
driving under the influence of alcohol or drugs?
drunkenness or other liquor law violations?
possession, manufacture or sale of drugs?
violating probation, parole or a court order?
trespassing?
a weapons violation, such as illegally selling or
possessing a firearm?
SPCHRGh theft or breaking into someplace to steal
something, such as shoplifting, burglary, or car
theft?

820

Yes No
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1

2

SPCHRGi

a violent crime, or harming or threatening to harm
someone else, such as assault, battery, rape, or
manslaughter?
SPCHRGj some other offense(s)?
[PROGRAMMER: Use one-at-a-time grid]
SPCHRjSP

1

2

1

2

[IF SPCHRGj = 1] Please type one of the offenses for which you were arrested
and charged for breaking the law during the past 12 months. When you have
finished, click NEXT to go to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SPCHRjSP.

SPJLPY

[IF SPJLPYNU = 1-3 AND ALL SPCHRGa THROUGH SPCHRGj = 2 OR
DK/REFNE 1] The computer recorded that you were held in a prison, jail, or
juvenile detention center [FILL ANSWER FROM SPJLPYNU] during the past
12 months. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SPJLPYNU2 [IF SPJLPY = 6 or DK/REF] Please answer this question again. How many times
during the past 12 months have you been held in a prison, jail, or juvenile
detention center, even for a short time?
0
0 times
1
1 time
2
2 times
3
3 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SPSUPER

“Probation” is a period of time when a person is supervised in the community
after being convicted of a crime by a judge.
“Parole,” which may also be called “supervised release” or “other conditional
release,” is a period of time when a person is supervised in the community after
being released from prison.
Yes
SPSUPERA Were you on probation at any time during the past 12
months?

821

No

SPDUIAL

SPSUPERB Were you on parole, supervised release, or other
conditional release from prison at any time during the
past 12 months?
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
[IF ALLAST3 = 1 OR 2 OR ALRECDK = 1 OR 2 OR ALRECRE = 1 OR 2] The
next few questions are about driving under the influence.
During the past 12 months, have you driven a vehicle while you were under the
influence of alcohol?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SPDUIOTH [IF ALLAST3 = 1 OR 2 OR ALRECDK = 1 OR 2 OR ALRECRE = 1 OR 2 OR
MJLAST3 = 1 OR 2 OR MJRECDK = 1 OR 2 OR MJRECRE = 1 OR 2 OR
COC12MON = 1 OR CRK12MON=1 OR HER12MON=1 OR HAL12MON=1
OR INH12MON=1 OR MET12MON=1] During the past 12 months, have you
driven a vehicle while you were under the influence of… any drug?

a. alcohol?
b. marijuana?
c. any other drug?
DK/REF

Yes
1
1
1

No
2
2
2

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SPDUIBOTH [IF SPDUIAL = 1 AND SPDUIOTH = 1] During the past 12 months, have you
driven a vehicle while you were under the influence of alcohol and any drug at the
same time?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

INTROSP

The next questions are about encounters with the police or the court system.
Press [ENTER] to continue.

822

SP01 Not counting minor traffic violations, have you ever been arrested and booked for
breaking the law?
Being ‘booked’ means that you were taken into custody and processed by the police or by
someone connected with the courts, even if you were then released.
1
Yes
2
No
DK/REF
SP02 [IF SP01 = 1] Not counting minor traffic violations, how many times during the past 12
months have you been arrested and booked for breaking a law?
__________ [RANGE: 0 - 99]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
INTROBK [IF SP02 = 1 - 99 OR DK/REF] The next questions are about offenses that are
against the law. As you read each question, please answer whether you were arrested
and booked for that offense during the past 12 months.
Press [ENTER] to continue.
SP03a [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for motor vehicle theft?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03b [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for larceny or theft? [IF SP03a = 1 OR DK/REF] Do not include motor vehicle theft.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03c [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for burglary or breaking and entering?
1
Yes
2
No
DK/REF

823

PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03d [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for aggravated assault?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03e [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for other assault, such as simple assault or battery?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03f [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for robbery?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03g [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for forcible rape?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03h [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for murder, homicide, or nonnegligent manslaughter?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03i [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for arson?
1

Yes

824

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03j [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for driving under the influence of alcohol or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03k [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for drunkenness or other liquor law violations?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03l [IF SP02 = 1 - 99 OR DK/REF AND CURNTAGE = 12 - 17] In the past 12 months,
were you arrested and booked for possession of tobacco?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03m
[IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and
booked for possession, manufacture, or sale of drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03n [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked for
prostitution or commercialized sex?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03o [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked for
any other sexual offense, not including rape or prostitution?

825

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03p [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for fraud, possessing stolen goods, or vandalism?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03q [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked
for some other offense besides these that have been named? Please do not include minor
traffic violations.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03qsp [IF SP03q = 1] Please type one of the offenses for which you were arrested and
booked during the past 12 months. For this question, do not include minor traffic
violations. When you have finished, press the [ENTER] key to go to the next
question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SP03qsp.
SP03r [IF SP02 = 1-99 AND ALL SP03a THROUGH SP03q = 2 OR DK/REF] The computer
recorded that you were arrested and booked for breaking a law (1 time/[SP02 FILL]
times) during the past 12 months. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP03rsp [IF SP03r=4] Please type one of the offenses for which you were arrested and booked
during the past 12 months. For this question, do not include minor traffic violations.
When you have finished, press the [ENTER] key to go to the next question.
_____________

826

DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SP03rsp.
SP03s [IF SP03r = 6 or DK/REF] Please answer this question again. Not counting minor traffic
violations, how many times during the past 12 months have you been arrested and
booked for breaking a law?
___________ [RANGE: 0-99]
DK/REF
SP03ssp [IF SP03s = or > 1] Please type one of the offenses for which you were arrested and
booked during the past 12 months. For this question, do not include minor traffic
violations. When you have finished, press the [ENTER] key to go to the next
question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN SP03ssp.
SP04 Were you on probation at any time during the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP05 Were you on parole, supervised release, or other conditional release from prison at
any time during the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
[SP04 and SP05 will remain the same, as per BJS request.]
SP06a

[IF ALLAST3 = 1 OR 2 OR ALRECDK = 1 OR 2 OR ALRECRE = 1 OR 2]
During the past 12 months, have you driven a vehicle while you were under the
influence of alcohol?
3 Yes
4 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SP06b

[IF MJLAST3 = 1 OR 2 OR MJRECDK = 1 OR 2 OR MJRECRE = 1 OR 2]
During the past 12 months, have you driven a vehicle while you were under the
influence of marijuana?

827

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SP06c

[IF COC12MON = 1 OR CRK12MON = 1] During the past 12 months, have
you driven a vehicle while you were under the influence of [COKEFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SP06d

[IF HER12MON=1] During the past 12 months, have you driven a vehicle
while you were under the influence of heroin?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SP06e

[IF HAL12MON=1] During the past 12 months, have you driven a vehicle
while you were under the influence of [LSFILL]?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SP06f

[IF INH12MON=1] During the past 12 months, have you driven a vehicle while
you were under the influence of any inhalant?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SP06g

[IF MET12MON=1] During the past 12 months, have you driven a vehicle
while you were under the influence of methamphetamine?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

SP06h

[IF SP06a=1 AND (SP06b OR SP06c OR SP06d OR SP06e OR SP06f OR
SP06g)=1] During the past 12 months, have you driven a vehicle while you
were under the influence of alcohol only?
1
Yes
2
No
DK/REF

828

PROGRAMMER: SHOW 12 MONTH CALENDAR
SP07 What is the maximum legal penalty in [STATE FILL FROM FIPE4] for first offense
possession of an ounce or less of marijuana for your own use?
1
A fine
2
Probation
3
Community service
4
A possible prison sentence
5
A mandatory prison sentence
6
No penalty
DK/REF
SP08 [IF SP07 NE DK/REF]
[IF SP07 = 1-5] How sure are you that [FILL ANSWER FROM SP07] is the maximum
legal penalty for first offense possession of an ounce or less of marijuana in [STATE
FILL FROM FIPE4]?
[IF SP07 = 6] How sure are you that there is no legal penalty for first offense possession
of an ounce or less of marijuana in [STATE FILL FROM FIPE4]?
1
Very sure
2
Somewhat sure
3
Not at all sure
DK/REF
SP09 In [STATE FILL FROM FIPE4], has marijuana been legally approved for medical use?
1
Yes
2
No
DK/REF

829

Parenting Experiences
(IF FIPE3 =1 ADMINISTER THIS SECTION; ELSE SKIP TO YOUTH
EXPERIENCES IF RESPONDENT IS 12 -17 OR DIINTRO IF RESPONDENT IS
18 OR OLDER)
leadpar

pe01

[IF FIPE3 = 1] These questions refer to your child who was also selected to complete
an interview. Please think about this child as you answer these questions. If you’re
not sure which child was selected, please ask your interviewer.
Press [ENTER] to continue.

[IF FIPE3 = 1] What is the birth date of your child who was also selected to complete an
interview?
Enter your child’s birth date as numbers in the following form: (MM-DD-YYYY)
DOB: _____________
DK/REF

CALCULATE CHILD’S AGE FROM PE01.
HARD ERROR: [IF CALCULATED AGE FROM PE01 < 12 OR ≥ 18]: Tthe birth date
you have entered indicates that your child is [younger than 12/older than 18]. Please check
to make sure the date of birth you have entered is correct. Please press use the [ENTER]
key Back button to return to these questions so that you can revise your answers. Please
verify with your interviewer that this is the child who was also selected to be interviewed
and check to make sure the date of birth you have entered is correct.
PRESS [ENTER] TO CONTINUE.
pe01a [IF PE01 NE DK/REF] The computer calculated that the child who was also selected to
complete an interview is [CALCULATED AGE FROM PE01]. Is this correct?
1
Yes
2
No
DK/REF
pe01b [IF PE01 = DK/REF OR PE01a = 2] How old is the child who was also selected to
complete an interview?
years old [RANGE: 12 - 18]
DK/REF
pe02

[IF PE01a = 1 OR PE01b = 12 - 18] Think about the past 12 months, that is, from
[DATEFILL] through today. Please indicate if you think your child has done any of
these things, even once, during the past 12 months.

830

Yes
pe02a Smoked one or
1
more cigarettes?
pe02b Used an e-cigarette
or other device?
pe02c Drunk any type of
1
alcoholic beverage?
pe02d Drunk more than
1
[[IF QD01=5 THEN FILL
5 IF QD01=9 THEN FILL
4] drinks at the same time
or within a couple of hours
of each other?
pe02e Used any marijuana 1
or hashish cannabis
products?
pe02f Used any inhalant,
1
such as nitrous oxide, glue,
paint thinner or certain
aerosol sprays?
DK
PROGRAMMER: SHOW 12 MONTH CALENDAR

No
2

2
2

2

2

In the past 12 months, do you think your child has smoked one or more cigarettes, even
once?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
pe02b [IF PE01a = 1 OR PE01b = 12 - 18] In the past 12 months, do you think your child has
used any “smokeless” tobacco, such as snuff, dip, chewing tobacco or ”snus”, even once?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
pe02c [IF PE01a = 1 OR PE01b = 12 - 18] In the past 12 months, do you think your child has
drunk any type of alcoholic beverage, even once?
1
Yes
2
No
DK/REF

831

PROGRAMMER: SHOW 12 MONTH CALENDAR
pe02d [IF PE01a = 1 OR PE01b = 12 - 18] In the past 12 months, do you think your child has
used any marijuana or hashish, even once?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
pe02e [IF PE01a = 1 OR PE01b = 12 - 18] In the past 12 months, do you think your child has
used any form of cocaine, such as powder, ‘crack,’ free base or coca paste, even once?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
pe02f [IF PE01a = 1 OR PE01b = 12 - 18] In the past 12 months, do you think your child has
used any inhalant, such as nitrous oxide, glue, paint thinner or certain aerosol sprays,
even once?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
TALK [IF PE01a or PE01b = 12-18] During the past 12 months, have you talked with your
child about the dangers or problems associated with…
Yes
tobacco use?
alcohol use?
marijuana use?
misuse of prescription
drugs?
other drug use?
DK/REF
pe03

No

1
1
1
1

2
2
2
2

1

2

[IF PE01a = 1 OR PE01b = 12 - 18] During the past 12 months, how many times have
you talked with your child about the dangers or problems associated with the use of
tobacco, alcohol, or other drugs?
1
2
3

0 times Not in the past 12 months
1 to 2 times Once or twice
A few times

832

4
Many times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
pe03a [IF PE01a or PE01b = 12-18] During the past 12 months, how many times have you
talked with your child about problems associated emotions, behavior, or mental health?
1
Not in the past 12 months
2
Once or twice
3
A few times
4
Many times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SUIHAR [IF PE01a or PE01b = 12-18] During the past 12 months, how many times have you
talked with your child about the dangers and problems associated suicide or self-harm?
1 Not in the past 12 months
2 Once or twice
3 A few times
4 Many times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
pe04

[IF PE03 = 2 OR 3 OR 4] Think about the most serious and thorough discussion about
drugs you had with your child during the past 12 months. About how long did this
discussion last?
1
Less than 10 minutes
2
10 to 30 minutes
3
31 to 60 minutes
4
More than 60 minutes
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

pe05

[IF PE01a = 1 OR PE01b = 12 - 18] For each of the next statements, please indicate
whether you strongly agree, agree, disagree, or strongly disagree.

pe05a I wish I knew better what to
say to my child about drugs.
pe05b What I say will have little
influence on whether my child uses
drugs.

Strongly
Agree
1

Agree Disagree Strongly
Disagree
2
3
4

1

2

833

3

4

pe05c Drug education is best handled
by the schools, not by parents or
guardians.
pe05d I wish I knew better how to
talk to my child about emotions,
behavior, and mental health.
pe05e I wish I knew better how to
talk to my child about suicide and
self-harm.
There are places in my community or
online where I can learn more about
how to help prevent my child from
using drugs.
DK/REF

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

I wish I knew better what to say to my child about drugs.
1
Strongly agree
2
Agree
3
Disagree
4
Strongly disagree
DK/REF
pe05b [IF PE01a = 1 OR PE01b = 12 - 18] What I say will have little influence on whether my
child uses drugs.
1
Strongly agree
2
Agree
3
Disagree
4
Strongly disagree
DK/REF
pe05c [IF PE01a = 1 OR PE01b = 12 - 18] Drug education is best handled by the schools, not
by parents.
1
Strongly agree
2
Agree
3
Disagree
4
Strongly disagree
DK/REF
pe05d [IF PE01a = 1 OR PE01b = 12 - 18] There are places in my community where I can learn
more about how to help prevent my child from using drugs.
1
2

Strongly agree
Agree

834

3
Disagree
4
Strongly disagree
DK/REF

835

Youth Experiences
(Section Administered to 12 - 17 Year Olds Only; Respondents 18 or Older Skip to
DIINTRO)
LEADSEN [IF CURNTAGE = 12 - 17] The next questions are about school and other
activities.
Press [Enter] to continue.
YE09 [IF CURNTAGE = 12 - 17] The next questions are about school. By “school,” we mean
elementary school, junior high or middle school, high school, or a college or university.
Please include home schooling as well.
Have you attended any type of school at any time during the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE09a [IF YE09 = 2 OR DK/REF] Some parents decide to educate their children at home rather
than send them to school. Have you been home-schooled at any time during the past 12
months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YE10 [IF YE09 = 1 OR YE09a = 1] Which of the statements below best describes how you felt
overall about going to school during the past 12 months?
[IF YE09a = 1] Please think about your home-schooling as you answer these next
questions about “school.”
Which of the statements below best describes how you felt overall about going to being
in school during the past 12 months?
During the past 12 months, how did you feel about being in school?
1
You loved liked going to school a lot
2
You kind of liked going to school some
3
You didn’t like going to school very much
4
You hated going to school
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

836

YE11 [IF YE09 = 1 OR YE09a = 1] During the past 12 months, how often did you feel that
the school work you were assigned to do was meaningful and important?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE12 [IF YE09 = 1 OR YE09a = 1] How important do you think the things you have learned in
school during the past 12 months are going to be to you later in life?
1
Very important
2
Somewhat important
3
Somewhat unimportant
4
Very unimportant
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE13 [IF YE09 = 1 OR YE09a = 1] How interesting do you think most of your courses classes
at school during the past 12 months have been?
1
Very interesting
2
Somewhat interesting
3
Somewhat boring
4
Very boring
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE14 [IF YE09 = 1 OR YE09a = 1] During the past 12 months, how often did your teachers
at school let you know when you were doing a good job with your school work?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE15 [IF YE09 = 1 OR YE09a = 1] What were your grades for the last semester or grading
period you completed?

837

1
An “‘A+’”, “‘A’”, or “‘A-minus’” average
2
A “‘B+’”, “‘B’”, or “‘B-minus’” average
3
A “‘C+’”, “‘C’”, or “‘C-minus’” average
4
A “‘D’” or less than a “‘D’” average
5
My school does not give these grades
DK/REF
CG02 [IF CURNTAGE = 12 - 17 AND (CG01 = 2 OR CGREF1 = 2)] If one of your best
friends offered you a cigarette, would you smoke it?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
DK/REF
CG03 [IF CURNTAGE = 12 - 17 AND (CG01 = 2 OR CGREF1 = 2)] At any time during the
next 12 months do you think you will smoke a cigarette?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
DK/REF

YE16a [IF YE09 = 1] How many of the students in your grade at school would you say smoke
cigarettes?
[IF YE09a = 1] Please think about the school you would be attending if you were not
home-schooled, as you answer these next questions.
How many of the students in your grade at school would you say smoke cigarettes?
1
None of them
2
A few of them
3
About half of them
34
Most of them
45
All of them
DK/REF
YE16b [IF YE09 = 1 OR YE09a = 1] How many of the students in your grade at school would
you say use marijuana or hashish cannabis products?
1
2

None of them
A few of them

838

3
About half of them
34
Most of them
45
All of them
DK/REF
YE16c [IF YE09 = 1 OR YE09a = 1] How many of the students in your grade at school would
you say drink alcoholic beverages?
1
None of them
2
A few of them
3
About half of them
34
Most of them
45
All of them
DK/REF
YE16d [IF YE09 = 1 AND YE16c NE 1 OR YE09a = 1] How many of the students in your
grade at school would you say get drunk at least once a week?
1
None of them
2
A few of them
3
About half of them
34
Most of them
45
All of them
DK/REF
YE06a [IF YE09 = 1 OR YE09a = 1] The next questions ask about your parents or guardians
who live in your household. By parents, we mean either your biological parents,
adoptive parents, step, or foster parents. , or adult guardians who live in your household.
During the past 12 months, how often did your parents or guardians check on whether
you had done your homework?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE06b [IF YE09 = 1 OR YE09a = 1] During the past 12 months, how often did your parents
or guardians provide help with your homework when you needed it?
1
2
3

Never
Seldom Rarely
Sometimes

839

4
Often
45
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE06c [IF YE09 =2 OR DK/REF AND YE09a = 2 OR DK/REF ADD: The next questions ask
about your parents or guardians who live in your household. By parents, we mean either
your biological parents, adoptive parents, stepparents, or foster parents adult guardians
who live in your household. OTHERWISE SIMPLY SHOW QUESTION AS IS.]
During the past 12 months, how often did your parents or guardians make you do
chores around the house?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE06d [IF CURNTAGE = 12 - 17] During the past 12 months, how often did your parents or
guardians limit your time with television, tablets, smartphones, computers, or video
games.the amount of time you watched TV?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE06x [IF CURNTAGE = 12 - 17] During the past 12 months, how often did your parents or
guardians limit what you could do or see on television, tablets, smartphones, computers,
or video games?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YE06y [IF CURNTAGE = 12 - 17] During the past 12 months, how often did your parents or

840

guardians limit your social media use?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE06e [IF YE09=1 OR YE09a = 1] During the past 12 months, how often did your parents or
guardians limit the amount of time you went out with friends on school nights?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE06f [IF CURNTAGE = 12 - 17] During the past 12 months, how often did your parents or
guardians let you know when you’d done a good job?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE06g [IF CURNTAGE = 12 - 17] During the past 12 months, how often did your parents or
guardians tell you they were proud of you for something you had done?
1
Never
2
Seldom Rarely
3
Sometimes
4
Often
45
Always
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YETALK
[IF CURNTAGE = 12-17] During the past 12 months, have your parents or
guardians talked with you about the dangers or problems associated with…

841

Yes
TALKa YETALKCG
smoking cigarettes or
using tobacco?
TALKb YETALKVP
vaping nicotine?
TALKc YETALKAL
drinking alcohol?
TALKd YETALKMJ
using marijuana or any
cannabis product?
TALKe YETALKRX
using prescription drugs
that aren’t yours?
TALKf YETALKOT
using other illegal drugs?
DK/REF

No

1

2

1

2

1

2

1

2

1

2

1

2

pe03aYETALKMH [IF CURNTAGE = 12-17] During the past 12 months, how many times
have your parents or guardians talked with you about problems associated with emotions,
behavior, or mental health?
1
Not in the past 12 months
2
Once or twice
3
A few times
4
Many times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
SUIHARYETALKSUI
[IF CURNTAGE = 12-17] During the past 12 months, how many
times have your parents or guardians talked with you about the dangers and problems
associated suicide or hurting yourself on purpose without trying to kill yourself?
1 Not in the past 12 months
2 Once or twice
3 A few times
4 Many times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18a [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
argued or had a fight with at least one of your parents?
1
2
3

0 times
1 or 2 times
3 to 5 times

842

4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18b [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
gotten into a serious fight at school or work?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18c [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
taken part in a fight where a group of your friends fought against another group?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18d [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
carried a handgun?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18e [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you sold
illegal drugs?
1
2
3
4
5

0 times
1 or 2 times
3 to 5 times
6 to 9 times
10 or more times

843

DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18f [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
stolen or tried to steal anything worth more than $50?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE18g [IF CURNTAGE = 12 - 17] During the past 12 months, how many times have you
attacked someone with the intent to seriously hurt them?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE07a [IF CURNTAGE = 12 - 17] How do you think your parents or guardians would feel
about you smoking one or more packs of cigarettes per cigarettes every day?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE07x YEPARNTVP [IF CURNTAGE = 12 - 17] How do you think your parents or guardians
would feel about you vaping nicotine every day?
1
2
3
4
5

Strongly disapprove
Somewhat disapprove
Neither approve nor disapprove
Somewhat approve
Strongly approve

844

DK/REF
YE07b [IF CURNTAGE = 12 - 17] How do you think your parents or guardians would feel
about you trying marijuana or hashish or cannabis products once or twice?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE07b1
[IF CURNTAGE = 12 - 17] How do you think your parents or guardians would
feel about you using marijuana or hashish or cannabis products once a month or more?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE07c [IF CURNTAGE = 12 - 17] How do you think your parents or guardians would feel
about you having drinking more than [[IF QD01=5 THEN FILL 5 IF QD01=9 THEN
FILL 4] alcohol beverages at the same time or within a couple of hours of each other?
one or two drinks of an alcoholic beverage nearly every day?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE07dYEPARNTRX
[IF CURNTAGE = 12-17] How do you think your parents or
guardians would feel about you using a prescription medication that didn’t belong to
you?

845

1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
DK/REF

YE19a [IF CURNTAGE = 12 - 17] The next questions are about how you feel about someone
your age doing certain things.
How do you feel about someone your age smoking one or more packs of cigarettes a
cigarettes every day?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE19x YEAGEVP [IF CURNTAGE = 12 - 17] How do you feel about someone your age
vaping every day?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
DK/REF

YE19b [IF CURNTAGE = 12 - 17] How do you feel about someone your age trying marijuana
or hashish or cannabis products once or twice?
1
2
3
4
5
1
2

Strongly disapprove
Somewhat disapprove
Neither approve nor disapprove
Somewhat approve
Strongly approve
Neither approve nor disapprove
Somewhat disapprove

846

3
Strongly disapprove
DK/REF
YE19b1 [IF CURNTAGE = 12 - 17] How do you feel about someone your age using marijuana
or cannabis products once a month or more?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE19c [IF CURNTAGE = 12 - 17] How do you feel about someone your age having one or two
drinks of an alcoholic beverage nearly every day drinking four or more alcohol beverages
at the same time or within a couple of hours of each other?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE19dYEAGERX [IF CURNTAGE = 12-17] How do you feel about someone your age
using a prescription medication that didn’t belong to them?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
DK/REF
YE20a [IF CURNTAGE = 12 - 17] The next questions are about how your friends would feel
about you doing certain things.
How do you think your close friends would feel about you smoking one or more packs of
cigarettes a cigarettes every day?

847

1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE20x [IF CURNTAGE = 12 - 17] How do you think your close friends would feel about you
vaping every day?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
DK/REF
YE20b [IF CURNTAGE = 12 - 17] How do you think your close friends would feel about you
trying marijuana or hashish once or twice?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE20b1
[IF CURNTAGE = 12 - 17] How do you think your close friends would feel
about you using marijuana or hashish once a month or more?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF

848

YE20c [IF CURNTAGE = 12 - 17] How do you think your close friends would feel about you
drinking more than [[IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4] alcohol
beverages at the same time or within a couple of hours of each other having one or two
drinks of an alcoholic beverage nearly every day?
1
Strongly disapprove
2
Somewhat disapprove
3
Neither approve nor disapprove
4
Somewhat approve
5
Strongly approve
1
Neither approve nor disapprove
2
Somewhat disapprove
3
Strongly disapprove
DK/REF
YE22 [IF CURNTAGE = 12 - 17] If you wanted to talk to someone about a serious problem,
which of the following people would you turn to?
To select more than one category, press the space bar between each category you
select.Select all that apply.
1
There is nobody I can talk to about serious problems
2
My mother or father or guardian
3
My boyfriend or girlfriend
4
Some other adult
5
Some other person or persons
DK/REF
YE08 [IF CURNTAGE = 12 - 17] Now think about the past 12 months, that is, from
[DATEFILL] through today. During the past 12 months, have you talked with at least
one of your parents about the dangers of tobacco, alcohol, or drug use? By parents, we
mean either your biological parents, adoptive parents, stepparents, or adult guardians -whether or not they live with you.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE23b [IF CURNTAGE = 12 - 17] During the past 12 months have you participated in a
problem solving, communication skills or self-esteem group?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

849

YE23c [IF CURNTAGE = 12 - 17] During the past 12 months have you participated in a
violence prevention program, where you learn ways to avoid fights and control anger?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE23g [IF CURNTAGE = 12 - 17] During the past 12 months have you participated in an
alcohol, tobacco or drug prevention program outside of school, where you learn about the
dangers of using, and how to resist using, alcohol, tobacco, or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE23j [IF CURNTAGE = 12 - 17] During the past 12 months have you participated in a
program or meeting to help you deal with drug or alcohol use by you or another member
of your family, such as Alcoholics Anonymous, Alateen, or individual or group
counseling?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE23o [IF CURNTAGE = 12 - 17] During the past 12 months have you participated in
pregnancy or sexually transmitted disease prevention programs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE23p [IF CURNTAGE = 12 - 17] During the past 12 months, in how many different kinds of
school-based activities, such as team sports, cheerleading, choir, band, student
government, or clubs, have you participated?
0
None
1
One
2
Two
3
3 or more
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

850

YE23q [IF CURNTAGE = 12 - 17] During the past 12 months, in how many different kinds of
community-based activities, such as volunteer activities, sports, clubs, or groups have
you participated?
0
None
1
One
2
Two
3
3 or more
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE23r [IF CURNTAGE = 12 - 17] During the past 12 months, in how many different kinds of
church or faith-based activities, such as clubs, youth groups, Saturday or Sunday school,
prayer groups, youth trips, service or volunteer activities have you participated?
0
None
1
One
2
Two
3
3 or more
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE23s [IF CURNTAGE = 12 - 17] During the past 12 months, in how many different kinds of
other activities, such as dance lessons, piano lessons, karate lessons, or horseback riding
lessons, have you participated?
0
None
1
One
2
Two
3
3 or more
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE24a [IF YE09 = 1 OR YE09a = 1] During the past 12 months have you had a special class
about drugs or alcohol in school?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE24b [IF YE09 = 1 OR YE09a = 1] During the past 12 months have you had films, lectures,
discussions, or printed information about drugs or alcohol in one of your regular school
classes such as health or physical education?

851

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE24c [IF YE09 = 1 OR YE09a = 1] During the past 12 months have you had films, lectures,
discussions, or printed information about drugs or alcohol outside of one of your regular
classes such as in a special assembly?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YE25 [IF YE09 = 1 OR YE09a = 1] During the past 12 months have you seen or heard any
alcohol or drug prevention messages from sources outside school such as posters,
pamphlets, radio, or TV, or online?
[IF YE09 = 2 OR DK/REF AND YE09a = 2 OR DK/REF] During the past 12 months
have you seen or heard any alcohol or drug prevention messages from sources such as
posters, pamphlets, radio, or TV, or online?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YERELATT [IF CURNTAGE = 12 - 17] During the past 12 months, how many times did
you attend religious services? Please do not include special occasions such as
weddings, funerals, or other special events in your answer.
1
0 times
2
1 to 2 times
3
3 to 5 times
4
6 to 24 times
5
25 to 52 times
6
More than 52 times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YEREBEL1 [IF CURNTAGE = 12 - 17] These next questions are about the role that religious
beliefs may play in your life. For each statement, please indicate whether you
strongly disagree, disagree, agree, or strongly agree.
Your religious beliefs are a very important part of your life.

852

1
Strongly Disagree
2
Disagree
3
Agree
4
Strongly Agree
DK/REF
YEREBEL2 [IF CURNTAGE = 12 - 17] Your religious beliefs influence how you make
decisions in your life.
1
Strongly Disagree
2
Disagree
3
Agree
4
Strongly Agree
DK/REF
YEREBEL3 [IF CURNTAGE = 12 - 17] It is important that your friends share your religious
beliefs.
1
Strongly Disagree
2
Disagree
3
Agree
4
Strongly Agree
DK/REF

853

Characteristics of Underage Drinking
CAINTR [IF ALC30USE = 1 AND CALCAGE = 12 - 20] Next, we return to the topic of
alcohol. Remember that by a “drink,” we mean a can or bottle of beer, a glass of
wine or a wine cooler, a shot of liquor, or a mixed drink with liquor in it. We are not
asking about times when you only had a sip or two from a drink.
CA02b

[IF ALC30USE = 1 AND CALCAGE = 12 - 20] In the past 30 days, in which of
these places did you drink alcoholic beverages?
Yes
1
1
1
1
1
1
1
1
1
1

CA02b1 In a car or other vehicle.
CA02b2 In a dorm room or other campus housing
CA02b3 At my home
CA02b4 At someone else’s home
CA02b5 At a park, on a beach, or in a parking lot
CA02b6 At a restaurant, bar, or club
CA02b7 At a concert or sports game
CA02b8 At school or on campus
CA02b9 At a party, wedding, or other celebration
CA02b10 At some other place
DK/REF
PROGRAMMER: USE STATIC GRID
PROGRAMMER: SHOW 30 DAY CALENDAR

No
2
2
2
2
2
2
2
2
2
2

CA02SP [IF CA02b10 = 1] Please type in the other places you drank alcoholic beverages in
the past 30 days. You do not need to give a detailed description — just a few words
will be okay.
[PROGRAMMER: PROVIDE 5 ROWS]
CA03 [IF ALC30USE = 1 AND CALCAGE = 12 - 20] Did you pay for any of the alcoholic
beverages that you drank in the past 30 days?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
CA05 [IF ALC30USE = 1 AND CALCAGE = 12 - 20] There are many ways people can get
alcohol. In the past 30 days, in which of these ways did you get the alcohol you drank?

CA05a [IF CA03 = 1] I bought it at a restaurant, bar,
or club.
CA05b [IF CA03 = 1] I bought it at a liquor store,
convenience store, grocery store, or gas station.

854

Yes
1

No
2

1

2

CA05c [IF CA03 = 1] I bought it at a concert or sports
game.
CA05d I took it from my parents or guardian without
permission.
CA05e I took it from another family member without
permission.
CA05f I took it from someone not related to me
without permission.
CA05g I got it from my parent or guardian.
CA05h I got it from another family member.
CA05i I got it from someone not related to me.
CA05j I got it some other way.
DK/REF
PROGRAMMER: USE STATIC GRID
PROGRAMMER: SHOW 30 DAY CALENDAR

1

2

1

2

1

2

1

2

1
1
1
1

2
2
2
2

CA07SP [IF CA05j = 1] Please type in the other ways in the past 30 days you got the alcoholic
beverages that you drank. You do not need to give a detailed description — just a
few words will be okay.
[PROGRAMMER: PROVIDE 5 ROWS]
CA02a [IF ALC30USE = 1 AND CALCAGE = 12-20] In the past 30 days, were you ever by
yourself when you had one or more alcoholic beverages?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

855

Market Information for Marijuana
MJE01

[IF MJLAST = 1 OR 2 OR MJRECDK = 1 OR 2 OR MJRECRE = 1 OR 2] Now
we return to the topic of marijuana and cannabis products. [IF CBLAST = 1 OR
2] Please do not include CBD or hemp products when answering these questions.
During the past 12 months, how did you get marijuana or cannabis products?

