CAI Questionnaire CAI Questionnaire

2019 National Survey on Drug Use and Health (NSDUH)

2019_CAIQuestionnaire_FINAL_Del6_Kratom

Interview

OMB: 0930-0110

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0930-0110 can be found here:

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2019 NATIONAL SURVEY ON DRUG USE AND HEALTH (NSDUH): FINAL CAI Specifications for Programming (English Version)

Substance Abuse and Mental Health Services Administration

Center for Behavioral Health Statistics and Quality

Rockville, Maryland 20857

Last Revised: September 26, 2018

2019 NATIONAL SURVEY ON DRUG USE AND HEALTH (NSDUH): FINAL CAI SPECIFICATIONS FOR PROGRAMMING (ENGLISH VERSION)

Contract No. HHSS283201700002C
RTI Project No. 0215638.019.018.102.001

RTI Authors:

Emily Geisen
Gretchen McHenry
Larry Kroutil

RTI Project Director:

David Hunter

SAMHSA Project Officer:

Peter Tice

For questions about this report, please email [email protected].

Prepared for Substance Abuse and Mental Health Services Administration, Rockville, Maryland

Prepared by RTI International, Research Triangle Park, North Carolina

Last Revised: September 26, 2018

Recommended Citation: Center for Behavioral Health Statistics and Quality. (2018). 2019 National Survey on Drug Use and Health (NSDUH): CAI Specifications for Programming (English Version). Substance Abuse and Mental Health Services Administration, Rockville, MD.

Acknowledgments

This publication was developed for the Substance Abuse and Mental Health Services

Administration (SAMHSA), Center for Behavioral Health Statistics and Quality (CBHSQ), by RTI International, a trade name of Research Triangle Institute, Research Triangle Park, North Carolina, under Contract No. HHSS283201700002C. Significant other contributors to this document at RTI include Rebecca Granger and David Hunter, who were reviewers. Contributors to this report from CBHSQ include Barbara Forsyth and Grace Medley.

Content of 2019 NSDUH Instrument

#	Module	Mode of Administration	Required Aids	Page
	Introduction	CAPI*	None	1
	Core Demographics	CAPI	Showcards 1-5	3
	Beginning ACASI Section	FI reads description of keyboard and helps respondent adjust headphones.	None	13
	Tutorial	Respondent completes computer practice session with FI help.	None	15
	Calendar (30-day and 12-month reference dates)	ACASI**	None	19
	Tobacco	ACASI	None	21
	Alcohol	ACASI	None	55
	Marijuana	ACASI	None	71
	Cocaine	ACASI	None	83
	Crack	ACASI	None	95
	Heroin	ACASI	None	107
	Hallucinogens	ACASI	None	119
	Inhalants	ACASI	None	173
	Methamphetamine	ACASI	None	189
	Pain Relievers Screener	ACASI	None	201
	Tranquilizers Screener	ACASI	None	209
	Stimulants Screener	ACASI	None	213
	Sedatives Screener	ACASI	None	219
	Pain Relievers Main Module	ACASI	None	223
	Tranquilizers Main Module	ACASI	None	275
	Stimulants Main Module	ACASI	None	309
	Sedatives Main Module	ACASI	None	353
	Special Drugs	ACASI	None	389
	Risk/Availability Section	ACASI	None	397
	Blunts	ACASI	None	403
	Definitions for Use in the Drugs Module	ACASI	None	411
	Substance Dependence and Abuse	ACASI	None	413
	Special Topics	ACASI	None	469
	Prior Substance Use	ACASI	None	477
	Drug Treatment	ACASI	None	535
	Health	ACASI	None	563
	Adult Mental Health Service Utilization	ACASI	None	583
	Social Environment	ACASI: 18+ year-olds only	None	595
	Parenting Experiences	ACASI: parents of 12-17-year-olds	None	597
	Youth Experiences	ACASI: 12-17-year-olds only	None	601
	Mental Health	ACASI: 18+ year-olds only	None	615
	Adult Depression	ACASI: 18+ year-olds only	None	625
	Youth Mental Health Service Utilization	ACASI: 12-17-year-olds only	None	643
	Adolescent Depression	ACASI: 12-17-year-olds only	None	657
	Definitions for Use in Consumption of Alcohol Module	ACASI	None	675
	Consumption of Alcohol	ACASI	None	677
		ACASI	None	693
	Back End Demographics	ACASI	None	709
	Education	ACASI	None	713
	Employment	ACASI	None	719
	Household Roster	CAPI	Showcards 6&7	727
		CAPI	None	739
	Health Insurance	CAPI (Proxy allowed)	Showcards 8&9	753
	Income	CAPI (Proxy allowed)	Showcards 10-12	761
	Verification	FI & respondent complete form.	Verification Form	775

* 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.

2019 NATIONAL SURVEY ON DRUG USE AND HEALTH

CAI INSTRUMENT REVISIONS

Core Demographics

Page 11: The response options for QD10c were changed to all capital letters to correctly reflect questionnaire conventions that these items not be read out loud.

Inhalants

Page 176: Specifications were edited to match the CAI program by bolding "ever" in INREF.

Pain Relievers Main Module

Page 227: Specifications were edited to match the CAI program by adding additional routing to PR30INIT.
Page 266: Specifications were edited to match the CAI program by deleting the unnecessary phrase "or any other prescription pain reliever" from PRFILL2.

Tranquilizers Main Module

Page 278: Specifications were edited to match the CAI program by adding additional routing to TR30INIT.
Page 301: Specifications were edited to match the CAI program by deleting the unnecessary phrase "or any other prescription tranquilizer" from TRFILL2.

Stimulants Main Module

Page 312: Specifications were edited to match the CAI program by adding additional routing to ST30INIT.
Page 344: Specifications were edited to match the CAI program by deleting the unnecessary phrase "or any other prescription stimulant" from STFILL2.

Sedatives Main Module

Page 356: Specifications were edited to match the CAI program by adding additional routing to SV30INIT.
Page 380: Specifications were edited to match the CAI program by deleting the unnecessary phrase "or any other prescription sedative" from SVFILL2.

Consumption of Alcohol

Pages 686-692: Questions were added to measure medication-assisted treatment (MAT) for alcohol and heroin or prescription pain reliever (opioid) use. These questions measure occurrence of MAT treatment in the past 12 months, medication used, use of overdose prevention medication, and frequency of use.
Page 692: Questions were added to measure lifetime use and recency of kratom.

Education

Page 716-717: Routing was added to QD21 to skip respondents who indicated school was not in session in the past 30 days in QD20DKRE out of QD21.
Pages 716-717: Based on the change to QD21, respondents who report that school was not in session in the past 30 days in QD20DKRE will no longer receive QD21. Because QD21DKRE is only asked if QD21=DK, the response option 6 for “School was not in session during the past 30 days” was removed from QD21DKRE.

Health Insurance

Pages 753-757: Medicaid and Children's Health Insurance Program (CHIP) names were updated to reflect annual state program name changes.

Income

Pages 763-765: Temporary Assistance for Needy Families (TANF) names were updated to reflect annual state program name changes.

2019 National Survey on Drug Use and Health:

Specifications for Programming

Introduction

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

1 YES

2 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 ENGLISH

2 SPANISH

NSDUH CAI Instrument Version: xx.xx

OMB Control #: 0930-0110

Expiration Date: 08/31/2020

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 0930-0110.

PRESS [ENTER] TO CONTINUE.

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

1 YES

2 NO

introcai [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.

age1 What is your date of birth?

ENTER MM-DD-YYYY

DOB: ________________

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 YES

2 NO

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?

AGE: [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

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 YES

2 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 YES

2 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 YES

2 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?

