ADAM II Instrument

Response category change:
Addition of category reflecting new laws governing marijuana acquisitions:
MU10/MU24 [marijuana only]: 8=Bought it from a legal marijuana dispensary or store

Additional ADAM II Questions
PI1.

In the past 30 days, did you get any prescription medication or drugs without a valid prescription? [A
valid prescription is one given to you by a doctor or nurse practitioner for a medical problem]
0
1

PI2.

No
Yes

In the past 30 days, did you pay any cash for the [pills]?
0
1

No
Yes

[SKIP PATTERN HERE]

Cash only
PI3.

The last time you bought prescription drugs without cash, what type of pill did you buy?
[SHOWCARD]____________________________________________________

PI4.

The last time you paid cash for [DRUG], how many pills did you buy?

PI5.

How much cash did you pay for the pills that last time you bought them?

PI6.

That last time you bought [DRUG], at what type of place did you get it?

$______________

1=At a doctor’s office or pharmacy;
1=In a house or apartment;
2=In a public building such as a store, bus station, gas station, or restaurant;
3=In an abandoned building;
4=On a street, alley, or road;
5=Other outdoor area such as a park;
6=Got it delivered or got it in the mail.
7=OTHER [SPECIFY] ________________________________________________
PI7.

Was there a time in the past 30 days when you tried to buy [DRUG] and had the cash, but you did not buy
any?
PI7A.

The last time that happened, why didn’t you buy [DRUG]?
1=No dealers were available

2=Dealers did not have any;
3=Dealers did not have the quality you wanted; or,
4=Police activity kept you from the dealers.
5=OTHER [SPECIFY]_________________________________________________
PI7B.

Did you buy another drug instead?
[SPECIFY]_________________________________________________________

Noncash
PI8.

In the past 30 days did you get any pills without paying cash for it?

PI9.

What type of pill did you buy?
[SHOWCARD]____________________________________________________

PI10.

Think about the last time you got [DRUG] without paying any cash for it. Did you:
1=Get it on credit and pay cash later;
2=Get it fronted to sell;
3=Trade other drugs;
4=Trade property/merchandise;
5=Transport drugs;
6=Steal the drug;
7=Trade sex;
8=Share as a group;
9=Receive it as a gift;
10=Got it from someone’s medicine cabinet; or
11=OTHER[SPECIFY]_______________________________________________

OTHER QUESTIONS
OTH1. Have you ever been on active duty in the United States’ military?
0
1

No
Yes [SKIP PATTERN HERE]

OTH 1A. Are you currently on active duty in the armed forces, a reserves component, or now separated or
retired from either reserves or active duty?
1
2
3
4

On active duty in the armed forces
In a reserves component
Now separated or retired from either reserves or active duty
Other ___________________________________________________

OTH1B. Have you ever been deployed to a combat zone?
0

No

1

Yes

OTH 2. Were you on probation at any time during the past 12 months?
0
1

No
Yes

OTH 3. Were you on parole or other supervised or conditional release from prison at any time during the past 12
months?
0
1

No
Yes

SHOWCARD
[HAVE RESPONDENT CHOOSE THE LAST PRESCRIPTION MEDICATION
THEY OBTAINED IN PAST 30 DAYS]
Painkillers, sometimes called “Narcos”
Methadone
Codeine (including Tylenol with Codeine, Paracetamol) or morphine
Oxycodone (such as Oxycontin, Percocet, Percodan)
Oxymorphone (such as Opana)
Hydrocodone (like Vicodin)
Hydromorphone (like Dilaudid)
Buprenorphine (like Suboxone or Subutex)
Fentanyl or Demerol
Other painkiller __________________________________________________________________

Tranqulizers and hypnotics
Barbiturates (like Seconal, Amytal or Fiorinal, sometimes called “blues” or “reds”)
Tranquilizers or sedatives (like Xanax, Valium, Rohypnol, Klonopin sometimes called “tranqs” or
“roofies”)

Stimulants
Amphetamines (like Adderal, Ritalin, Concerta, or Dexedrine)