MJE01a I paid for or bought it
MJE01b I traded something else for it
MJE01c I got it from someone for free or shared someone else’s
MJE01d I grew it myself
MJE01e I got it some other way
DK/REF
PROGRAMMER: USE STATIC GRID
PROGRAMMER: SHOW 12 MONTH CALENDAR

Yes
1
1
1
1
1

No
2
2
2
2
2

MJE01e2 [IF MJE01e = 1] In what other way did you get marijuana or cannabis products?
PROGRAMMER: PROVIDE 5 ROWS
___________________________________________________
DK/REF
MJE02

[IF MJE01a = 1] How long has it been since you last paid for or bought
marijuana or cannabis products?
1
Within the past 30 days -- that is since [DATEFILL]
2
More than 30 days ago but within the past 12 months
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MJE03

[IF MJE02 = 1] During the past 30 days, that is, since [DATEFILL], on how
many days did you pay for or buy marijuana or cannabis products?
___________ days in the past 30 days [RANGE: 1 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

856

MJE04

[IF MJE01a = 1] Thinking about the last time you paid for or bought marijuana
or cannabis products, how much did you pay, in total, for the these products?
______________dollars [RANGE: 1 - 9000]
DK/REFMJE04R
[If MJE04 = DK/ REF] The information you
provide is important. The last time you paid for or bought marijuana or cannabis
products, did you pay more or less than 200 dollars?
1
2

Less than $200
$200 or more

MJE04R1 [IF MJE04R = 1] Please look at groups below and select the category that includes
the price you paid, in total, for the marijuana or cannabis products you bought last
time?
1 Less than $25.00
2 $25.00 to $49.99
3 $50.00 to $99.99
4 $100.00 to $149.99
5 $150.00 to $199.99
DK/REF
MJE04R2 [IF MJE04R = 2] Please look at groups below and select the category that includes
the price you paid, in total, for the marijuana or cannabis products you bought last
time?
1
$200 to $299.99
2
$300 to $399.99
3
$400 to $499.99
4
$500 to $599.99
5
$600 to $699.99
6
$700 to $799.99
7
$800 to $899.99
8
$900 to $999.99
9
$1000 or more
DK/REF

857

MJE06

[IF MJE01a = 1] The last time you bought marijuana or cannabis products,
did you buy it from either a store or dispensary?
1 Yes
2 No
DK/REF

MJE07

[ [IF MJE01a = 1] AND [MJE06 = 2 or DK/REF] ] The last time you paid
for or bought marijuana or cannabis products, how well did you know the
person you got it from?
1
Very well
2
Somewhat well
3
Not at all well
DK/REF

MJE05

[IF MJE01a = 1] The last time you paid for or bought marijuana, what
forms of marijuana or cannabis products did you buy?

Did you buy…
MJE05a Pre-rolled joints?
MJE05c Marijuana in loose form?
MJE05d Vaping cartridges, vaping oils, or pre-filled vape
pens?
MJE05e Waxes, shatter, or concentrates, for dabbing?
MJE05f Edibles, for eating or drinking?
MJE05g Drops, strips, lozenges, sprays?
MJE05h Lotion, cream, patches?
MJE05i Pills?
MJE05j Some other form or forms?
DK/REF
MJE08

Yes
1
1
1

No
2
2
2

1
1
1
1
1
1

2
2
2
2
2
2

[IF MJE05a = 1] How many pre-rolled joints did you buy the last time
you bought marijuana or cannabis products?
pre-rolled joints [RANGE: 1 - 500]
DK/REF

MJE09

[IF (MJE05a = 1) AND (MJE05c OR MJE05d OR MJE05e OR MJE05f
OR MEJ05g OR MEJ05h OR MEJ05i OR MEJ05j = 1) AND (MEJ04 NE
DK OR REF)] How much did you pay for the [FILL=joint/joints] you
bought the last time?
_________________________________dollars
DK/REF

1

MJE14

[IF MJE05b = 1] Now we want to know how much marijuana in loose
form you bought the last time you bought marijuana.
Do you want to give your answer in grams, ounces, or pounds?
1
Grams
2
Ounces, such as an “eighth” or a “quarter”
3
Pounds
DK/REF

MJE15

[IF MJE14 = 1] The last time you bought marijuana in loose form, how
many grams did you buy?
__________grams [RANGE 0.5 – 99.0]
DK/REF

MJE15a

[IF MJE15 = DK/REF] The answers you give are important. Which of
these ranges represents the amount of marijuana in loose form you
bought?
1
At least 1 but less than 3 grams
2
At least 3 but less than 5 grams
3
At least 5 but less than 7 grams
4
At least 7 but less than 10 grams
5
At least 10 but less than 15 grams
6
At least 15 but less than 20 grams
7
At least 20 but less than 30 grams
8
30 grams or more
DK/REF

MJE17

[IF MJE14 = 2] The last time you bought marijuana in loose form, how
many ounces did you buy?
1
At least 1/8 but less than 1/4 of an ounce, sometimes called an
“eighth”
2
At least 1/4 but less than 1/3 of an ounce, sometimes called a
“quarter”
3
At least 1/3 but less than 1/2 of an ounce
4
At least 1/2 but less than 1 ounce, sometimes called “half-anounce”
5
At least 1 but less than 2 ounces
6
At least 2 but less than 3 ounces
7
3 ounces or more
DK/REF

2

MJE17a

[IF MJE17 = 7] How many ounces of marijuana did you buy?
__________ounces [RANGE 3 - 50]
DK/REF

MJE18

[IF MJE14 = 3] The last time you bought marijuana in loose form, how many
pounds did you buy?
1
At least half-a-pound but less than 1 pound
2
At least 1 but less than 2 pounds
3
At least 2 but less than 3 pounds
4
At least 3 but less than 4 pounds
5
At least 4 but less than 5 pounds
6
5 or more pounds
DK/REF

MJE18a

[IF MJE18 = 6] How many pounds of marijuana did you buy?
_________pounds [RANGE: 5 - 99]
DK/REF

MJE19

[IF (MJE05c = 1) AND (MJE05a OR MJE05d OR MJE05e OR MJE05f
OR MEJ05g OR MEJ05h OR MEJ05i OR MEJ05j = 1) AND (MEJ04 NE
DK OR REF)] How much did you spend on the loose marijuana you
bought the last time?
______________________________ dollars
DK/REF

MJE21

[IF MJLAST = 1 OR 2 OR MJRECDK = 1 OR 2 OR MJRECRE = 1 OR
2] During the past 12 months, did you sell any marijuana or cannabis
products?
1
Yes
2
N0
DK/REF

3

Back End Demographics
FOSTLIF Have you ever been placed in foster care, a group home, or an orphanage for
one or more nights?
1 Yes
2 No
DK/REF
FOSTPY

[IF FOSTER = 1 OR DK OR REF and CURNTAGE <= 18 ] During the
past 12 months, have you stayed overnight or longer in foster care, a
group home, or an orphanage?
1
Yes
2
No
DK/REF

MOVE

In the past 12 months, have you moved?
1
Yes
2
No
DK/REF

QD13 [IF MOVE = 1] How many times in the past 12 months have you moved? Please
include moves from one residence to another within the same city/town as well as
those from one city/town to another.
1
One time
2
Two times
3
Three times
4
Four or more times
DK/REF
NUMBER OF TIMES:
[RANGE: 0 - 365]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
QD13a

[IF QD13 NE 0] In what state did you live on [FILL PAST 1 YEAR
DATE], that is, one year ago today?
1
2
3
4
5
6
7

Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut

27
28
29
30
31
32
33

4

Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York

8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

Delaware
34
The District Of Columbia (Washington, Dc) 35
Florida
36
Georgia
37
Hawaii
38
Idaho
39
Illinois
40
Indiana
41
Iowa
42
Kansas
43
Kentucky
44
Louisiana
45
Maine
46
Maryland
47
Massachusetts
48
Michigan
49
Minnesota
50
Mississippi
51
Missouri
52
DK/REF

North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Outside Of U.S.

QD14 Were you born in the United States?
1
Yes
2
No
DK/REF
QD15 [IF QD14 = 2] In what country or U.S. territory were you born?
COUNTRY OR US TERRITORY: _________________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN QD15.
QD16a

[IF QD14 = 2 and (QD13 > 0 OR QD13 = DK/REF)] Have you lived in
the United States for at least one year?
1
2

Yes
No

DK/REF
QD16b
[IF QD16a = 1 OR (QD14=2 AND QD13=0 AND QD13 NE DK/REF)]
For how many years have you lived in the United States? Please estimate the
total number of years you have lived here over your lifetime.

5

______________ years [RANGE: 1-90]
DK/REF
QD16c [IF QD16a = 2] For how many months have you lived in the United States?
Please estimate the total number of months you have lived here over your
lifetime. If you have lived in the United States for less than one month, please
enter 0.

______________ months [RANGE: 0-12]
DK/REF
QD62 [IF CURNTAGE = 18 OR OLDER] People are different in their sexual attraction
to other people. Which statement best describes your feelings?
[IF QD01=5]
1 I am only attracted to females
2 I am mostly attracted to females
3 I am equally attracted to females and males
4 I am mostly attracted to males
5 I am only attracted to males
6 I am not sure
DK/REF
[IF QD01=9]
1 I am only attracted to males
2 I am mostly attracted to males
3 I am equally attracted to males and females
4 I am mostly attracted to females
5 I am only attracted to females
6 I am not sure
QD63 [IF CURNTAGE = 18 OR OLDER] Which one of the following do you consider
yourself to be?
1
2
3

Heterosexual, that is, straight
[IF QD01=9 THEN “Lesbian or] Gay
Bisexual
DK/REF

QD55 How well do you speak English?
1
Very well
2
Well
3
Not well
4
Not at all
DK/REF

6

SEE

Do you have difficulty seeing, even if wearing glasses?
1
No difficulty
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all
DK/REF

HEAR

Do you have difficulty hearing, even if using a hearing aid?
1
No difficulty
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all
DK/REF

WALK

Do you have difficulty walking or climbing steps?
1
No difficulty
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all
DK/REF

MEM Do you have difficulty remembering or concentrating?
1
No difficulty
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all
DK/REF
CARE

LANG

Do you have difficulty with self-care, such as washing all over or
dressing?
1
No difficulty
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all
DK/REF
Using your usual language, do you have difficulty communicating, for
example understanding or being understood?
1
No difficulty
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all
DK/REF

QD56 Are you deaf or do you have serious difficulty hearing?
1
Yes

7

2

No

DK/REF

QD57 Are you blind or do you have serious difficulty seeing, even when wearing
glasses?
1
Yes
2
No
DK/REF
QD58 Because of a physical, mental or emotional condition, do you have serious
difficulty concentrating, remembering, or making decisions?
1
Yes
2
No
DK/REF
QD59 Do you have serious difficulty walking or climbing stairs?
1
Yes
2
No
DK/REF
QD60 Do you have difficulty dressing or bathing?
1
Yes
2
No
DK/REF
QD61 [IF CURNTAGE >14] Because of a physical, mental or emotional condition, do
you have difficulty doing errands alone such as visiting a doctors’ office or
shopping?
1
Yes
2
No
DK/REF
CA15 [IF CURNTAGE = 18 OR OLDER] Do you think you ever had a problem with
your own drug or alcohol use?
1
Yes
2
No
DK/REF

8

CA16 [IF CA15=1] At this time do you consider yourself to be in recovery or recovered
from your own problem with drugs or alcohol use?
1
Yes
2
No
DK/REF
CA17 [IF CURNTAGE = 18 OR OLDER] Do you think you ever had a problem with
your own mental health?
1
Yes
2
No
DK/REF
CA18 [IF CA17=1] At this time do you consider yourself to be in recovery or recovered
from your own mental health problem?
1
Yes
2
No
DK/REF
PENTER1

Thank you for your help with this part of the interview. When you leave
this screen, the responses you entered into the computer will be locked and
can no longer be seen by you, the interviewer, or anyone else who uses
this computer. When you are ready, please press 1 and then click Next
[ENTER] to complete this part of the interview and lock your responses.

[ONCE 1 IS ENTERED FOR PENTER1, NO ONE CAN RE-ENTER THE ACASI
PORTION OF THE INTERVIEW.]

ENDAUDIO Your responses have been locked. Please tell your interviewer that you
are finished.
INTERVIEWER: ENTER THE 3-LETTER CODE TO MOVE TO THE
NEXT SECTION.
DEFINE CALCAGE2:
CALCAGE2 = VALUE OF CALCAGE WHEN PENTER1 IS REACHED.

9

Employment
INTRODM2 For the next questions, I will read the question out loud, you can tell me
your answer, and I will enter it into the computer.
PRESS [ENTER] TO CONTINUE
QD26 [IF CURNTAGE = 15 OR OLDER] The next questions are about working. Did
you work at a job or business at any time last week? By last week, I mean the
week beginning on Sunday, [STARTDATE] and ending on Saturday,
[ENDDATE].
Click the question mark button Press F2 to see and hear information about unpaid
work.
1
Yes
2
No
DK/REF

IF F2 IS PRESSED, PLEASE DISPLAY:
• Please include unpaid work in a family farm or
business if you usually work more than 15 hours
each week.
• If you are a student who is given a stipend do not
count that as working.
• If you do volunteer work do not count that as
working.
• If you provide personal labor in exchange for work
done for you, rather than for pay, please count that
as working.
Press Enter to close this box. Then, type in your
response to the question.
QD27 [IF QD26 = 2] Even though you did not work at any time last week, did
you have a job or business? Click the question mark button Press F2 to see and
hear information about unpaid work.

1
Yes
2
No
DK/REF
IF F2 IS PRESSED, PLEASE DISPLAY:
• Please include unpaid work in a family farm or
business if you usually work more than 15 hours
each week.

10

•
•
•

If you are a student who is given a stipend do not
count that as working.
If you do volunteer work do not count that as
working.
If you provide personal labor in exchange for work
done for you, rather than for pay, please count that
as working.
Press Enter to close this box. Then, type in your
response to the question.

QD28 [IF QD26 =1] How many hours did you work last week at all jobs or businesses?
hours [RANGE: 1 - 120]
DK/REF
QD29 [IF (QD28 = 1 - 120 OR DK/REF) OR QD27 = 1] Do you usually work 35 hours
or more per week at all jobs or businesses?
1
Yes
2
No
DK/REF
QD30 [IF QD27 = 1] Which one of these reasons best describes why you did not work
last week?

1
On vacation/sick/furlough/strike/other temporary absence/maternity leave
2
On layoff and not looking for work
3
On layoff and looking for work
4
Waiting to report to a new job
5
Self-employed and did not have any business last week
6
Going to school/training
7
Some other reason
DK/REF
QD31 [IF QD27 = 2 OR DK/REF] Which one of these reasons best describes why you
did not have a job or business last week?
1
2
3
4
5
6
7
8

Looking for work
On layoff and not looking for work
Keeping house or caring for children full time
going to school/training
Retired
Disabled for work
Didn’t want a job
Some other reason

11

DK/REF
QD32 [IF QD31 = 1] During the past 30 days, did you make specific efforts to find
work? Include any contacts you made with anyone about a job, sending out
resumes or applications, placing or answering ads. Do not include only reading
job ads.
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
QD33 [IF QD26 = DK/REF OR QD27 = 2 OR DK/REF] Now, think about the past 12
months, from [DATEFILL] through today. Did you work at a job or business at
any time during the past 12 months?
1
Yes
2
No
DK/REF
DISPLAY 12 MONTH CALENDAR
QD34 [IF QD26 = 1 OR QD33 = 1 OR (QD27 = 1 AND QD30 NE 5). Have you been
self-employed at any time during the past 12 months?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
QD35 [IF QD34 = 1 OR QD30 = 5] How many different employers, including yourself,
have you had in the past 12 months?
different employers [RANGE: 1 - 52]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
QD36 [IF QD34 = 2 OR DK/REF OR (QD34 = BLANK AND QD35 = BLANK AND
(QD30 = 5))] How many different employers have you had in the past 12 months?
different employers [RANGE: 1 - 52]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
QD37 [IF QD26 = 1 OR QD27 = 1] During the past 12 months, was there ever a time
when you did not have at least one job or business?

12

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
QD38 [IF QD37 = 1] In how many weeks during the past 12 months did you not have
at least one job or business?
weeks [RANGE: 0 1 - 52]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
IF QD38=0 HARD ERROR TEXT SHOULD READ: If
less than 1 week, enter 1.

QD39a

[IF QD27 = 2 OR DK/REF] In what year did you last work at a job or
business? If you have never worked for pay, enter 9991.
PROGRAMMER: ADD “YYYY” NEXT TO THE ENTRY FIELD IN THE
TOOL BAR.
____________ YEAR LAST WORKED
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN QD39a.

[IF QD39a > SYSTEM YEAR] HARD ERROR: The year you entered has not begun
yet. Please answer this question again. You entered a year in the future. Please provide a
valid year.The year that the computer recorded is [YEAR FROM QD39a]. Press
[ENTER]Click Next. to close this box and then enter the correct year.
[IF QD39a < (SYSTEM YEAR - CURRENT AGE)] HARD ERROR: The year the
computer recordedyou entered is earlier than your birth date. Press [ENTER] to close
this box and thenPlease double-check the year.Please answer this question again.
QD39b
[IF QD39a = SYSTEM YEAR OR (SYSTEM YEAR – 1)] In what month
in [YEAR FROM QD39a] did you last work at a job or business?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

13

8
August
9
September
10
October
11
November
12
December
DK/REF

QD40 [IF QD26 = 1 OR QD27 = 1] During the past 30 days, that is, from [DATEFILL]
up to and including today, how many whole days of work did you miss because
you were sick or injured? Please do not include days you missed because you
stayed home with a sick child or other family member.
days in the past 30 days [RANGE: 0 - 30]
DK/REF
SHOW 30 DAY CALENDAR
QD41 [IF QD26 = 1 OR QD27 = 1] During the past 30 days, that is, from [DATEFILL]
up to and including today, how many whole days of work did you miss because
you just didn’t want to be there? Please do not include days you missed because
of a planned vacation or days that you stayed home with a sick child or other
family member.
days in the past 30 days [RANGE: 0 - 30]
DK/REF
SHOW 30 DAY CALENDAR
QD43 [IF QD26 = 1 OR QD27 = 1] At your workplace, is there a written policy about
employee use of alcohol or drugs?
1
Yes
2
No
DK/REF
QD44 [IF QD43 = 1] Does this policy cover only alcohol, only drugs, or both alcohol
and drugs?
1
Only alcohol
2
Only drugs
3
Both alcohol and drugs
DK/REF
QD45 [IF QD44 = (1 - 3 OR DK/REF) OR QD43 = (2 OR DK/REF)] At your
workplace, have you ever been given any educational information regarding the
use of alcohol or drugs?

14

1
Yes
2
No
DK/REF
WKEDU
[IF QD26 = 1 or QD27 =1] At your workplace, have you ever been given
any educational information regarding…
Yes
WKEDUa WKEDUAL 1
alcohol use?
WKEDUb WKEDUDR 1
drug use?
WKEDUc WKEDUMH 1
mental health issues?
DK/REF

No
2
2
2

QD46 [IF QD45 = 1 - 3 OR DK/REF] Through your workplace, is there access to any
type of employee assistance program or other type of counseling program for
employees who have alcohol or drug-related problems?
1
Yes
2
No
DK/REF
EAP [IF QD26 = 1 or QD27 =1] Through your workplace, is there access to any type
of employee assistance program or other type of counseling program for…
Yes
EAPa EAPAL alcohol
use?
EAPb EAPDR drug
use?
EAPc EAPMH mental
health issues?
DK/REF

No

1

2

1

2

1

2

QD47 [IF QD46 = 1 - 2 OR DK/REF] Does your workplace ever test its employees for
alcohol use?
1
Yes
2
No
DK/REF
QD48 [IF QD47 = 1 - 2 OR DK/REF] Does your workplace ever test its employees for
drug use?

15

1
Yes
2
No
DK/REF
QD49 [IF QD47 = 1 OR QD48 = 1] Does your workplace test its employees for drug or
alcohol use as part of the hiring process?
1
Yes
2
No
DK/REF
QD50 [IF QD49 = 1 OR 2 OR DK/REF] Does your workplace test its employees for
drug or alcohol use on a random basis?
1
Yes
2
No
DK/REF
QD51 [IF QD47 = 1 OR QD48 = 1] According to the policy at your workplace, what
happens to an employee the first time he or she tests positive for illicit drugs?
1
Handled on an individual basis / policy does not specify what happens
2
Employee is fired
3
Employee is referred for treatment or counseling
4
Nothing happens
5
Something else happens
DK/REF
QD52 [IF QD26 = 1 OR QD27 = 1] Would you be more or less likely to want to work
for an employer that tests its employees for drug use as part of the hiring process?
1
More likely
2
Less likely
3
Would make no difference
DK/REF
QD53 [IF QD52 = 1 - 3 OR DK/REF QD26 = 1 OR QD27 = 1] Would you be more or
less likely to want to work for an employer that tests its employees for drug or
alcohol use on a random basis?
1
More likely
2
Less likely
3
Would make no difference
DK/REF
Household Roster

16

QD54 Altogether, how many people live here now, including yourself? Please include
anyone who (has lived/will live) here for most of (January, February, and
March / April, May, and June / July, August, and September / October,
November, and December).
people in household [RANGE: 1 - 25]
DK/REF
INTERVIEWER NOTE:
If you are interviewing in a transient shelter, enter “1".
If you are interviewing in a group quarters unit that was
listed by room, enter the number of people living in the
room.
IF QD54 = 1 OR DK/REF SKIP TO FIRST QUESTION FOLLOWING HH ROSTER,
OTHERWISE CONTINUE.
DEFINE GRID WITH ROWS EQUAL TO QD54. EACH COLUMN OF THE GRID IS
A QUESTION AS SPEC’D BELOW.
PERAGEYR [IF QD54 = 2 - 25] Now I need some additional information about each
person who lives here. Let’s start with the oldest. How old was he or she
on his or her last birthday? (WORDING FOR ADDITIONAL CYCLES:
How old was the next oldest person on his or her last birthday?)
INTERVIEWER: FOR CHILDREN LESS THAN 24 MONTHS (2
YEARS), ENTER ‘1.’ YOU WILL BE PROMPTED FOR THE AGE IN
MONTHS ON THE NEXT SCREEN.
years old [RANGE: 1 - 110]
DK/REF
CHAGEMON
[IF PERAGEYR = 1] ENTER THE AGE IN WHOLE MONTHS
FOR THIS HOUSEHOLD MEMBER. FOR BABIES UNDER 1
MONTH OLD, ENTER 1.
months old [RANGE: 1 - 23]
DK/REF
CHMONSEX [IF CHAGEMON = 1 - 23] Is the [CHAGEMON FILL]-month old child
a male or a female?
5

MALE

17

9
FEMALE
DK/REF
CHYRSEX

[IF CHAGEMON = DK/REF] Is this child a male or female?
5
MALE
9
FEMALE
DK/REF

PERYRSEX [IF PERAGEYR = 2 - 110 ] Is the [PERAGEYR FILL]-year old person
male or female?
5
MALE
9
FEMALE
DK/REF
PERSEX

[IF PERAGEYR = DK/REF] Is this person a male or a female?
5
MALE
9
FEMALE
DK/REF

MRELATON [IF CHMONSEX OR CHYRSEX OR PERYRSEX OR PERSEX = 5]
[IF QD01 = 5] IF IT IS CLEAR THAT RESPONDENT IS TALKING
ABOUT HIMSELF:
ASK “Is that you?” IF YES, ENTER “1” for “SELF”.
IF RESPONDENT NOT TALKING ABOUT SELF:
HAND R SHOWCARD 67. Please look at this card and tell me which
category best describes his relationship to you.
1
2
3
4
5
6
7
8
9
10
11
12
13
14

SELF
HUSBAND
SON (INCLUDES STEP, FOSTER, ADOPTIVE)
SON-IN LAW
BROTHER (INCLUDES HALF, STEP, FOSTER, ADOPTIVE)
BROTHER-IN-LAW
FATHER (INCLUDES STEP, FOSTER, ADOPTIVE)
FATHER-IN-LAW
UNCLE
NEPHEW
GRANDFATHER
GRANDSON
COUSIN
EX-HUSBAND

18

15
UNMARRIED PARTNER
16
HOUSEMATE OR ROOMMATE
17
TENANT, BOARDER, OR EXCHANGE STUDENT
18
OTHER RELATIVE
19
OTHER NON-RELATIVE
DK/REF
[R GENDER] IF MRELATON=1 AND QD01=9 DISPLAY ERROR BOX THAT
SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE RESPONDENT IS
MALE. EARLIER, YOU RECORDED THE RESPONDENT’S SEX AS FEMALE.
CONFIRM THE RESPONDENT’S SEX AND CORRECT THE ANSWER THAT WAS
ENTERED INCORRECTLY.
CREATE ERROR BOX SO IT ALLOWS R TO GO TO EITHER ANSWER TO FIX IT.
[R AGE] IF MRELATON=1 AND PERAGEYR DOES NOT EQUAL CURNTAGE,
DISPLAY ERROR BOX THAT SAYS: INTERVIEWER: YOU HAVE RECORDED
THAT THE RESPONDENT IS [FILL PERAGEYR]. EARLIER, THE
RESPONDENT’S AGE WAS ENTERED AS [FILL CURNTAGE]. PLEASE
CONFIRM THE RESPONDENT’S AGE. IF YOU NEED TO CORRECT THE AGE
OR RELATIONSHIP GIVEN IN THE ROSTER, HIGHLIGHT THAT QUESTION
NUMBER AND PRESS [ENTER]CLICK NEXT. IF THE ANSWER YOU ENTERED
IN THE ROSTER IS CORRECT, HIGHLIGHT ‘SUPPRESS’ AND PRESS
[ENTER]CLICK NEXT.
[NOTE: FI SHOULD ONLY BE ALLOWED TO CHANGE PERAGEYR AND
MRELATON.]
SUPPMAGE [IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY YOU HAVE CHOSEN TO SUPPRESS THIS ERROR
ALLOW 200 CHARACTERS
[GRANDPARENT YOUNGER THAN R] IF MRELATON = 11 AND PERAGEYR
DOES NOT EQUAL DK OR REF AND IS = OR < CURNTAGE, DISPLAY ERROR
BOX THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S GRANDFATHER IS THE SAME AGE AS OR YOUNGER THAN
THE RESPONDENT. PLEASE VERIFY THIS WITH THE RESPONDENT. IF YOU
NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND
PRESS [ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS,
HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPGDAD [IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.

19

ALLOW 200 CHARACTERS
[GRANDCHILD OLDER THAN R] IF MRELATON = 12 AND PERAGEYR DOES
NOT EQUAL DK OR REF AND IS = OR > CURNTAGE, DISPLAY ERROR BOX
THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S GRANDSON IS THE SAME AGE AS OR OLDER THAN THE
RESPONDENT. PLEASE VERIFY THIS WITH THE RESPONDENT. IF YOU
NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND
PRESS [ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS,
HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPGSON [IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS
[SPOUSE/PARTNER < 16] IF MRELATON = 2 OR 15 OR 14 AND PERAGEYR =
OR < 16, DISPLAY ERROR BOX THAT SAYS: INTERVIEWER: YOU HAVE
RECORDED THAT THE RESPONDENT’S SPOUSE, EX-SPOUSE OR PARTNER IS
16 YEARS OLD OR YOUNGER. PLEASE VERIFY THIS WITH THE
RESPONDENT. IF YOU NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT
QUESTION NUMBER AND PRESS [ENTER]CLICK NEXT. IF THE ANSWERS
ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK
NEXT.
SUPPHUS

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS

[IN-LAW < 16] IF MRELATON = 8 OR 4 AND PERAGEYR = OR < 16, DISPLAY
ERROR BOX THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S [MRELATON] IS 16 YEARS OLD OR YOUNGER. PLEASE
VERIFY THIS WITH THE RESPONDENT. IF YOU NEED TO CORRECT AN
ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND PRESS [ENTER]CLICK
NEXT. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND
PRESS [ENTER]CLICK NEXT.
SUPPMIL

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.

20

ALLOW 200 CHARACTERS
[SON IN-LAW OLDER THAN R] IF MRELATON = 4 AND PERAGEYR DOES
NOT EQUAL DK OR REF AND IS = OR > CURNTAGE, DISPLAY ERROR BOX
THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S SON-IN-LAW IS THE SAME AGE AS OR OLDER THAN THE
RESPONDENT. PLEASE VERIFY THIS WITH THE RESPONDENT. IF YOU
NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND
PRESS [ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS,
HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPSIL

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS

[FATHER IN-LAW YOUNGER THAN R] IF MRELATON = 8 AND PERAGEYR
DOES NOT EQUAL DK OR REF AND IS = OR < CURNTAGE, DISPLAY ERROR
BOX THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S FATHER-IN-LAW IS THE SAME AGE AS OR YOUNGER THAN
THE RESPONDENT. PLEASE VERIFY THIS WITH THE RESPONDENT. IF YOU
NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND
PRESS [ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS,
HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPPIL

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
____________________________ALLOW 200 CHARACTERS

BTWNTYPE [IF AGE1 = AGE OF THIS HOUSEHOLD MEMBER AND
MRELATON=5] Is he your identical twin, fraternal twin, or neither?
1
IDENTICAL TWIN
2
FRATERNAL TWIN
3
NEITHER
DK/REF
FRELATON [IF CHMONSEX OR CHYRSEX OR PERYRSEX OR PERSEX = 9]
[IF QD01 = 9] IF IT IS CLEAR THAT RESPONDENT IS TALKING
ABOUT HERSELF:
ASK “Is that you?” IF YES, ENTER “1” for “SELF”.

21

IF RESPONDENT NOT TALKING ABOUT SELF:
HAND R SHOWCARD 78. Please look at this card and tell me which
category best describes her relationship to you.
1
SELF
2
WIFE
3
DAUGHTER (INCLUDES STEP, FOSTER, ADOPTIVE)
4
DAUGHTER-IN-LAW
5
SISTER (INCLUDES HALF, STEP, FOSTER, ADOPTIVE)
6
SISTER-IN-LAW
7
MOTHER (INCLUDES STEP, FOSTER, ADOPTIVE)
8
MOTHER-IN-LAW
9
AUNT
10
NIECE
11
GRANDMOTHER
12
GRANDDAUGHTER
13
COUSIN
14
EX-WIFE
15
UNMARRIED PARTNER
16
HOUSEMATE OR ROOMMATE
17
TENANT, BOARDER, OR EXCHANGE STUDENT
18
OTHER RELATIVE
19
OTHER NON-RELATIVE
DK/REF

[R GENDER] IF FRELATON=1 AND QD01=5 DISPLAY ERROR BOX THAT
SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE RESPONDENT IS
FEMALE. EARLIER, YOU RECORDED THE RESPONDENT’S SEX AS MALE.
CONFIRM THE RESPONDENT’S SEX AND CORRECT THE ANSWER THAT WAS
ENTERED INCORRECTLY.
CREATE ERROR BOX SO IT ALLOWS R TO GO TO EITHER ANSWER TO FIX IT.
[R AGE] IF FRELATON=1 AND PERAGEYR DOES NOT EQUAL CURNTAGE,
DISPLAY ERROR BOX THAT SAYS: INTERVIEWER: YOU HAVE RECORDED
THAT THE RESPONDENT IS [FILL PERAGEYR]. EARLIER, THE
RESPONDENT’S AGE WAS ENTERED AS [FILL CURNTAGE]. PLEASE
CONFIRM THE RESPONDENT’S AGE. IF YOU NEED TO CORRECT THE AGE
OR RELATIONSHIP GIVEN IN THE ROSTER, HIGHLIGHT THAT QUESTION
NUMBER AND PRESS [ENTER]CLICK NEXT. IF THE ANSWER YOU ENTERED
IN THE ROSTER IS CORRECT, HIGHLIGHT ‘SUPPRESS’ AND PRESS
[ENTER]CLICK NEXT.
[NOTE: FI SHOULD ONLY BE ALLOWED TO CHANGE PERAGEYR AND
FRELATON.]

22

SUPPFAGE [IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY YOU HAVE CHOSEN TO SUPPRESS THIS ERROR
ALLOW 200 CHARACTERS
[GRANDPARENT YOUNGER THAN R] IF FRELATON = 11 AND PERAGEYR
DOES NOT EQUAL DK OR REF AND IS = OR < CURNTAGE, DISPLAY ERROR
BOX THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S GRANDMOTHER IS THE SAME AGE AS OR YOUNGER THAN
THE RESPONDENT. PLEASE VERIFY THIS WITH THE RESPONDENT. IF YOU
NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND
PRESS [ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS,
HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPGMOM

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS

[GRANDCHILD OLDER THAN R] IF FRELATON = 12 AND PERAGEYR DOES
NOT EQUAL DK OR REF AND IS = OR > CURNTAGE, DISPLAY ERROR BOX
THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S GRANDDAUGHTER IS THE SAME AGE AS OR OLDER THAN
THE RESPONDENT. PLEASE VERIFY THIS WITH THE RESPONDENT. IF YOU
NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND
PRESS [ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS,
HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPGDAU [IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS
[SPOUSE/PARTNER < 16] IF FRELATON = 2 OR 15 OR 14 AND PERAGEYR =
OR < 16, DISPLAY ERROR BOX THAT SAYS: INTERVIEWER: YOU HAVE
RECORDED THAT THE RESPONDENT’S SPOUSE, EX-SPOUSE OR PARTNER IS
16 YEARS OLD OR YOUNGER. PLEASE VERIFY THIS WITH THE
RESPONDENT. IF YOU NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT
QUESTION NUMBER AND PRESS [ENTER]CLICK NEXT. IF THE ANSWERS
ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK
NEXT.
SUPPWIF

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]

23

INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS
[IN-LAW < 16] IF FRELATON = 8 OR 4 AND PERAGEYR = OR < 16, DISPLAY
ERROR BOX THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S [FRELATON] IS 16 YEARS OLD OR YOUNGER. PLEASE
VERIFY THIS WITH THE RESPONDENT. IF YOU NEED TO CORRECT AN
ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND PRESS [ENTER]CLICK
NEXT. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND
PRESS [ENTER]CLICK NEXT.
SUPPFIL

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS

[DAUGHTER IN-LAW OLDER THAN R] IF FRELATON = 4 AND PERAGEYR
DOES NOT EQUAL DK OR REF AND IS = OR > CURNTAGE, DISPLAY ERROR
BOX THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S DAUGHTER-IN-LAW IS THE SAME AGE AS OR OLDER THAN
THE RESPONDENT. PLEASE VERIFY THIS WITH THE RESPONDENT. IF YOU
NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND
PRESS [ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS,
HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPDIL

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS

[MOTHER IN-LAW YOUNGER THAN R] IF FRELATON = 8 AND PERAGEYR
DOES NOT EQUAL DK OR REF AND IS = OR < CURNTAGE, DISPLAY ERROR
BOX THAT SAYS: INTERVIEWER: YOU HAVE RECORDED THAT THE
RESPONDENT’S MOTHER-IN-LAW IS THE SAME AGE AS OR YOUNGER THAN
THE RESPONDENT. PLEASE VERIFY THIS WITH THE RESPONDENT. IF YOU
NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND
PRESS [ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS,
HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPGIL

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.