1 ALABAMA 27 MONTANA

2 ALASKA 28 NEBRASKA

3 ARIZONA 29 NEVADA

4 ARKANSAS 30 NEW HAMPSHIRE

5 CALIFORNIA 31 NEW JERSEY

6 COLORADO 32 NEW MEXICO

7 CONNECTICUT 33 NEW YORK

8 DELAWARE 34 NORTH CAROLINA

9 THE DISTRICT OF COLUMBIA (WASHINGTON, DC)

35 NORTH DAKOTA

10 FLORIDA 36 OHIO

11 GEORGIA 37 OKLAHOMA

12 HAWAII 38 OREGON

13 IDAHO 39 PENNSYLVANIA

14 ILLINOIS 40 RHODE ISLAND

15 INDIANA 41 SOUTH CAROLINA

16 IOWA 42 SOUTH DAKOTA

17 KANSAS 43 TENNESSEE

18 KENTUCKY 44 TEXAS

19 LOUISIANA 45 UTAH

20 MAINE 46 VERMONT

21 MARYLAND 47 VIRGINIA

22 MASSACHUSETTS 48 WASHINGTON

23 MICHIGAN 49 WEST VIRGINIA

24 MINNESOTA 50 WISCONSIN

25 MISSISSIPPI 51 WYOMING

26 MISSOURI

FIPE5 INTERVIEWER: THE STATE YOU ENTERED IS:

FIPE4 STATE NAME FILL

IS THIS CORRECT?

1 YES

2 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 MALE

9 FEMALE

QD01a INTERVIEWER: YOU HAVE ENTERED THAT THE RESPONDENT IS [FILL QD01]. IS THIS CORRECT?

4 YES

6 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?

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.

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.

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 WHITE

2 BLACK OR AFRICAN AMERICAN

3 AMERICAN INDIAN OR ALASKA NATIVE (AMERICAN INDIAN INCLUDES NORTH AMERICAN, CENTRAL AMERICAN, AND SOUTH AMERICAN INDIANS)

4 NATIVE HAWAIIAN

5 GUAMANIAN OR CHAMORRO

6 SAMOAN

7 OTHER PACIFIC ISLANDER

8 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.

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.

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.

By “divorce” we mean a legal cancellation or annulment of a marriage.

By “separated” we mean legally or informally separating due to marital discord.

QD08 [IF QDO7 = 1 OR 2 OR 3] How many times have you been married?

NUMBER OF TIMES: [RANGE: 1 - 9]

DK/REF

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?

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 full-time 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? Full-time 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 GO 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

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.

TO SELECT MORE THAN ONE CATEGORY, PRESS THE SPACE BAR BETWEEN EACH CATEGORY YOU SELECT.

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

QD10c [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?

~~Yes~~ YES
No NO

DK/REF

QD11 HAND R SHOWCARD 5. What is the highest grade or 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.).

NO SCHOOLING COMPLETED
1^ST GRADE COMPLETED
2^ND GRADE COMPLETED
3^RD GRADE COMPLETED
4^TH GRADE COMPLETED
5^TH GRADE COMPLETED
6^TH GRADE COMPLETED
7^TH GRADE COMPLETED
8^TH GRADE COMPLETED
9^TH GRADE COMPLETED
10^TH GRADE COMPLETED
11^TH GRADE COMPLETED

12 REGULAR HIGH SCHOOL DIPLOMA

13 12^TH GRADE, NO DIPLOMA

14 GED CERTIFICATE OF HIGH SCHOOL COMPLETION

15 SOME COLLEGE CREDIT, BUT NO DEGREE

16 ASSOCIATE’S DEGREE (FOR EXAMPLE, AA, AS)

17 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

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

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 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.

[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, PRESS “1" AND [ENTER] 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 continue with the practice session. The [ENTER] key is the one with the  symbol on it.

Tutorial

INTRO1 Welcome to RTI’s self-interviewing system, which lets you control the interview and answer in complete privacy.

First, 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.

Practice Question #2: 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.

Practice Question #3: What kinds of music do you listen to?

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 done any of the things listed. 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 #4: In the past 12 months, which, if any, of these musical instruments have you played?

1 Banjo

2 Tuba

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 #5: 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].

________________ [RANGE: 0 - 30]

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 use the [F2] key to see and hear extra information to help you answer a question.

First listen to the question.

Practice Question #6: In the past 30 days, on how many days did you eat any kind of fried potatoes?

________________ [RANGE: 0 - 30]

DK/REF

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

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.

Tobacco

LEADCIG These questions are about your use of 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?

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?

AGE: [(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 I am currently [CURNTAGE] 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

CGCC03 [IF CGCC02 = 2 OR CGCC02 = 3] Please answer this question again. What is your current age?

AGE: [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?

AGE: [RANGE: 1 - 110]

DK/REF

UPDATE: IF CGCC04 NOT(BLANK OR DK/REF) THEN AGE1STCG = CGCC04

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?

AGE: [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 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 CG04c > 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.

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. 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

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 DISAPPEAR, PRESS THE [ENTER] KEY. YOU CAN THEN 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

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: [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 Less than one cigarette per day

2 1 cigarette per day

3 2 to 5 cigarettes per day

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 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

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 Alpine 15 Magna 29 Sterling

2 Barclay 16 Maverick 30 Tareyton

3 Belair 17 Max 31 Top (roll-your-own)

4 Best Value 18 Montclair 32 True

5 Bristol 19 Now 33 A brand not on this list

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

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 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

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 Sterling

2 Barclay 16 Maverick 30 Tareyton

3 Belair 17 Max 31 Top (roll-your-own)

4 Best Value 18 Montclair 32 True

5 Bristol 19 Now 33 A brand not on this list

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 [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 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 Sterling

2 Barclay 16 Maverick 30 Tareyton

3 Belair 17 Max 31 Top (roll-your-own)

4 Best Value 18 Montclair 32 True

5 Bristol 19 Now 33 A brand not on this list

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

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

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 (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 during the past 30 days menthol?

1 Yes

2 No

DK/REF

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?

Shorts
Regulars or king-sized
100s

PROGRAMMER: SHOW 30 DAY CALENDAR

CG14 [IF (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?

AGE: [RANGE: 1-110]

DK/REF

DEFINE DAILYCIG:

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?

AGE: [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?

AGE: [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 question disagree. Which answer is correct?

1 I am currently [CURNTAGE] years old

2 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?

AGE: [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?

AGE: [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

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. 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. PRESS [ENTER] TO CONTINUE.

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 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 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. 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

CG25 The next questions are about your use of “smokeless” tobacco such as snuff, dip, chewing tobacco, or “snus.”

Have you ever 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 used “smokeless” tobacco, even once?

1 Yes

2 No

DK/REF

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 I am currently [CURNTAGE] years old

2 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?

AGE: [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?

AGE: [RANGE: 1 - 110]

DK/REF

UPDATE: IF CGSN04 NOT(BLANK OR DK/REF) THEN SNUFFAGE = CGSN04

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?

AGE: [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 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 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. 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 MONTH] 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 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 Yes

6 No

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. PRESS [ENTER] TO CONTINUE.

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 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?

# OF 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

CG34 The next questions are about smoking cigars. By cigars we mean any kind, including big cigars, cigarillos, and even little cigars that look like cigarettes.

Have you ever smoked part or all of any type of cigar?

1 Yes

2 No

DK/REF

CGREF4 [IF CG34 = REF] The answers that people give us about their cigar 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 cigar?

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 cigar?

AGE: [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. 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 I am currently [CURNTAGE] years old

2 I was [CIGARAGE] years old the first time I smoked part or all of a cigar

3 Neither answer is correct

DK/REF

CGCR03 [IF CGCR02 = 2 OR CGCR02 = 3] Please answer this question again. What is your current age?

AGE: [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 this question again. How old were you the first time you smoked part or all of a cigar?

AGE: [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. 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?

AGE: [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 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 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?

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. 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?

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. 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.

IF MYR1STCR NE 0 AND NE CIGARAGE:

CGCR07 The computer recorded that you first smoked part or all of a cigar in [CG35a-d fill]. That would make you [MYR1STCR] years old when you first smoked part or all of a cigar. 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. Which answer is correct?

1 I first smoked part or all of a cigar 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

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 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?