24

_________________________ALLOW 200 CHARACTERS
FTWNTYPE [IF AGE1 = AGE OF THIS HOUSEHOLD MEMBER AND
FRELATON=5 ] Is she your identical twin, fraternal twin, or neither?
1
IDENTICAL TWIN
2
FRATERNAL TWIN
3
NEITHER
DK/REF
[Item removed due to small sample size and low analytic utility.]
MBRSELCT [IF FIPE1 = 1 AND MRELATON NE 1 AND FRELATON NE 1 AND
PERAGEYR = (12 OR OLDER OR DK/REF) AND MBRSELCT NE 1
FOR A PREVIOUS ROSTER MEMBER] WAS THIS HOUSEHOLD
MEMBER ALSO SELECTED TO BE INTERVIEWED? (IF YOU ARE
UNSURE, ATTEMPT TO VERIFY WITH THIS RESPONDENT.)
1
YES
2
NO
DK/REF

RETURN TO PERAGEYR AND CYCLE THROUGH THE QUESTIONS FOR THE
NEXT HOUSEHOLD MEMBER. CONTINUE CYCLES UNTIL THE NUMBER OF
CYCLES = THE NUMBER REPORTED IN QD54.
[OTHER HH MEMBER SELECTED FOR INTERVIEW] IF FIPE1=1 AND
MBRSELCT = 2 FOR ALL HOUSEHOLD MEMBERS, DISPLAY ERROR BOX:
INTERVIEWER: EARLIER, YOU RECORDED THAT 2 PEOPLE WERE SELECTED
AT THIS HOUSEHOLD. THE HOUSEHOLD ROSTER DOES NOT SHOW
ANYONE LISTED AS THE SECOND RESPONDENT. PLEASE VERIFY THE
NUMBER OF PEOPLE SELECTED AT THIS HOUSEHOLD AND FIX THE
APPROPRIATE ANSWER. IF YOU NEED TO CORRECT AN ENTRY, HIGHLIGHT
THAT QUESTION NUMBER AND PRESS [ENTER]CLICK NEXT. IF THE
ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS
[ENTER]CLICK NEXT.
PROGRAMMER – ONLY ALLOW EDITING OF MBRSELCT.

SUPPHHME [IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY YOU HAVE CHOSEN TO SUPPRESS THIS ERROR

25

ALLOW 200 CHARACTERS

[MORE THAN 1 SELF] NOTE TO PROGRAMMERS: ONCE MRELATON OR
FRELATON = 1, PLEASE IMPLEMENT A HARD-ERROR TO OCCUR IF THE FI
ATTEMPTS TO ENTER A “1" FOR EITHER OF THESE VARIABLES FOR
SUBSEQUENT HOUSEHOLD MEMBERS. THE MESSAGE BOX SHOULD READ:
INTERVIEWER: YOU HAVE ALREADY RECORDED “SELF” AS THE
RELATIONSHIP FOR ANOTHER MEMBER OF THIS HOUSEHOLD. “SELF” CAN
ONLY BE CODED FOR ONE MEMBER OF THIS HOUSEHOLD. REVIEW YOUR
ENTRIES AND CORRECT THE APPROPRIATE RELATIONSHIPS AS
NECESSARY.
[MORE THAN 1 SPOUSE/PARTNER] NOTE TO PROGRAMMERS: Once
MRELATON OR FRELATON = 2 OR 15, PLEASE IMPLEMENT A HARD-ERROR
TO OCCUR IF THE FI ATTEMPTS TO ENTER A “2" OR “15” FOR EITHER OF
THESE VARIABLES FOR SUBSEQUENT HOUSEHOLD MEMBERS. THE
MESSAGE BOX SHOULD READ: INTERVIEWER: YOU HAVE RECORDED THAT
THIS IS THE RESPONDENT’S [WIFE/HUSBAND/UNMARRIED PARTNER].
EARLIER, YOU ENTERED THAT THE RESPONDENT ALREADY HAS [A/AN]
[WIFE/HUSBAND/UNMARRIED PARTNER. IF YOU NEED TO CORRECT AN
ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND PRESS [ENTER]CLICK
NEXT. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND
PRESS [ENTER]CLICK NEXT.
SUPPMULT [IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS
[16 YEAR OLD R MARRIED/COHABITATING] IF CURNTAGE = OR < 16, AND
ANY FRELATON OR MRELATON = 2 OR 14 OR 15, DISPLAY ERROR BOX:
INTERVIEWER: YOU HAVE ENTERED THAT THE [CURNTAGE] YEAR OLD
RESPONDENT HAS BEEN MARRIED OR COHABITATING. PLEASE VERIFY
THIS WITH THE RESPONDENT. IF YOU NEED TO CORRECT AN ENTRY,
HIGHLIGHT THAT QUESTION NUMBER AND PRESS [ENTER]CLICK NEXT. IF
THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS
[ENTER]CLICK NEXT.
SUPPRMC

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS

26

[16 YEAR OLD R HAS IN-LAW] IF CURNTAGE = OR < 16, AND ANY
FRELATON OR MRELATON= 8 OR 4, DISPLAY ERROR BOX: INTERVIEWER:
YOU HAVE ENTERED THAT THE [CURNTAGE] YEAR OLD RESPONDENT HAS
AN IN-LAW. PLEASE VERIFY THIS WITH THE RESPONDENT. IF YOU NEED
TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER AND PRESS
[ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT
‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPRINL

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS

[GRANDPARENT/GRANDCHILD AND R LESS THAN 30 YEARS APART] IF
FRELATON OR MRELATON = (12 OR 11) AND PERAGEYR NE DK/REF AND IS
0-29 YEARS > OR < CURNTAGE, DISPLAY ERROR BOX THAT SAYS:
INTERVIEWER: YOU HAVE RECORDED THAT THE RESPONDENT’S
[GRANDPARENT/GRANDCHILD] IS LESS THAN 30 YEARS [OLDER/YOUNGER]
THAN THE RESPONDENT. PLEASE VERIFY THIS WITH THE RESPONDENT. IF
YOU NEED TO CORRECT AN ENTRY, HIGHLIGHT THAT QUESTION NUMBER
AND PRESS [ENTER]CLICK NEXT. IF THE ANSWERS ARE CORRECT AS IS,
HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER]CLICK NEXT.
SUPPGR30

[IF FI CHOOSES TO SUPPRESS THE HARD ERROR ABOVE]
INTERVIEWER: PLEASE PROVIDE A BRIEF EXPLANATION FOR
WHY THE ANSWERS YOU HAVE ENTERED ARE CORRECT AS IS.
ALLOW 200 CHARACTERS

27

Proxy Information
PROXYINT The next questions are about your health insurance coverage and the kinds
and amounts of income that you [IF FAMILY MEMBERS IN ROSTER
THEN FILL “and your family”] receive. This information will help in
planning health care services and finding ways to lower costs of care.
PRESS “1” AND [ENTER] TO CONTINUE.
FAMLY IF QD54 = 1 SKIP TO QHI01
IF MRELATON=16 OR MRELATON=17 OR MRELATON=19 OR
FRELATON=16 OR FRELATON=17 OR FRELATON=19 FOR ALL
PERSONS IN HOUSEHOLD SKIP TO QHI01.
DEFINE FAMILY RELATIONSHIP FILLS:
IF EXACTLY 1 IN ROSTER = (MRELATON = 2), FILL = “husband”
IF MORE THAN 1 IN ROSTER = (MRELATON = 2), FILL = “husbands”
IF EXACTLY 1 IN ROSTER = (MRELATON = 3), FILL = “son”
IF MORE THAN 1 IN ROSTER = (MRELATON = 3 AND), FILL = “sons”
IF EXACTLY 1 IN ROSTER = (MRELATON = 4), FILL = “son-in-law”
IF MORE THAN 1 IN ROSTER = (MRELATON = 4), FILL = “sons-in-law”
IF EXACTLY 1 IN ROSTER = (MRELATON = 5), FILL = “brother”
IF MORE THAN 1 IN ROSTER = (MRELATON = 5), FILL = “brothers”
IF EXACTLY 1 IN ROSTER = (MRELATON = 6), FILL = “brother-in-law”
IF MORE THAN 1 IN ROSTER = (MRELATON = 6), FILL = “brothers-inlaw”
IF EXACTLY 1 IN ROSTER = (MRELATON = 7), FILL = “father”
IF MORE THAN 1 IN ROSTER = (MRELATON = 7), FILL = “fathers”
IF EXACTLY 1 IN ROSTER = (MRELATON = 8), FILL = “father-in-law”
IF MORE THAN 1 IN ROSTER = (MRELATON = 8), FILL = “fathers-inlaw”
IF EXACTLY 1 IN ROSTER = (MRELATON = 9), FILL = “uncle”
IF MORE THAN 1 IN ROSTER = (MRELATON = 9), FILL = “uncles”
IF EXACTLY 1 IN ROSTER = (MRELATON = 10), FILL = “nephew”
IF MORE THAN 1 IN ROSTER = (MRELATON = 10), FILL = “nephews”
IF EXACTLY 1 IN ROSTER = (MRELATON = 11), FILL = “grandfather”

28

IF MORE THAN 1 IN ROSTER = (MRELATON = 11), FILL =
“grandfathers”
IF EXACTLY 1 IN ROSTER = (MRELATON = 12), FILL = “grandson”
IF MORE THAN 1 IN ROSTER = (MRELATON = 12), FILL = “grandsons”
IF EXACTLY 1 IN ROSTER = (MRELATON = 13), FILL = “male cousin”
IF MORE THAN 1 IN ROSTER = (MRELATON = 13), FILL = “male
cousins”
IF EXACTLY 1 IN ROSTER = (MRELATON = 14), FILL = “ex-husband”
IF MORE THAN 1 IN ROSTER = (MRELATON = 14), FILL = “exhusbands”
IF EXACTLY 1 IN ROSTER = (MRELATON = 15 OR FRELATON = 15),
FILL = “partner”
IF MORE THAN 1 IN ROSTER = (MRELATON = 15 OR FRELATON =
15), FILL = “partners”
IF EXACTLY 1 IN ROSTER = (MRELATON = 18), FILL = “other male
relative”
IF MORE THAN 1 IN ROSTER = (MRELATON = 18), FILL = “other male
relatives”
IF EXACTLY 1 IN ROSTER = (FRELATON = 2), FILL = “wife”
IF MORE THAN 1 IN ROSTER = (FRELATON = 2), FILL = “wives”
IF EXACTLY 1 IN ROSTER = (FRELATON = 3), FILL = “daughter”
IF MORE THAN 1 IN ROSTER = (FRELATON = 3), FILL = “daughters”
IF EXACTLY 1 IN ROSTER = (FRELATON = 4), FILL = “daughter-in-law”
IF MORE THAN 1 IN ROSTER = (FRELATON = 4), FILL = “daughters-inlaw”
IF EXACTLY 1 IN ROSTER = (FRELATON = 5), FILL = “sister”
IF MORE THAN 1 IN ROSTER = (FRELATON = 5), FILL = “sisters”
IF EXACTLY 1 IN ROSTER = (FRELATON = 6), FILL = “sister-in-law”
IF MORE THAN 1 IN ROSTER = (FRELATON = 6), FILL = “sisters-inlaw”
IF EXACTLY 1 IN ROSTER = (FRELATON = 7), FILL = “mother”
IF MORE THAN 1 IN ROSTER = (FRELATON = 7), FILL = “mothers”
IF EXACTLY 1 IN ROSTER = (FRELATON = 8), FILL = “mother-in-law”
IF MORE THAN 1 IN ROSTER = (FRELATON = 8), FILL = “mothers-in-

29

law”
IF EXACTLY 1 IN ROSTER = (FRELATON = 9), FILL = “aunt”
IF MORE THAN 1 IN ROSTER = (FRELATON = 9), FILL = “aunts”
IF EXACTLY 1 IN ROSTER = (FRELATON = 10), FILL = “niece”
IF MORE THAN 1 IN ROSTER = (FRELATON = 10), FILL = “nieces”
IF EXACTLY 1 IN ROSTER = (FRELATON = 11), FILL = “grandmother”
IF MORE THAN 1 IN ROSTER = (FRELATON = 11), FILL =
“grandmothers”
IF EXACTLY 1 IN ROSTER = (FRELATON = 12), FILL = “granddaughter”
IF MORE THAN 1 IN ROSTER = (FRELATON = 12), FILL =
“granddaughters”
IF EXACTLY 1 IN ROSTER = (FRELATON = 13), FILL = “female cousin”
IF MORE THAN 1 IN ROSTER = (FRELATON = 13), FILL = “female
cousins”
IF EXACTLY 1 IN ROSTER = (FRELATON = 14), FILL = “ex-wife”
IF MORE THAN 1 IN ROSTER = (FRELATON = 14), FILL = “ex-wives”
IF EXACTLY 1 IN ROSTER = (FRELATON = 18), FILL = “other female
relative”
IF MORE THAN 1 IN ROSTER = (FRELATON = 18), FILL = “other female
relatives”
[Note to Programmers: FAMILY RELATIONSHIP FILLS should be taken
from the roster. They should appear in lower case and be separated by
commas. In QP01, INTROINC, and INTROFI1, the last FAMILY
RELATIONSHIP FILL should be preceded by the word “and.” In all other
situations, the last FAMILY RELATIONSHIP FILL should be preceded by
the word “or.” For example, if a respondent has a father and a husband listed
in the roster, INTROINC should read, “These next questions are about the
kinds and amounts of income received by your family living here, including
you, your father, and your husband.”]
QP01 [IF QD54 > 1 AND RESPONDENT IS ONLY FAMILY MEMBER 18 OR
OLDER AND ALL PERAGEYR NE DK/REF, SKIP TO QHI01]
[IF ROSTER HAS MORE THAN 1 ADULT FAMILY MEMBER LISTED AND
ALL PERAGEYR NE DK/REF ] {FILL ONLY ADULT FAMILY MEMBERS
(PERAGEYR > 17) IN THIS QUESTION} I have listed as adult family members
who live here: your [FAMILY RELATIONSHIP FILLS]. Do you think one of
these people would be better able to give me the correct information about your

30

health insurance coverage and the kinds of income you and your family receive?

[IF ROSTER HAS ONLY 1 ADULT FAMILY MEMBER LISTED] {FILL
ONLY ADULT FAMILY MEMBERS (PERAGEYR > 17) IN THIS
QUESTION} Do you think your [FAMILY RELATIONSHIP FILL] would be
better able to give me the correct information about your health insurance
coverage and the kinds of income you and your family receive?
[IF ROSTER HAS NO FAMILY MEMBER OTHER THAN THE
RESPONDENT LISTED AS 18 OR OLDER, BUT THERE IS AT LEAST 1 DK
OR REF ENTERED FOR ANY PERAGEYR OR THERE IS MORE THAN 1
ADULT LISTED AND AT LEAST 1 DK/REF ENTERED FOR ANY
PERAGEYR.] Is there anyone else who lives here who is 18 or older who would
be better able to give me the correct information about your health insurance
coverage and the kinds of income you and your family receive?
1
2

YES
NO [ACTIVATE PROXYFILL AS “YOU/YOUR” FOR REMAINING
QUESTIONS]
DK/REF [ACTIVATE PROXYFILL AS “YOU/YOUR” FOR
REMAINING QUESTIONS]

QP02 [IF QP01=1 AND MORE THAN 1 ADULT FAMILY MEMBER IN ROSTER]
(Who is the person you think can help us get the correct information for these
questions?) ENTER RELATIONSHIP OF PERSON WHO CAN BETTER
ANSWER THESE QUESTIONS.
[IF QP01 = 1 AND ONLY 1 ADULT FAMILY MEMBER IN ROSTER]
INTERVIEWER: ENTER ‛1’.
[FILL 1-9 WITH AGES AND RELATIONSHIPS FROM THE FIRST NINE
ADULT FAMILY MEMBERS OF THE HOUSEHOLD ROSTER, I.E., “ father”.
FILL UNUSED LINES WITH “DO NOT USE” AND MAKE THEM INVALID.
IF PERAGEYR=DK/REF AND MRELATON=7, 8, OR 11 OR FRELATON=7,
8 OR 11, DISPLAY MRELATON/FRELATON IN QP02]
1
2
3
4
5
6
7
8
9
10

[ROSTER FILL]
[ROSTER FILL]
[ROSTER FILL]
[ROSTER FILL]
[ROSTER FILL]
[ROSTER FILL]
[ROSTER FILL]
[ROSTER FILL]
[ROSTER FILL]
OTHER ADULT RELATIVE

31

DK/REF

QP03 [IF QP01=1 ] (Is your [QP02 FILL] available right now?)
1
2

Yes
No [ACTIVATE PROXYFILL AS “YOU/YOUR” FOR REMAINING
QUESTIONS]

DK/REF [ACTIVATE PROXYFILL AS “YOU/YOUR” FOR REMAINING
QUESTIONS]

QP04 [IF QP03=1] (Would you ask your [QP02 FILL] to join us to help with these last
questions about health insurance and income?)
1
2

YES
NO [ACTIVATE PROXYFILL AS “YOU/YOUR” FOR REMAINING
QUESTIONS]
DK/REF [ACTIVATE PROXYFILL AS “YOU/YOUR” FOR REMAINING
QUESTIONS]

HASJOIN

[IF QP04 = 1] HAS THE PERSON’S [QP02 FILL] JOINED R?
1

2

YES [ACTIVATE PROXYFILL AS “SAMPLE
MEMBER/SAMPLE MEMBER’S” FOR REMAINING
QUESTIONS]
No [ACTIVATE PROXYFILL AS “YOU/YOUR” FOR
REMAINING QUESTIONS]

IF HASJOIN = 1, GO TOPROXY.
IF HASJOIN NE 1, GO TO DEFINE SAMPLE MEMBER
QP03a

[IF (QP03 = 2 OR DK/REF OR QP04=2 OR DK/REF OR HASJOIN=2)
AND ADULTFAMRELCOUNT > 1] Is there any other adult family member
available who might be able to answer these questions?
1 YES
2 NO
DK/REF

IF QP03a = YES THEN RETURN TO QP02

32

PROGRAMMER NOTE: IF QP01=2 OR DK/REF OR QP02=2 OR DR/REF OR
QP03=2 OR DK/REF OR QP04=2 OR DK/REF OR HASJOIN=2 OR QP03a=2 OR
DK/REF THEN ACTIVATE PROXYFILL AS “YOU/YOUR” FOR REMAINING
QUESTIONS.

33

DEFINE SAMPLE MEMBER:
IF QD54 = 1 OR (MRELATON=16 OR MRELATON=17 OR MRELATON=19 OR
FRELATON=16 OR
FRELATON=17 OR FRELATON=19 FOR ALL PERSONS IN HOUSEHOLD) OR
HASJOIN = 2, SAMPLE
MEMBER = “you”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “husband” (MRELATON = 2) OR
“wife” (FRELATON = 2), SAMPLE MEMBER = “your husband”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “son” (MRELATON = 3) OR
“daughter” (FRELATON = 3), SAMPLE MEMBER = “your father”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “son-in-law” (MRELATON = 4) OR
“daughter-in-law” (FRELATON = 4), SAMPLE MEMBER = “your father-in-law”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “brother” (MRELATON = 5) OR
“sister” (FRELATON = 5), SAMPLE MEMBER = “your brother”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “brother-in-law” (MRELATON = 6)
OR “sister-in-law” (FRELATON = 6), SAMPLE MEMBER = “your brother-in-law”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “father” (MRELATON = 7) OR
“mother” (FRELATON = 7), SAMPLE MEMBER = “your son”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “father-in-law” (MRELATON = 8) OR
“mother-in-law” (FRELATON = 8), SAMPLE MEMBER = “your son-in-law”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “uncle” (MRELATON = 9) OR “aunt”
(FRELATON = 9), SAMPLE MEMBER = “your nephew”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “nephew” (MRELATON = 10) OR
“niece” (FRELATON = 10), SAMPLE MEMBER = “your uncle”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “grandfather” (MRELATON = 11) OR
“grandmother” (FRELATON = 11), SAMPLE MEMBER = “your grandson”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “grandson” (MRELATON = 12) OR
“granddaughter” (FRELATON = 12), SAMPLE MEMBER = “your grandfather”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “cousin” (FRELATON = 13 or
MRELATON = 13), SAMPLE MEMBER = “your cousin”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “ex-husband” (MRELATON = 14) OR
“ex-wife” (FRELATON = 14), SAMPLE MEMBER = “your ex-husband”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “partner” (MRELATON = 15 OR
FRELATON = 15), SAMPLE MEMBER = “your partner”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “other male relative” (MRELATON =
18) OR “other female relative” (FRELATON = 18), SAMPLE MEMBER = “your
relative”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “husband” (MRELATON = 2) OR
“wife” (FRELATON = 2), SAMPLE MEMBER = “your husband”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “son” (MRELATON = 3) OR
“daughter” (FRELATON = 3), SAMPLE MEMBER = “your mother”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “son-in-law” (MRELATON = 4) OR
“daughter-in-law” (FRELATON = 4), SAMPLE MEMBER = “your mother-in-law”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “brother” (MRELATON = 5) OR

34

“sister” (FRELATON = 5), SAMPLE MEMBER = “your sister”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “brother-in-law” (MRELATON = 6)
OR “sister-in-law” (FRELATON = 6), SAMPLE MEMBER = “your sister-in-law”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “father” (MRELATON = 7) OR
“mother” (FRELATON = 7), SAMPLE MEMBER = “your daughter”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “father-in-law” (MRELATON = 8) OR
“mother-in-law” (FRELATON = 8), SAMPLE MEMBER = “your daughter-in-law”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “uncle” (MRELATON = 9) OR “aunt”
(FRELATON = 9), SAMPLE MEMBER = “your niece”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “nephew” (MRELATON = 10) OR
“niece” (FRELATON = 10), SAMPLE MEMBER = “your aunt”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “grandfather” (MRELATON = 11) OR
“grandmother” (FRELATON = 11), SAMPLE MEMBER = “your granddaughter”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “grandson” (MRELATON = 12) OR
“granddaughter” (FRELATON = 12), SAMPLE MEMBER = “your grandmother”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “cousin” (MRELATON = 13 or
FRELATON = 13), SAMPLE MEMBER = “your cousin”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “ex-husband” (MRELATON = 14) OR
“ex-wife” (FRELATON = 14), SAMPLE MEMBER = “your ex-wife”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “partner” (MRELATON = 15 OR
FRELATON = 15), SAMPLE MEMBER = “your partner”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “other male relative” (MRELATON =
18) OR “other female relative” (FRELATON = 18), SAMPLE MEMBER = “your
relative”
DEFINE SAMPLE MEMBER POSS
IF QD54 = 1 OR (MRELATON=16 OR MRELATON=17 OR MRELATON=19 OR
FRELATON=16 OR FRELATON=17 OR FRELATON=19 FOR ALL
PERSONS IN HOUSEHOLD) OR HASJOIN = 2, SAMPLE MEMBER
POSS = “your”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “husband” (MRELATON = 2) OR
“wife” (FRELATON = 2), SAMPLE MEMBER POSS = “your husband’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “son” (MRELATON = 3) OR
“daughter” (FRELATON = 3), SAMPLE MEMBER POSS = “your father’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “son-in-law” (MRELATON = 4) OR
“daughter-in-law” (FRELATON = 4), SAMPLE MEMBER POSS = “your father-inlaw’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “brother” (MRELATON = 5) OR
“sister” (FRELATON = 5), SAMPLE MEMBER POSS = “your brother’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “brother-in-law” (MRELATON = 6)
OR “sister-in-law” (FRELATON = 6), SAMPLE MEMBER POSS = “your brother-inlaw’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “father” (MRELATON = 7) OR
“mother” (FRELATON = 7), SAMPLE MEMBER POSS = “your son’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “father-in-law” (MRELATON = 8) OR

35

“mother-in-law” (FRELATON = 8), SAMPLE MEMBER POSS = “your son-in-law’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “uncle” (MRELATON = 9) OR “aunt”
(FRELATON = 9), SAMPLE MEMBER POSS = “your nephew’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “nephew” (MRELATON = 10) OR
“niece” (FRELATON = 10), SAMPLE MEMBER POSS = “your uncle’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “grandfather” (MRELATON = 11) OR
“grandmother” (FRELATON = 11), SAMPLE MEMBER POSS = “your grandson’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “grandson” (MRELATON = 12) OR
“granddaughter” (FRELATON = 12), SAMPLE MEMBER POSS = “your
grandfather’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “cousin” (FRELATON = 13 or
MRELATON = 13), SAMPLE MEMBER = “your cousin’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “ex-husband” (MRELATON = 14) OR
“ex-wife” (FRELATON = 14), SAMPLE MEMBER = “your ex-husband’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “partner” (MRELATON = 15 OR
FRELATON = 15), SAMPLE MEMBER POSS = “your partner’s”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “other male relative” (MRELATON =
18) OR “other female relative” (FRELATON = 18), SAMPLE MEMBER POSS = “your
relative’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “husband” (MRELATON = 2) OR
“wife” (FRELATON = 2), SAMPLE MEMBER POSS = “your wife’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “son” (MRELATON = 3) OR
“daughter” (FRELATON = 3), SAMPLE MEMBER POSS = “your mother’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “son-in-law” (MRELATON = 4) OR
“daughter-in-law” (FRELATON = 4), SAMPLE MEMBER POSS = “your mother-inlaw’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “brother” (MRELATON = 5) OR
“sister” (FRELATON = 5), SAMPLE MEMBER POSS = “your sister’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “brother-in-law” (MRELATON = 6)
OR “sister-in-law” (FRELATON = 6), SAMPLE MEMBER POSS = “your sister-inlaw’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “father” (MRELATON = 7) OR
“mother” (FRELATON = 7), SAMPLE MEMBER POSS = “your daughter’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “father-in-law” (MRELATON = 8) OR
“mother-in-law” (FRELATON = 8), SAMPLE MEMBER POSS = “your daughter-inlaw’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “uncle” (MRELATON = 9) OR “aunt”
(FRELATON = 9), SAMPLE MEMBER POSS = “your niece’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “nephew” (MRELATON = 10) OR
“niece” (FRELATON = 10), SAMPLE MEMBER POSS = “your aunt’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “grandfather” (MRELATON = 11) OR
“grandmother” (FRELATON = 11), SAMPLE MEMBER POSS = “your
granddaughter’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “grandson” (MRELATON = 12) OR
“granddaughter” (FRELATON = 12), SAMPLE MEMBER POSS = “your

36

grandmother’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “cousin” (MRELATON = 13 or
FRELATON = 13), SAMPLE MEMBER = “your cousin”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “ex-husband” (MRELATON = 14) OR
“ex-wife” (FRELATON = 14), SAMPLE MEMBER = “your ex-wife’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “partner” (MRELATON = 15 OR
FRELATON = 15), SAMPLE MEMBER POSS = “your partner’s”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “other male relative” (MRELATON =
18) OR “other female relative” (FRELATON = 18), SAMPLE MEMBER POSS = “your
relative’s”
DEFINE SAMPLE MEMBER A
IF QD54 = 1 OR (MRELATON=16 OR MRELATON=17 OR MRELATON=19 OR
FRELATON=16 OR
FRELATON=17 OR FRELATON=19 FOR ALL PERSONS IN HOUSEHOLD) OR
HASJOIN = 2, SAMPLE
MEMBER A = “Are you”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “husband” (MRELATON = 2) OR
“wife” (FRELATON = 2), SAMPLE MEMBER A = “Is your husband”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “son” (MRELATON = 3) OR
“daughter” (FRELATON = 3), SAMPLE MEMBER A = “Is your father”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “son-in-law” (MRELATON = 4) OR
“daughter-in-law” (FRELATON = 4), SAMPLE MEMBER A = “Is your father-in-law”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “brother” (MRELATON = 5) OR
“sister” (FRELATON = 5), SAMPLE MEMBER A = “Is your brother”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “brother-in-law” (MRELATON = 6)
OR “sister-in-law” (FRELATON = 6), SAMPLE MEMBER A = “Is your brother-inlaw”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “father” (MRELATON = 7) OR
“mother” (FRELATON = 7), SAMPLE MEMBER A = “Is your son”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “father-in-law” (MRELATON = 8) OR
“mother-in-law” (FRELATON = 8), SAMPLE MEMBER A = “Is your son-in-law”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “uncle” (MRELATON = 9) OR “aunt”
(FRELATON = 9, SAMPLE MEMBER A = “Is your nephew”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “nephew” (MRELATON = 10) OR
“niece” (FRELATON = 10), SAMPLE MEMBER A = “Is your uncle”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “grandfather” (MRELATON = 11) OR
“grandmother” (FRELATON = 11), SAMPLE MEMBER A = “Is your grandson”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “grandson” (MRELATON = 12) OR
“granddaughter” (FRELATON = 12), SAMPLE MEMBER A = “Is your grandfather”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “cousin” (FRELATON = 13 or
MRELATON = 13), SAMPLE MEMBER = “Is your cousin”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “ex-husband” (MRELATON = 14) OR
“ex-wife” (FRELATON = 14), SAMPLE MEMBER = “Is your ex-husband”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “partner” (MRELATON = 15 OR

37

FRELATON = 15), SAMPLE MEMBER A = “Is your partner”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “other male relative” (MRELATON =
18) OR “other female relative” (FRELATON = 18), SAMPLE MEMBER A = “Is your
relative”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “husband” (MRELATON = 2) OR
“wife” (FRELATON = 2), SAMPLE MEMBER A = “Is your wife”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “son” (MRELATON = 3) OR
“daughter” (FRELATON = 3), SAMPLE MEMBER A = “Is your mother”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “son-in-law” (MRELATON = 4) OR
“daughter-in-law” (FRELATON = 4), SAMPLE MEMBER A = “Is your mother-inlaw”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “brother” (MRELATON = 5) OR
“sister” (FRELATON = 5), SAMPLE MEMBER A = “Is your sister”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “brother-in-law” (MRELATON = 6)
OR “sister-in-law” (FRELATON = 6), SAMPLE MEMBER A = “Is your sister-in-law”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “father” (MRELATON = 7) OR
“mother” (FRELATON = 7), SAMPLE MEMBER A = “Is your daughter”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “father-in-law” (MRELATON = 8) OR
“mother-in-law” (FRELATON = 8), SAMPLE MEMBER A = “Is your daughter-inlaw”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “uncle” (MRELATON = 9) OR “aunt”
(FRELATON = 9), SAMPLE MEMBER A = “Is your niece”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “nephew” (MRELATON = 10) OR
“niece” (FRELATON = 10), SAMPLE MEMBER A = “Is your aunt”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “grandfather” (MRELATON = 11) OR
“grandmother” (FRELATON = 11), SAMPLE MEMBER A = “Is your granddaughter”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “grandson” (MRELATON = 12) OR
“granddaughter” (FRELATON = 12), SAMPLE MEMBER A = “Is your grandmother”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “cousin” (MRELATON = 13 or
FRELATON = 13), SAMPLE MEMBER = “Is your cousin”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “ex-husband” (MRELATON = 14) OR
“ex-wife” (FRELATON = 14), SAMPLE MEMBER = “Is your ex-wife”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “partner” (MRELATON = 15 OR
FRELATON = 15), SAMPLE MEMBER A = “Is your partner”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “other male relative” (MRELATON =
18) OR “other female relative” (FRELATON = 18), SAMPLE MEMBER A = “Is your
relative”
DEFINE SAMPLE MEMBER B
IF QD54 = 1 OR (MRELATON=16 OR MRELATON=17 OR MRELATON=19 OR
FRELATON=16 OR
FRELATON=17 OR FRELATON=19 FOR ALL PERSONS IN
HOUSEHOLD) OR HASJOIN = 2, SAMPLE MEMBER B = “you are”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “husband” (MRELATON = 2) OR

38

“wife” (FRELATON = 2), SAMPLE MEMBER B = “your husband is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “son” (MRELATON = 3) OR
“daughter” (FRELATON = 3), SAMPLE MEMBER B = “your father is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “son-in-law” (MRELATON = 4) OR
“daughter-in-law” (FRELATON = 4), SAMPLE MEMBER B = “your father-in-law is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “brother” (MRELATON = 5) OR
“sister” (FRELATON = 5), SAMPLE MEMBER B = “your brother is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “brother-in-law” (MRELATON = 6)
OR “sister-in-law” (FRELATON = 6), SAMPLE MEMBER B = “your brother-in-law
is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “father” (MRELATON = 7) OR
“mother” (FRELATON = 7), SAMPLE MEMBER B = “your son is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “father-in-law” (MRELATON = 8) OR
“mother-in-law” (FRELATON = 8), SAMPLE MEMBER B = “your son-in-law is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “uncle” (MRELATON = 9) OR “aunt”
(FRELATON = 9, SAMPLE MEMBER B = “your nephew is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “nephew” (MRELATON = 10) OR
“niece” (FRELATON = 10), SAMPLE MEMBER B = “your uncle is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “grandfather” (MRELATON = 11) OR
“grandmother” (FRELATON = 11), SAMPLE MEMBER B = “your grandson is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “grandson” (MRELATON = 12) OR
“granddaughter” (FRELATON = 12), SAMPLE MEMBER B = “your grandfather is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “cousin” (FRELATON = 13 or
MRELATON = 13), SAMPLE MEMBER = “your cousin is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “ex-husband” (MRELATON = 14) OR
“ex-wife” (FRELATON = 14), SAMPLE MEMBER = “your ex-husband is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “partner” (MRELATON = 15 OR
FRELATON = 15), SAMPLE MEMBER B = “your partner is”
IF QD01 = 5 AND SELECTED FILL IN QP02 = “other male relative” (MRELATON =
18) OR “other female relative” (FRELATON = 18), SAMPLE MEMBER B = “your
relative is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “husband” (MRELATON = 2) OR
“wife” (FRELATON = 2), SAMPLE MEMBER B = “your wife is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “son” (MRELATON = 3) OR
“daughter” (FRELATON = 3), SAMPLE MEMBER B = “your mother is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “son-in-law” (MRELATON = 4) OR
“daughter-in-law” (FRELATON = 4), SAMPLE MEMBER B = “your mother-in-law is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “brother” (MRELATON = 5) OR
“sister” (FRELATON = 5), SAMPLE MEMBER B = “your sister is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “brother-in-law” (MRELATON = 6)
OR “sister-in-law” (FRELATON = 6), SAMPLE MEMBER B = “your sister-in-law is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “father” (MRELATON = 7) OR
“mother” (FRELATON = 7), SAMPLE MEMBER B = “your daughter is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “father-in-law” (MRELATON = 8) OR
“mother-in-law” (FRELATON = 8), SAMPLE MEMBER B = “your daughter-in-law

39

is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “uncle” (MRELATON = 9) OR “aunt”
(FRELATON = 9, SAMPLE MEMBER B = “your niece is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “nephew” (MRELATON = 10) OR
“niece” (FRELATON = 10), SAMPLE MEMBER B = “your aunt is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “grandfather” (MRELATON = 11) OR
“grandmother” (FRELATON = 11), SAMPLE MEMBER B = “your granddaughter is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “grandson” (MRELATON = 12) OR
“granddaughter” (FRELATON = 12), SAMPLE MEMBER B = “your grandmother is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “cousin” (MRELATON = 13 or
FRELATON = 13), SAMPLE MEMBER = “your cousin is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “ex-husband” (MRELATON = 14) OR
“ex-wife” (FRELATON = 14), SAMPLE MEMBER = “your ex-wife is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “partner” (MRELATON = 15 OR
FRELATON = 15), SAMPLE MEMBER B = “your partner is”
IF QD01 = 9 AND SELECTED FILL IN QP02 = “other male relative” (MRELATON =
18) OR “other female relative” (FRELATON = 18), SAMPLE MEMBER B = “your
relative is”

40

Health Insurance
TOPROXY [IF HASJOIN = 1] WHEN [QP02 FILL] HAS JOINED YOU:
The next questions are about [SAMPLE MEMBER POSS] health
insurance coverage and the kinds and amounts of income that [SAMPLE
MEMBER] and other people in your family receive. This information will
help in planning health care services and finding ways to lower costs of
care.
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] WHEN
[QP02 FILL] HAS JOINED YOU
The next questions are about [SAMPLE MEMBER POSS] health
insurance coverage and the kinds and amounts of income that [SAMPLE
MEMBER] and you receive. This information will help in planning health
care services and finding ways to lower costs of care.
PRESS [ENTER] TO CONTINUE.
QHI01

[IF QP03 = 2 OR DK/REF OR QP04 = 2 OR DK/REF OR HASJOIN = 2
ADD THIS TEXT PRIOR TO THE QUESTION: Since your [QP02 FILL] is
not available, I’d like you to answer these next questions the best you can.]
Several government programs provide medical care or help pay medical bills.
Medicare is a health insurance program for people aged 65 and older and for
certain people with disabilities. [SAMPLE MEMBER A] covered by
Medicare?
1
YES
2
NO
DK/REF

QHI01v

[IF QHI01 = 1 AND CURNTAGE < 65] You have indicated that [SAMPLE
MEMBER B] covered by Medicare, which is a health insurance program for
people aged 65 and older and for certain people with disabilities. Is this
correct?
1
YES
2
NO
DK/REF

DEFINE MEDIFILL:
IF FIPE4 =1 THEN MEDIFILL = Patient 1st
IF FIPE4 =2 THEN MEDIFILL = NONE
IF FIPE4 =3 THEN MEDIFILL = AHCCCS or Arizona Health Care Cost
Containment System

41

IF FIPE4 =4 THEN MEDIFILL = NONE
IF FIPE4 =5 THEN MEDIFILL = Medi-Cal
IF FIPE4 =6 THEN MEDIFILL = Health First Colorado
IF FIPE4 =7 THEN MEDIFILL = Husky Health
IF FIPE4 =8 THEN MEDIFILL = NONE
IF FIPE4 =9 THEN MEDIFILL = NONE
IF FIPE4 =10 THEN MEDIFILL = NONE
IF FIPE4 =11 THEN MEDIFILL = NONE
IF FIPE4 =12 THEN MEDIFILL = Med-QUEST
IF FIPE4 =13 THEN MEDIFILL = NONE
IF FIPE4 =14 THEN MEDIFILL = NONE
IF FIPE4 =15 THEN MEDIFILL = NONE
IF FIPE4 =16 THEN MEDIFILL = IA Health Link, Medicaid Fee-for-Service or
FFS
IF FIPE4 =17 THEN MEDIFILL = KanCare
IF FIPE4 =18 THEN MEDIFILL = NONE
IF FIPE4 =19 THEN MEDIFILL = Healthy Louisiana
IF FIPE4 =20 THEN MEDIFILL = MaineCare
IF FIPE4 =21 THEN MEDIFILL = NONE
IF FIPE4 =22 THEN MEDIFILL = MassHealth
IF FIPE4 =23 THEN MEDIFILL = NONE
IF FIPE4 =24 THEN MEDIFILL = MinnesotaCare
IF FIPE4 =25 THEN MEDIFILL = NONE
IF FIPE4 =26 THEN MEDIFILL = MO HealthNet
IF FIPE4 =27 THEN MEDIFILL = NONE
IF FIPE4 =28 THEN MEDIFILL = NONE
IF FIPE4 =29 THEN MEDIFILL = NONE
IF FIPE4 =30 THEN MEDIFILL = NONE
IF FIPE4 =31 THEN MEDIFILL = NJ Family Care
IF FIPE4 =32 THEN MEDIFILL = Centennial Care
IF FIPE4 =33 THEN MEDIFILL = NONE
IF FIPE4 =34 THEN MEDIFILL = NC Health Choice
IF FIPE4 =35 THEN MEDIFILL = NONE
IF FIPE4 =36 THEN MEDIFILL = Healthy Families
IF FIPE4 =37 THEN MEDIFILL = SoonerCare
IF FIPE4 =38 THEN MEDIFILL = Oregon Health Plan or OHP
IF FIPE4 =39 THEN MEDIFILL = Medical Assistance or MA
IF FIPE4 =40 THEN MEDIFILL = NONE
IF FIPE4 =41 THEN MEDIFILL = Healthy Connections
IF FIPE4 =42 THEN MEDIFILL = NONE
IF FIPE4 =43 THEN MEDIFILL = TennCare
IF FIPE4 =44 THEN MEDIFILL = NONE
IF FIPE4 =45 THEN MEDIFILL = NONE
IF FIPE4 =46 THEN MEDIFILL = Green Mountain Care
IF FIPE4 =47 THEN MEDIFILL = NONE
IF FIPE4 =48 THEN MEDIFILL = Apple Health

42

IF FIPE4 =49 THEN MEDIFILL = NONE
IF FIPE4 =50 THEN MEDIFILL = BadgerCare Plus
IF FIPE4 =51 THEN MEDIFILL = NONE
ELSE MEDIFILL = BLANK
QHI02

Medicaid is a public assistance program that pays for medical care for people
with low income and people with disabilities. [IF MEDIFILL NE NONE]
The Medicaid program in [STATE FILL] is also called [MEDIFILL].
Medicaid may also be called Medical Assistance.
[SAMPLE MEMBER A] covered by Medicaid?
1
YES
2
NO
DK/REF

QHI02v

[IF QHI02 = 1 AND CURNTAGE = 65 OR OLDER] You have indicated that
[SAMPLE MEMBER B] covered by Medicaid, which is a public assistance
program that pays for medical care for people with low income and people
with disabilities. Is this correct?
1
YES
2
NO
DK/REF

DEFINE CHIPFILL
IF FIPE4 = 1 THEN CHIPFILL = ALL Kids
IF FIPE4 = 2 THEN CHIPFILL = Denali KidCare or DKC
IF FIPE4 = 3 THEN CHIPFILL = KidsCare
IF FIPE4 = 4 THEN CHIPFILL = ARKids First
IF FIPE4 = 5 THEN CHIPFILL = Healthy Families
IF FIPE4 = 6 THEN CHIPFILL = Child Health Plan Plus, or CHP+
IF FIPE4 = 7 THEN CHIPFILL = Husky Health Program
IF FIPE4 = 8 THEN CHIPFILL = The Delaware Healthy Children Program or
DHCP
IF FIPE4 = 9 THEN CHIPFILL = DC Healthy Families
IF FIPE4 = 10 THEN CHIPFILL = Florida KidCare or Healthy Kids or MediKids
IF FIPE4 = 11 THEN CHIPFILL = PeachCare for Kids
IF FIPE4 = 12 THEN CHIPFILL = QUEST
IF FIPE4 = 13 THEN CHIPFILL = Idaho's State Children's Health Insurance
Program or SCHIP
IF FIPE4 = 14 THEN CHIPFILL = All Kids
IF FIPE4 = 15 THEN CHIPFILL = Hoosier Healthwise, Children's Health
Insurance Program or CHIP
IF FIPE4 = 16 THEN CHIPFILL = Healthy and Well Kids in Iowa or hawk-i

43

IF FIPE4 = 17 THEN CHIPFILL = HealthWave
IF FIPE4 = 18 THEN CHIPFILL = KCHIP or Kentucky Children’s Health
Insurance Program
IF FIPE4 = 19 THEN CHIPFILL = Healthy Louisiana or LaCHIP
IF FIPE4 = 20 THEN CHIPFILL = MaineCare
IF FIPE4 = 21 THEN CHIPFILL = Maryland Children’s Health Program or
MCHP
IF FIPE4 = 22 THEN CHIPFILL = MassHealth
IF FIPE4 = 23 THEN CHIPFILL = MIChild
IF FIPE4 = 24 THEN CHIPFILL = MinnesotaCare
IF FIPE4 = 25 THEN CHIPFILL = Children’s Health Insurance Program or CHIP
IF FIPE4 = 26 THEN CHIPFILL = MO HealthNet for Kids
IF FIPE4 = 27 THEN CHIPFILL = Healthy Montana Kids or HMK
IF FIPE4 = 28 THEN CHIPFILL = Nebraska Kids Connection or Children’s
Health Insurance Program or CHIP
IF FIPE4 = 29 THEN CHIPFILL = Nevada Check Up
IF FIPE4 = 30 THEN CHIPFILL = New Hampshire Children’s Health Insurance
Program or CHIP
IF FIPE4 = 31 THEN CHIPFILL = NJ Family Care
IF FIPE4 = 32 THEN CHIPFILL = New MexiKids or New MexiTeens
IF FIPE4 = 33 THEN CHIPFILL = Child Health Plus
IF FIPE4 = 34 THEN CHIPFILL = North Carolina Health Choice for Children or
NCHC
IF FIPE4 = 35 THEN CHIPFILL = North Dakota Healthy Steps
IF FIPE4 = 36 THEN CHIPFILL = Healthy Start or SCHIP
IF FIPE4 = 37 THEN CHIPFILL = SoonerCare
IF FIPE4 = 38 THEN CHIPFILL = Healthy Kids
IF FIPE4 = 39 THEN CHIPFILL = CHIP or Children’s Health Insurance Program
IF FIPE4 = 40 THEN CHIPFILL = RIte Care or SCHIP
IF FIPE4 = 41 THEN CHIPFILL = Healthy Connections
IF FIPE4 = 42 THEN CHIPFILL = Children’s Health Insurance Program or CHIP
IF FIPE4 = 43 THEN CHIPFILL = CoverKids
IF FIPE4 = 44 THEN CHIPFILL = Children’s Health Insurance Program or CHIP
IF FIPE4 = 45 THEN CHIPFILL = Utah Children’s Health Insurance Program or
CHIP
IF FIPE4 = 46 THEN CHIPFILL = Dr. Dynasaur
IF FIPE4 = 47 THEN CHIPFILL = The Family Access to Medical Insurance
Security Plan or FAMIS
IF FIPE4 = 48 THEN CHIPFILL = Apple Health for Kids
IF FIPE4 = 49 THEN CHIPFILL = West Virginia Children’s Health Insurance
Program or WVCHIP
IF FIPE4 = 50 THEN CHIPFILL = BadgerCare Plus
IF FIPE4 = 51 THEN CHIPFILL = Kid Care CHIP
ELSE CHIPFILL = BLANK
QHI02A [IF CURNTAGE = 12-19] [CHIPFILL] is a program that covers children

44

from low-income families who do not have private health insurance and who
do not qualify for other Medicaid programs. [SAMPLE MEMBER A]
currently covered by [CHIPFILL]?
1
YES
2
NO
DK/REF
QHI03

There are certain programs that cover active duty and retired career military
personnel and their dependents and survivors and also disabled veterans and
their dependents and survivors.
[SAMPLE MEMBER A] currently covered by TRICARE, or CHAMPUS,
CHAMPVA, the VA, or military health care?

INTERVIEWER NOTE:
CHAMPUS stands for Civilian Health and
Medical Program of the Uniformed Services. It
provides health care in private facilities for
dependents of military personnel on active duty
or retired for reasons other than disability. In
some areas, this may be known as TRICARE.
CHAMPVA stands for Civilian Health and
Medical Program of the Department of Veterans
Affairs. It provides health care for the spouse,
dependents, or survivors of a veteran who has a
total, permanent service-connected disability.
The VA provides medical assistance to veterans
of the Armed Forces.
Military health care refers to health care
available to active duty personnel and their
dependents.

1
YES
2
NO
DK/REF
QHI06

Private health insurance can be obtained through work, such as through an
employer, union, or professional association, by paying premiums directly to a
health insurance company, or by purchasing a plan through the Health

45

Insurance Marketplace. It includes coverage by a health maintenance
organization or HMO, fee for service plans, and single service plans.
[SAMPLE MEMBER A] currently covered by private health insurance?
1
YES
2
NO
DK/REF

QHI07

[IF QHI06 = 1] Was [SAMPLE MEMBER POSS] private health insurance
obtained through work, such as through an employer, union, or professional
association? It can be through any family member’s employment, not just
[SAMPLE MEMBER POSS] employment.
1
YES
2
NO
DK/REF

QHI08

[IF QHI06 = 1] Does [SAMPLE MEMBER POSS] private health insurance
include coverage for treatment for any of the following conditions?
Alcohol abuse or alcoholism?
1
YES
2
NO
DK/REF

QHI09

[IF QHI06 = 1] Drug abuse?
1
YES
2
NO
DK/REF

QHI10

[IF QHI06 = 1] Mental or emotional problems?
1
YES
2
NO
DK/REF

QHI11

[IF (QHI01 = 2 OR QHI01v = 2) AND (QHI02 = 2 OR QHI02v = 2) AND
QHI03 = 2 AND QHI06 = 2 AND (IF CURNTAGE = 12 - 19: QHI02a = 2)]
[SAMPLE MEMBER A] currently covered by any kind of health insurance,
that is, any policy or program that provides or pays for medical care?

46

1
YES
2
NO
DK/REF
INTERVIEWER NOTE:
If the respondent reports Indian Health
Insurance, enter “1".

QHI13

[IF (QHI01 = 1 AND QHI01v NE 2) OR (QHI02 = 1 AND QHI02v NE 2)
OR QHI02a = 1 OR QHI03=1 OR QH106 = 1 OR QHI11 = 1] During the
past 12 months, that is from [DATE FILL] through today, was there any time
when [SAMPLE MEMBER] did not have any kind of health insurance or
coverage?

1
YES
2
NO
DK/REF
DEFINE WEREWAS:
IF QD54 = 1 OR HASJOIN = BLANK OR 2 THEN WEREWAS = “'were you”'
ELSE WEREWAS = “'was SAMPLE MEMBER”'
QHI14

[IF QHI13 = 1] During the past 12 months, that is from [DATE FILL]
through today, about how many months [FILL WEREWAS] without any
kind of health insurance or coverage?

INTERVIEWER NOTE:
If the respondent reports less than one month, enter “1".
months in the past 12 months [RANGE: 1 - 12]
DK/REF
QHI15

[IF (QHI01 = 2 OR QHI01v = 2) AND (QHI02 = 2 OR QHI02v = 2) AND
QHI03 = 2 AND QHI06 = 2 AND QHI11 = 2 AND (IF CURNTAGE = 12 19: QHI02a = 2)] About how long has it been since [SAMPLE MEMBER]
last had any kind of health care coverage?
1
2
3
4
5

WITHIN THE PAST 6 MONTHS
MORE THAN 6 MONTHS AGO, BUT WITHIN THE PAST YEAR
MORE THAN 1 YEAR AGO, BUT WITHIN THE PAST 3 YEARS
MORE THAN 3 YEARS AGO
NEVER HAD COVERAGE

47

DK/REF
QHI17

[IF QHI15 = 1 - 4 OR DK/REF] HAND R SHOWCARD 89 Which of the
reasons on this card is the main reason why [SAMPLE MEMBER] stopped
being covered by health insurance?
1

PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB
OR CHANGED EMPLOYERS
2
LOST MEDICAID OR MEDICAL ASSISTANCE COVERAGE
BECAUSE OF NEW JOB OR INCREASE IN INCOME
3
LOST MEDICAID OR MEDICAL ASSISTANCE COVERAGE FOR
SOME OTHER REASON
4
COST IS TOO HIGH/CAN’T AFFORD PREMIUMS
5
BECAME INELIGIBLE BECAUSE OF AGE OR LEAVING
SCHOOL
6
EMPLOYER DOES NOT OFFER COVERAGE, OR NOT
ELIGIBLE FOR COVERAGE
7
GOT DIVORCED OR SEPARATED FROM PERSON WITH
INSURANCE
8
DEATH OF SPOUSE OR PARENT
9
INSURANCE COMPANY REFUSED COVERAGE
10
DON’T NEED IT
11
RECEIVED MEDICAID OR MEDICAL INSURANCE ONLY
WHILE PREGNANT
12
SOME OTHER REASON
DK/REF
QHI18

[IF QHI15 = 5] HAND R SHOWCARD 910 Which of these reasons on this
card describe why [SAMPLE MEMBER] never had health insurance
coverage?
SELECT ALL THAT APPLY.
TO SELECT MORE THAN ONE CATEGORY, PRESS THE SPACE BAR
BETWEEN EACH CATEGORY YOU SELECT.
1
2

COST IS TOO HIGH/CAN’T AFFORD PREMIUMS
EMPLOYER DOES NOT OFFER COVERAGE, OR NOT
ELIGIBLE FOR COVERAGE
3
INSURANCE COMPANY REFUSED COVERAGE
4
DON’T NEED IT
5
SOME OTHER REASON
DK/REF

48

Income
INTROINC [IF NO FAMILY MEMBERS IN ROSTER] These next questions are
about the kinds and amounts of income that you receive.
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1 ] These
next questions are about the kinds and amounts of income received by you
and your [FAMILY RELATIONSHIP FILL].
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] These
next questions are about the kinds and amounts of income received by
[SAMPLE MEMBER] and you.
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER AND
HASJOIN NE 1] These next questions are about the kinds and amounts of
income received by your family living here, including you, your
[FAMILY RELATIONSHIP FILLS].
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER AND
HASJOIN=1] These next questions are about the kinds and amounts of
income received by [SAMPLE MEMBER] and [IF QD01=5 FILL his,
QD01 = 9 FILL her] family living here, including you, [IF QD01=5 FILL
his, QD01 = 9 FILL her] [FAMILY RELATIONSHIP FILLS].
[PROGRAMMER NOTE: THE PROXY SHOULD NOT APPEAR IN
[FAMILY RELATIONSHIP FILLS]. ALSO, USE “‘other”’ AS A
MODIFIER TO THE FAMILY RELATIONSHIP FILL WHEN THE
RELATIONSHIP TYPE IS EQUAL TO PROXY RELATIONSHIP
TYPE AND ONE OF THESE RELATIONSHIP TYPES IS STILL IN
THE LIST. PLEASE PRECEDE EACH RELATIONSHIP WITH
“‘HIS/HER”’. ]
[IF HASJOIN NE 1] These questions refer to the calendar year
[CURRENT YEAR - 1] rather than to the past 12 months that were
referred to in some earlier questions. The calendar year [CURRENT
YEAR - 1] would be from January 1st, [CURRENT YEAR - 1], through
December 31st, [CURRENT YEAR - 1].

QI01N

PRESS [ENTER] TO CONTINUE.
Social Security or Railroad Retirement payments are paid by the U.S.
Government to people who are retired, severely disabled, or are dependents or
survivors of workers.
[IF NO FAMILY MEMBERS IN ROSTER] In [CURRENT YEAR - 1], did
you receive Social Security or Railroad Retirement payments?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1] In

49

[CURRENT YEAR – 1], did you or your [FAMILY RELATIONSHIP FILL]
receive Social Security or Railroad Retirement payments?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] In
[CURRENT YEAR – 1], did [SAMPLE MEMBER] or you receive Social
Security or Railroad Retirement payments?
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER] In [CURRENT
YEAR - 1], did [SAMPLE MEMBER] or any of these same family members
receive Social Security or Railroad Retirement payments?

1
YES
2
NO
DK/REF

QI03N

Supplemental Security Income or SSI is a program administered by a
government agency that makes assistance payments to people with low
income who are aged, blind, or disabled. This is not the same as Social
Security.
[IF NO FAMILY MEMBERS IN ROSTER] In [CURRENT YEAR - 1], did
you receive Supplemental Security Income or SSI?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1] In
[CURRENT YEAR – 1], did you or your [FAMILY RELATIONSHIP FILL]
receive Supplemental Security Income or SSI?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] In
[CURRENT YEAR – 1], did [SAMPLE MEMBER] or you receive
Supplemental Security Income or SSI?
[IF AT LEAST TWO FAMILY MEMBER IN ROSTER] In [CURRENT
YEAR - 1], did [SAMPLE MEMBER] or any of these same family members
receive Supplemental Security Income or SSI?
1
YES
2
NO
DK/REF

QI07N

The Supplemental Nutrition Assistance Program, or SNAP, formerly known
as food stamps, provides assistance for buying food. A special card is issued
which can be used to buy food in grocery stores. SNAP does not include WIC
or free or reduced school lunches.

50

[IF NO FAMILY MEMBERS IN ROSTER] In [CURRENT YEAR - 1], did
you receive SNAP benefits?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1] In
[CURRENT YEAR - 1], did you or your [FAMILY RELATIONSHIP FILL]
receive SNAP benefits?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] In
[CURRENT YEAR - 1], did [SAMPLE MEMBER] or you receive SNAP
benefits?
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER] In [CURRENT
YEAR - 1], did [SAMPLE MEMBER] or any of these same family members
receive SNAP benefits?
1
YES
2
NO
DK/REF
DEFINE TANFFILL:
IF FIPE4 = 1 THEN TANFFILL = the Family Assistance Program or FAP
IF FIPE4 = 2 THEN TANFFILL = the Alaska Temporary Assistance Program or
ATAP
IF FIPE4 = 3 THEN TANFFILL = Cash Assistance or CA
IF FIPE4 = 4 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 5 THEN TANFFILL = California Temporary Assistance for Needy
Families, TANF, or California CalWORKs
IF FIPE4 = 6 THEN TANFFILL = Colorado Works
IF FIPE4 = 7 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 8 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 9 THEN TANFFILL = Temporary Cash Assistance for Needy
Families or TANF
IF FIPE4 = 10 THEN TANFFILL = Temporary Cash Assistance or TCA
IF FIPE4 = 11 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 12 THEN TANFFILL = Temporary Assistance to Needy Families,
TANF, Temporary Assistance to Other Needy Families or TAONF
IF FIPE4 = 13 THEN TANFFILL = Temporary Assistance for Families in Idaho
or TAFI
IF FIPE4 = 14 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 15 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF

51

IF FIPE4 = 16 THEN TANFFILL = the Family Investment Program or FIP
IF FIPE4 = 17 THEN TANFFILL = Cash Assistance or CA
IF FIPE4 = 18 THEN TANFFILL = the Kentucky Transitional Assistance
Program or K-TAP
IF FIPE4 = 19 THEN TANFFILL = The Family Independence Temporary
Assistance Program or FITAP
IF FIPE4 = 20 THEN TANFFILL = Temporary Assistance for Needy Families,
TANF, Additional Support for People in Retraining and Employment or ASPIRE
IF FIPE4 = 21 THEN TANFFILL = Temporary Cash Assistance or TCA
IF FIPE4 = 22 THEN TANFFILL = Transitional Aid to Families with Dependent
Children or TAFDC
IF FIPE4 = 23 THEN TANFFILL = the Family Independence Program or FIP
IF FIPE4 = 24 THEN TANFFILL = the Minnesota Family Investment Program or
MFIP
IF FIPE4 = 25 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 26 THEN TANFFILL = Temporary Assistance or TA
IF FIPE4 = 27 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 28 THEN TANFFILL = Aid to Dependent Children or ADC
IF FIPE4 = 29 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 30 THEN TANFFILL = Financial Assistance to Needy Families or
FANF
IF FIPE4 = 31 THEN TANFFILL = WorkFirst New Jersey or WFNJ
IF FIPE4 = 32 THEN TANFFILL = Temporary Assistance for Needy Families,
TANF, or NMWorks
IF FIPE4 = 33 THEN TANFFILL = Family Assistance or FA
IF FIPE4 = 34 THEN TANFFILL = Work First
IF FIPE4 = 35 THEN TANFFILL = Temporary Assistance for Needy Families,
TANF, Job Opportunities and Basic Skills or JOBS
IF FIPE4 = 36 THEN TANFFILL = Ohio Works First, OWF, or Temporary
Assistance for Needy Families, or TANF
IF FIPE4 = 37 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 38 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 39 THEN TANFFILL = Temporary Assistance for Needy Families,
TANF, or Cash Assistance
IF FIPE4 = 40 THEN TANFFILL = Cash Assistance, Rhode Island Works, RI
Works, or RIW
IF FIPE4 = 41 THEN TANFFILL = Family Independence or FI
IF FIPE4 = 42 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 43 THEN TANFFILL = Families First
IF FIPE4 = 44 THEN TANFFILL = Temporary Assistance for Needy Families or

52

TANF
IF FIPE4 =45 THEN TANFFILL = the Family Employment Program or FEP
IF FIPE4 = 46 THEN TANFFILL = Reach Up, Reach First, or Emergency
Assistance
IF FIPE4 = 47 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 48 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF or WorkFirst
IF FIPE4 = 49 THEN TANFFILL = West Virginia Works or WV Works
IF FIPE4 = 50 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
IF FIPE4 = 51 THEN TANFFILL = Temporary Assistance for Needy Families or
TANF
ELSE TANFFILL = BLANK
QI08N

[IF NO FAMILY MEMBERS IN ROSTER] At any time during [CURRENT
YEAR - 1], even for one month, did you receive any cash assistance from a
state or [IF FIPE4=2 THEN “borough”] [IF FIPE4=19 THEN “parish”] [IF
FIPE4 NE 2 OR 19 THEN “county”] welfare program such as [TANFFILL]?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1 ] At any
time during [CURRENT YEAR - 1], even for one month, did you or your
[FAMILY RELATIONSHIP FILL] receive any cash assistance from a state or
[IF FIPE4=2 THEN “borough”] [IF FIPE4=19 THEN “parish”] [IF FIPE4 NE
2 OR 19 THEN “county”] welfare program such as [TANFFILL]?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] At any time
during [CURRENT YEAR - 1], even for one month, did [SAMPLE
MEMBER] or you receive any cash assistance from a state or [IF FIPE4=2
THEN “borough”] [IF FIPE4=19 THEN “parish”] [IF FIPE4 NE 2 OR 19
THEN “county”] welfare program such as [TANFFILL]?
[IF AT LEAST TWO FAMILY MEMBER IN ROSTER] At any time during
[CURRENT YEAR - 1], even for one month, did [SAMPLE MEMBER] or
any of these same family members receive any cash assistance from a state or
[IF FIPE4=2 THEN “borough”] [IF FIPE4=19 THEN “parish”] [IF FIPE4 NE
2 OR 19 THEN “county”] welfare program such as [TANFFILL]?
1
YES
2
NO
DK/REF
INTERVIEWER NOTE:
If the respondent volunteers receiving welfare payments
from a program other than the one mentioned, or from
another state, record a "yes" response. Do not probe for

53

this information.
QI10N

[IF NO FAMILY MEMBERS IN ROSTER] In [CURRENT YEAR - 1],
because of low income, did you receive any other kind of non-monetary
welfare or public assistance, such as help with getting a job, placement in
education or job training programs, or help with transportation, child care, or
housing?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1] In
[CURRENT YEAR - 1], because of low income, did you or your [FAMILY
RELATIONSHIP FILL] receive any other kind of non-monetary welfare or
public assistance, such as help with getting a job, placement in education or
job training programs, or help with transportation, child care, or housing?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] In
[CURRENT YEAR - 1], because of low income, did [SAMPLE MEMBER]
or you receive any other kind of non-monetary welfare or public assistance,
such as help with getting a job, placement in education or job training
programs, or help with transportation, child care, or housing?
[IF AT LEAST TWO FAMILY MEMBER IN ROSTER] In [CURRENT
YEAR - 1], because of low income, did [SAMPLE MEMBER] or any of these
same family members receive any other kind of non-monetary welfare or
public assistance, such as help with getting a job, placement in education or
job training programs, or help with transportation, child care, or housing?
1
YES
2
NO
DK/REF

QI12AN [IF (QI08N=1 OR QI10N=1) AND QI07N=2]
[IF NO FAMILY MEMBERS IN ROSTER] For how many months in
[CURRENT YEAR - 1] did you receive any type of welfare or public
assistance?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1] For how
many months in [CURRENT YEAR - 1] did you or your [FAMILY
RELATIONSHIP FILL] receive any type of welfare or public assistance?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] For how
many months in [CURRENT YEAR - 1] did [SAMPLE MEMBER] or you
receive any type of welfare or public assistance?
[IF AT LEAST TWO FAMILY MEMBER IN ROSTER] For how many
months in [CURRENT YEAR - 1] did [SAMPLE MEMBER] or any other

54

family member living here receive any type of welfare or public assistance?
[ALL] Please include:
• Cash assistance from a state or [IF FIPE4=2 THEN “borough”] [IF
FIPE4=19 THEN “parish”] [IF FIPE4 NE 2 OR 19 THEN “county”]
welfare program such as [TANFFILL]
• Any other kind of non-monetary welfare or public assistance
months in the past 12 months [RANGE: 1 - 12]
DK/REF
QI12BN [IF (QI08N=1 OR QI10N=1) AND QI07N=(1, DK OR REF)]
[IF NO FAMILY MEMBERS IN ROSTER] For how many months in
[CURRENT YEAR - 1] did you receive any type of welfare or public
assistance, not including SNAP benefits?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1] For how
many months in [CURRENT YEAR - 1] did you or your [FAMILY
RELATIONSHIP FILL] receive any type of welfare or public assistance, not
including SNAP benefits?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] For how
many months in [CURRENT YEAR - 1] did [SAMPLE MEMBER] or you
receive any type of welfare or public assistance, not including SNAP
benefits?
[IF AT LEAST TWO FAMILY MEMBER IN ROSTER] For how many
months in [CURRENT YEAR - 1] did [SAMPLE MEMBER] or any other
family member living here receive any type of welfare or public assistance,
not including SNAP benefits?
[ALL] Please include:
• Cash assistance from a state or [IF FIPE4=2 THEN “borough”] [IF
FIPE4=19 THEN “parish”] [IF FIPE4 NE 2 OR 19 THEN “county”]
welfare program such as [TANFFILL]
• Any other kind of non-monetary welfare or public assistance

months in the past 12 months [RANGE: 1 - 12]
DK/REF
INTRTINN The next questions are about total income from all sources. I’ll read you a
list of sources of income people may receive, including those asked about in
earlier questions. When you answer the next questions, please consider all
these possible income sources.

55

HAND R SHOWCARD 11
INTERVIEWER: PLEASE READ THIS ALOUD TO THE RESPONDENT
AS HE/SHE FOLLOWS ALONG ON THE SHOWCARD.
Income earned at a job or business
Retirement, disability, or survivor pension
Unemployment or worker's compensation
Veteran's Administration payments
Child support
Alimony
Interest income
Dividends from stocks or mutual funds
Income from rental properties, royalties, estates or trusts
Social Security or Railroad Retirement Payments
Supplemental Security Income or SSI
Supplemental Nutrition Assistance Program or SNAP
Cash assistance from a state or local welfare program such as Temporary
Assistance for Needy Families (TANF)
INTERVIEWER: CHILD SUPPORT SHOULD BE REPORTED UNDER
THE PARENT’S INCOME, NOT THE CHILD’S INCOME.
PRESS [ENTER] TO CONTINUE.
QI20N

[IF NO FAMILY MEMBERS IN ROSTER] Before taxes and other
deductions, was your total personal income from all sources during
[CURRENT YEAR - 1] more or less than 20,000 dollars?
[IF AT LEAST ONE FAMILY MEMBER IN ROSTER] Now I am going to
ask about [SAMPLE MEMBER POSS] own personal income. Before taxes
and other deductions, was [SAMPLE MEMBER POSS] total personal
income from all sources during [CURRENT YEAR – 1] more or less than
20,000 dollars?
(Income data are important in analyzing the health information we collect.
For example, the information helps us to learn whether people in one income
group use certain types of medical care services or have conditions more or
less often than those in another group.)
1
$20,000 OR MORE
2
LESS THAN $20,000
DK/REF

QI21A

[IF QI20N = 2] HAND R SHOWCARD 1112 Of these income groups, which

56

category best represents [SAMPLE MEMBER POSS] total personal income
during [CURRENT YEAR - 1]?
(Income data are important in analyzing the health information we collect.
For example, the information helps us to learn whether people in one income
group use certain types of medical care services or have conditions more or
less often than those in another group.)
1
LESS THAN $1,000
2
$1,000 - $1,999
3
$2,000 - $2,999
4
$3,000 - $3,999
5
$4,000 - $4,999
6
$5,000 - $5,999
7
$6,000 - $6,999
8
$7,000 - $7,999
9
$8,000 - $8,999
10
$9,000 - $9,999
11
$10,000 - $10,999
12
$11,000 - $11,999
13
$12,000 - $12,999
14
$13,000 - $13,999
15
$14,000 - $14,999
16
$15,000 - $15,999
17
$16,000 - $16,999
18
$17,000 - $17,999
19
$18,000 - $18,999
20
$19,000 - $19,999
DK/REF
QI21B

[IF QI20N = 1] HAND R SHOWCARD 1213 Of these income groups, which
category best represents [SAMPLE MEMBER POSS] total personal income
during [CURRENT YEAR - 1]?
(Income data are important in analyzing the health information we collect.
For example, the information helps us to learn whether people in one income
group use certain types of medical care services or have conditions more or
less often than those in another group.)