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 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. 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 in [CGCR09-CGCR09a fill]. That would make you [MYR1STCR] years old when you first smoked part or all of a cigar. 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 cigar?

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 cigar?

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

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 cigar?

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 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 cigar?

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?

# OF 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 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 Al Capone 13 Havatampa 25 Thompson

2 Antonio y Cleopatra 14 King Edward 26 Tijuana Smalls

3 Arturo Fuente 15 La Corona 27 White Owl

4 Backwoods 16 Little Nippers 28 Winchester

5 Black & Mild 17 Macanudo 29 A brand not on this list

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

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 Thompson

2 Antonio y Cleopatra 14 King Edward 26 Tijuana Smalls

3 Arturo Fuente 15 La Corona 27 White Owl

4 Backwoods 16 Little Nippers 28 Winchester

5 Black & Mild 17 Macanudo 29 A brand not on this list

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

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 Thompson

2 Antonio y Cleopatra 14 King Edward 26 Tijuana Smalls

3 Arturo Fuente 15 La Corona 27 White Owl

4 Backwoods 16 Little Nippers 28 Winchester

5 Black & Mild 17 Macanudo 29 A brand not on this list

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

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.

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 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

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.

Please review this list carefully before you answer these questions.

Press [ENTER] to continue.

CARD3a Types of Alcoholic Beverages

Beer

Regular Beer Malt liquor Lager

Lite or light beer Ale

Low-alcohol (LA) beer Stout

Wine

Red, white, blush wine Sherry Fortified wines, such as Cisco

Wine coolers Homemade wines,

Champagne such as muscadine,

scuppernong, or fruit

wines

Liquor

Bourbon Scotch Homemade liquor, such as moonshine

Gin Tequila

Rum Vodka

Liqueurs, Cordials, and Brandy

Brandy Drambuie Schnapps

Cassis Grand Marnier Tia Maria

Cognac Kahlua Triple sec

Creme de menthe Port Vermouth

Mixed Drinks and Cocktails

Bloody Mary Manhattan Rob Roy

Bourbon and water Margarita Rum and cola

Daiquiri Martini Scotch and soda

Gin and tonic Piña colada 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 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

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.

AGE: [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 I am currently [CURNTAGE] years old

2 I was [AGE1STAL] years old the first time I drank an alcoholic beverage

3 Neither answer is correct

DK/REF

ALCC03 [IF ALCC02=2 OR ALCC02=3] Please answer this question again. What is your current age?

AGE: [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.

AGE: [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.

AGE: [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 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. 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 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 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. 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 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. 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 Yes

6 No

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

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: [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: [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: [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” 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?

# OF DAYS: [RANGE: 0 - 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

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 I drank alcohol on [FILL1] in the past 12 months [FILL1A]

2 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?

TOTAL # OF DAYS: [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?

# OF DAYS/MONTH: [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?

# OF DAYS PER WEEK: [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?

# OF DAYS: [RANGE: 0 - 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 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

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?

# OF DAYS: [RANGE: 0 - 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] On the [ALC30DAY / ALCESTFL] 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.

[IF ALC30DAY = 1] 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] 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: [RANGE: 0 - 30]

DK/REF

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 -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?

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 - 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

Marijuana

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.

Press [ENTER] to continue.

MJ01 Have you ever, even once, used marijuana or hashish?

1 Yes

2 No

DK/REF

MJREF [IF MJ01 = REF] The answers that people give us about their use of marijuana and hashish 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?

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?

AGE: [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. Is this correct?

4 Yes

6 No

DK/REF

MJCC02 [IF MJCC01 = 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 [AGE1STMJ] years old the first time I used marijuana or hashish

3 Neither answer is correct

DK/REF

MJCC03 [IF MJCC02=2 OR MJCC02=3] Please answer this question again. What is your current age?

AGE: [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. How old were you the first time you used marijuana or hashish?

AGE: [RANGE: 1 - 110]

DK/REF

UPDATE: IF MJCC04 NOT(BLANK OR DK/REF) THEN AGE1STMJ = MJCC04

UPDATE: IF MJCC03 NOT(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 hashish. 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 hashish. How old were you the first time you used marijuana or hashish?

AGE: [RANGE: 1 - 110]

DK/REF

UPDATE: IF MJCC06 NOT(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 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 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?

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. PRESS [ENTER] TO CONTINUE.

MJ03d [IF MJ03a = 1 - 2 OR MJO3b = 1 - 2] In what month in [YEAR FROM MJ03a or MJ03b] did you first 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 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. 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 in [MJ03a-d fill]. That would make you [MYR1STMJ] years old when you first used marijuana or hashish. 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. Which answer is correct?

1 I first used marijuana or hashish in [MJ03a-d fill] when I was [MYR1STMJ] years old

2 I was [AGE1STMJ] years old the first time I used marijuana or hashish

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 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?

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 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.

PRESS [ENTER] TO CONTINUE.

UPDATE: IF MJCC19a NE (0 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

MJCC20 [IF MJCC18 NE 1 AND MYR1STMJ NE 0 AND (MJCC19 AND MJCC19a NE MJ03a-d)] The computer recorded that you first used marijuana or hashish in [MJCC19-MJCC19a fill]. That would make you [MYR1STMJ] years old when you first used marijuana or hashish. Is this correct?

4 Yes

6 No

DK/REF

UPDATE: IF MJCC20 NE (6, BLANK OR DK/REF) AND (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?

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?

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 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?

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

MJFRAME3 [IF MJLAST3 = 1 - 2 OR MJRECDK = 1 - 2 OR MJRECRE = 1 - 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 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?

TOTAL # OF DAYS: [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 each month during the past 12 months?

AVERAGE # OF DAYS PER MONTH: [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 each week during the past 12 months?

AVERAGE # OF DAYS PER WEEK: [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?

NUMBER OF DAYS: [RANGE: 0 - 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 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 NOT(BLANK OR DK/REF) THEN TOTMJ = MJYRAVE

ELSE IF MJMONAVE NOT(BLANK OR DK/REF) THEN TOTMJ = MJMONAVE*12

ELSE IF MJWKAVE NOT (BLANK OR DK/REF) THEN TOTMJ = MJWKAVE*52

ELSE TOTMJ = DK/REF

IF TOTMJ = DK/REF, SKIP TO COCINTRO

IF TOTMJ NOT 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 that you used marijuana or hashish 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 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 on [FILLMJ] in the past 12 months [FILLMJA]

2 I used marijuana or hashish 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 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

MJCC10 [IF MJCC09 = 3 ] On how many days in the past 12 months did you use marijuana or hashish?

TOTAL # OF DAYS: [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 each month during the past 12 months?

# OF DAYS/MONTH: [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 each week during the past 12 months?

# OF DAYS PER WEEK: [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?

# OF DAYS: [RANGE: 0 - 30]

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 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 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?

# OF DAYS: [RANGE: 0 - 30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

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 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 cocaine, in any form?

AGE: [RANGE: 1 - 110]

DK/REF

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 cocaine. Is this correct?

4 Yes

6 No

DK/REF

CCCC02 [IF CCCC01 = 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 [AGE1STCC] years old the first time I used 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?

AGE: [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 cocaine in any form?

AGE: [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 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 cocaine in any form?

AGE: [RANGE: 1 - 110]

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 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 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 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. 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 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 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. 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 cocaine in any form in [CC03a-d fill]. That would make you [MYR1STCC] years old when you first used 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 cocaine in any form. Which answer is correct?

1 I first used 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 cocaine in any form.

3 Neither answer is correct

DK/REF

UPDATE: IF CCCC18 = 1, THEN AGE1STCC = MYR1STCC.

CCCC19 [IF CCCC18=2 OR CCCC18=3 OR CCCC17=6] Please answer this question again. Did you first use 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 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. 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 cocaine in any form in [CCCC19-CCCC19a fill]. That would make you [MYR1STCC] years old when you first used cocaine in any form. Is this correct?

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 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 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 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 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

CCYRAVE [IF CCFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did you use cocaine?