21
22
23
24
25
26
27

$20,000 - $24,999
$25,000 - $29,999
$30,000 - $34,999
$35,000 - $39,999
$40,000 - $44,999
$45,000 - $49,999
$50,000 - $74,999

57

28
$75,000 - $99,999
29
$100,000 - $149,999
30
$150,000 OR MORE
DK/REF

INTROFI1

[IF MORE THAN ONE FAMILY MEMBER IN ROSTER AND IF
QI21B NE 30]
Next, we would like to know about the total family income from all
sources during [CURRENT YEAR - 1] before taxes and other
deductions.
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1 ] We
would like you to combine everyone’s income – that is, yours and that of
your [FAMILY RELATIONSHIP FILL].
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] We
would like you to combine everyone’s income – that is, [SAMPLE
MEMBER POSS] and yours.
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER AND
HASJOIN NE 1] We would like you to combine everyone’s income – that
is, yours and that of your [FAMILY RELATIONSHIP FILLS].
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER AND
HASJOIN = 1] We would like you to combine everyone’s income — that
is, yours, [SAMPLE MEMBER POSS] and that of [IF QD01 = 5 FILL
his, QD = 9 FILL her] [FAMILY RELATIONSHIP FILLS] living here.
[PROGRAMMER NOTE: THE PROXY SHOULD NOT APPEAR IN
[FAMILY RELATIONSHIP FILLS]. ALSO, USE “‘other”’ AS A
MODIFIER TO THE FAMILY RELATIONSHIP FILL WHEN THE
RELATIONSHIP TYPE IS EQUAL TO PROXY RELATIONSHIP
TYPE AND ONE OF THESE RELATIONSHIP TYPES IS STILL IN
THE LIST.]
Please include all of the sources of income that we just talked about.

PRESS [ENTER] TO CONTINUE
QI22

[IF MORE THAN ONE FAMILY MEMBER IN ROSTER AND (QI20N NE
1)] Before taxes and other deductions, was the total combined family
income during [CURRENT YEAR - 1] more or less than 20,000 dollars?

1

$20,000 OR MORE

58

2
LESS THAN $20,000
DK/REF
QI23A

[IF QI22=2]
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1 ] HAND R
SHOWCARD 1112 Of these income groups, which category best represents
your total combined family income during [CURRENT YEAR – 1] – that is,
yours and that of your [FAMILY RELATIONSHIP FILL].
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] HAND R
SHOWCARD 1112 Of these income groups, which category best represents
your total combined family income during [CURRENT YEAR – 1] – that is,
your [SAMPLE MEMBER POSS] and yours.
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER AND HASJOIN
NE 1] HAND R SHOWCARD 1112 Of these income groups, which category
best represents your total combined family income during [CURRENT
YEAR – 1] – that is, yours and that of your [RELATIONSHIP FILLS].
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER AND HASJOIN
=1] HAND R SHOWCARD 1112 Of these income groups, which category
best represents your total combined family income during [CURRENT
YEAR - 1]-- that is, yours, [SAMPLE MEMBER POSS], and that of [IF
QD01 = 5 FILL his, QD01 = 9 FILL her] [FAMILY RELATIONSHIP
FILLS] living here? [PROGRAMMER NOTE: THE PROXY SHOULD NOT
APPEAR IN [FAMILY RELATIONSHIP FILLS]. ALSO, USE “‘other”’ AS
A MODIFIER TO THE FAMILY RELATIONSHIP FILL WHEN THE
RELATIONSHIP TYPE IS EQUAL TO PROXY RELATIONSHIP TYPE
AND ONE OF THESE RELATIONSHIP TYPES IS STILL IN THE LIST.]

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

LESS THAN $1,000
$1,000 - $1,999
$2,000 - $2,999
$3,000 - $3,999
$4,000 - $4,999
$5,000 - $5,999
$6,000 - $6,999
$7,000 - $7,999
$8,000 - $8,999
$9,000 - $9,999
$10,000 - $10,999
$11,000 - $11,999
$12,000 - $12,999
$13,000 - $13,999
$14,000 - $14,999

59

16
$15,000 - $15,999
17
$16,000 - $16,999
18
$17,000 - $17,999
19
$18,000 - $18,999
20
$19,000 - $19,999
DK/REF
QI23B

[IF (QI22=1 OR QI20N = 1) AND QI21B NE 30]
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1 ] HAND R
SHOWCARD 1213 Of these income groups, which category best represents
your total combined family income during [CURRENT YEAR – 1] – that is,
yours and that of your [FAMILY RELATIONSHIP FILL]?
[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] HAND R
SHOWCARD 1213 Of these income groups, which category best represents
your total combined family income during [CURRENT YEAR – 1] – that is,
[SAMPLE MEMBER POSS] and yours?
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER AND HASJOIN
NE 1] HAND R SHOWCARD 1213 Of these income groups, which category
best represents your total combined family income during [CURRENT
YEAR – 1] – that is, yours and that of your [FAMILY RELATIONSHIP
FILLS]?
[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER AND HASJOIN
=1] HAND R SHOWCARD 1213 Of these income groups, which category
best represents your total combined family income during [CURRENT
YEAR - 1]-- that is, yours, [SAMPLE MEMBER POSS], and that of [IF
QD01 = 5 FILL his, QD01 =9 FILL her] [FAMILY RELATIONSHIP FILLS]
living here? [PROGRAMMER NOTE: THE PROXY SHOULD NOT
APPEAR IN [FAMILY RELATIONSHIP FILLS]. ALSO, USE “‘other”’ AS
A MODIFIER TO THE FAMILY RELATIONSHIP FILL WHEN THE
RELATIONSHIP TYPE IS EQUAL TO PROXY RELATIONSHIP TYPE
AND ONE OF THESE RELATIONSHIP TYPES IS STILL IN THE LIST.]

21
22
23
24
25
26
27
28

$20,000 - $24,999
$25,000 - $29,999
$30,000 - $34,999
$35,000 - $39,999
$40,000 - $44,999
$45,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999

60

29 $100,000 - $149,999
30 $150,000 OR MORE
DK/REF
CELL2

Do you or anyone at this address have a cell phone that is currently
working?
INTERVIEWER NOTE: We are asking
whether you or anyone at this address has a
cell phone that currently works and can be
used to make or receive calls.
1
YES
2
NO
DK/REF

CELL1

ENDPROXY

Is there at least one telephone at this address that is not a cell phone?
1
YES
2
NO
DK/REF

[IF HASJOIN=1] Thank you for answering these questions.
IF RESPONDENT IS A MINOR: COMPLETE QC FORM WITH A
PARENT/GUARDIAN.
IF RESPONDENT IS AN ADULT: COMPLETE QC FORM WITH
RESPONDENT.
PRESS [ENTER] TO CONTINUE.

61

Verification
QCID

ENTER THE QC ID FROM THE QUALITY CONTROL FORM FOR
THIS INTERVIEW. THE QC ID IS LOCATED IN THE UPPER RIGHT
HAND CORNER OF THE QUALITY CONTROL FORM. THE
HYPHEN MUST BE INCLUDED.

CASEID ENTER THE CASE ID FOR THIS INTERVIEW.
BE SURE TO INCLUDE A OR B AT THE END OF THE CASE ID.
TOALLR3I It is important that I do my job correctly; therefore, my supervisors will be
checking on my work. Would you help me by giving me your phone number?
I will enter it into this tablet.

This information is kept separate from the responses that were entered so they
will still be completely private.
PRESS [ENTER] TO CONTINUE.
TABLETQC ON TABLET RESPONDENT SELECTION SCREEN, OPEN QCU
FORM.
COMPLETE QC PROCESS (PHONE, CONFIRM ADDRESS, AND IF
YOUTH, WHO GAVE PERMISSION).
INCENT01

HAND RESPONDENT ($30/$50) CASH.

MARK THE APPROPRIATE ‘CASH ACCEPTANCE’ BOX ON THE
INTERVIEW INCENTIVE RECEIPT.
SIGN AND DATE INTERVIEW INCENTIVE RECEIPT AND GIVE TOP
COPY TO RESPONDENT.
I have signed this form to indicate that I have given you ($30/$50) for this
interview. At the bottom of this form, we have included national hotline
numbers that you can call if you ever feel you need to talk to someone about
mental health or drug use issues.
IF NOT DONE EARLIER, GIVE ADULT RESPONDENT OR
PARENT/GUARDIAN OF YOUTH THE Q&A BROCHURE AND SAY:
For more details on the National Survey on Drug Use and Health, this

62

brochure includes answers to common questions, website addresses and other
information.
PRESS [ENTER] TO CONTINUE.
THANKR2 Thank you for your time.

[ALL CASES] BE SURE YOU HAVE YOUR YUBIKEY, SHOWCARD
BOOKLET, QC ENVELOPE W/ FORM AND INCENTIVE RECEIPT
COPIES.
[ALL CASES] PRESS [ENTER]CLICK NEXT. TO CONTINUE.
FIEXIT END OF INTERVIEW REACHED.
PRESS 1 TO EXIT.

63

Calendar
calendar Throughout the rest of this interview, the computer will ask you questions
about three time periods, the past 30 days, the past 12 months, and your
lifetime. To help you remember the first two time periods, the computer will
record the beginning dates for each one of them.
PROGRAMMER: 30 DAY CALENDAR WILL DISPLAY
Now please think about the past 30 days. According to the calendar
[DATEFILL] was 30 days ago. That will be your 30-day reference date, and
can be found in blue on the calendar. The entire 30-day period is highlighted
in yellow.
PROGRAMMER: Fill date on 30 day reference date field and highlight the
30-day reference date. CIRCLE DAY; HIGHLIGHT ENTIRE 30-DAY
PERIOD. MAKE TEXT THAT SAYS ‘BLUE’ BLUE IN COLOR.
Press [ENTER] to continue.

calendr2 A number of questions will ask about the past 12 months, that is since this
date last year. According to the calendar [DATEFILL] was 12 months ago.
That will be your 12-month reference date and can be found in red on the
calendar. Today’s date can be found in green.
PROGRAMMER: Fill date on 12 month reference date field and highlight the
12 month reference date. CIRCLE DAY. MAKE TEXT THAT SAYS
‘RED’ RED IN COLOR AND THE SAME FOR GREEN TEXT.

Press [ENTER] to continue.
calendr3 Please use the calendar as you go through the interview to help you remember
when different things happened. The calendars will pop up to remind you to
think about your 30-day reference date and your 12-month reference date
when you answer questions. You can also look at the calendar at any time by
pressing [F1]. Press [F1] again to close the calendar.
Press [ENTER] to continue.
ANYQUES

If you have any questions, please ask your interviewer now. If not, press
[ENTER] to begin.

64

65

Methamphetamine
METHINTRO

Methamphetamine, also known as crank, ice, crystal meth, speed,
glass, and many other names, is a stimulant that usually comes in
crystal or powder forms. It can be smoked, “snorted,” swallowed or
injected.
Press [ENTER] to continue.

ME01 Have you ever, even once, used methamphetamine?
1
Yes
2
No
DK/REF

MEREF [IF ME01 = REF] The answers that people give about their use of
methamphetamine are important to this study’s success. We know that this
information is personal, but remember your answers will be kept confidential.
Please think again about answering this question: Have you ever, even once,
used methamphetamine?
1
Yes
2
No
DK/REF
ME02 [IF ME01 =1 OR MEREF = 1] How old were you the first time you used
methamphetamine?
AGE:
DK/REF

[RANGE: 1 - 110]

DEFINE AGE1STME:
IF ME02 NE (BLANK OR DK/REF) THEN AGE1STME = ME02
ELSE AGE1STME = BLANK
IF CURNTAGE < AGE1STME:
MECC01 The computer recorded that you were [AGE1STME] years old
when you first used methamphetamine. Is this correct?
4
Yes
6
No
DK/REF

66

MECC02 [IF MECC01 = 4] The answers for the last question and an
earlier question disagree. Which answer is correct?
1
2

I am currently [CURNTAGE] years old
I was [AGE1STME] years old the first time I used
methamphetamine
3
Neither answer is correct
DK/REF
MECC03 [IF MECC02=2 OR MECC02=3] Please answer this question
again. What is your current age?
AGE:
DK/REF

[RANGE: 1 - 110]

MECC03a [IF MECC03 < 12] Since you have indicated that you are
[MECC03 AGE] years old, we cannot interview you for this
study. Please tell your interviewer that you have finished the
survey. Thank you for your cooperation. PROGRAM
SHOULD ROUTE TO PENTER1.
MECC04 [IF MECC02=1 OR MECC02=3 OR MECC01=6] Please
answer this question again. Think about the first time you used
methamphetamine. How old were you the first time you used
methamphetamine?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF MECC04 NOT(BLANK OR DK/REF) THEN AGE1STME = MECC04
UPDATE: IF MECC03 NOT(BLANK OR DK/REF) THEN CURNTAGE = MECC03
IF AGE1STME=CURNTAGE OR AGE1STME < 10:
MECC05 The computer recorded that you were [AGE1STME] years old
the first time you used methamphetamine. Is this correct?
4
Yes
6
No
DK/REF
MECC06 [IF MECC05=6] Please answer this question again. Think
about the first time you used methamphetamine. How old were
you the first time you used methamphetamine?

67

AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF MECC06 NOT (BLANK OR DK/REF) THEN AGE1STME = MECC06
ME03a
[IF MECC05 NE DK/RE AND MECC06 NE DK/REF AND AGE1STME
= CURNTAGE AND DATE OF INTERVIEW < DOB OR IF AGE1STME =
CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you first use
methamphetamine in [CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
ME03b
[IF AGE1STME = CURNTAGE - 1 AND DATE OF INTERVIEW <
DOB] Did you first use methamphetamine in [CURRENT YEAR - 2] or
[CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
ME03c
[IF MECC05 NE DK/RE AND MECC06 NE DK/REF AND AGE1STME
= CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in
[CURRENT YEAR] did you first use methamphetamine?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF ME03c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
ME03d

[IF ME03a = 1 - 2 OR ME03b = 1 - 2] In what month in [YEAR FROM

68

ME03a or ME03b] did you first use methamphetamine?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF ME03d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STME:
MYR1STME = AGE AT FIRST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF FIRST USE (ME03a-d). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STME IS
BLANK.
IF MYR1STME NE 0 AND NE AGE1STME:
MECC17 The computer recorded that you first used methamphetamine in
[ME03a-d fill]. That would make you [MYR1STME] years
old when you first used methamphetamine. Is this correct?
4
Yes
6
No
DK/REF
MECC18 [IF MECC17 = 4] Earlier, the computer recorded that you
were [AGE1STME] years old when you first used
methamphetamine. Which answer is correct?
1

I first used methamphetamine in [ME03a-d fill] when I
was [MYR1STME] years old
2
I was [AGE1STME] years old the first time I used
methamphetamine.
3
Neither answer is correct
DK/REF

69

UPDATE: IF MECC18 = 1, THEN AGE1STME = MYR1STME.
MECC19 [IF MECC18=2 OR MECC18=3 OR MECC17=6] Please
answer this question again. Did you first use
methamphetamine in [CURRENT YEAR-2], [CURRENT
YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
MECC19a

[IF MECC19 NE (BLANK OR DK/REF)] Please answer
this question again. In what month in [MEC19] did you first
use methamphetamine?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF

HARD ERROR: [IF MECC19a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF MECC19a NE (0 OR DK/REF) THEN UPDATE MYR1STME.
MYR1STME = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (MECC19 AND MECC19a).
IF MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STME IS BLANK.
IF MYR1STME = AGE1STME THEN MYR1STME = BLANK
MECC20 [IF MECC18 NE 1 AND MYR1STME NE 0 AND (MECC19
AND MECC19a NE ME03a-d)] The computer recorded that
you first used methamphetamine in [MECC19-MECC19a fill].
That would make you [MYR1STME] years old when you first

70

used methamphetamine. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF MECC20 NE (6, BLANK OR DK/REF) AND (MECC19 AND MECC19a
NE ME03a-d) THEN AGE1STME = MYR1STME
MELAST3

[IF ME01 = 1 OR MEREF = 1] How long has it been since you last used
methamphetamine?
1
Within the past 30 days -- that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MERECDK [IF MELAST3 = DK] What is your best guess of how long it has been
since you last used methamphetamine?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MERECRE [IF MELAST3 = REF] The answers that people give us about their use of
methamphetamine are important to this study’s success. We know that
this information is personal, but remember your answers will be kept
confidential.
Please think again about answering this question: How long has it been
since you last used methamphetamine?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MEFRAME3 [IF MELAST3 = 1 OR 2 OR MERECDK = 1 OR 2 OR MERECRE = 1
OR 2] Now think about the past 12 months, from [DATEFILL] through

71

today. We want to know how many days you’ve used methamphetamine
during the past 12 months.
What would be the easiest way for you to tell us how many days you’ve
used it?
1
Average number of days per week during the past 12 months
2
Average number of days per month during the past 12 months
3
Total number of days during the past 12 months
DK/REF

MEYRAVE [IF MEFRAME3 = 3 OR DK/REF] On how many days in the past 12
months did you use methamphetamine?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MEMONAVE
[IF MEFRAME3 = 2 OR MEYRAVE = DK/REF] On average,
how many days did you use methamphetamine each month during the
past 12 months?
AVERAGE # OF DAYS PER MONTH:
[RANGE: 1 - 31]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

MEWKAVE [IF MEFRAME3 = 1 OR MEMONAVE = DK/REF] On average, how
many days did you use methamphetamine each week during the past 12
months?
AVERAGE # OF DAYS PER WEEK:
[RANGE: 1 - 7]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ME06 [IF MELAST3 =1 OR MERECDK = 1 OR MERECRE = 1] Think specifically
about the past 30 days, from [DATEFILL] up to and including today. During the
past 30 days, on how many days did you use methamphetamine?
# OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
ME06DKRE [IF ME06 = DK/REF] What is your best estimate of the number of days

72

you used methamphetamine during the past 30 days?
1
1 or 2 days
2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE ESTIME:
IF ME06DKRE = 1, THEN ESTIME = 1
IF ME06DKRE = 2, THEN ESTIME = 3
IF ME06DKRE = 3, THEN ESTIME = 6
IF ME06DKRE = 4, THEN ESTIME = 10
IF ME06DKRE = 5, THEN ESTIME = 20
IF ME06DKRE = 6, THEN ESTIME = 30
ELSE ESTIME = BLANK
DEFINE TOTMETH:
IF MEYRAVE NOT(BLANK OR DK/REF) THEN TOTMETH= MEYRAVE
IF MEMONAVE NOT(BLANK OR DK/REF) THEN
TOTMETH=MEMONAVE*12
IF MEWKAVE NOT(BLANK OR DK/REF) THEN
TOTMETH=MEWKAVE*52
ELSE TOTMETH = DK/REF
DEFINE METH30DAY
IF ME06DKRE = 1, THEN METH30DAY = “1 or 2"
IF ME06DKRE = 2, THEN METH30DAY = “3 to 5"
IF ME06DKRE = 3, THEN METH30DAY = “6 to 9"
IF ME06DKRE = 4, THEN METH30DAY = “10 to 19"
IF ME06DKRE = 5, THEN METH30DAY = “20 to 29"
IF ME06DKRE = 6, THEN METH30DAY = “all 30"
ELSE METH30DAY = BLANK
IF TOTMETH NOT DK/REF AND (ME06 NE BLANK OR DK/REF AND
ME06 > TOTMETH) OR (ME06 = DK/REF AND ESTIME > TOTMETH):
MECC07a [IF ME06 > TOTMETH] For the last question, the computer
recorded that you used methamphetamine on [ME06] of the
past 30 days. Is this correct?
4
Yes
6
No
DK/REF

73

PROGRAMMER: SHOW 30 DAY CALENDAR
MECC07b [IF ESTIME > TOTMETH] For the last question, the computer
recorded that you used methamphetamine on [METH30DAY]
of the past 30 days. Is this correct?
4
Yes
6
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
DEFINE FILLME:
IF MEYRAVE > 1, THEN FILLME = “[MEYRAVE] days”
ELSE IF MEYRAVE = 1, THEN FILLME = “1 day”
ELSE IF MEMONAVE > 1, THEN FILLME = “[MEMONAVE] days per
month”
ELSE IF MEMONAVE = 1, THEN FILLME = “1 day per month”
ELSE IF MEWKAVE > 1, THEN FILLME = “[MEWKAVE] days per week”
ELSE IF MEWKAVE = 1, THEN FILLME = “1 day per week”
DEFINE FILMEA:
IF FILLMEA = “[MEMONAVE] day(s) per month” OR “[MEWKAVE] day(s)
per week” THEN FILLMEA = “for a total of [TOTMETH] days”
ELSE FILLMEA = BLANK
MECC08 [IF MECC07a = 4 OR MECC07b = 4] The answers for the
last question and an earlier question disagree. Which answer
is correct?
1

I used methamphetamine on [FILLME] days in the past
12 months [FILLMEA]
2
I used methamphetamine on [ME06 / METH30DAY]
days in the past 30 days
3
Neither answer is correct
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MECC09 [IF MECC08 = 2 OR MECC08 = 3] Please answer this
question again. Think about the past 12 months, from
[DATEFILL] through today. We want to know how many days
you’ve used methamphetamine during the past 12 months.
What would be the easiest way for you to tell us how many
days you’ve used it?
1

Average number of days per week during the past 12

74

months
2
Average number of days per month during the past 12
months
3
Total number of days during the past 12 month
DK/REF
MECC10 [IF MECC09 = 3] On how many days in the past 12 months
did you use methamphetamine?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR
MECC11 [IF MECC9 = 2] On average, how many days did you use
methamphetamine each month during the past 12 months?
# OF DAYS/MONTH:
[RANGE: 1 - 31]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR
MECC12 [IF MECC09 = 1] On average, how many days did you use
methamphetamine each week during the past 12 months?
# OF DAYS PER WEEK:
[RANGE: 1 - 7]
DK/REFPROGRAMMER: SHOW 12 MONTH CALENDAR
IF MECC10 NOT(BLANK OR DK/REF) THEN TOTMETH = MECC10
ELSE IF MECC11 NOT(BLANK OR DK/REF THEN TOTMETH=MECC11*12
ELSE IF MECC12 NOT(BLANK OR DK/REF) THEN TOTMETH=MECC12*52
ELSE TOTMETH = DK/REF
MECC13a [IF (MECC07a=6 OR ((MECC08 = 1 OR MECC08 = 3) AND
MECC07a NE BLANK OR DK/REF)] Please answer this
question again. Think specifically about the past 30 days, from
[DATEFILL], up to and including today. During the past 30
days, on how many days did you use methamphetamine?
# OF DAYS:
[RANGE: 0 - 30]
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
MECC13b [IF MECC07b = 6 or ((MECC08 = 1 OR 3) AND MECC07b
NE BLANK OR DK/REF)] Please answer this question again.
Think specifically about the past 30 days, from [DATEFILL]
up to and including today. What is your best estimate of the
number of days you used methamphetamine during the past 30
days?
1

1 or 2 days

75

2
3 to 5 days
3
6 to 9 days
4
10 to 19 days
5
20 to 29 days
6
All 30 days
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
IF ME06 = 0:
MECC14 The computer recorded that you used any form of
methamphetamine on 0 days during the past 30 days. Is this
correct?
4
Yes
6
No
DK/REFPROGRAMMER: SHOW 30 DAY CALENDAR
MECC16 [IF MECC14 = 6] Please answer this question again. During
the past 30 days, that is, since [DATEFILL], on how many
days did you use methamphetamine?
# OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

76

77

Blunts
BL01 Sometimes people take tobacco out of a cigar and replace it with marijuana. This
is sometimes called a ‘blunt’.
Have you ever smoked part or all of a cigar with marijuana in it?
1
Yes
2
No
DK/REF
BL08 [IF BL01 = 1] How old were you the first time you smoked part or all of a cigar
with marijuana in it?
AGE:
DK/REF

[(RANGE: 1 - 110]

DEFINE AGE1STBL:
IF BL08 NE (BLANK OR DK/REF) THEN AGE1STBL = BL08
ELSE AGE1STBL = BLANK
IF AGE1STBL = CURNTAGE OR AGE1STBL < 10:
BLCC01 The computer recorded that you were [AGE1STBL] years old
the first time you smoked part or all of a cigar with marijuana
in it. Is this correct?
4
Yes
6
No
DK/REF
BLCC02 [IF BLCC01 = 6] Please answer this question again. How old
were you the first time you smoked part or all of a cigar with
marijuana in it?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF BLCC02 NOT(BLANK OR DK/REF) THEN AGE1STBL =
BLCC02
BL08a [IF BLCC01 NE DK/RE AND BLCC02 NE DK/REF AND AGE1STBL =
CURNTAGE AND DATE OF INTERVIEW < DOB OR IF AGE1STBL =
CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you first smoke part
or all of a cigar with marijuana in it in [CURRENT YEAR - 1] or [CURRENT
YEAR]?

78

1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
BL08b [IF AGE1STBL = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you first smoke part or all of a cigar with marijuana in it in [CURRENT YEAR 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
BL08c [IF BLCC01 NE DK/RE AND BLCC02 NE DK/REF AND AGE1STBL =
CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in
[CURRENT YEAR] did you first smoke part or all of a cigar with marijuana in
it?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF BL08c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
BL08d [IF BL08a = 1 OR 2 OR BL08b = 1 OR 2] In what month in [YEAR FROM
BL08a or BL08b] did you first smoke part or all of a cigar with marijuana in it?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

79

8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF BL08d > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STBL:
MYR1STBL = AGE AT FIRST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF FIRST USE (BL08a-d). IF
MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STBL IS
BLANK.
IF MYR1STBL NE 0 AND NE AGE1STBL:
BLCC03 The computer recorded that you first smoked part or all of a
cigar with marijuana in it in [BL08a-d fill]. That would make
you [MYR1STBL] years old when you first smoked part or all
of a cigar with marijuana in it. Is this correct?
4
Yes
6
No
DK/REF
BLCC04 [IF BLCC03 = 4] Earlier, the computer recorded that you
were [AGE1STBL] years old when you first smoked part or all
of a cigar with marijuana in it. Which answer is correct?
1

I first smoked part or all of a cigar with marijuana in it
in [BL08a-d fill] when I was [MYR1STBL] years old
2
I was [AGE1STBL] years old the first time I smoked
part or all of a cigar with marijuana in it
3
Neither answer is correct
DK/REF
UPDATE: IF BLCC04 = 1, THEN AGE1STBL = MYR1STBL
BLCC05 [IF BLCC04=2 OR BLCC04=3 OR BLCC03=6] Please
answer this question again. Did you first smoke part or all of a
cigar with marijuana in it in [CURRENT YEAR-2],
[CURRENT YEAR-1], or [CURRENT YEAR]?

80

1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
BLCC05a [IF BLCC05 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [BLCC05] did you first
smoke part or all of a cigar with marijuana in it?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF BLCC05a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF BLCC05a NE (0 OR DK/RE) THEN UPDATE MYR1STBL.
MYR1STBL = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF FIRST USE (BLCC05 AND BLCC05a).
IF MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STBL IS BLANK.
IF MYR1STBL = AGE1STBL THEN MYR1STBL = BLANK
BLCC06 [IF BLCC04 NE 1 AND MYR1STBL NE 0 AND (BLCC05 AND
BLCC05a NE BL08a-d)] The computer recorded that you first
smoked part or all of a cigar with marijuana in it in [BLCC05BLCC05a fill]. That would make you [MYR1STBL] years old
when you first smoked part or all of a cigar with marijuana in
it. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF BLCC06 NE (6, BLANK OR DK/REF) AND (BLCC05 AND BLCC05a

81

NE BL08a-d) THEN AGE1STBL = MYR1STBL
BL02 [IF BL01 = 1] How long has it been since you last smoked part or all of a cigar
with marijuana in it?
1
Within the past 30 days — that is, since [DATEFILL]
2
More than 30 days ago but within the past 12 months
3
More than 12 months ago
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
BL02a [IF (MJLAST3 = 1 OR MJRECDK = 1 OR MJRECRE = 1) AND BL02 = 1] On
how many of the past 30 days, that is, since [DATEFILL], did you smoke part or
all of a cigar with marijuana in it?
# OF DAYS: ______________ [RANGE: 1-30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
BL03 [IF (MJ01 = 2 OR MJREF = 2) AND BL02=1] The answer to the last question
and an earlier question disagree. Which answer is correct?
1
I have never used marijuana or hashish
2
I smoked part or all of a cigar with marijuana in it during the past 30 days
DK/REF
BL03a [IF BL03 = 2] On how many of the past 30 days, that is, since [DATEFILL], did
you smoke part or all of a cigar with marijuana in it?
# OF DAYS: ______________ [RANGE: 1-30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
BL04 [IF (MJLAST3 =2 or 3 OR MJRECDK=2 OR 3 OR MJRECRE=2 OR 3) AND
BL02=1] The answer to the last question and an earlier question disagree. Which
answer is correct?
1
I last used marijuana or hashish [MJREC FILL]
2
I smoked part or all of a cigar with marijuana in it during the past 30 days
DK/REF
BL04a [IF BL04 = 2] On how many of the past 30 days, that is, since [DATEFILL], did
you smoke part or all of a cigar with marijuana in it?
# OF DAYS: ______________ [RANGE: 1-30]
DK/REF

82

PROGRAMMER: SHOW 30 DAY CALENDAR
BL05 [IF BL03 =2] Why did you report earlier that you had never used marijuana or
hashish?
1
2

I didn’t consider a ‘blunt’ to be marijuana or hashish
I made a mistake when I answered the earlier question about ever using
marijuana or hashish
3
Some other reason
DK/REF
BL05SP
[IF BL05 = 3] Please type in the other reason you reported earlier that you
had never used marijuana or hashish.
When you have finished, press the [ENTER] key to go to the next question.
______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN BL05SP.
BL06 [IF BL04 =2] Why did you report earlier that you did not use marijuana or
hashish during the past 30 days?
1
I didn’t consider a ‘blunt’ to be marijuana or hashish
2
I made a mistake earlier when I answered how long ago I last used
marijuana or hashish
3
Some other reason
DK/REF
BL06SP
[IF BL06 = 3] Please type in the other reason you reported earlier that you
had not used marijuana or hashish during the past 30 days.
When you have finished, press the [ENTER] key to go to the next question.
______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN BL06SP.
BL07 [IF CG36=1 AND (BL02 = 1 OR BL03 = 2 OR BL04 = 2)] Earlier, you reported
that you had smoked part or all of a cigar during the past 30 days. During the past
30 days, did you smoke any cigars that did not have marijuana in them?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

83

MJMM01 [IF ((MJLAST3 = 1 - 2 OR MJRECDK = 1 - 2 OR MJRECRE = 1 - 2) OR
((BL02=1 OR 2) AND (BL03 NE 1)) Earlier, you reported using marijuana in
the past year. Was any of your marijuana use in the past 12 months
recommended by a doctor or other health care professional?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
MJMM02 [IF MJMM01=1] Was all of your marijuana use in the past 12 months
recommended by a doctor or other health care professional?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

84

85

Prior Substance Use
LU01 [IF MJ01=1 OR MJREF = 1] Earlier questions were about the past 12 months.
This question is about the year before that, that is, from [DATEFILL - 12
MONTHS] to [DATEFILL]. During that year, beginning [DATEFILL - 12
MONTHS] and ending [DATEFILL], did you use marijuana or hashish, even
once?
1
Yes
2
No
DK/REF
LU02 [[IF ((MJLAST3=2 OR 3) OR (MJRECDK=2 OR 3) OR (MJRECRE=2 OR 3))
AND BL04 NE 2] The computer recorded that you last used marijuana or hashish
[MJREC FILL]. How old were you the last time you used marijuana or
hashish?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTMJ:
IF LU02 NE (BLANK OR DK/REF) THEN AGELSTMJ = LU02
ELSE AGELSTMJ = BLANK
IF AGELSTMJ < AGE1STMJ OR AGELSTMJ < 10 OR IF CURNTAGE <
AGELSTMJ
LUCC01 The computer recorded that you were [AGELSTMJ] years old
when you last used marijuana or hashish. Is this correct?
4
Yes
6
No
DK/REF
LUCC02 [IF LUCC01 = 6] Please answer this question again. Think
about the last time you used marijuana or hashish. How old
were you the last time you used marijuana or hashish?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC02 NOT (BLANK OR DK/REF) THEN AGELSTMJ = LUCC02
LU02a [IF LU02 NE DK/RE AND AGELSTMJ = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTMJ = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use marijuana or hashish in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
86

1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU02b [IF AGELSTMJ = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use marijuana or hashish in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU02c [IF LU02 NE DK/RE AND AGELSTMJ = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
marijuana or hashish?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU02c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU02d [IF LU02a = 1 - 2 OR LU02b = 1 - 2] In what month in [YEAR FROM LU02a
or LU02b] did you last use marijuana or hashish?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

87

8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU02d > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTMJ:
MYRLSTMJ = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU02a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTMJ IS
BLANK.
IF MYRLSTMJ NE 0 AND NE AGELSTMJ:
LUMJ05 The computer recorded that you last used marijuana or
hashish in [LU02a-d fill]. That would make you
[MYRLSTMJ] years old when you last used marijuana or
hashish. Is this correct?
4
Yes
6
No
DK/REF
LUMJ06 [IF LUMJ05 = 4] Earlier, the computer recorded that you
were [AGELSTMJ] years old when you last used marijuana or
hashish. Which answer is correct?
1

I last used marijuana or hashish in [LU02a-d fill] when
I was [MYRLSTMJ] years old
2
I was [AGELSTMJ] years old the last time I used
marijuana or hashish
3
Neither answer is correct
DK/REF
UPDATE: IF LUMJ06 = 1, THEN AGELSTMJ = MYRLSTMJ
LUMJ07 [IF LUMJ06=2 OR LUMJ06=3 OR LUMJ05 = 6] Please
answer this question again. Did you last use marijuana or
hashish in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?

88

1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
LUMJ07a [IF LUMJ07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUMJ07] did you last use
marijuana or hashish?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUMJ07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUMJ07a NE (0 OR DK/RE) THEN UPDATE MYRLSTMJ.
MYRLSTMJ = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUMJ07 AND LUMJ07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTMJ IS BLANK. IF
MYRLSTMJ = AGELSTMJ THEN MYRLSTMJ = BLANK
LUMJ08 [IF LUMJ06 NE 1 AND MYRLSTMJ NE 0 AND (LUMJ07
AND LUMJ07a NE LU02a-d)] The computer recorded that
you last used marijuana or hashish in [LUMJ07- LUMJ07a
fill]. That would make you [MYRLSTMJ] years old when you
last used marijuana or hashish. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUMJ08 NE (6, BLANK OR DK/REF) AND (LUMJ07 AND LUMJ07a
NE LU02a-d) THEN AGELSTMJ = MYRLSTMJ

89

LU03 [IF (CG06=1, 2 OR 3) OR (CG06DK=1, 2 OR 3) OR (CG06RE=1, 2 OR 3) AND
CG15 NE 1] This question is about your cigarette smoking history.
[IF (CG06=1, 2 OR 3) OR (CG06DK=1, 2 OR 3) OR (CG06RE=1, 2 OR 3) AND
CG15=1] These next two questions are about your cigarette smoking history.
[IF (CG06=1, 2 OR 3) OR (CG06DK=1, 2 OR 3) OR (CG06RE=1, 2 OR 3)]
Earlier the computer recorded that you last smoked part or all of a cigarette
[CG06]. How old were you the last time you smoked part or all of a cigarette?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTCG:
IF LU03 NE (BLANK OR DK/REF) THEN AGELSTCG = LU03
ELSE AGELSTCG = BLANK
IF AGELSTCG < AGE1STCG OR AGELSTCG < 10 OR IF CURNTAGE <
AGELSTCG
LUCC05 The computer recorded that you were [AGELSTCG] years old
when you last smoked part or all of a cigarette. Is this correct?
4
Yes
6
No
DK/REF
LUCC06 [IF LUCC05 = 6] Please answer this question again. Think
about the last time you smoked part or all of a cigarette. How
old were you the last time you smoked part or all of a
cigarette?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC06 NOT (BLANK OR DK/REF) THEN AGELSTCG = LUCC06
LU03a [IF LU03 NE DK/RE AND AGELSTCG = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTCG = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last smoke part or all of a cigarette in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

90

LU03b [IF AGELSTCG = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last smoke part or all of a cigarette in [CURRENT YEAR - 2] or
[CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU03c [IF LU03 NE DK/RE AND AGELSTCG = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last
smoke part or all of a cigarette?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU03c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU03d [IF LU03a = 1 - 2 OR LU03b = 1 - 2] In what month in [YEAR FROM LU03a
or LU03b] did you last smoke part or all of a cigarette?
1
2
3
4
5
6
7
8
9
10
11
12

January
February
March
April
May
June
July
August
September
October
November
December

91

DK/REF
HARD ERROR: [IF LU03d > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTCG:
MYRLSTCG = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU03a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTCG IS
BLANK.
IF MYRLSTCG NE 0 AND NE AGELSTCG:
LUCG05 The computer recorded that you last smoked part or all of a
cigarette in [LU03a-d fill]. That would make you
[MYRLSTCG] years old when you last smoked part or all of a
cigarette. Is this correct?
4
Yes
6
No
DK/REF
LUCG06 [IF LUCG05 = 4] Earlier, the computer recorded that you
were [AGELSTCG] years old when you last smoked part or all
of a cigarette. Which answer is correct?
1

I last smoked part or all of a cigarette in [LU03a-d fill]
when I was [MYRLSTCG] years old
2
I was [AGELSTCG] years old the last time I smoked
part or all of a cigarette
3
Neither answer is correct
DK/REF
UPDATE: IF LUCG06 = 1, THEN AGELSTCG = MYRLSTCG
LUCG07 [IF LUCG06=2 OR LUCG06=3 OR LUCG05 = 6] Please
answer this question again. Did you last smoke part or all of a
cigarette in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

92

LUCG07a [IF LUCG07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUCG07] did you last
smoke part or all of a cigarette?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUCG07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUCG07a NE (0 OR DK/RE) THEN UPDATE MYRLSTCG.
MYRLSTCG = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUCG07 AND LUCG07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTCG IS BLANK.
IF MYRLSTCG = AGELSTCG THEN MYRLSTCG = BLANK
LUCG08 [IF LUCG06 NE 1 AND MYRLSTCG NE 0 AND (LUCG07
AND LUCG07a NE LU03a-d)] The computer recorded that
you last smoked part or all of a cigarette in [LUCG07LUCG07a fill]. That would make you [MYRLSTCG] years old
when you last smoked part or all of a cigarette. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUCG08 NE (6, BLANK OR DK/REF) AND (LUCG07 AND LUCG07a
NE LU03a-d) THEN AGELSTCG = MYRLSTCG
LU04 [IF CG15=1] Earlier the computer also recorded that there was a period in your
life when you smoked cigarettes every day for at least 30 days. How old were
you when you last smoked cigarettes daily?

93

AGE:_____[RANGE: 1-110]
DK/REF
DEFINE LST30DCG:
IF LU04 NE (BLANK OR DK/REF) THEN LST30DCG = LU04
ELSE LST30DCG = BLANK
IF LST30DCG < DAILYCIG OR LST30DCG < 10 OR IF CURNTAGE <
LST30DCG
LUCC09 The computer recorded that you were [LST30DCG] years old
when you last smoked cigarettes daily. Is this correct?
4
Yes
6
No
DK/REF
LUCC10 [IF LUCC09 = 6] Please answer this question again. How
old were you when you last smoked cigarettes daily?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC10 NOT (BLANK OR DK/REF) THEN LST30DCG = LUCC10
LU04a [IF LU04 NE DK/RE AND LST30DCG = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF LST30DCG = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last smoke cigarettes daily in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU04b [IF LST30DCG = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last smoke cigarettes daily in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU04c [IF LU04 NE DK/RE AND LST30DCG = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last
smoke cigarettes daily?
1

January

94

2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU04c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU04d [IF LU04a = 1 - 2 OR LU04b = 1 - 2] In what month in [YEAR FROM
LU04a or LU04b] did you last smoke cigarettes daily?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU04d > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTDC:
MYRLSTDC = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU04a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTDC IS
BLANK.

95

IF MYRLSTDC NE 0 AND NE LST30DCG:
LUDC05 The computer recorded that you last smoked cigarettes daily in
[LU04a-d fill]. That would make you [MYRLSTDC] years old
when you last smoked cigarettes daily. Is this correct?
4
Yes
6
No
DK/REF
LUDC06 [IF LUDC05 = 4] Earlier, the computer recorded that you
were [LST30DCG] years old when you last smoked cigarettes
daily. Which answer is correct?
1

I last smoked cigarettes daily in [LU04a-d fill] when I
was [MYRLSTDC] years old
2
I was [LST30DCG] years old the last time I smoked
cigarettes daily
3
Neither answer is correct
DK/REF
UPDATE: IF LUDC06 = 1, THEN LST30DCG = MYRLSTDC
LUDC07 [IF LUDC06=2 OR LUDC06=3 OR LUDC05 = 6] Please
answer this question again. Did you last smoke cigarettes
daily in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
LUDC07a [IF LUDC07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUDC07] did you last
smoke cigarettes daily?
1
2
3
4
5
6
7
8
9
10

January
February
March
April
May
June
July
August
September
October

96

11
November
12
December
DK/REF
HARD ERROR: [IF LUDC07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUDC07a NE (0 OR DK/RE) THEN UPDATE MYRLSTDC.
MYRLSTDC = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUDC07 AND LUDC07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTDC IS BLANK.
IF MYRLSTDC = LST30DCG THEN MYRLSTDC = BLANK
LUDC08 [IF LUDC06 NE 1 AND MYRLSTDC NE 0 AND (LUDC07
AND LUDC07a NE LU04a-d)] The computer recorded that
you last smoked cigarettes daily in [LUDC07 - LUDC07a fill].
That would make you [MYRLSTDC] years old when you last
smoked cigarettes daily. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUDC08 NE (6, BLANK OR DK/REF) AND (LUDC07 AND LUDC07a
NE LU04a-d) THEN LST30DCG = MYRLSTDC
LU05 [IF (CG28=1, 2 OR 3) OR (CG28DK=1, 2 OR 3) OR (CG28RE = 1, 2 OR 3)]
The computer recorded that you last used “smokeless” tobacco [CGSNREC
FILL]. How old were you the last time you used “smokeless” tobacco?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTSN:
IF LU05 NE (BLANK OR DK/REF) THEN AGELSTSN = LU05
ELSE AGELSTSN = BLANK
IF AGELSTSN < SNUFFAGE OR AGELSTSN < 10 OR IF CURNTAGE <
AGELSTSN
LUCC11 The computer recorded that you were [AGELSTSN] years old
when you last used “smokeless” tobacco. Is this correct?
4
6

Yes
No

97

DK/REF
LUCC12 [IF LUCC11 = 6] Please answer this question again. Think
about the last time you used “smokeless” tobacco. How old
were you the last time you used “smokeless” tobacco?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC12 NOT (BLANK OR DK/REF) THEN AGELSTSN = LUCC12
LU05a [IF LU05 NE DK/RE AND AGELSTSN = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTSN = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use “smokeless” tobacco in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU05b [IF AGELSTSN = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use “smokeless” tobacco in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU05c [IF LU05 NE DK/RE AND AGELSTSN = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
“smokeless” tobacco?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF

98

HARD ERROR: [IF LU05c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU05d [IF LU05a = 1 - 2 OR LU05b = 1 - 2] In what month in [YEAR FROM LU05a
or LU05b] did you last use “smokeless” tobacco?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU05d > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTSN:
MYRLSTSN = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU05a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTSN IS
BLANK.
IF MYRLSTSN NE 0 AND NE AGELSTSN:
LUSN05 The computer recorded that you last used “smokeless” tobacco
in [LU05a-d fill]. That would make you [MYRLSTSN] years
old when you last used “smokeless” tobacco. Is this correct?
4
Yes
6
No
DK/REF
LUSN06

[IF LUSN05 = 4] Earlier, the computer recorded that you
were [AGELSTSN] years old when you last used “smokeless”
tobacco. Which answer is correct?

99

1

I last used “smokeless” tobacco in [LU05a-d fill] when
I was [MYRLSTSN] years old
2
I was [AGELSTSN] years old the last time I used
“smokeless” tobacco
3
Neither answer is correct
DK/REF
UPDATE: IF LUSN06 = 1, THEN AGELSTSN = MYRLSTSN
LUSN07

[IF LUSN06=2 OR LUSN06=3 OR LUSN05 = 6] Please
answer this question again. Did you last use “smokeless”
tobacco in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

LUSN07a [IF LUSN07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUSN07] did you last use
“smokeless” tobacco?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUSN07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUSN07a NE (0 OR DK/RE) THEN UPDATE MYRLSTSN.
MYRLSTSN = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUSN07 AND LUSN07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTSN IS BLANK. IF

100

MYRLSTSN = AGELSTSN THEN MYRLSTSN = BLANK
LUSN08

[IF LUSN06 NE 1 AND MYRLSTSN NE 0 AND (LUSN07 AND
LUSN07a NE LU05a-d)] The computer recorded that you last
used “smokeless” tobacco in [LUSN07 - LUSN07a fill]. That
would make you [MYRLSTSN] years old when you last used
“smokeless” tobacco. Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF LUSN08 NE (6, BLANK OR DK/REF) AND (LUSN07 AND LUSN07a
NE LU05a-d) THEN AGELSTSN = MYRLSTSN

LU07 [IF (CG37=1, 2 OR 3) OR (CG37DK=1, 2 OR 3) OR (CG37RE = 1, 2 OR 3)]
The computer recorded that you last smoked part or all of a cigar or cigarillo
[CG37REC FILL]. How old were you the last time you smoked part or all of a
cigar or cigarillo?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTCR:
IF LU07 NE (BLANK OR DK/REF) THEN AGELSTCR = LU07
ELSE AGELSTCR = BLANK
IF AGELSTCR < CIGARAGE OR AGELSTCR < 10 OR IF CURNTAGE <
AGELSTCR
LUCC15 The computer recorded that you were [AGELSTCR] years old
when you last smoked part or all of a cigar or cigarillo. Is this
correct?
4
Yes
6
No
DK/REF
LUCC16 [IF LUCC15 = 6] Please answer this question again. Think
about the last time you smoked part or all of a cigar or
cigarillo. How old were you the last time you smoked part or
all of a cigar or cigarillo?
AGE:_______[RANGE: 1-110]
DK/REF

101

UPDATE: IF LUCC16 NOT (BLANK OR DK/REF) THEN AGELSTCR = LUCC16
LU07a [IF LU07 NE DK AND AGELSTCR = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTCR = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last smoke part or all of a cigar or cigarillo in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU07b [IF AGELSTCR = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last smoke part or all of a cigar or cigarillo in [CURRENT YEAR - 2] or
[CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU07c [IF LU07 NE DK/RE AND AGELSTCR = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last
smoke part or all of a cigar or cigarillo?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU07c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU07d [IF LU07a = 1 - 2 OR LU07b = 1 - 2] In what month in [YEAR FROM LU07a
or LU07b] did you last smoke part or all of a cigar or cigarillo?
1

January

102

2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU07d > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTCR:
MYRLSTCR = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU07a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTCR IS
BLANK.
IF MYRLSTCR NE 0 AND NE AGELSTCR:
LUCR05 The computer recorded that you last smoked part or all of a
cigar or cigarillo in [LU07a-d fill]. That would make you
[MYRLSTCR] years old when you last smoked part or all of a
cigar or cigarillo. Is this correct?
4
Yes
6
No
DK/REF
LUCR06 [IF LUCR05 = 4] Earlier, the computer recorded that you
were [AGELSTCR] years old when you last smoked part or all
of a cigar or cigarillo. Which answer is correct?
1

I last smoked part or all of a cigar or cigarillo in
[LU07a-d fill] when I was [MYRLSTCR] years old
2
I was [AGELSTCR] years old the last time I smoked
part or all of a cigar or cigarillo
3
Neither answer is correct
DK/REF
UPDATE: IF LUCR06 = 1, THEN AGELSTCR = MYRLSTCR

103

LUCR07 [IF LUCR06=2 OR LUCR06=3 OR LUCR05 = 6] Please
answer this question again. Did you last smoke part or all of a
cigar or cigarillo in [CURRENT YEAR-2], [CURRENT
YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
LUCR07a [IF LUCR07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUCR07] did you last
smoke part or all of a cigar or cigarillo?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUCR07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUCR07a NE (0 OR DK/RE) THEN UPDATE MYRLSTCR.
MYRLSTCR = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUCR07 AND LUCR07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTCR IS BLANK.
IF MYRLSTCR = AGELSTCR THEN MYRLSTCR = BLANK
LUCR08 [IF LUCR06 NE 1 AND MYRLSTCR NE 0 AND (LUCR07
AND LUCR07a NE LU07a-d)] The computer recorded that
you last smoked part or all of a cigar or cigarillo in [LUCR07
- LUCR07a fill]. That would make you [MYRLSTCR] years
old when you last smoked part or all of a cigar or cigarillo. Is
this correct?

104

4
Yes
6
No
DK/REF
UPDATE: IF LUCR08 NE (6, BLANK OR DK/REF) AND (LUCR07 AND LUCR07a
NE LU07a-d) THEN AGELSTCR = MYRLSTCR
LU08 IF (ALLAST3=2 OR 3) OR (ALRECDK=2 OR 3) OR (ALRECRE = 2 OR 3)]
The computer recorded that you last drank an alcoholic beverage [ALLREC
FILL]. How old were you the last time you drank an alcoholic beverage?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTAL:
IF LU08 NE (BLANK OR DK/REF) THEN AGELSTAL = LU08
ELSE AGELSTAL = BLANK
IF AGELSTAL < AGE1STAL OR AGELSTAL < 10 OR IF CURNTAGE <
AGELSTAL
LUCC17 The computer recorded that you were [AGELSTAL] years old
when you last drank an alcoholic beverage. Is this correct?
4
Yes
6
No
DK/REF
LUCC18 [IF LUCC17 = 6] Please answer this question again. Think
about the last time you drank an alcoholic beverage. How old
were you the last time you drank an alcoholic beverage?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC18 NOT (BLANK OR DK/REF) THEN AGELSTAL = LUCC18
LU08a [IF LU08 NE DK/RE AND AGELSTAL = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTAL = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last drink an alcoholic beverage in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF

105

LU08b [IF AGELSTAL = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last drink an alcoholic beverage in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU08c [IF LU08 NE DK/RE AND AGELSTAL = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last drink
an alcoholic beverage?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU08c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU08d

[IF LU08a = 1 - 2 OR LU08b = 1 - 2] In what month in [YEAR FROM
LU08a or LU08b] did you last drink an alcoholic beverage?
1
2
3
4
5
6
7
8
9
10
11
12

January
February
March
April
May
June
July
August
September
October
November
December

106

DK/REF
HARD ERROR : [IF LU08d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTAL:
MYRLSTAL = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU08a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTAL IS
BLANK.
IF MYRLSTAL NE 0 AND NE AGELSTAL:
LUAL05 The computer recorded that you last drank an alcoholic
beverage in [LU08a-d fill]. That would make you
[MYRLSTAL] years old when you last drank an alcoholic
beverage. Is this correct?
4
Yes
6
No
DK/REF
LUAL06

[IF LUAL05 = 4] Earlier, the computer recorded that you
were [AGELSTAL] years old when you last drank an alcoholic
beverage. Which answer is correct?
1

I last drank an alcoholic beverage in [LU08a-d fill]
when I was [MYRLSTAL] years old
2
I was [AGELSTAL] years old the last time I drank an
alcoholic beverage
3
Neither answer is correct
DK/REF
UPDATE: IF LUAL06 = 1, THEN AGELSTAL = MYRLSTAL
LUAL07

[IF LUAL06=2 OR LUAL06=3 OR LUAL05 = 6] Please
answer this question again. Did you last drink an alcoholic
beverage in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

107

LUAL07a [IF LUAL07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUAL07] did you last drink
an alcoholic beverage?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUAL07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUAL07a NE (0 OR DK/RE) THEN UPDATE MYRLSTAL.
MYRLSTAL = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUAL07 AND LUAL07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTAL IS BLANK.
IF MYRLSTAL = AGELSTAL THEN MYRLSTAL = BLANK
LUAL08

[IF LUAL06 NE 1 AND MYRLSTAL NE 0 AND (LUAL07 AND
LUAL07a NE LU08a-d)] The computer recorded that you last
drank an alcoholic beverage in [LUAL07 - LUAL07a fill].
That would make you [MYRLSTAL] years old when you last
drank an alcoholic beverage. Is this correct?
4
Yes
6
No
DK/REF

UPDATE: IF LUAL08 NE (6, BLANK OR DK/REF) AND (LUAL07 AND LUAL07a
NE LU08a-d) THEN AGELSTAL = MYRLSTAL
LU09 [IF (CCLAST3=2 OR 3) OR (CCRECDK=2 OR 3) OR (CCRECRE = 2 OR 3)]
The computer recorded that you last used cocaine [CCREC FILL]. How old
were you the last time you used cocaine?

108

AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTCC:
IF LU09 NE (BLANK OR DK/REF) THEN AGELSTCC = LU09
ELSE AGELSTCC = BLANK
IF AGELSTCC < AGE1STCC OR AGELSTCC < 10 OR IF CURNTAGE <
AGELSTCC
LUCC19 The computer recorded that you were [AGELSTCC] years old
when you last used cocaine. Is this correct?
4
Yes
6
No
DK/REF
LUCC20 [IF LUCC19 = 6] Please answer this question again. Think
about the last time you used cocaine. How old were you the
last time you used cocaine?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC20 NOT (BLANK OR DK/REF) THEN AGELSTCC = LUCC20
LU09a [IF LU09 NE DK/RE AND AGELSTCC = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTCC = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use cocaine in [CURRENT YEAR - 1] or
[CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU09b [IF AGELSTCC = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use cocaine in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU09c [IF LU09 NE DK/RE AND AGELSTCC = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
cocaine?
1

January

109

2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU09c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU09d [IF LU09a = 1 - 2 OR LU09b = 1 - 2] In what month in [YEAR FROM LU09a
or LU09b] did you last use cocaine?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR : [IF LU09d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTCC:
MYRLSTCC = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU09a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTCC IS
BLANK.

110

IF MYRLSTCC NE 0 AND NE AGELSTCC:
LUCN05 The computer recorded that you last used cocaine in [LU09a-d
fill]. That would make you [MYRLSTCC] years old when you
last used cocaine. Is this correct?
4
Yes
6
No
DK/REF
LUCN06 [IF LUCN05 = 4] Earlier, the computer recorded that you
were [AGELSTCC] years old when you last used cocaine.
Which answer is correct?
1

I last used cocaine in [LU09a-d fill] when I was
[MYRLSTCC] years old
2
I was [AGELSTCC] years old the last time I used
cocaine
3
Neither answer is correct
DK/REF
UPDATE: IF LUCN06 = 1, THEN AGELSTCC = MYRLSTCC
LUCN07 [IF LUCN06=2 OR LUCN06=3 OR LUCN05 = 6] Please
answer this question again. Did you last use cocaine in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
LUCN07a [IF LUCN07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUCN07] did you last use
cocaine?
1
2
3
4
5
6
7
8
9
10

January
February
March
April
May
June
July
August
September
October

111

11
November
12
December
DK/REF
HARD ERROR: [IF LUCN07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUCN07a NE (0 OR DK/RE) THEN UPDATE MYRLSTCC.
MYRLSTCC = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUCN07 AND LUCN07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTCC IS BLANK.
IF MYRLSTCC = AGELSTCC THEN MYRLSTCC = BLANK
LUCN08 [IF LUCN06 NE 1 AND MYRLSTCC NE 0 AND (LUCN07
AND LUCN07a NE LU09a-d)] The computer recorded that
you last used cocaine in [LUCN07 - LUCN07a fill]. That
would make you [MYRLSTCC] years old when you last used
cocaine. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUCN08 NE (6, BLANK OR DK/REF) AND (LUCN07 AND LUCN07a
NE LU09a-d) THEN AGELSTCC = MYRLSTCC
LU10 [IF (CKLAST3=2 OR 3) OR (CKRECDK=2 OR 3) OR (CKRECRE = 2 OR 3)]
The computer recorded that you last used ‘crack’ [CKREC FILL]. How old
were you the last time you used ‘crack’?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTCK:
IF LU10 NE (BLANK OR DK/REF) THEN AGELSTCK = LU10
ELSE AGELSTCK = BLANK
IF AGELSTCK < AGE1STCK OR AGELSTCK < 10 OR IF CURNTAGE <
AGELSTCK
LUCC21 The computer recorded that you were [AGELSTCK] years old
when you last used ‘crack’. Is this correct?
4
6

Yes
No

112

DK/REF
LUCC22 [IF LUCC21 = 6] Please answer this question again. Think
about the last time you used ‘crack’. How old were you the
last time you used ‘crack’?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC22 NOT (BLANK OR DK/REF) THEN AGELSTCK = LUCC22
LU10a [IF LU10 NE DK/RE AND AGELSTCK = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTCK = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use ‘crack’ in [CURRENT YEAR - 1] or
[CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU10b [IF AGELSTCK = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use ‘crack’ in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU10c [IF LU10 NE DK/RE AND AGELSTCK = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
‘crack’?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU10c > CURRENT MONTH] THE MONTH IN [CURRENT

113

YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU10d [IF LU10a = 1 - 2 OR LU10b = 1 - 2] In what month in [YEAR FROM LU10a
or LU10b] did you last use ‘crack’?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR : [IF LU10d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTCK:
MYRLSTCK = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU10a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTCK IS
BLANK.
IF MYRLSTCK NE 0 AND NE AGELSTCK:
LUCK05 The computer recorded that you last used ‘crack’ in [LU10a-d
fill]. That would make you [MYRLSTCK] years old when you
last used ‘crack’. Is this correct?
4
Yes
6
No
DK/REF
LUCK06 [IF LUCK05 = 4] Earlier, the computer recorded that you
were [AGELSTCK] years old when you last used ‘crack’.
Which answer is correct?
1

I last used ‘crack’ in [LU10a-d fill] when I was

114

[MYRLSTCK] years old
2
I was [AGELSTCK] years old the last time I used
‘crack’
3
Neither answer is correct
DK/REF
UPDATE: IF LUCK06 = 1, THEN AGELSTCK = MYRLSTCK
LUCK07 [IF LUCK06=2 OR LUCK06=3 OR LUCK05 = 6] Please
answer this question again. Did you last use ‘crack’ in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
LUCK07a [IF LUCK07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUCK07] did you last use
‘crack’?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUCK07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUCK07a NE (0 OR DK/RE) THEN UPDATE MYRLSTCK.
MYRLSTCK = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUCK07 AND LUCK07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTCK IS BLANK.
IF MYRLSTCK = AGELSTCK THEN MYRLSTCK = BLANK

115

LUCK08 [IF LUCK06 NE 1 AND MYRLSTCK NE 0 AND (LUCK07
AND LUCK07a NE LU10a-d)] The computer recorded that
you last used ‘crack’ in [LUCK07 - LUCK07a fill]. That
would make you [MYRLSTCK] years old when you last used
‘crack’. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUCK08 NE (6, BLANK OR DK/REF) AND (LUCK07 AND LUCK07a
NE LU10a-d) THEN AGELSTCK = MYRLSTCK
LU11 [IF (HELAST3=2 OR 3) OR (HERECDK=2 OR 3) OR (HERECRE = 2 OR 3)]
The computer recorded that you last used heroin [HEREC FILL]. How old were
you the last time you used heroin?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTHE:
IF LU11 NE (BLANK OR DK/REF) THEN AGELSTHE = LU11
ELSE AGELSTHE = BLANK
IF AGELSTHE < AGE1STHR OR AGELSTHE < 10 OR IF CURNTAGE <
AGELSTHE
LUCC23 The computer recorded that you were [AGELSTHE] years old
when you last used heroin. Is this correct?
4
Yes
6
No
DK/REF
LUCC24 [IF LUCC23 = 6] Please answer this question again. Think
about the last time you used heroin. How old were you the last
time you used heroin?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC24 NOT (BLANK OR DK/REF) THEN AGELSTHE = LUCC24
LU11a [IF LU11 NE DK/RE AND AGELSTHE = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTHE = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use heroin in [CURRENT YEAR - 1] or

116

[CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU11b [IF AGELSTHE = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use heroin in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU11c [IF LU11 NE DK/RE AND AGELSTHE = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
heroin?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU11c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU11d [IF LU11a = 1 - 2 OR LU11b = 1 - 2] In what month in [YEAR FROM LU11a
or LU11b] did you last use heroin?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

117

8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR : [IF LU11d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTHE:
MYRLSTHE = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU11a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTHE IS
BLANK.
IF MYRLSTHE NE 0 AND NE AGELSTHE:
LUHE05 The computer recorded that you last used heroin in [LU11a-d
fill]. That would make you [MYRLSTHE] years old when you
last used heroin. Is this correct?
4
Yes
6
No
DK/REF
LUHE06 [IF LUHE05 = 4] Earlier, the computer recorded that you
were [AGELSTHE] years old when you last used heroin.
Which answer is correct?
1

I last used heroin in [LU11a-d fill] when I was
[MYRLSTHE] years old
2
I was [AGELSTHE] years old the last time I used
heroin
3
Neither answer is correct
DK/REF
UPDATE: IF LUHE06 = 1, THEN AGELSTHE = MYRLSTHE
LUHE07 [IF LUHE06=2 OR LUHE06=3 OR LUHE05 = 6] Please
answer this question again. Did you last use heroin in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1

CURRENT YEAR -2

118

2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
LUHE07a [IF LUHE07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUHE07] did you last use
heroin?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUHE07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUHE07a NE (0 OR DK/RE) THEN UPDATE MYRLSTHE.
MYRLSTHE = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUHE07 AND LUHE07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTHE IS BLANK.
IF MYRLSTHE = AGELSTHE THEN MYRLSTHE = BLANK
LUHE08 [IF LUHE06 NE 1 AND MYRLSTHE NE 0 AND (LUHE07
AND LUHE07a NE LU11a-d)] The computer recorded that
you last used heroin in [LUHE07 - LUHE07a fill]. That
would make you [MYRLSTHE] years old when you last used
heroin. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUHE08 NE (6, BLANK OR DK/REF) AND (LUHE07 AND LUHE07a
NE LU11a-d) THEN AGELSTHE = MYRLSTHE

119

LU12 [IF HALLREC=2 OR 3] The computer recorded that you last used [LSFILL]
[HALLREC FILL]. How old were you the last time you used [LSFILL]?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTHA:
IF LU12 NE (BLANK OR DK/REF) THEN AGELSTHA = LU12
ELSE AGELSTHA = BLANK
IF AGELSTHA < AGE1STHA OR AGELSTHA < 10 OR IF CURNTAGE <
AGELSTHA
LUCC25 The computer recorded that you were [AGELSTHA] years old
when you last used [LSFILL]. Is this correct?
4
Yes
6
No
DK/REF
LUCC26 [IF LUCC25 = 6] Please answer this question again. Think
about the last time you used [LSFILL]. How old were you the
last time you used [LSFILL]?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC26 NOT (BLANK OR DK/REF) THEN AGELSTHA = LUCC26
LU12a [IF LU12 NE DK/RE AND AGELSTHA = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTHA = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use [LSFILL] in [CURRENT YEAR - 1] or
[CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU12b [IF AGELSTHA = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use [LSFILL] in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU12c [IF LU12 NE DK/RE AND AGELSTHA = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use

120

[LSFILL]?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU12c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU12d [IF LU12a = 1 - 2 OR LU12b = 1 - 2] In what month in [YEAR FROM LU12a
or LU12b] did you last use [LSFILL]?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR : [IF LU12d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTHA:
MYRLSTHA = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU12a-d). IF

121

MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTHA IS
BLANK.
IF MYRLSTHA NE 0 AND NE AGELSTHA:
LUHA05 The computer recorded that you last used [LSFILL] in
[LU12a-d fill]. That would make you [MYRLSTHA] years old
when you last used [LSFILL]. Is this correct?
4
Yes
6
No
DK/REF
LUHA06 [IF LUHA05 = 4] Earlier, the computer recorded that you
were [AGELSTHA] years old when you last used [LSFILL].
Which answer is correct?
1

I last used [LSFILL] in [LU12a-d fill] when I was
[MYRLSTHA] years old
2
I was [AGELSTHA] years old the last time I used
[LSFILL]
3
Neither answer is correct
DK/REF
UPDATE: IF LUHA06 = 1, THEN AGELSTHA = MYRLSTHA
LUHA07 [IF LUHA06=2 OR LUHA06=3 OR LUHA05 = 6] Please
answer this question again. Did you last use [LSFILL] in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
LUHA07a [IF LUHA07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUHA07] did you last use
[LSFILL]?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

122

8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUHA07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUHA07a NE (0 OR DK/RE) THEN UPDATE MYRLSTHA.
MYRLSTHA = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUHA07 AND LUHA07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTHA IS BLANK.
IF MYRLSTHA = AGELSTHA THEN MYRLSTHA = BLANK
LUHA08 [IF LUHA06 NE 1 AND MYRLSTHA NE 0 AND (LUHA07
AND LUHA07a NE LU12a-d)] The computer recorded that
you last used [LSFILL] in [LUHA07 - LUHA07a fill]. That
would make you [MYRLSTHA] years old when you last used
[LSFILL]. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUHA08 NE (6, BLANK OR DK/REF) AND (LUHA07 AND LUHA07a
NE LU12a-d) THEN AGELSTHA = MYRLSTHA
LU13 [IF LSDREC=2 OR 3] The computer recorded that you last used LSD [LSDREC
FILL]. How old were you the last time you used LSD?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTLS:
IF LU13 NE (BLANK OR DK/REF) THEN AGELSTLS = LU13
ELSE AGELSTLS = BLANK
IF AGELSTLS < AGE1STLS OR AGELSTLS < 10 OR IF CURNTAGE <
AGELSTLS
LUCC27 The computer recorded that you were [AGELSTLS] years old
when you last used LSD. Is this correct?

123

4
Yes
6
No
DK/REF
LUCC28 [IF LUCC27 = 6] Please answer this question again. Think
about the last time you used LSD. How old were you the last
time you used LSD?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC28 NOT (BLANK OR DK/REF) THEN AGELSTLS = LUCC28
LU13a [IF LU13 NE DK/RE AND AGELSTLS = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTLS = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use LSD in [CURRENT YEAR - 1] or
[CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU13b [IF AGELSTLS = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use LSD in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU13c [IF LU13 NE DK/RE AND AGELSTLS = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
LSD?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF

124

HARD ERROR: [IF LU13c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU13d [IF LU13a = 1 - 2 OR LU13b = 1 - 2] In what month in [YEAR FROM LU13a
or LU13b] did you last use LSD?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR : [IF LU13d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTLS:
MYRLSTLS = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU13a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTLS IS
BLANK.
IF MYRLSTLS NE 0 AND NE AGELSTLS:
LULS05 The computer recorded that you last used LSD in [LU13a-d
fill]. That would make you [MYRLSTLS] years old when you
last used LSD. Is this correct?
4
Yes
6
No
DK/REF
LULS06

[IF LULS05 = 4] Earlier, the computer recorded that you were
[AGELSTLS] years old when you last used LSD. Which
answer is correct?