TOTAL # OF DAYS: [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 cocaine each month during the past 12 months?

AVERAGE # OF DAYS PER MONTH: [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 cocaine each week during the past 12 months?

AVERAGE # OF DAYS PER WEEK: [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 cocaine?

# OF DAYS: [RANGE: 0 - 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 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

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 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 cocaine on [COC30DAY] of the past 30 days. Is this correct?

4 Yes

6 No

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

DEFINE FILLCN:

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 cocaine on [FILLCN] days in the past 12 months [FILLCNA]

2 I used 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 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 cocaine?

TOTAL # OF DAYS: [RANGE: 1 - 366]

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

CCCC11 [IF CCCC9 = 2] On average, how many days did you use cocaine each month during the past 12 months?

# OF DAYS/MONTH: [RANGE: 1 - 31]

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

CCCC12 [IF CCCC09 = 1] On average, how many days did you use cocaine each week during the past 12 months?

# OF DAYS PER WEEK: [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 cocaine?

# OF DAYS: [RANGE: 0 - 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 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 cocaine on 0 days during the past 30 days. Is this correct?

4 Yes

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 cocaine?

# OF DAYS: [RANGE: 0 - 30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

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] 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

CK02 [IF CK01 = 1 OR CKREF = 1] How old were you the first time you used ‘crack’?

AGE: [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 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?

AGE: [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’?

AGE: [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 ‘crack’?

AGE: [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. PRESS [ENTER] TO CONTINUE.

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. 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

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. 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 Yes

6 No

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 = 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

CKYRAVE [IF CKFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did you use ‘crack’?

TOTAL # OF DAYS: [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: [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?

AVERAGE # OF DAYS PER WEEK: [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’?

# OF DAYS: [RANGE: 0 - 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

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:

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’?

TOTAL # OF DAYS: [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?

# OF DAYS/MONTH: [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?

# OF DAYS PER WEEK: [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’?

# OF DAYS: [RANGE: 0 - 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 daysPROGRAMMER: 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 Yes

6 No

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’?

# OF DAYS: [RANGE: 0 - 30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

Heroin

HEINTRO These next questions are about heroin.

Press [ENTER] to continue.

HE01 Have you ever, even once, used 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?

1 Yes

2 No

DK/REF

HE02 [IF HE01 = 1 OR HEREF = 1] How old were you the first time you used heroin?

AGE: [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. Is this correct?

4 Yes

6 No

DK/REF

HECC02 [IF HECC01 = 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 [AGE1STHR] years old the first time I used 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?

AGE: [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?

AGE: [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. 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?

AGE: [RANGE: 1 - 110]

DK/REF

UPDATE: IF HECC06 NOT(BLANK OR DK/REF) THEN AGE1STHR = HECC06

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 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 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?

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. 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?

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 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. 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. 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. Which answer is correct?

1 I first used heroin in [HE03a-d fill] when I was [MYR1STHE] years old

2 I was [AGE1STHR] years old the first time I used 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 in [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?

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. 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. Is this correct?

4 Yes

6 No

DK/REF

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?

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?

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?

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 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

HEYRAVE [IF HEFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did you use heroin?

TOTAL # OF DAYS: [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 each month during the past 12 months?

AVERAGE # OF DAYS PER MONTH: [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 each week during the past 12 months?

AVERAGE # OF DAYS PER WEEK: [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?

# OF DAYS: [RANGE: 0 - 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 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:

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 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 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”

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 on [FILLHER] days in the past 12 months [FILLHERA]

2 I used 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 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?

TOTAL # OF DAYS: [RANGE: 1 - 366]

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

HECC11 [IF HECC09 = 2] On average, how many days did you use heroin each month during the past 12 months?

# OF DAYS/MONTH: [RANGE: 1 - 31]

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

HECC12 [IF HECC09 = 1] On average, how many days did you use heroin each week during the past 12 months?

# OF DAYS PER WEEK: [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?

# OF DAYS: [RANGE: 0 - 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 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 on 0 days during the past 30 days. Is this correct?

4 Yes

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?

# OF DAYS: [RANGE: 0 - 30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

Hallucinogens

HALINTRO The next questions are about substances called hallucinogens. These drugs often cause people to see 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.

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 ‘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

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:

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

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 (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 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 = "PCP or 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’”

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”, ‘Molly’, or any other hallucinogen"

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"

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”

LS02 [IF ANY IN LS01a 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: [RANGE: 1 - 110]

DK/REF

DEFINE AGE1STHA:

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

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: [RANGE: 1 - 110]

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 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: [RANGE: 1 - 110]

DK/REF

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 Yes

6 No

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: [RANGE: 1 - 110]

DK/REF

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] 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.

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. 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

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. 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 [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 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 [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

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 [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

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 HALLREC = 1 OR 2] Now think about the past 12 months, from [DATEFILL] through today. We want to know how many days you’ve used [LSFILL] 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

LSYRAVE [IF LSFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did you use [LSFILL]?

TOTAL # OF DAYS: [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 [LSFILL] each month during the past 12 months?

AVERAGE # OF DAYS PER MONTH: [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 [LSFILL] each week during the past 12 months?

AVERAGE # OF DAYS PER WEEK: [RANGE: 1 - 7]

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

LS04 [IF LSLAST=1 OR LSRECDK = 1 OR LSRECRE = 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 [LSFILL]?

NUMBER OF DAYS: [RANGE: 0 - 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 [LSFILL] 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) THEN TOTHALL = LSMONAVE*12

ELSE IF LSWKAVE NOT(BLANK OR DK/REF) THEN TOTHALL = LSWKAVE*52

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 [LSFILL] 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 [LSFILL] 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 [LSFILL] [FILLHAL] in the past 12 months [FILLHALA]

2 I used [LSFILL] [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 [LSFILL] 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 [LSFILL]?

TOTAL # OF DAYS: [RANGE: 1 - 366]

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

LSCC11 [IF LSCC09 = 2] On average, how many days did you use [LSFILL] each month during the past 12 months?

# OF DAYS/MONTH: [RANGE: 1 - 31]

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

LSCC12 [IF LSCC09 = 1] On average, how many days did you use [LSFILL] each week during the past 12 months?

# OF DAYS PER WEEK: [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 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 [LSFILL]?

# OF DAYS: [RANGE: 0 - 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 [LSFILL] 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/REFPROGRAMMER: 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?

AGE: [RANGE: 1 - 110]

DK/REF

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: [RANGE: 1 - 110]

DK/REF

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: [RANGE: 1 - 110]

DK/REF

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:

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: [RANGE: 1 - 110]

DK/REF

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: [RANGE: 1 - 110]

DK/REF

LSCC25 [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: [RANGE: 1 - 110]

DK/REF

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]?

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. 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 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 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. 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 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. 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 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 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]"

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

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 ESTILS = 1

IF LS30DKRE = 2, THEN ESTILS = 3

IF LS30DKRE = 3, THEN ESTILS = 6

IF LS30DKRE = 4, THEN ESTILS = 10

IF LS30DKRE = 5, THEN ESTILS = 20

IF LS30DKRE = 6, THEN ESTILS = 30

ELSE ESTILS = BLANK

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 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]?

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 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: [RANGE: 1 - 110]

DK/REF

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?

AGE: [RANGE: 1 - 110]

DK/REF

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: [RANGE: 1 - 110]

DK/REF

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: [RANGE: 1 - 110]

DK/REF

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. Think about the first time you used [LSFILL]. How old were you the first time you used [LSFILL]?

AGE: [RANGE: 1 - 110]

DK/REF

LSCC38 [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: [RANGE: 1 - 110]

DK/REF

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 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 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. 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. 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

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. 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 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 LS12-LS15) 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. 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?