125

1

I last used LSD in [LU13a-d fill] when I was
[MYRLSTLS] years old
2
I was [AGELSTLS] years old the last time I used LSD
3
Neither answer is correct
DK/REF
UPDATE: IF LULS06 = 1, THEN AGELSTLS = MYRLSTLS
LULS07

[IF LULS06=2 OR LULS06=3 OR LULS05 = 6] Please
answer this question again. Did you last use LSD in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

LULS07a [IF LULS07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LULS07] did you last use
LSD?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LULS07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LULS07a NE (0 OR DK/RE) THEN UPDATE MYRLSTLS.
MYRLSTLS = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF LAST USE (LULS07 AND LULS07a). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTLS IS BLANK. IF

126

MYRLSTLS = AGELSTLS THEN MYRLSTLS = BLANK
LULS08

[IF LULS06 NE 1 AND MYRLSTLS NE 0 AND (LULS07 AND
LULS07a NE LU13a-d)] The computer recorded that you last
used LSD in [LULS07 - LULS07a fill]. That would make you
[MYRLSTLS] years old when you last used LSD. Is this
correct?
4
Yes
6
No
DK/REF

UPDATE: IF LULS08 NE (6, BLANK OR DK/REF) AND (LULS07 AND LULS07a
NE LU13a-d) THEN AGELSTLS = MYRLSTLS
LU14 [IF PCPREC=2 OR 3] The computer recorded that you last used PCP [PCPREC
FILL]. How old were you the last time you used PCP?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTPC:
IF LU14 NE (BLANK OR DK/REF) THEN AGELSTPC = LU14
ELSE AGELSTPC = BLANK
IF AGELSTPC < AGE1STPC OR AGELSTPC < 10 OR IF CURNTAGE <
AGELSTPC
LUCC29 The computer recorded that you were [AGELSTPC] years old
when you last used PCP. Is this correct?
4
Yes
6
No
DK/REF
LUCC30 [IF LUCC29 = 6] Please answer this question again. Think
about the last time you used PCP. How old were you the last
time you used PCP?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC30 NOT (BLANK OR DK/REF) THEN AGELSTPC = LUCC30
LU14a [IF LU14 NE DK/RE AND AGELSTPC = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTPC = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use PCP in [CURRENT YEAR - 1] or

127

[CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU14b [IF AGELSTPC = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use PCP in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU14c [IF LU14 NE DK/RE AND AGELSTPC = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
PCP?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU14c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU14d [IF LU14a = 1 - 2 OR LU14b = 1 - 2] In what month in [YEAR FROM LU14a
or LU14b] did you last use PCP?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

128

8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR : [IF LU14d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTPC:
MYRLSTPC = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU14a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTPC IS
BLANK.
IF MYRLSTPC NE 0 AND NE AGELSTPC:
LUPC05 The computer recorded that you last used PCP in [LU14a-d
fill]. That would make you [MYRLSTPC] years old when you
last used PCP. Is this correct?
4
Yes
6
No
DK/REF
LUPC06 [IF LUPC05 = 4] Earlier, the computer recorded that you
were [AGELSTPC] years old when you last used PCP. Which
answer is correct?
1

I last used PCP in [LU14a-d fill] when I was
[MYRLSTPC] years old
2
I was [AGELSTPC] years old the last time I used PCP
3
Neither answer is correct
DK/REF
UPDATE: IF LUPC06 = 1, THEN AGELSTPC = MYRLSTPC
LUPC07 [IF LUPC06=2 OR LUPC06=3 OR LUPC05 = 6] Please
answer this question again. Did you last use PCP in
[CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT
YEAR]?
1
2

CURRENT YEAR -2
CURRENT YEAR -1

129

3
CURRENT YEAR
DK/REF
LUPC07a [IF LUPC07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUPC07] did you last use
PCP?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUPC07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUPC07a NE (0 OR DK/RE) THEN UPDATE MYRLSTPC.
MYRLSTPC = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUPC07 AND LUPC07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTPC IS BLANK. IF
MYRLSTPC = AGELSTPC THEN MYRLSTPC = BLANK
LUPC08 [IF LUPC06 NE 1 AND MYRLSTPC NE 0 AND (LUPC07
AND LUPC07a NE LU14a-d)] The computer recorded that
you last used PCP in [LUPC07 - LUPC07a fill]. That would
make you [MYRLSTPC] years old when you last used PCP. Is
this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUPC08 NE (6, BLANK OR DK/REF) AND (LUPC07 AND LUPC07a
NE LU14a-d) THEN AGELSTPC = MYRLSTPC
LU15 [IF ECSTREC=2 OR 3] The computer recorded that you last used ‘Ecstasy’ or

130

‘Molly’, also known as MDMA [ECSTREC FILL]. How old were you the last
time you used ‘Ecstasy’ or ‘Molly’?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTEC:
IF LU15 NE (BLANK OR DK/REF) THEN AGELSTEC = LU15
ELSE AGELSTEC = BLANK
IF AGELSTEC < AGE1STEC OR AGELSTEC < 10 OR IF CURNTAGE <
AGELSTEC
LUCC31 The computer recorded that you were [AGELSTEC] years old
when you last used ‘Ecstasy’ or ‘Molly’. Is this correct?
4
Yes
6
No
DK/REF
LUCC32 [IF LUCC31 = 6] Please answer this question again. Think
about the last time you used ‘Ecstasy’ or ‘Molly’. How old
were you the last time you used ‘Ecstasy’ or ‘Molly’?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC32 NOT (BLANK OR DK/REF) THEN AGELSTPC = LUCC32
LU15a [IF LU15 NE DK/RE AND AGELSTEC = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTEC = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use ‘Ecstasy’ or ‘Molly’ in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU15b [IF AGELSTEC = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use ‘Ecstasy’ or ‘Molly’ in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU15c [IF LU15 NE DK/RE AND AGELSTEC = CURNTAGE AND DATE OF

131

INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
‘Ecstasy’ or ‘Molly’?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU15c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU15d [IF LU15a = 1 - 2 OR LU15b = 1 - 2] In what month in [YEAR FROM LU15a
or LU15b] did you last use ‘Ecstasy’ or ‘Molly’?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR : [IF LU15d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTEC:
MYRLSTEC = AGE AT LAST USE CALCULATED BY “SUBTRACTING”

132

DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU15a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTEC IS
BLANK.
IF MYRLSTEC NE 0 AND NE AGELSTEC:
LUEC05 The computer recorded that you last used ‘Ecstasy’ or ‘Molly’
in [LU15a-d fill]. That would make you [MYRLSTEC] years
old when you last used ‘Ecstasy’ or ‘Molly’. Is this correct?
4
Yes
6
No
DK/REF
LUEC06 [IF LUEC05 = 4] Earlier, the computer recorded that you
were [AGELSTEC] years old when you last used ‘Ecstasy’ or
‘Molly’. Which answer is correct?
1

I last used ‘Ecstasy’ or ‘Molly’ in [LU15a-d fill] when I
was [MYRLSTEC] years old
2
I was [AGELSTEC] years old the last time I used
‘Ecstasy’ or ‘Molly’
3
Neither answer is correct
DK/REF
UPDATE: IF LUEC06 = 1, THEN AGELSTEC = MYRLSTEC
LUEC07 [IF LUEC06=2 OR LUEC06=3 OR LUEC05 = 6] Please
answer this question again. Did you last use ‘Ecstasy’ or
‘Molly’ in [CURRENT YEAR-2], [CURRENT YEAR-1], or
[CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
LUEC07a [IF LUEC07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUEC07] did you last use
‘Ecstasy’ or ‘Molly’?
1
2
3
4
5
6

January
February
March
April
May
June

133

7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUEC07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUEC07a NE (0 OR DK/RE) THEN UPDATE MYRLSTEC.
MYRLSTEC = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUEC07 AND LUEC07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTEC IS BLANK. IF
MYRLSTEC = AGELSTEC THEN MYRLSTEC = BLANK
LUEC08 [IF LUEC06 NE 1 AND MYRLSTEC NE 0 AND (LUEC07
AND LUEC07a NE LU15a-d)] The computer recorded that
you last used ‘Ecstasy’ or ‘Molly’ in [LUEC07 - LUEC07a
fill]. That would make you [MYRLSTEC] years old when you
last used ‘Ecstasy’ or ‘Molly’. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUEC08 NE (6, BLANK OR DK/REF) AND (LUEC07 AND LUEC07a
NE LU15a-d) THEN AGELSTEC = MYRLSTEC
LU16 [IF (INLAST=2 OR 3) OR (INRECDK=2 OR 3) OR (INRECRE=2 OR 3)] The
computer recorded that you last used any inhalants for kicks fun or to get high
[INREC FILL]. How old were you the last time you used any inhalants for
kicks fun or to get high?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTIN:
IF LU16 NE (BLANK OR DK/REF) THEN AGELSTIN = LU16
ELSE AGELSTIN = BLANK
IF AGESLSTIN < AGE1STIN OR AGELSTIN < 10 OR IF CURNTAGE <
AGELSTIN

134

LUCC33 The computer recorded that you were [AGELSTIN] years old
when you last used an inhalant for kicks fun or to get high. Is
this correct?
4
Yes
6
No
DK/REF
LUCC34 [IF LUCC33 = 6] Please answer this question again. Think
about the last time you used an inhalant for kicks fun or to get
high. How old were you the last time you used an inhalant for
kicks fun or to get high?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC34 NOT (BLANK OR DK/REF) THEN AGELSTIN = LUCC34
LU16a [IF LU16 NE DK/RE AND AGELSTIN = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTIN = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use an inhalant for kicks fun or to get high in
[CURRENT YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU16b [IF AGELSTIN = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use an inhalant for kicks fun or to get high in [CURRENT YEAR - 2] or
[CURRENT YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU16c [IF LU16 NE DK/RE AND AGELSTIN = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
an inhalant for kicks fun or to get high?
1
2
3
4
5
6
7

January
February
March
April
May
June
July

135

8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU16c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
LU16d [IF LU16a = 1 - 2 OR LU16b = 1 - 2] In what month in [YEAR FROM LU16a
or LU16b] did you last use an inhalant for kicks fun or to get high?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR : [IF LU16d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTIN:
MYRLSTIN = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU16a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTIN IS
BLANK.
IF MYRLSTIN NE 0 AND NE AGELSTIN:
LUIN05 The computer recorded that you last used an inhalant for kicks
fun or to get high in [LU16a-d fill]. That would make you
[MYRLSTIN] years old when you last used an inhalant for
kicks fun or to get high. Is this correct?

136

4
Yes
6
No
DK/REF
LUIN06

[IF LUIN05 = 4] Earlier, the computer recorded that you were
[AGELSTIN] years old when you last used an inhalant for
kicks fun or to get high. Which answer is correct?
1

I last used an inhalant for kicks fun or to get high in
[LU16a-d fill] when I was [MYRLSTIN] years old
2
I was [AGELSTIN] years old the last time I used an
inhalant for kicks fun or to get high
3
Neither answer is correct
DK/REF
UPDATE: IF LUIN06 = 1, THEN AGELSTIN = MYRLSTIN
LUIN07

[IF LUIN06=2 OR LUIN06=3 OR LUIN05 = 6] Please
answer this question again. Did you last use an inhalant for
kicks fun or to get high in [CURRENT YEAR-2], [CURRENT
YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF

LUIN07a [IF LUIN07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUIN07] did you last use
an inhalant for kicks fun or to get high?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUIN07a > CURRENT MONTH] THE MONTH IN

137

[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUIN07a NE (0 OR DK/RE) THEN UPDATE MYRLSTIN.
MYRLSTIN = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE OF
BIRTH FROM MONTH AND YEAR OF LAST USE (LUIN07 AND LUIN07a). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTIN IS BLANK. IF
MYRLSTIN = AGELSTIN THEN MYRLSTIN = BLANK
LUIN08

[IF LUIN06 NE 1 AND MYRLSTIN NE 0 AND (LUIN07 AND
LUIN07a NE LU16a-d)] The computer recorded that you last
used an inhalant for kicks fun or to get high in [LUIN07 LUIN07a fill]. That would make you [MYRLSTIN] years old
when you last used an inhalant for kicks fun or to get high. Is
this correct?
4
Yes
6
No
DK/REF

UPDATE: IF LUIN08 NE (6, BLANK OR DK/REF) AND (LUIN07 AND LUIN07a
NE LU16a-d) THEN AGELSTIN = MYRLSTIN
LU17 [IF (MELAST3=2 OR 3) OR MERECDK=2 OR 3) OR (MERECRE=2 OR 3)]
The computer recorded that you last used methamphetamine [MEREC FILL].
How old were you the last time you used methamphetamine?
AGE:_____[RANGE: 1-110]
DK/REF
DEFINE AGELSTME:
IF LU17 NE (BLANK OR DK/REF) THEN AGELSTME = LU17
ELSE AGELSTME = BLANK
IF AGESLSTME < AGE1STME OR AGELSTME < 10 OR IF CURNTAGE <
AGELSTME
LUCC35 The computer recorded that you were [AGELSTME] years old
when you last used methamphetamine. Is this correct?
4
Yes
6
No
DK/REF
LUCC36 [IF LUCC35 = 6] Please answer this question again. Think
about the last time you used methamphetamine. How old were

138

you the last time you used methamphetamine?
AGE:_______[RANGE: 1-110]
DK/REF
UPDATE: IF LUCC36 NOT (BLANK OR DK/REF) THEN AGELSTME = LUCC36
LU17a [IF LU17 NE DK/RE AND AGELSTME = CURNTAGE AND DATE OF
INTERVIEW < DOB OR IF AGELSTME = CURNTAGE - 1 AND DATE OF
INTERVIEW ≥ DOB] Did you last use methamphetamine in [CURRENT
YEAR - 1] or [CURRENT YEAR]?
1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
LU17b [IF AGELSTME = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did
you last use methamphetamine in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF
LU17c [IF LU17 NE DK/RE AND AGELSTME = CURNTAGE AND DATE OF
INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last use
methamphetamine?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LU17c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.

139

LU17d [IF LU17a = 1 - 2 OR LU17b = 1 - 2] In what month in [YEAR FROM LU17a
or LU17b] did you last use methamphetamine?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR : [IF LU17d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYRLSTME:
MYRLSTME = AGE AT LAST USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF LAST USE (LU17a-d). IF
MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTME IS
BLANK.
IF MYRLSTME NE 0 AND NE AGELSTME:
LUME05 The computer recorded that you last used methamphetamine in
[LU17a-d fill]. That would make you [MYRLSTME] years old
when you last used methamphetamine. Is this correct?
4
Yes
6
No
DK/REF
LUME06 [IF LUME05 = 4] Earlier, the computer recorded that you
were [AGELSTME] years old when you last used
methamphetamine. Which answer is correct?
1
2

I last used methamphetamine in [LU17a-d fill] when I
was [MYRLSTME] years old
I was [AGELSTME] years old the last time I used
methamphetamine

140

3
Neither answer is correct
DK/REF
UPDATE: IF LUME06 = 1, THEN AGELSTME = MYRLSTME
LUME07 [IF LUME06=2 OR LUME06=3 OR LUME05 = 6] Please
answer this question again. Did you last use
methamphetamine [CURRENT YEAR-2], [CURRENT YEAR1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
LUME07a [IF LUME07 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [LUME07] did you last use
methamphetamine?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF LUME07a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF LUME07a NE (0 OR DK/RE) THEN UPDATE MYRLSTME.
MYRLSTME = AGE AT LAST USE CALCULATED BY “SUBTRACTING” DATE
OF BIRTH FROM MONTH AND YEAR OF LAST USE (LUME07 AND LUME07a).
IF MONTH OF LAST USE = MONTH OF BIRTH, THEN MYRLSTME IS BLANK.
IF MYRLSTME = AGELSTME THEN MYRLSTME = BLANK
LUME08 [IF LUME06 NE 1 AND MYRLSTME NE 0 AND (LUME07
AND LUME07a NE LU17a-d)] The computer recorded that

141

you last used methamphetamine [LUME07 - LUME07a fill].
That would make you [MYRLSTME] years old when you last
used methamphetamine. Is this correct?
4
Yes
6
No
DK/REF
UPDATE: IF LUME08 NE (6, BLANK OR DK/REF) AND (LUME07 AND LUME07a
NE LU17a-d) THEN AGELSTME = MYRLSTME
LU37 [IF (CG01=1 OR CGREF = 1) AND CG06 NE 3 AND CG06DK NE 3 AND
CG06RE NE 3] Earlier questions were about the past 12 months. This question is
about the year before that, that is, from [DATEFILL - 12 MONTHS] to
[DATEFILL]. During that year, beginning [DATEFILL - 12 MONTHS] and
ending [DATEFILL], did you smoke part or all of a cigarette, even once?
1
Yes
2
No
DK/REF
LU38 [IF AL01=1 OR ALREF = 1] [IF LU37 = BLANK: Earlier questions were about
the past 12 months. This question is about the year before that, that is, from
[DATEFILL - 12 MONTHS] to [DATEFILL].] During that year, beginning
[DATEFILL - 12 MONTHS] and ending [DATEFILL], did you have a drink of
any type of alcoholic beverage, even once?
1
Yes
2
No
DK/REF
LU39 [IF CC01=1 OR CCREF = 1] [IF LU37 = BLANK AND LU38 = BLANK:
Earlier questions were about the past 12 months. This question is about the year
before that, that is, from [DATEFILL - 12 MONTHS] to [DATEFILL].]
During that year, beginning [DATEFILL - 12 MONTHS] and ending
[DATEFILL], did you use any form of cocaine, even once?
1
Yes
2
No
DK/REF

142

143

Social Environment
(Section Administered to 18 + Year Olds Only)
leadsen

[IF CURNTAGE = 18 OR OLDER] The next questions are about things you
might or might not have done recently.
Press [ENTER] to continue.

SEN12a

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, how many
times have you sold illegal drugs?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

sen12b

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, how many
times have you stolen or tried to steal anything worth more than $50?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

sen12c

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, how many
times have you attacked someone with the intent to seriously hurt them?
1
0 times
2
1 or 2 times
3
3 to 5 times
4
6 to 9 times
5
10 or more times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

sen13b

[IF CURNTAGE = 18 OR OLDER] How do you feel about adults trying
marijuana or hashish once or twice?
1

Neither approve nor disapprove
144

2
Somewhat disapprove
3
Strongly disapprove
DK/REF
senrelat

[IF CURNTAGE = 18 OR OLDER] During the past 12 months, how many
times did you attend religious services? Please do not include special
occasions such as weddings, funerals, or other special events in your answer.
1
0 times
2
1 to 2 times
3
3 to 5 times
4
6 to 24 times
5
25 to 52 times
6
More than 52 times
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

senrebe1 [IF CURNTAGE = 18 OR OLDER] These next questions are about the role
that religious beliefs may play in your life. For each statement, please
indicate whether you strongly disagree, disagree, agree, or strongly agree.
Your religious beliefs are a very important part of your life.
1
Strongly disagree
2
Disagree
3
Agree
4
Strongly agree
DK/REF
senrebe2 [IF CURNTAGE = 18 OR OLDER] Your religious beliefs influence how you
make decisions in your life.
1
Strongly disagree
2
Disagree
3
Agree
4
Strongly agree
DK/REF
senrebe3 [IF CURNTAGE = 18 OR OLDER] It is important that your friends share
your religious beliefs.
1
Strongly disagree
2
Disagree
3
Agree
4
Strongly agree
DK/REF

145

Youth Mental Health Service Utilization
(Section Administered to 12 - 17 Year Old Respondents Only)

INTROYSU [IF CURNTAGE = 12 - 17] These next questions are about treatment and
counseling for problems with your behaviors or emotions that were not
caused by alcohol or drugs.
Press [ENTER] to continue.
YSU01

[IF CURNTAGE = 12 - 17] During the past 12 months, have you stayed
overnight or longer in any type of hospital to receive treatment or
counseling for emotional or behavioral problems that were not caused by
alcohol or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU02

[IF YSU01 = 1] During the past 12 months, how many nights altogether did
you stay in a hospital to receive treatment or counseling for emotional or
behavioral problems that were not caused by alcohol or drugs?
# OF NIGHTS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU03

[IF YSU01 = 1] Think about the last time you stayed overnight or longer in
a hospital to receive treatment or counseling for emotional or behavioral
problems that were not caused by alcohol or drugs. What was the reason you
were admitted there?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
1
You thought about killing yourself or tried to kill yourself
2
You felt depressed
3
You felt very afraid and tense
4
You were breaking rules and “acting out”
5
You had eating problems
6
Some other reason
DK/REF

146

YSU03a

[IF ANY ENTRY IN YSU03 = 6] What was the other emotional or
behavioral problem for which you last stayed overnight in a hospital?
To select more than one reason from the list, press the space bar between
each number you type. When you have finished, press the [ENTER] key
to go to the next question.
1
You had trouble controlling your anger
2
You had gotten into physical fights
3
You had problems at home or in your family
4
You had problems with your friends
5
You had problems with people other than your friends or family
6
You had problems at school
7
Some other reason
DK/REF

YSU03SP [IF ANY ENTRY IN YSU03a = 7] Please type in the most important other
reason for your last overnight stay in a hospital to receive treatment or
counseling for emotional or behavioral problems that were not caused by
alcohol or drugs. You do not need to give a detailed description — just a few
words will be okay. When you have finished typing your answer, press the
[ENTER] key to go to the next question.
_______________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN YSU03SP.
YSU04

[IF CURNTAGE = 12 - 17] During the past 12 months, did you stay
overnight or longer in a residential treatment center to receive treatment or
counseling for emotional or behavioral problems that were not caused by
alcohol or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU05

[IF YSU04=1] During the past 12 months, how many nights altogether did
you stay in a residential treatment center to receive treatment for emotional
or behavioral problems that were not caused by alcohol or drugs?
# OF NIGHTS: _________ [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU06

[IF YSU04=1] Think about the last time you stayed overnight or longer in a

147

residential treatment center to receive treatment for emotional or behavioral
problems that were not caused by alcohol or drugs. What was the reason you
were admitted there?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
1
You thought about killing yourself or tried to kill yourself.
2
You felt depressed
3
You felt very afraid and tense
4
You were breaking rules and “acting out”
5
You had eating problems
6
Some other reason
DK/REF
YSU06a

[IF ANY ENTRY IN YSU06 = 6] What was the other emotional or
behavioral problem for which you last stayed overnight in a residential
treatment center?
To select more than one reason from the list, press the space bar between
each number you type. When you have finished, press the [ENTER] key
to go to the next question.
1
You had trouble controlling your anger
2
You had gotten into physical fights
3
You had problems at home or in your family
4
You had problems with your friends
5
You had problems with people other than your friends or family
6
You had problems at school
7
Some other reason
DK/REF

YSU06SP [IF ANY ENTRY IN YSU06a=7] Please type in the most important other
reason for your last overnight stay in a residential treatment center to
receive treatment or counseling for emotional or behavioral problems that
were not caused by alcohol or drugs. You do not need to give a detailed
description — just a few words will be okay. When you have finished typing
your answer, press the [ENTER] key to go to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN YSU06SP.
YSU07

[IF CURNTAGE = 12 - 17] During the past 12 months, did you stay
overnight or longer in foster care or in a therapeutic foster care home

148

because you had emotional or behavioral problems that were not caused by
alcohol or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YSU08

[IF YSU07 = 1] During the past 12 months, how many nights altogether did
you stay in foster care or in a therapeutic foster care home because you
had emotional or behavioral problems that were not caused by alcohol or
drugs?
# OF NIGHTS: _________ [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU09

[IF YSU07=1] Think about the last time you stayed overnight or longer in
foster care or in a therapeutic foster care home because you had emotional
or behavioral problems that were not caused by alcohol or drugs. What was
the reason you were placed there?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
1
You thought about killing yourself or tried to kill yourself.
2
You felt depressed
3
You felt very afraid and tense
4
You were breaking rules and “acting out”
5
You had eating problems
6
Some other reason
DK/REF

YSU09a

[IF ANY ENTRY IN YSU09 = 6] What was the other emotional or
behavioral problem for which you last stayed overnight or longer in foster
care or a therapeutic foster care home?
To select more than one reason from the list, press the space bar between
each number you type. When you have finished, press the [ENTER] key
to go to the next question.
1
2
3
4

You had trouble controlling your anger
You had gotten into physical fights
You had problems at home or in your family
You had problems with your friends

149

5
You had problems with people other than your friends or family
6
You had problems at school
7
Some other reason
DK/REF
YSU09SP [IF ANY ENTRY IN YSU09a =7] Please type in the most important other
reason for your last overnight stay in foster care or in a therapeutic foster
care home to receive treatment or counseling for emotional or behavioral
problems that were not caused by alcohol or drugs. You do not need to give a
detailed description — just a few words will be okay. When you have
finished typing your answer, press the [ENTER] key to go to the next
question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN YSU09SP.
YSU10

[IF CURNTAGE = 12 - 17] During the past 12 months, did you receive
treatment or counseling at a partial day hospital or day treatment program
because you had problems with your behavior or emotions that were not
caused by alcohol or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU11

[IF YSU10 = 1] During the past 12 months, how many times did you visit a
partial day hospital or day treatment program because you had emotional
or behavioral problems that were not caused by alcohol or drugs?
# OF TIMES: _________ [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU12

[IF YSU10 =1] Think about the last time you visited a partial day hospital
or day treatment program because you had emotional or behavioral
problems that were not caused by alcohol or drugs. What was the reason for
your visit?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
1
2

You thought about killing yourself or tried to kill yourself.
You felt depressed

150

3
You felt very afraid and tense
4
You were breaking rules and “acting out”
5
You had eating problems
6
Some other reason
DK/REF
YSU12a

[IF ANY ENTRY IN YSU12 = 6] What was the other emotional or
behavioral problem for which you last visited a partial day hospital or
day treatment program?
To select more than one reason from the list, press the space bar between
each number you type. When you have finished, press the [ENTER] key
to go to the next question.
1
You had trouble controlling your anger
2
You had gotten into physical fights
3
You had problems at home or in your family
4
You had problems with your friends
5
You had problems with people other than your friends or family
6
You had problems at school
7
Some other reason
DK/REF

YSU12SP [IF ANY ENTRY IN YSU12a =7] Please type in the most important other
reason for your last visit to a partial day hospital or day treatment
program to receive treatment or counseling for emotional or behavioral
problems that were not caused by alcohol or drugs. You do not need to give a
detailed description — just a few words will be okay. When you have
finished typing your answer, press the [ENTER] key to go to the next
question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN YSU12SP.
YSU13

[IF CURNTAGE = 12 - 17] During the past 12 months, did you receive
treatment or counseling at a mental health clinic or center because you had
problems with your behavior or emotions that were not caused by alcohol or
drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU14

[IF YSU13 = 1] During the past 12 months, how many times did you visit a

151

mental health clinic or center to receive treatment or counseling because
you had emotional or behavioral problems that were not caused by alcohol or
drugs?
# OF TIMES: _________ [RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YSU15

[IF YSU13 =1] Think about the last time you visited a mental health clinic
or center to receive treatment or counseling for emotional or behavioral
problems that were not caused by alcohol or drugs. What was the reason for
your visit?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
1
You thought about killing yourself or tried to kill yourself.
2
You felt depressed
3
You felt very afraid and tense
4
You were breaking rules and “acting out”
5
You had eating problems
6
Some other reason
DK/REF

YSU15a

[IF ANY ENTRY IN YSU15 = 6] What was the other emotional or
behavioral problem for which you last visited a mental health clinic or
center?
To select more than one reason from the list, press the space bar between
each number you type. When you have finished, press the [ENTER] key
to go to the next question.
1
You had trouble controlling your anger
2
You had gotten into physical fights
3
You had problems at home or in your family
4
You had problems with your friends
5
You had problems with people other than your friends or family
6
You had problems at school
7
Some other reason
DK/REF

YSU15SP [IF ANY ENTRY IN YSU15a =7] Please type in the most important other
reason for your last visit to a mental health clinic or center to receive
treatment or counseling for emotional or behavioral problems that were not
caused by alcohol or drugs. You do not need to give a detailed description —

152

just a few words will be okay. When you have finished typing your answer,
press the [ENTER] key to go to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN YSU15SP.
YSU16

[IF CURNTAGE = 12 - 17] During the past 12 months, did you receive
treatment or counseling from a private therapist, psychologist, psychiatrist,
social worker, or counselor for emotional or behavioral problems that were
not caused by alcohol or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU17

[IF YSU16 = 1] During the past 12 months, how many times did you receive
treatment or counseling from a private therapist, psychologist, psychiatrist,
social worker, or counselor for emotional or behavioral problems that were
not caused by alcohol or drugs?
# OF TIMES:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU18

[IF YSU16 = 1] Think about the last time you visited a private therapist,
psychologist, psychiatrist, social worker, or counselor to receive treatment
or counseling for emotional or behavioral problems that were not caused by
alcohol or drugs. What was the reason for your visit?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
1
You thought about killing yourself or tried to kill yourself.
2
You felt depressed
3
You felt very afraid and tense
4
You were breaking rules and “acting out”
5
You had eating problems
6
Some other reason
DK/REF

YSU18a

[IF ANY ENTRY IN YSU18 = 6] What was the other emotional or
behavioral problem for which you last visited a private therapist,
psychologist, psychiatrist, social worker or counselor?

153

To select more than one reason from the list, press the space bar between
each number you type. When you have finished, press the [ENTER] key
to go to the next question.
1
You had trouble controlling your anger
2
You had gotten into physical fights
3
You had problems at home or in your family
4
You had problems with your friends
5
You had problems with people other than your friends or family
6
You had problems at school
7
Some other reason
DK/REF
YSU18SP [IF ANY ENTRY IN YSU18a =7] Please type in the most important other
reason for your last visit to a private therapist, psychologist, psychiatrist,
social worker, or counselor for emotional or behavioral problems that were
not caused by alcohol or drugs. You do not need to give a detailed
description — just a few words will be okay. When you have finished typing
your answer, press the [ENTER] key to go to the next question.
_____________
DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN YSU18SP.
YSU19

[IF CURNTAGE = 12 -17] During the past 12 months, did you receive
treatment or counseling from an in-home therapist, counselor, or family
preservation worker for emotional or behavioral problems that were not
caused by alcohol or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU20

[IF YSU19 = 1] During the past 12 months, how many times did you receive
treatment or counseling from an in-home therapist, counselor, or family
preservation worker for emotional or behavioral problems that were not
caused by alcohol or drugs?
# OF TIMES:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU21

[IF YSU19 = 1] Think about the last time you saw an in-home therapist,
counselor, or family preservation worker to receive treatment or counseling
for emotional or behavioral problems that were not caused by alcohol or

154

drugs. What was the reason for this visit?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
1
You thought about killing yourself or tried to kill yourself.
2
You felt depressed
3
You felt very afraid and tense
4
You were breaking rules and “acting out”
5
You had eating problems
6
Some other reason
DK/REF
YSU21a

[IF ANY ENTRY IN YSU21 = 6] What was the other emotional or
behavioral problem for which you last saw an in-home therapist,
counselor, or family preservation worker?
To select more than one reason from the list, press the space bar between
each number you type. When you have finished, press the [ENTER] key
to go to the next question.
1
You had trouble controlling your anger
2
You had gotten into physical fights
3
You had problems at home or in your family
4
You had problems with your friends
5
You had problems with people other than your friends or family
6
You had problems at school
7
Some other reason
DK/REF

YSU21SP [IF ANY ENTRY IN YSU21a=7] Please type in the most important other
reason you last saw an in-home therapist, counselor, or family preservation
worker for emotional or behavioral problems that were not caused by alcohol
or drugs. You do not need to give a detailed description — just a few words
will be okay. When you have finished typing your answer, press the
[ENTER] key to go to the next question.
_____________
DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN YSU21SP.
YSU22

[IF CURNTAGE = 12 -17] During the past 12 months, did you receive
treatment or counseling from a pediatrician or other family doctor for
emotional or behavioral problems that were not caused by alcohol or drugs?
1

Yes

155

2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YSU23

[IF YSU22 = 1] During the past 12 months, how many times did you receive
treatment or counseling from a pediatrician or other family doctor for
emotional or behavioral problems that were not caused by alcohol or drugs?
# OF TIMES:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU24

[IF YSU22 = 1] Think about the last time you visited a pediatrician or
other family doctor to receive treatment or counseling for emotional or
behavioral problems that were not caused by alcohol or drugs. What was the
reason for your visit?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
1
You thought about killing yourself or tried to kill yourself.
2
You felt depressed
3
You felt very afraid and tense
4
You were breaking rules and “acting out”
5
You had eating problems
6
Some other reason
DK/REF

YSU24a

[IF ANY ENTRY IN YSU24 = 6] What was the other emotional or
behavioral problem for which you last visited a pediatrician or other
family doctor?
To select more than one reason from the list, press the space bar between
each number you type. When you have finished, press the [ENTER] key
to go to the next question.
1
You had trouble controlling your anger
2
You had gotten into physical fights
3
You had problems at home or in your family
4
You had problems with your friends
5
You had problems with people other than your friends or family
6
You had problems at school
7
Some other reason
DK/REF

156

YSU24SP [IF ANY ENTRY IN YSU24a=7] Please type in the most important other
reason for your last visit to a pediatrician or other family doctor for
emotional or behavioral problems that were not caused by alcohol or drugs.
You do not need to give a detailed description — just a few words will be
okay. When you have finished typing your answer, press the [ENTER] key to
go to the next question.
_____________
DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN YSU24SP.

YSU30

[IF CURNTAGE = 12 – 17 and YE09=1] Sometimes students get
treatment or counseling through the school system. This counseling is often
provided by school social workers, school psychologists or school counselors.
During the past 12 months, that is, since [DATEFILL], did you receive any
treatment or counseling from a school social worker, a school psychologist, or a
school counselor for emotional or behavioral problems that were not caused by
alcohol or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU31

[IF YSU30 = 1] Think about the last time you talked with a school social
worker, school psychologist, or school counselor about emotional or
behavioral problems that were not caused by alcohol or drugs. What was the
reason for your talk?
To select more than one reason from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
1
You thought about killing yourself or tried to kill yourself.
2
You felt depressed
3
You felt very afraid and tense
4
You were breaking rules and “acting out”
5
You had eating problems
6
Some other reason
DK/REF

YSU31a

[IF ANY ENTRY IN YSU31 = 6] What was the other reason for your
last talk with a school social worker, school psychologist or school
counselor ?

157

To select more than one reason from the list, press the space bar between
each number you type. When you have finished, press the [ENTER] key
to go to the next question.
1
You had trouble controlling your anger
2
You had gotten into physical fights
3
You had problems at home or in your family
4
You had problems with your friends
5
You had problems with people other than your friends or family
6
You had problems at school
7
Some other reason
DK/REF
YSU31SP [IF ANY ENTRY IN YSU31a=7] Please type in the most important other
reason for your last talk with a school social worker, school psychologist
or school counselor. You do not need to give a detailed description — just a
few words will be okay. When you have finished typing your answer, press
the [ENTER] key to go to the next question.
_____________
DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN YSU31SP.
YSU32

[IF CURNTAGE = 12 – 17 AND YE09=1] At any time during the past
12 months, that is since [DATEFILL], did you attend a school for students with
emotional or behavioral problems?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU33

[IF CURNTAGE = 12 – 17 and YSU32=2 or DK/ref] Regular schools
sometimes provide programs for students with emotional or behavioral problems.
At any time during the past 12 months, did you participate in a school program
that was just for students with emotional or behavioral problems?