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 ESTILS = 1

IF LS31DKRE = 2, THEN ESTILS = 3

IF LS31DKRE = 3, THEN ESTILS = 6

IF LS31DKRE = 4, THEN ESTILS = 10

IF LS31DKRE = 5, THEN ESTILS = 20

IF LS31DKRE = 6, THEN ESTILS = 30

ELSE ESTILS = BLANK

DEFINE HAL30DAY

IF LS31DKRE = 1, THEN HAL30DAY = “1 or 2"

IF LS31DKRE = 2, THEN HAL30DAY = “3 to 5"

IF LS31DKRE = 3, THEN HAL30DAY = “6 to 9"

IF LS31DKRE = 4, THEN HAL30DAY = “10 to 19"

IF LS31DKRE = 5, THEN HAL30DAY = “20 to 29"

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?

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 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: [RANGE: 1 - 110]

DK/REF

DEFINE AGE1STEC

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

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 I am currently [CURNTAGE] years old

2 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: [RANGE: 1 - 110]

DK/REF

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: [RANGE: 1 - 110]

DK/REF

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?

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: [RANGE: 1 - 110]

DK/REF

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 I was [AGE1STHA] years old the first time I used [LSFILL]

2 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: [RANGE: 1 - 110]

DK/REF

LSCC51 [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: [RANGE: 1 - 110]

DK/REF

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]?

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. 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 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 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. 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

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. 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 ‘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 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 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 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 ESTILS = 1

IF LS32DKRE = 2, THEN ESTILS = 3

IF LS32DKRE = 3, THEN ESTILS = 6

IF LS32DKRE = 4, THEN ESTILS = 10

IF LS32DKRE = 5, THEN ESTILS = 20

IF LS32DKRE = 6, THEN ESTILS = 30

ELSE ESTILS = BLANK

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)):

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.

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]

DK/REF PROGRAMMER: SHOW 12 MONTH CALENDAR

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 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/REFPROGRAMMER: SHOW 30 DAY CALENDAR

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:

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 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

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

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

Inhalants

INHINTRO These next questions are about liquids, sprays, and gases that people sniff or inhale 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.

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

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

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 IN01l = 1] Please type in the name of one of the other inhalants 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. Remember, you do not need to type in the names of any inhalants that you already reported.

______________

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN IN01OTH1.

IN01OTH2 [IF IN01l = 1 AND IN01OTH1 NE DK/REF] Please type in the name of any other inhalant you have used. If you have not used any other inhalants, press [ENTER].

______________

DK/REF

IN01OTH3 [IF IN01OTH2 NE (BLANK OR DK/REF)] Please type in the name of any other inhalant you have used. If you have not used any other inhalants, press [ENTER].

______________

DK/REF

IN01OTH4 [IF IN01OTH3 NE (BLANK OR DK/REF)] Please type in the name of any other inhalant you have used. If you have not used any other inhalants, press [ENTER].

______________

DK/REF

IN01OTH5 [IF IN01OTH4 NE (BLANK OR DK/REF)] Please type in the name of any other inhalant you have used. If you have not used any other inhalants, 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 for kicks or to get high?

1 Yes

2 No

DK/REF

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 = 1] How old were you the first time you used any inhalant for kicks or to get high?

AGE: [RANGE: 1 - 110]

DK/REF

DEFINE AGE1STIN:

IF IN02 NE (BLANK OR DK/REF) THEN AGE1STIN = IN02

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 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 I am currently [CURNTAGE] years old

2 I was [AGE1STIN] years old the first time I used an inhalant of any kind for kicks 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?

AGE: [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 or to get high. How old were you the first time you used an inhalant for kicks or to get high?

AGE: [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 or to get high. Is 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 or to get high. How old were you the first time you used an inhalant of any kind for kicks or to get high?

AGE: [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 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 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 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 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. 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 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. 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 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 or to get high. Is this correct?

4 Yes

6 No

DK/REF

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 or to get high. Which answer is correct?

1 I first used an inhalant of any kind for kicks 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 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 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 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. PRESS [ENTER] TO CONTINUE.

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 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 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 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 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 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 last used any inhalant for kicks 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 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 or to get high?

TOTAL # OF DAYS: [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 or to get high each month during the past 12 months?

AVERAGE # OF DAYS PER MONTH: [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 or to get high each week during the past 12 months?

AVERAGE # OF DAYS PER WEEK: [RANGE: 1 - 7]

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

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 or to get high?

NUMBER OF DAYS: [RANGE: 0 - 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 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 > 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 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 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 or to get high on [FILLINH] days in the past 12 months [FILLINHA]

2 I used an inhalant for kicks or to get high on [IN06 / INH30DAY] days in the past 30 days

3 Neither answer is correct

DK/REF

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 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 or to get high?

TOTAL # OF DAYS: [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 or to get high each month during the past 12 months?

# OF DAYS/MONTH: [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 or to get high each week during the past 12 months?

# OF DAYS PER WEEK: [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 including today. During the past 30 days, on how many days did you use any inhalant for kicks or to get high?

# OF DAYS: [RANGE: 0 - 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 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 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 or to get high?

# OF DAYS: [RANGE: 0 - 30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

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: [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 Yes

6 No

DK/REF

MECC02 [IF MECC01 = 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 [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: [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?

AGE: [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?

AGE: [RANGE: 1 - 110]

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. PRESS [ENTER] TO CONTINUE.

ME03d [IF ME03a = 1 - 2 OR ME03b = 1 - 2] In what month in [YEAR FROM 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

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 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 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 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

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 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

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

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].

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?

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 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?

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 the [ENTER] key 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?

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].

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.

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].

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].

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.

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].

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].

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.

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].

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 PR01-PRANYOTH.

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

Remember, do not include “over-the-counter” pain relievers such as aspirin, Tylenol, Advil, or Aleve.

1 Yes

2 No

DK/REF

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].

Xanax
Xanax XR
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].

Ativan
Klonopin
Lorazepam (generic)
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].

Valium

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 press the [ENTER] key to return to these questions so that you can revise your answers.

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].

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 TR01- TRANYOTH.

TRLANY [IF TR12MON = 2] Have you ever, even once, used any prescription tranquilizer?

1 Yes

2 No

DK/REF

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. 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].

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 EXTENDED-RELEASE 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].

Dextroamphetamine (generic)
Mixed amphetamine-dextroamphetamine pills other than Adderall (generic)
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].

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 Yes

6 No

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 press the [ENTER] key 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].

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].

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

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].

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].

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.

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 ST01- STANYOTH.

STLANY [IF ST12MON = 2] Have you ever, even once, used any prescription stimulant?

Remember, do not include “over-the-counter” stimulants such as Dexatrim, No-Doz, Hydroxycut, or 5-Hour Energy.

1 Yes

2 No

DK/REF

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].

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].

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.

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].

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 Yes

6 No

DK/REF

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 press the [ENTER] key 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?

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].

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 SV01-SVANYOTH.

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

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

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

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

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?

AGE: [(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 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?

AGE: [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 DATE OF INTERVIEW >= DOB AND NUMBER OF DAYS BASED ON THE DIFFERENCE BETWEEN DATE OF INTERVIEW AND DOB <= 30, THEN PR30INIT1 = 1

ELSE 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]?

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.

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.]

January
February
March
April
May
June
July
August
September
October
November
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.

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

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

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

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

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?

AGE: [(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 again.

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?

AGE: [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

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

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.]

January
February
March
April
May
June
July
August
September
October
November
December

DK/REF

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

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

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

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

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.

[IF PRY03=1] How old were you when you first used Norco in a way a doctor did not direct you to use it?

AGE: [(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

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?

AGE: [(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.

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

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?

AGE: [(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?

DISPLAY IMAGE FOR OXYCONTIN

1 Yes

2 No

DK/REF

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?

AGE: [(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

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?

AGE: [(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

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?

AGE: [(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

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.

[IF PRY09=1] How old were you when you first used Roxicodone in a way a doctor did not direct you to use it?

AGE: [(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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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

2 No

DK/REF

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?

AGE: [(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

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?

AGE: [(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

UPDATE PRFIRSTFLAG:

IF PRFIRSTFLAG=0 AND PRY15=1 THEN PRFIRSTFLAG=15.

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?

AGE: [(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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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

1 Yes

2 No

DK/REF

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?

AGE: [(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

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?

AGE: [(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

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?

AGE: [(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

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.

[IF PRY23=1] How old were you when you first used Duragesic in a way a doctor did not direct you to use it?

AGE: [(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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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?

1 Yes

2 No

DK/REF

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?

AGE: [(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

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?

AGE: [(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

UPDATE PRFIRSTFLAG:

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?

AGE: [(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

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.

[IF PRY31=1] How old were you when you first used oxymorphone in a way a doctor did not direct you to use it?

AGE: [(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)

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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

1 Yes

2 No

DK/REF

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?

AGE: [(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

PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE DATE

PRYOTHA1 [IF PRYOTH = 1] Please type in the name of one 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.

______________
[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

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?

AGE: [(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.

DEFINE PRMISCOUNT:

INITIALIZE PRMISCOUNT TO 0.

INCREMENT PRMISCOUNT BY 1 FOR EVERY RESPONSE OF YES IN PRY01- PRYOTH.

DEFINE PRMISUSE12:

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 PRY01- PRYOTH 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 =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 PRYRDKRE1-PRYRDKREOT.

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.

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]?

________________ [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

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].

1 I used [PRNAMEFILL] without a prescription of my own.

2 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

PRYLAST [IF PRMISCOUNT > 1 OR (PRMISCOUNT = 1 AND PRDKREFFLAG=1)] Now think about the last time you used a prescription pain reliever in any way a doctor did not direct you to use it.

Which of these pain relievers did you use the last time? If you used more than one pain reliever the last time, please choose one pain reliever as your best answer.

(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:

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”].

What were the reasons you used [PRLASTFILL2] the last time? 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].

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 or 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 [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] 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 PRMOTOT.

PRYMOT1 [IF MORE THAN ONE RESPONSE 1-9 CHOSEN IN PRYMOTIV] Which was the main reason you used [PRLASTFILL2] the last time?

PROGRAMMER: FILL AS RESPONSE OPTIONS ONLY THOSE CHOSEN IN PRYMOTIV

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 or 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 [IF RPRYLAST=17 THEN “them” ELSE “it”]
[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 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”].

[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 I got a prescription for the [PRLASTFILL] from just one doctor

2 I got prescriptions for the [PRLASTFILL] from more than one doctor

3 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.

_____________

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 He or she got a prescription for the [PRLASTFILL] from just one doctor

2 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.

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.

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

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: [(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 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 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

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: [RANGE: 1 - 110]

DK/REF

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 DATE OF INTERVIEW >= DOB AND NUMBER OF DAYS BASED ON THE DIFFERENCE BETWEEN DATE OF INTERVIEW AND DOB <= 30, THEN TR30INIT1 = 1

ELSE 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]?

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].

[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.]

January
February
March
April
May
June
July
August
September
October
November
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

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

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

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

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

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: [(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 AGE1STTR2:

IF TRY02a NE (BLANK OR DK/REF) THEN AGE1STTR2 = TRY02a

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 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: [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 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:

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

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.]

January
February
March
April
May
June
July
August
September
October
November
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

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 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 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

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

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: [(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 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

UPDATE TRFIRSTFLAG:

IF TRFIRSTFLAG=0 AND TRY04=1 THEN TRFIRSTFLAG=4.

TRY04a [IF TRFIRSTFLAG=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 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?

AGE: [(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 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

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: [(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 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

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: [(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 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?

DISPLAY IMAGE FOR LORAZEPAM

1 Yes

2 No

DK/REF

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: [(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 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

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: [(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 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

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: [(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 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

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.

[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: [(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 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

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: [(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 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

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: [(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 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?

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

TRYOTHA1 [IF TRYOTH = 1] Please type in the name of one 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.

______________
[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].

______________

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: [(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 TRY01.

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 TRY01-TRYOTH 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~~.”

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 TRYRDKRE1-TRYRDKREOT.

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].

[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

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].

1 I used [TRNAMEFILL] without a prescription of my own.

2 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 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? 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].

To relax or relieve tension
To experiment or to see what it’s like
To feel good or 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.

To relax or relieve tension
To experiment or to see what it’s like
To feel good or 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
[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”].

[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 I got a prescription for the [TRLASTFILL] from just one doctor

2 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 He or she got a prescription for the [TRLASTFILL] from just one doctor

2 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

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.

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
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

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?

AGE: [(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 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

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?

AGE: [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 DATE OF INTERVIEW >= DOB AND NUMBER OF DAYS BASED ON THE DIFFERENCE BETWEEN DATE OF INTERVIEW AND DOB <= 30, THEN ST30INIT1 = 1

ELSE 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

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].

[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.]

January
February
March
April
May
June
July
August
September
October
November
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

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 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

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

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

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?

AGE: [(RANGE: 1 - 110)]

DK/REF

[DISPLAY “HELP” TEXT FOR ANY WAY OF MISUSE IN LOWER RIGHT]

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 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?

AGE: [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

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

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.]

January
February
March
April
May
June
July
August
September
October
November
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.

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 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 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

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 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

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?

AGE: [(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

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.

[IF STY04=1] How old were you when you first used dextroamphetamine in a way a doctor did not direct you to use it?

AGE: [(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 amphetamine-dextroamphetamine pills in any way a doctor did not direct you to use them?

1 Yes

2 No

DK/REF

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 amphetamine-dextroamphetamine pills in a way a doctor did not direct you to use them?

AGE: [(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.

STY06 [IF ST02=3] In the past 12 months, did you use extended-release amphetamine-dextroamphetamine pills in any way a doctor did not direct you to use them?

1 Yes

2 No

DK/REF

UPDATE STFIRSTFLAG:

IF STFIRSTFLAG=0 AND STY06=1 THEN STFIRSTFLAG=6.

STY06a [IF STFIRSTFLAG=6. Please think about the first time you ever used extended-release 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?

AGE: [(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.

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

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?

AGE: [(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?

1 Yes

2 No

DK/REF

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?

AGE: [(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

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?

AGE: [(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

UPDATE STFIRSTFLAG:

IF STFIRSTFLAG=0 AND STY10=1 THEN STFIRSTFLAG=10.

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?

AGE: [(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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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

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?

AGE: [(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

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?

AGE: [(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

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.

[IF STY17=1] How old were you when you first used dexmethylphenidate in a way a doctor did not direct you to use it?

AGE: [(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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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

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?

AGE: [(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

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?

AGE: [(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

UPDATE STFIRSTFLAG:

IF STFIRSTFLAG=0 AND STY23=1 THEN STFIRSTFLAG=23.

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?

AGE: [(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

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?

AGE: [(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.

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

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?

AGE: [(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.

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

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?

AGE: [(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?

Remember, do not include “over-the-counter” stimulants such as Dexatrim, No-Doz, Hydroxycut, or 5-Hour Energy.

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW CALENDAR WITH 12-MONTH REFERENCE DATE.

STYOTHA1 [IF STYOTH = 1] Please type in the name of one 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.

__________________
[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].

______________

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?

AGE: [(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:

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 STY01-STYOTH 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=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 STYRDKRE1-STYRDKREOT.

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.

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]?

________________ [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?

To select more than one statement, press the space bar between the numbers. When you have finished, press [ENTER].

1 I used [STNAMEFILL] without a prescription of my own.

2 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

STYLAST [IF STMISCOUNT > 1 OR (STMISCOUNT = 1 AND STDKREFFLAG=1)] Now think about the last time you used a prescription stimulant in any way a doctor did not direct you to use it.

Which of these stimulants did you use the last time? If you used more than one stimulant the last time, please choose one stimulant as your best answer.

(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.

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] Now think about the last time 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”]

What were the reasons you used [STLASTFILL2] the last time? 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].

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 or get high
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”]
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] 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 STMOTOT.

STYMOT1 [IF MORE THAN ONE RESPONSE 1-9 CHOSEN IN STYMOTIV] Which was the main reason you used [STLASTFILL2] the last time?