1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YSU34 [IF CURNTAGE = 12 – 17 ] These next questions are about experiences with
the justice system.

158

During the past 12 months, that is, since [DATEFILL], did you stay overnight or
longer in any type of juvenile detention center, sometimes called “juvie”,
prison, or jail?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
YSU35

[IF YSU34=1] During the past 12 months, how many nights altogether did
you stay in any type of juvenile detention center, prison or jail?
# OF NIGHTS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

YSU36

[IF YSU34 = 1] Sometimes, the court system provides treatment or
counseling in juvenile detention centers, prisons or jails. These services are
often provided by psychiatrists, psychologists, social workers or counselors
who work for the court system.
While you were in a juvenile detention center, prison or jail during the past
12 months, did you receive treatment or counseling for emotional or
behavioral problems that were not caused by alcohol or drugs?
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

[Adolescents now receive the same Mental Health Treatment module as adults.]

159

Definitions for Use in Consumption of Alcohol Module
(ALC30USE IS DEFINED IN THE ALCOHOL MODULE)
DEFINE MAR30USE:
IF MJLAST3 = 1 OR MJRECDK = 1 OR MJRECRE = 1 THEN MAR30USE=1
ELSE MAR30USE = 2
DEFINE COC30USE:
IF CCLAST3 = 1 OR CCRECDK = 1 OR CCRECRE = 1 OR CKLAST3 = 1 OR
CKRECDK = 1 OR CKRECRE = 1 OR SD06 = 1 THEN COC30USE = 1
ELSE COC30USE = 2
DEFINE HER30USE:
IF HELAST3=1 OR HERECDK=1 OR HERECRE=1 OR SD08=1 OR SD10=1
OR SDHEUSE3=1 OR SDHEUSE4=1 OR SD12=1 THEN HER30USE = 1
ELSE HER30USE = 2
DEFINE HAL30USE:
IF HALLREC = 1 OR LSDREC = 1 OR PCPREC = 1 OR ECSTREC = 1 OR
KETREC=1 OR DMTREC=1 OR SLVREC=1 THEN HAL30USE = 1
ELSE HAL30USE = 2
DEFINE INH30USE:
IF INLAST = 1 OR INRECDK = 1 OR INRECRE = 1 THEN INH30USE = 1
ELSE INH30USE = 2
DEFINE MTH30USE:
IF MELAST3 = 1 OR MERECRE = 1 OR MERECDK = 1 OR SD14=1 THEN
MTH30USE = 1
ELSE MTH30USE = 2
(RX DRUG MISUSE IS DEFINED IN THE MODULES)
DEFINE DRUGFILL:
IF MAR30USE=1 AND COC30USE = 2 AND HER30USE = 2 AND
HAL30USE = 2 AND INH30USE = 2 AND MTH30USE = 2 THEN DRUGFILL
= ‘marijuana or hashish’
IF MAR30USE = 2 AND (CCLAST3 = 1 OR CCRECDK = 1 OR CCRECRE = 1
OR SD06 = 1) AND (CKLAST3 NE 1 AND CKRECDK NE 1 AND CKRECRE
NE 1) AND HER30USE = 2 AND HAL30USE = 2 AND INH30USE = 2 AND
MTH30USE = 2 THEN DRUGFILL = ‘‘cocaine’’
IF MAR30USE = 2 AND (CCLAST3=1 OR CCRECDK=1 OR CCRECRE=1
OR SD06=1) AND (CKLAST3=1 OR CKRECDK=1 OR CKRECRE=1) AND
160

HER30USE = 2 AND HAL30USE = 2 AND INH30USE = 2 AND MTH30USE
= 2 THEN DRUGFILL = ‘cocaine or ‘crack’’
IF MAR30USE = 2 AND (CCLAST3 NE 1 AND CCRECDK NE 1 AND
CCRECRE NE 1 AND SD06 NE 1) AND (CKLAST3 = 1 OR CKRECDK = 1
OR CKRECRE = 1) AND HER30USE = 2 AND HAL30USE = 2 AND
INH30USE = 2 AND MTH30USE = 2 THEN DRUGFILL = ‘‘’crack’’’
IF MAR30USE=2 AND COC30USE = 2 AND HER30USE = 1 AND
HAL30USE = 2 AND INH30USE = 2 AND MTH30USE = 2 THEN DRUGFILL
= ‘heroin’
IF MAR30USE=2 AND COC30USE = 2 AND HER30USE = 2 AND
HAL30USE = 1 AND INH30USE = 2 AND MTH30USE = 2 THEN DRUGFILL
= ‘hallucinogens’
IF MAR30USE=2 AND COC30USE = 2 AND HER30USE = 2 AND
HAL30USE = 2 AND INH30USE = 1 AND MTH30USE = 2 THEN DRUGFILL
= ‘inhalants’

IF MAR30USE=2 AND COC30USE = 2 AND HER30USE = 2 AND
HAL30USE = 2 AND INH30USE = 2 AND MTH30USE = 1 THEN DRUGFILL
= ‘methamphetamine’

IF (MORE THAN ONE IN (MAR30USE AND COC30USE AND HER30USE
AND HAL30USE AND INH30USE) = 1) THEN DRUGFILL = ‘any of these
drugs’

161

Consumption of Alcohol
CAINTR [IF AL01 = 1 OR ALREF = 1] Next, we return to the topic of alcohol.
Remember that by a “drink,” we mean a can or bottle of beer, a glass of wine
or a wine cooler, a shot of liquor, or a mixed drink with liquor in it. We are
not asking about times when you only had a sip or two from a drink.
Press [ENTER] to continue.
CA01

[IF ALC30USE = 1] Earlier, the computer recorded that you drank at least one
alcoholic beverage within the past 30 days, that is, since [FILLDATE].
Please think about the last time you drank any alcoholic beverage. How
many drinks did you have that time?
# OF DRINKS: __________ [1 - 90]
DK/REF

CA02a

[IF ALC30USE = 1 AND CALCAGE = 12-20] This last time you drank,
were you alone or were you with one or more other people?
4
I was alone the last time I drank
5
I was with one other person the last time I drank
6
I was with more than one other person the last time I drank
DK/REF

CA02b

[IF ALC30USE = 1 AND CALCAGE = 12 - 20] Where did you drink
alcoholic beverages this last time you drank?
To select more than one place from the list, press the space bar after each
number that you type. When you have finished, press [ENTER].
1
I drank in a car or other vehicle
2
I drank at my home
3
I drank at someone else’s home
4
I drank at a park, on a beach, or in a parking lot
5
I drank in a restaurant, bar or club
6
I drank at a concert or sports game
7
I drank at school
8
I drank at some other place
DK/REF

CA02SP [IF CA02b = 8] Please type in the other place you drank the last alcoholic
beverages that you drank. You do not need to give a detailed description —
just a few words will be okay. When you have finished typing your answer,

162

press the [ENTER] key to go to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN CA02SP.
CA03

[IF ALC30USE = 1 AND CALCAGE = 12 - 20] Did you pay for the last
alcoholic beverage that you drank?
3 Yes
4 No
DK/REF

CA04

[IF CA03 = 1] Did you buy this last alcoholic beverage yourself, or did you
give money to someone else to buy it for you?
3 I bought it myself
4 I gave money to someone else who bought it for me
DK/REF

CA05

[IF CA04 = 1] People often buy alcoholic beverages at stores, restaurants,
bars, clubs, or events. Sometimes they buy alcohol from other people. Which
of these statements describes the way you bought the last alcoholic beverage
that you drank?
3 I bought it at a store, restaurant, bar, club or event
4 I bought it from another person.
DK/REF

CA05a

[IF CA05 = 1] At which of these places did you buy the last alcoholic
beverage that you drank?
4
I bought it at a liquor store, convenience store, grocery store, or gas station
5
I bought it at a restaurant, bar or club
6
I bought it at a concert, sports or other event
DK/REF

CA05b

[IF CA05 = 2] Did you buy this last alcoholic beverage from someone
who was under age 21, or were they 21 or older?
2
Under age 21
2
Age 21 or older
DK/REF

CA06

[IF CA04 = 2] Who bought the alcoholic beverage for you?

163

5 My parent or guardian bought it for me
6 Another family member who is 21 or older bought it for me
7 Someone not related to me who is 21 or older bought it for me
8 Someone under age 21 bought it for me
DK/REF

CA07

[IF CA03 = 2] How did you get the last alcoholic beverage that you drank?
8 My parent or guardian gave it to me
9 Another family member who is 21 or older gave it to me
10 Someone not related to me who is 21 or older gave it to me
11 Someone under age 21 gave it to me
12 I took it from home
13 I took it from someone else’s home
14 I got it some other way
DK/REF

CA07SP [IF CA07 = 7] Please type in the other way you got the last alcoholic
beverage that you drank. You do not need to give a detailed description —
just a few words will be okay. When you have finished typing your answer,
press the [ENTER] key to go to the next question.
_____________
DK/REF
PROGRAMMER: DO NOT ALLOW BLANKS IN CA07SP.
[Note to Programmers regarding CA08: Create a vertical list of all drugs (not
including alcohol) for which *30USE = 1. The names used in this list should be taken
from the DRUGFILL list. The first letter of each line should be capitalized. For
example, if ALC30USE = 1, COC30USE = 1 (where CCLAST3=1 and CKLAST3=1)
and HER30USE = 1, then the list would include ‘Cocaine or ‘crack’’ and ‘Heroin.’]
CA08

[IF ALC30USE = 1 AND AT LEAST ONE IN (MAR30USE AND
COC30USE AND HER30USE AND HAL30USE AND INH30USE AND
MTH30USE=1]
[IF CA01 NE DK/REF] Think again about this last time you drank any
alcoholic beverages, when you had [CA01 FILL] [drink/drinks]. Did you
also use [DRUGFILL] while you were drinking or within a couple of hours
of drinking?
[IF CA01 = DK/REF] Think again about this last time you drank any
alcoholic beverages during the past 30 days. Did you also use [DRUGFILL]
while you were drinking or within a couple of hours of drinking?

164

[IF ALC30USE = 1 AND ((MORE THAN ONE IN (MAR30USE AND
COC30USE AND HER30USE AND HAL30USE AND INH30USE AND
MTH30USE ): DISPLAY LIST OF SUBSTANCES.]
1 Yes
2 No
DK/REF
[Note to Programmers regarding CA09: Only display the response options that
correspond to the list displayed in CA08. Audio files should be played only for the
displayed response options. Responses not displayed will be invalid for CA09; they will
trigger a hard error below.]
CA09

[IF CA08 = 1 AND MORE THAN ONE IN (MAR30USE AND COC30USE
AND HER30USE AND HAL30USE AND INH30USE AND MTH30USE) =
1] What other drug or drugs did you use while you were drinking or within a
couple of hours of drinking?
To select more than one drug from the list, press the space bar between each
number you type. When you have finished, press the [ENTER] key to go to
the next question.
7 Marijuana or hashish
8 Cocaine or ‘crack’
9 Heroin
10 Hallucinogens
11 Inhalants
12 Methamphetamine
DK/REF

HARD ERROR: [IF ANY RESPONSE (1-9) IS SELECTED THAT WAS NOT
DISPLAYED]: THIS IS NOT ONE OF YOUR CHOICES. TO MAKE
THIS BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN
ANSWER THE QUESTION AGAIN.
CA10 [IF ((AL01 = 1 OR ALREF = 1) AND ALC30USE = 2) OR (ALC30USE = 1
AND BINGEFLAG=0 AND ((CA01 NE 5-90 AND QD01=5) OR (CA01 NE 490 AND QD01=9)))]
[IF ALC30USE = 2: Earlier the computer recorded that you have had at least one
drink of an alcoholic beverage in your lifetime.] Have you ever had [IF QD01=5
THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on the same occasion?
By ‘occasion,’ we mean at the same time or within a couple of hours of each
other.
3
4

Yes
No

165

DK/REF
CA11 [IF CA10 = 1 OR BINGEFLAG=1 OR (CA01 = 5-90 AND QD01=5) OR (CA01
= 4-90 AND QD01=9)]
[IF BINGEFLAG=1 OR (CA01 = 5-90 AND QD01=5) OR (CA01 = 4-90 AND
QD01=9): Earlier the computer recorded that you had [IF QD01=5 THEN FILL 5
IF QD01=9 THEN FILL 4] or more drinks on the same occasion in the past 30
days.] How old were you the first time you had [IF QD01=5 THEN FILL 5 IF
QD01=9 THEN FILL 4] or more drinks on the same occasion?
AGE: __________ [1 - 110]
DK/REF
DEFINE AGE1STBA:
IF CA11 NE (BLANK OR DK/REF) THEN AGE1STBA = CA11
ELSE AGE1STBA = BLANK
IF CURNTAGE < AGE1STBA OR AGE1STBA < 10 OR AGE1STBA <
AGE1STAL:
BACC01 The computer recorded that you were [AGE1STBA] years old
when you first had [IF QD01=5 THEN FILL 5 IF QD01=9
THEN FILL 4] or more drinks on the same occasion. Is this
correct?
4
Yes
6
No
DK/REF

BACC02 [IF BACC01=6] Please answer this question again. Think
about the first time you had [IF QD01=5 THEN FILL 5 IF
QD01=9 THEN FILL 4] or more drinks on the same occasion.
How old were you the first time you had [IF QD01=5 THEN
FILL 5 IF QD01=9 THEN FILL 4] or more drinks on the same
occasion?
AGE:
DK/REF

[RANGE: 1 - 110]

UPDATE: IF BACC02 NOT (BLANK OR DK/REF) THEN AGE1STBA = BACC02
CA11a [IF AGE1STBA = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF
AGE1STBA = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you
first have [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks
on the same occasion in [CURRENT YEAR - 1] or [CURRENT YEAR]?

166

1
CURRENT YEAR - 1
2
CURRENT YEAR
DK/REF
CA11b

[IF AGE1STBA = CURNTAGE - 1 AND DATE OF INTERVIEW <
DOB] Did you first have [IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4]
or more drinks on the same occasion in [CURRENT YEAR - 2] or [CURRENT
YEAR - 1]?
1
CURRENT YEAR - 2
2
CURRENT YEAR - 1
DK/REF

CA11c IF AGE1STBA = CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what
month in [CURRENT YEAR] did you first have [IF QD01=5 THEN FILL 5 IF
QD01=9 THEN FILL 4] or more drinks on the same occasion?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CA11c > CURRENT MONTH] THE MONTH IN [CURRENT
YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS BOX
DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER THE
QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
CA11d

[IF CA11a = 1 OR 2 OR CA11b = 1 OR 2] In what month in [YEAR
FROM CA11a or CA11b] did you first have [IF QD01=5 THEN FILL 5 IF
QD01=9 THEN FILL 4] or more drinks on the same occasion?
1
2
3
4
5

January
February
March
April
May

167

6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF CA11d > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
DEFINE MYR1STBA:
MYR1STBA = AGE AT FIRST BINGE USE CALCULATED BY
“SUBTRACTING” DATE OF BIRTH FROM MONTH AND YEAR OF FIRST
BINGE USE (CA11a-d). IF MONTH OF FIRST BINGE USE = MONTH OF
BIRTH, THEN MYR1STBA IS BLANK.
IF MYR1STBA NE 0 AND NE AGE1STBA:
BACC03 The computer recorded that you first had [IF QD01=5 THEN
FILL 5 IF QD01=9 THEN FILL 4] or more drinks on the same
occasion in [CA11a-d fill]. That would make you
[MYR1STBA] years old when you first had [IF QD01=5
THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on
the same occasion. Is this correct?
4
Yes
6
No
DK/REF
BACC04 [IF BACC03 = 4] Earlier, the computer recorded that you
were [AGE1STBA] years old when you first had [IF QD01=5
THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on
the same occasion. Which answer is correct?
1

I first had [IF QD01=5 THEN FILL 5 IF QD01=9
THEN FILL 4] or more drinks on the same occasion in
[CA11a-d fill] when I was [MYR1STBA] years old
2
I was [AGE1STBA] years old the first time I had [IF
QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4] or
more drinks on the same occasion
3
Neither answer is correct
DK/REF

168

UPDATE: IF BACC04 = 1, THEN AGE1STBA = MYR1STBA.
BACC05 [IF BACC04=2 OR BACC04=3 OR BACC03=6] Please
answer this question again. Did you first have [IF QD01=5
THEN FILL 5 IF QD01=9 THEN FILL 4] or more drinks on
the same occasion in [CURRENT YEAR-2], [CURRENT
YEAR-1], or [CURRENT YEAR]?
1
CURRENT YEAR -2
2
CURRENT YEAR -1
3
CURRENT YEAR
DK/REF
BACC05a [IF BACC05 NE (BLANK OR DK/REF)] Please answer this
question again. In what month in [BACC05] did you first have
[IF QD01=5 THEN FILL 5 IF QD01=9 THEN FILL 4] or
more drinks on the same occasion?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF
HARD ERROR: [IF BACC05a > CURRENT MONTH] THE MONTH IN
[CURRENT YEAR] YOU ENTERED HAS NOT BEGUN YET. TO MAKE THIS
BOX DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN ANSWER
THE QUESTION AGAIN. PRESS [ENTER] TO CONTINUE.
UPDATE: IF BACC05a NE (0 OR DK/REF) THEN UPDATE MYR1STBA.
MYR1STBA = AGE AT FIRST BINGE USE CALCULATED BY “SUBTRACTING”
DATE OF BIRTH FROM MONTH AND YEAR OF FIRST BINGE USE (BACC05
AND BACC05a). IF MONTH OF FIRST USE = MONTH OF BIRTH, THEN
MYR1STBA IS BLANK. IF MYR1STBA = AGE1STBA THEN MYR1STBA =
BLANK
BACC06 [IF BACC04 NE 1 AND MYR1STBA NE 0 AND (BACC05
AND BACC05a NE CA11a-d)] The computer recorded that

169

you first had [IF QD01=5 THEN FILL 5 IF QD01=9 THEN
FILL 4] or more drinks on the same occasion in [BACC05BACC05a fill]. That would make you [MYR1STBA] years old
when you first had [IF QD01=5 THEN FILL 5 IF QD01=9
THEN FILL 4] or more drinks on the same occasion. Is this
correct?
4
Yes
6
No
DK/REF
UPDATE: IF BACC06 NE (6, BLANK OR DK/REF )AND (BACC05 AND BACC05a
NE CA11a-d) THEN AGE1STBA = MYR1STBA

CA15 [IF CURNTAGE = 18 OR OLDER] Do you think you ever had a problem with
your own drug or alcohol use?
3
Yes
4
No
DK/REF
CA16 [IF CA15=1] At this time do you consider yourself to be in recovery or recovered
from your own problem with drugs or alcohol use?
3
Yes
4
No
DK/REF
CA17 [IF CURNTAGE = 18 OR OLDER] Do you think you ever had a problem with
your own mental health?
3
Yes
4
No
DK/REF
CA18 [IF CA17=1] At this time do you consider yourself to be in recovery or recovered
from your own mental health problem?
3
Yes
4
No
DK/REF

170

ALMAT1 [IF TX03=1 OR 3] The next question is about medication prescribed by a
doctor or other health professional to help reduce or stop your use of alcohol.
Some examples of these medications are acamprosate, Antabuse, disulfiram,
naltrexone, Vivitrol or other similar drugs.
In the past 12 months, did you use medication to help reduce or stop your use
of alcohol?
1 Yes
2 No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ALMAT2 [IF ALMAT1=1] In the past 12 months, which of the following medications
did you use to help reduce or stop your use of alcohol?
To select more than one medication from the list, press the space bar between
each number you have typed. When you have finished, press [ENTER].
1
Acamprosate, also known as Campral
2
Antabuse or disulfiram
3
Naltrexone pills, also known as ReVia or Trexan
4
Vivitrol or naltrexone injected with a needle
5
Some other medication to help reduce or stop your use of alcohol
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ALMTOTH1

[IF ALMAT2=5] Please type in the name of one of the
medications you have used in the past 12 months to help reduce or
stop your use of alcohol. If you’re not sure how to spell the name
of the medication, just make your best guess.
When you have finished, press [ENTER] to go to the next
question.
______________
[NOTE: DON'T ALLOW BLANKS IN ALMTOTH1 IF
ALMAT2=5]
DK/REF

ALMTOTH2

[IF ALMAT2=5 AND ALMTOTH1 NE DK/REF] Please type in
the name of any other medication you used in the past 12 months
to help reduce or stop your use of alcohol.

171

If you have not used any other medication to help reduce or stop
your use of alcohol, press [ENTER].
______________
DK/REF
ALMTOTH3

[IF ALMTOTH2 NE (BLANK OR DK/REF)] Please type in the
name of any other medication you used in the past 12 months to
help reduce or stop your use of alcohol.
If you have not used any other medication to help reduce or stop
your use of alcohol, press [ENTER].
______________
DK/REF

DEFINE MATFILL:
IF (HE01 OR HEREF=1) AND (PRMISUSE12=1 OR PRL01=1 OR PRL02=1) THEN
MATFILL = “heroin or prescription pain relievers”
ELSE IF (HE01 OR HEREF=1) then MATFILL= “heroin”
ELSE IF (PRMISUSE12=1 OR PRL01=1 OR PRL02=1) then MATFILL= “prescription
pain relievers”
OPMAT1

[IF TX03=2 OR 3 AND (HE01 = 1 OR HEREF = 1 OR PRMISUSE12=1
OR PRL01=1 OR PRL02=1)] The next question is about medicationassisted treatment prescribed by a doctor or other health professional to
help reduce or stop your use of [MATFILL]. It is different from
medications given to stop a drug overdose. Some examples of medicationassisted treatment include Suboxone, Sublocade, Probuphine,
buprenorphine, methadone, ReVia, Vivitrol, naltrexone or other similar
drugs.
In the past 12 months, did you use medication to help reduce or stop your
use of [MATFILL]?”
1
Yes
2
No
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

OPMAT2

[IF OPMAT1=1] In the past 12 months, which of the following
medications did you use to help reduce or stop your use of [MATFILL]?

172

To select more than one medication from the list, press the space bar
between each number you have typed. When you have finished, press
[ENTER].
1

Suboxone, Zubsolv, Bunavail, Subutex, buprenorphine, or
buprenorphine-naloxone pills or film taken by mouth
2
Sublocade or buprenorphine injected with a needle
3
Probuphine or buprenorphine implant placed under the skin
4
Methadone
5
Naltrexone pills, also known as ReVia or Trexan
6
Vivitrol or naltrexone injected with a needle
7
Some other medication to help reduce or stop your use of
[MATFILL]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
OPMTOTH1

[IF OPMAT2=7] Please type in the name of one of the medications
you have used in the past 12 months to help reduce or stop your
use of [MATFILL]. If you’re not sure how to spell the name of
the medication, just make your best guess.
When you have finished, press [ENTER] to go to the next
question.
______________
[NOTE: DON'T ALLOW BLANKS IN OPMTOTH1 IF
OPMAT2=7]
DK/REF

OPMTOTH2

[IF OPMAT2=7 AND OPMTOTH1 NE DK/REF)] Please type in
the name of any other medication you used in the past 12 months
to help reduce or stop your use of [MATFILL].
If you have not used any other medication to help reduce or stop
your use of [MATFILL], press [ENTER].
______________
DK/REF

OPMTOTH3

[IF OPMTOTH2 NE (BLANK OR DK/REF)] Please type in the
name of any other medication you used in the past 12 months to
help reduce or stop your use of [MATFILL].

173

If you have not used any other medication to help reduce or stop
your use of [MATFILL], press [ENTER].
______________
DK/REF
MATFILL2
IF (ALMAT2=1-4) AND OPMAT2 NE (1-6) THEN MATFILL2 = “alcohol”
ELSE IF (OPMAT2=1-6) AND ALMAT2 NE (1-4) then MATFILL2= “MATFILL”
ELSE IF ALMAT2=1-4 AND OPMAT2=1-6 then MATFILL2 = “alcohol or MATFILL”
MATFREQ [IF ALMAT2=1-4 OR OPMAT2=1-6] The next questions focus on the
number of days or number of times you took medication in the past 12
months to help stop or reduce your use of [MATFILL2].
ACAMP12M

[IF ALMAT2=1] On how many days in the past 12 months did
you use acamprosate, also known as Campral?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

ACAMPDKR

[IF ACAMP12M =DK/REF] What is your best estimate of the
total number of days in the past 12 months that you used
acamprosate, also known as Campral?
1
1 to 7 days
2
8 to 14 days
3
15 to 30 days
4
31 to 60 days
5
61 to 90 days
6
More than 90 days
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

DISUL12M [IF ALMAT2=2] On how many days in the past 12 months did you use
Antabuse or disulfiram?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
DISULDKR [IF DISUL12M=DK/REF] What is your best estimate of the total number
of days in the past 12 months that you used Antabuse or disulfiram?

174

1
1 to 7 days
2
8 to 14 days
3
15 to 30 days
4
31 to 60 days
5
61 to 90 days
6
More than 90 days
DK/REF
PROGRAMMER: SHOW 12-MONTH CALENDAR
NALTA12M

[IF ALMAT2=3 OR OPMAT2=5] On how many days in the past
12 months did you use naltrexone pills, also known as ReVia or
Trexan?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

NALTADKR

[IF NALTA12M=DK/REF] What is your best estimate of the
total number of days in the past 12 months that you used
naltrexone pills, also known as ReVia or Trexan?
1
1 to 7 days
2
8 to 14 days
3
15 to 30 days
4
31 to 60 days
5
61 to 90 days
6
More than 90 days
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

NALIN12M [IF ALMAT2=4 OR OPMAT2=6] How many times in the past 12
months did you receive Vivitrol or naltrexone injected with a needle?
TOTAL # OF TIMES:
[RANGE: 1 - 24]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ORALB12M [IF OPMAT2=1] On how many days in the past 12 months did you use
Suboxone, Zubsolv, Bunavail, or Subutex or buprenorphine pills or film
taken by mouth?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
ORALBDKR [IF ORALB12M = DK/REF] What is your best estimate of the total

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number of days in the past 12 months that you used Suboxone, Zubsolv,
Bunavail, or Subutex or buprenorphine pills or film taken by mouth?
1
1 to 7 days
2
8 to 14 days
3
15 to 30 days
4
31 to 60 days
5
61 to 90 days
6
More than 90 days
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR
INJCT12M

[IF OPMAT2=2] How many times in the past 12 months did you
receive Sublocade or buprenorphine injected with a needle?
TOTAL # OF TIMES:
[RANGE: 1 - 24]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

IMPLN12M

[IF OPMAT2=3] How many times in the past 12 months did you
receive Probuphine or buprenorphine implanted under the skin?
TOTAL # OF TIMES:
[RANGE: 1 - 24]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

METHD12M

[IF OPMAT2=4] On how many days in the past 12 months did
you use methadone?
TOTAL # OF DAYS:
[RANGE: 1 - 366]
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

METHDDKR

[IF METHAD12M=DK/REF] What is your best estimate of the
total number of days in the past 12 months that you used
methadone?
1
1 to 7 days
2
8 to 14 days
3
15 to 30 days
4
31 to 60 days
5
61 to 90 days
6
More than 90 days
DK/REF
PROGRAMMER: SHOW 12 MONTH CALENDAR

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Education
QD17 The next questions are about school. By “school,” we mean elementary school,
junior high or middle school, high school, or a college or university. Please
include home schooling as well. Do you go to school?
If you are on a holiday or break from school, such as spring break or summer
vacation, but plan to return when the break is over, please answer yes.
1
Yes
2
No
DK/REF

QD17a

[IF CURNTAGE=12-25 AND (QD17=2 OR DK/REF) AND QD11 = 1 16] Are you currently on a holiday or vacation break from school?
1
Yes
2
No
DK/REF

QD17b

[IF QD17a = 1] Do you plan to return to school when your holiday or
vacation is over?
1
Yes
2
No
DK/REF

QD18 [IF QD17 = 1] What grade or year of school are you now attending?
[IF QD17b = 1] What grade or year of school will you be attending when your
vacation is over?
1
2
3
4
5
6
7
8
9
10
11
12
13

1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
College or university/1st year
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14
College or university/2nd year
15
College or university/3rd year
16
College or university/4th year
17
College or university/5th or higher year
DK/REF

QD18CC01

[IF (QD11=17 AND QD18<=16 AND QD17=1) OR
(QD11=12 AND QD18<=12 AND QD17=1) OR
(QD11=13 AND QD18<=11 AND QD17=1) OR
(QD11=14 AND QD18<=12 AND QD17=1) ] The
computer recorded that you are now attending [QD18]. Is
this correct?
[IF (QD11=17 AND QD18<=16 AND QD17b=1) OR
(QD11=12 AND QD18<=12 AND QD17b=1) OR
(QD11=13 AND QD18<=11 AND QD17b=1) OR
(QD11=14 AND QD18<=12 AND QD17b=1) ] The
computer recorded that you will be attending [QD18] when
your vacation is over. Is this correct?
4
Yes
6
No
DK/REF

QD18CC02

[IF QD18CC01=4] The answers for the last question and
an earlier question disagree. Which answer is correct?
4

5
6

[IF QD17=1]I am now attending [QD18]
[IF QD17b=1] I will be attending [QD18]
when my vacation is over
The highest grade or degree that I
completed is [QD11]
Neither answer is correct
DK/REF

QD18CC03 [IF QD18CC02=2 OR QD18CC02=3 OR QD18CC01=6]
Please answer this question again. [IF QD17 = 1] What
grade or year of school are you now attending?
[IF QD17b = 1] What grade or year of school will you be
attending when your vacation is over?
1
1st grade
2
2nd grade
3
3rd grade

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4
4th grade
5
5th grade
6
6th grade
7
7th grade
8
8th grade
9
9th grade
10
10th grade
11
11th grade
12
12th grade
13
College or university/1st year
14
College or university/2nd year
15
College or university/3rd year
16
College or university/4th year
17
College or university/5th or higher year
DK/REF

QD18CC04

[IF QD18CC02=1 OR QD18CC02=3]
Please answer this question again. What is the highest
grade or year of school you have completed?
14
15
16
17
18
19
20
21
22
23
24
25
26
27
14
15
16
17
18
19
20

No schooling completed
1st grade completed
2nd grade completed
3rd grade completed
4th grade completed
5th grade completed
6th grade completed
7th grade completed
8th grade completed
9th grade completed
10th grade completed
11th grade completed
Regular high school diploma
12th grade, NO DIPLOMA
GED certificate of high school completion
Some college credit, but no degree
Associate’s degree (for example, AA, AS)
Bachelor’s degree (for example, BA, BS)
Master’s degree (for example, MA, MS, MEng, M.
Ed, MSW, MBA)
Doctorate degree (for example, PhD, EdD)
Professional degree beyond a bachelor’s degree
(for example, MD, DDS, DVM, LLB, JD)
DK/REF

180

QD19 [IF QD17 = 1] Are you a full-time student or a part-time student?
[IF QD17b = 1] Will you be a full-time student or a part-time student?
1
Full-time
2
Part-time
DK/REF
QD20 [IF QD19 = 1] During the past 30 days, that is, from [DATEFILL] up to and
including today, how many whole days of school did you miss because you were
sick or injured? Please do not include days you missed because you stayed home
with a sick child or other family member.
If school was not in session during the past 30 days, enter 90.
NUMBER OF DAYS:
[RANGE: 0-30, 90]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
QD20DKRE

[IF QD20 = DK/REF] What is your best estimate of the number
of whole days of school you missed because you were sick or
injured during the past 30 days?
1
0 days
2
1 day
3
2 days
4
3 to 5 days
5
6 or more days
6
School was not in session during the past 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR

QD21 [IF QD19 = 1 AND QD20 NE 90 AND QD20DKRE NE 6] During the past 30
days, that is, since [DATEFILL], how many whole days of school did you miss
because you skipped or “cut” or just didn’t want to be there? Please do not
include days you missed because you stayed home with a sick child or other
family member.
NUMBER OF DAYS:
[RANGE: 0 - 30]
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
QD21DKRE

[IF QD21 = DK/REF] What is your best estimate of the number
of whole days of school you missed because you skipped or “cut”

181

or just didn’t want to be there during the past 30 days?
1
0 days
2
1 day
3
2 days
4
3 to 5 days
5
6 or more days
6
School was not in session during the past 30 days
DK/REF
PROGRAMMER: SHOW 30 DAY CALENDAR
[Moved to Core Demographics to group all Education items together.]
QD10d

For this question, please consider only the family members listed below,
whether or not they live with you.
• Your spouse
• Your unmarried partner
• Your mother
• Your father
• Your son or sons
• Your daughter or daughters
• Your brother or brothers
• Your sister or sisters
Please include only these family members, whether they are biological, step or
adoptive. Are any of these family members currently serving in the United
States military? Press F2 to see and hear a definition of “military.”

1 Yes
2 No
DK/REF
IF F2 IS PRESSED, PLEASE DISPLAY:
To serve in the military is to be employed as
a member of one of the branches of the
United States Armed Forces, Reserve
components or National Guard, including
the Coast Guard.
Press Enter to close this box. Then, type in
your response to the question.
QD10e [IF QD10d = 1] Which member or members of your family are currently in the
United States military?

182

To select more than one category, press the space bar between each category
you select.
1
2
3
4
5
6
7
8

Your spouse
Your unmarried partner
Your mother
Your father
Your son or sons
Your daughter or daughters
Your brother or brothers
Your sister or sisters

[Deleted and new items created in the Core Demographics module.]

183

184

List of Contributors
This methodological report was prepared by the Substance Abuse and Mental Health
Services Administration (SAMHSA), Center for Behavioral Health Statistics and Quality,
and RTI International (a registered trademark and a trade name of Research Triangle
Institute). Work by RTI was performed under Contract No. HHSS283201300001C. Peter
Tice served as the Government Project Officer, and David Hunter served as the RTI
Project Director.
Significant contributors to this report at SAMHSA include Barbara Forsyth and Grace
Medley.
Contributors to this report at RTI include Emily Geisen, Gretchen McHenry, Victoria
Dounoucos, Larry Kroutil, Rebecca Granger, Debbie Bond, and Claudia Clark.

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