PROGRAMMER: FILL AS RESPONSE OPTIONS ONLY THOSE CHOSEN IN STYMOTIV

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 or get high
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”]
[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 time 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 I got a prescription for the [STLASTFILL] from just one doctor

2 I got prescriptions for the [STLASTFILL] from more than one doctor

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 He or she got a prescription for the [STLASTFILL] from just one doctor

2 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.

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

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.)

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

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: [(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 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 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: [RANGE: 1 - 110]

DK/REF

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

DEFINE SV30INIT1:

SV30INIT1 = 0

IF AGE1STSV1 = CURNTAGE AND DATE OF INTERVIEW >= DOB AND NUMBER OF DAYS BASED ON THE DIFFERENCE BETWEEN DATE OF INTERVIEW AND DOB <= 30, THEN SV30INIT1 = 1

ELSE 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

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.]

January
February
March
April
May
June
July
August
September
October
November
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

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 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 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

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

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: [(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 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 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.

How old were you the first time you used Ambien CR in a way a doctor did not direct you to use it?

AGE: [RANGE: 1 - 110]

DK/REF

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

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.]

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.]

January
February
March
April
May
June
July
August
September
October
November
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:

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

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

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

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

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: [(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 SVY01.

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

UPDATE SVFIRSTFLAG:

IF SVFIRSTFLAG=0 AND SVY04=1 THEN SVFIRSTFLAG=4.

SVY04a [IF SVFIRSTFLAG=4] 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 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: [(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 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 Yes

2 No

DK/REF

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: [(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 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

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: [(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 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

UPDATE SVFIRSTFLAG:

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: [(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 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

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?

AGE: [(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 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

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: [(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 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

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: [(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 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

1 Yes

2 No

DK/REF

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: [(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 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

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: [(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 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

UPDATE SVFIRSTFLAG:

IF SVFIRSTFLAG=0 AND SVY13=1 THEN SVFIRSTFLAG=13.

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: [(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 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

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)]

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 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.

______________
[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].

______________

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: [(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 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?

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 SVY01-SVYOTH 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:

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 SVYRDKRE1-SVYRDKREOT.

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".

[IF SVMISUSE12=1 AND SVMISCOUNT>1] The next questions refer to these drugs as prescription sedatives.

Press Enter to continue.

SVM01 [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:

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].

1 I used [SVNAMEFILL] without a prescription of my own.

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.

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? 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].

To relax or relieve tension
To experiment or to see what it’s like
To feel good or 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 __________________

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

To relax or relieve tension
To experiment or to see what it’s like
To feel good or 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
[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 I got a prescription for the [SVLASTFILL] from just one doctor

2 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

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 He or she got a prescription for the [SVLASTFILL] from just one doctor

2 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.

Special Drugs

SD01 The last questions were 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 non-prescription cough or cold medicine just to get high?

DK/REF

SD02 [IF SD01 = 1] How long has it been since you last took one of these 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 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?

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

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

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?

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?

[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 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

SD16 [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?

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

PROGRAMMER: DO NOT ALLOW BLANKS IN SD21SP.

Risk/Availability Section

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 No risk

2 Slight risk

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 No risk

2 Slight risk

3 Moderate risk

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.

Press [ENTER] to continue.

RK02a How difficult or easy would it be for you to get some marijuana, if you wanted some?

1 Probably impossible

2 Very difficult

3 Fairly difficult

4 Fairly easy

5 Very easy

DK/REF

RK02b 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

RK02c How difficult or easy would it be for you to get some cocaine, if you wanted some?

1 Probably impossible

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

RK02e How difficult or easy would it be for you to get some heroin, 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

2 Seldom

3 Sometimes

4 Always

DK/REF

RK04b How often do you like to test yourself by doing something a little risky?

1 Never

2 Seldom

3 Sometimes

4 Always

DK/REF

RK04c How often do you wear a seatbelt when you ride in the front passenger seat of a car?

1 Never

2 Seldom

3 Sometimes

4 Always

DK/REF

RK04d How often do you wear a seatbelt when you drive a car?

1 Never

2 Seldom

3 Sometimes

4 Always

5 I don’t drive

DK/REF

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: [(RANGE: 1 - 110]

DK/REF

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: [RANGE: 1 - 110]

DK/REF

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]?

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 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 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]?

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 [BLCC05-BLCC05a 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 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

PROGRAMMER: SHOW 30 DAY CALENDAR

BL05 [IF BL03 =2] Why did you report earlier that you had never used marijuana or hashish?

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
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

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

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 = 4

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 = 3

ELSE MAR12MON = 4

DEFINE COC12MON:

IF CCLAST3 = 1 OR 2 OR CCRECDK = 1 OR 2 OR CCRECRE = 1 OR 2 OR 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

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 SED12MON

IF SVY01 = 1 OR SVY02 = 1 OR SVY03 = 1 OR SVY04 = 1 OR SVY05 = 1 OR SVY06 = 1 OR SVY07 = 1 OR SVY08 = 1 OR SVY09 = 1 OR SVY10 = 1 OR SVY11 = 1 OR SVY12 = 1 OR SVY13 = 1 OR SVY14 = 1 OR SVYOTH = 1, THEN SED12MON = 1

ELSE SED12MON = 2

Substance Dependence and Abuse

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.

[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.

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 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.

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

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

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 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?

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 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

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

• 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.

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 Yes

2 No

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 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

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 Yes

2 No

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

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

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 Yes

2 No

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?

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?

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 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 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

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

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?

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

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

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] 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 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

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 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 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

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

• 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?

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

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

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 Yes

2 No

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

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 Yes

2 No

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?

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?

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

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 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

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 Yes

2 No

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?

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

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

• 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.

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 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

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?

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 Yes

2 No

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

Special Topics

INTROSP The next questions are about encounters with the police or the court system.

Press [ENTER] to continue.

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

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

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?

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.

_____________

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

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?

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?

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

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

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]?

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 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 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]?

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

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

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 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 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

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 [LUCG07- LUCG07a 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?

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

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.

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 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 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 Yes

6 No

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

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?

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 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 [CG37REC FILL]. How old were you the last time you smoked part or all of a cigar?

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. 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. How old were you the last time you smoked part or all of a cigar?

AGE:_______[RANGE: 1-110]

DK/REF

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 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 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?

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?

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 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 in [LU07a-d fill]. That would make you [MYRLSTCR] years old when you last smoked part or all of a cigar. 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. Which answer is correct?

1 I last smoked part or all of a cigar 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

3 Neither answer is correct

DK/REF

UPDATE: IF LUCR06 = 1, THEN AGELSTCR = MYRLSTCR

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 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?

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 in [LUCR07 - LUCR07a fill]. That would make you [MYRLSTCR] years old when you last smoked part or all of a cigar. Is this correct?

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

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 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 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

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?

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

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.

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 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 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 Yes

6 No

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 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 [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

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 [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 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 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

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

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 [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 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 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 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?

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

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?

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 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 [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 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 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 CURRENT YEAR -2

2 CURRENT YEAR -1

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 ‘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 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” 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 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 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 or to get high [INREC FILL]. How old were you the last time you used any inhalants for kicks 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

LUCC33 The computer recorded that you were [AGELSTIN] years old when you last used an inhalant for kicks 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 or to get high. How old were you the last time you used an inhalant for kicks 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 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 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 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 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 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 or to get high in [LU16a-d fill]. That would make you [MYRLSTIN] years old when you last used an inhalant for kicks or to get high. Is this correct?

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 or to get high. Which answer is correct?

1 I last used an inhalant for kicks 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 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 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 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 [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 or to get high in [LUIN07 - LUIN07a fill]. That would make you [MYRLSTIN] years old when you last used an inhalant for kicks 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 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.

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 I last used methamphetamine in [LU17a-d fill] when I was [MYRLSTME] years old

2 I was [AGELSTME] years old the last time I used methamphetamine

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 YEAR-1], 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 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

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?

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

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

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 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?

# 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].

Alcohol
Marijuana or hashish
Cocaine or ‘crack’
Heroin
Hallucinogens
Inhalants
Methamphetamine
Prescription pain relievers
Prescription tranquilizers
Prescription stimulants
Prescription sedatives
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

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?

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.

____________

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 You had no health care coverage, and you couldn’t afford the cost.

2 You did have health care coverage, but it didn’t cover treatment for [TXFILL2], or didn’t cover the full cost.

3 You had no transportation to a program, or the programs were too far away, or the hours were not convenient.

4 You didn’t find a program that offered the type of treatment or counseling you wanted.

5 You were not ready to stop using [TXFILL2].

6 There were no openings in the programs.

7 You did not know where to go to get treatment.

8 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

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 You had no health care coverage, and you couldn’t afford the cost.

2 You did have health care coverage, but it didn’t cover treatment for alcohol or drugs, or didn’t cover the full cost.

3 You had no transportation to a program, or the programs were too far away, or the hours were not convenient.

4 You didn’t find a program that offered the type of treatment or counseling you wanted.

5 You were not ready to stop using alcohol or drugs.

6 There were no openings in the programs.

7 You did not know where to go to get treatment.

8 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?

[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 A hospital overnight as an inpatient

2 A residential drug or alcohol rehabilitation facility where you stay at night

3 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

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 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?

[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.

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 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?

Alcohol
Marijuana or hashish
Cocaine or ‘crack’
Heroin
Hallucinogens
Inhalants
Methamphetamine
Prescription pain relievers
Prescription tranquilizers
Prescription stimulants
Prescription sedatives
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 You are still in treatment

2 You successfully completed treatment

3 You left because you had a problem with the program

4 You left because you couldn’t afford to continue treatment

5 You left because your family needed you

6 You left because you began using drugs again

7 Your last treatment had some other outcome

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: [RANGE: 1 - 366]

DK/REF

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: [RANGE: 1 - 366]

DK/REF

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: [RANGE: 1 - 400]

DK/REF

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: [RANGE: 1 - 400]

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: [RANGE: 1 - 60]

DK/REF

TX41YR2 [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: [RANGE: 1 - 60]

DK/REF

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?

[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 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. 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 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 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

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?

_____________[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?

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?

Alcohol use only
Drug use only
Both alcohol and drug use

DK/REF

Health

HLTHINT These next questions are about your health and health care.

Press [ENTER] to continue.

HLTH02 [IF QD01 = 9 AND CURNTAGE = 12 - 44] Are you currently pregnant?

1 Yes

2 No

DK/REF

HLTH03 [IF HLTH02 = 1] How many months pregnant are you?

# OF MONTHS: ________ [RANGE: 1 - 9]

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.

I would rather answer in feet and inches
I would rather answer in meters and centimeters
I would rather answer only in inches
I would rather answer only in centimeters

DK/REF

HLTH05 [IF HLTH04=1] About how tall are you, without shoes? First, please type in the number of feet, then press [ENTER].

______feet [RANGE: 2-8]

DK/REF

HLTH06a [IF HLTH04 = 1 AND HLTH05 NE DK/RF] Please type in the number of inches and then press [ENTER].

______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.

I would rather answer in pounds
I would rather answer in kilograms

DK/REF

HLTH10 [IF HLTH09=1 AND HLTH02 NE 1] About how much do you weigh? Please type in the number of pounds and then press [ENTER].

________pounds [RANGE: 40-999]

DK/REF

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] About how much did you weigh before you got pregnant? Please type in the number of pounds and then press [ENTER].

________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

HLTH16 During the past 12 months, that is, since [DATEFILL], how many different times have you been treated in an emergency room for any reason?

# 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?

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: [RANGE: 1 - 366]

DK/REF

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: [(RANGE: 0 - 366)]

DK/REF

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”

IF HLTH16>1 THEN VISITFILL = “your visits to the Emergency Room”

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 OR HLTH17=1 OR HLTH19>0 OR HLTH19DK>0] During the past 12 months, did any doctor or other health care professional ask, either in person or on a form, if you:

a. Smoke cigarettes or use any other tobacco products? 1. Yes 2. No DK/REF

b. Drink alcohol? 1. Yes 2. No DK/REF

c. Use marijuana or other illegal drugs? 1. Yes 2. No DK/REF

HLTH21 [(IF HLTH16>0 OR HLTH17=1 OR HLTH19>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 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 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 AND HLTH19DK<1) OR (HLTH17 =1 AND HLTH16 = 0 AND HLTH19<1 AND HLTH19DK<1) OR ((HLTH19 >=1 OR HLTH19DK>=1) AND HLTH16 = 0 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.

To select more than one statement, press the space bar between each number you type. When you have finished, press [ENTER].

The doctor asked how much I drink.
The doctor asked how often I drink.
The doctor asked if I have any problems because of my drinking.
The doctor advised me to cut down on my drinking.
The doctor offered to give me more information about alcohol use and treatment for problems with alcohol use.

The doctor didn’t discuss my alcohol use with me in the past 12 months.

DK/REF

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 again.

HLTH23 [(IF HLTH16>0 OR HLTH17=1 OR HLTH19>0 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.

During the past 12 months, did you have a sexually transmitted disease such as chlamydia, gonorrhea, herpes or syphilis?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

HLTH25 Below is a list of health conditions that you may have had during your lifetime.

Please read the list and type in the numbers of all of the conditions that a doctor or other health care professional has ever told you that you had.

To select more than one condition, press the space bar between each number you type. When you have finished, press [ENTER].

Any kind of heart condition or heart disease
Diabetes or sugar diabetes
Chronic bronchitis, emphysema, chronic obstructive pulmonary disease, also called COPD
Cirrhosis of the liver
Hepatitis B or C
Kidney disease, not including bladder infection or incontinence
Asthma
HIV or AIDS
Cancer or a malignancy of any kind
Hypertension, also called high blood pressure

95 None of the above - I have never had any of these conditions

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 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”

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.

To select more than one category, press the space bar between the numbers. When you have finished, press [ENTER].

Bladder
Blood
Bone
Brain
Breast
[IF QD01 = 9] Cervix
Colon
Esophagus
Gallbladder
Kidney
Larynx/windpipe
Leukemia
Liver
Lung
Lymphoma
Melanoma
Mouth/tongue/lip
[IF QD01 = 9] Ovary
Pancreas
[IF QD01 = 5] Prostate
Rectum
Skin (not melanoma)
Skin (don’t know which kind)
Soft tissue (muscle or fat)
Stomach
[IF QD01 = 5] Testis
Throat/pharynx
Thyroid
[IF QD01 = 9] Uterus
Other

HLTH26othr [IF HLTH26=30] Please tell me which other kind of cancer you had.

_____________

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN HTLH26othr.

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?

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.

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.

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.

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

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

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]

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

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?

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?

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.

Adult Mental Health Service Utilization

(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. 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

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 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

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 Yes

2 No

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 An outpatient mental health clinic or center

2 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.

________________

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: [RANGE: 1 - 366]

DK/REF

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 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?

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 You couldn’t afford the cost.

2 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 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 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 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

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?

I decided on my own to get treatment
I got treatment mainly because someone else thought I should
I was ordered to get treatment

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

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

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

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 [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.

pe01 [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 > 18]: THE BIRTH DATE YOU HAVE ENTERED ([PE01]) INDICATES THAT YOUR CHILD IS OLDER THAN 18. 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.

HARD ERROR: [IF CALCULATED AGE FROM PE01 < 12]: THE BIRTH DATE YOU HAVE ENTERED ([PE01]) INDICATES THAT YOUR CHILD IS YOUNGER THAN 12. THIS CHILD WOULD NOT BE ELIGIBLE TO BE INTERVIEWED. PLEASE 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?

AGE: [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 during the past 12 months.

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

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

pe03 [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 0 times

2 1 to 2 times

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

pe05a [IF PE01a = 1 OR PE01b = 12 - 18] For each of the next statements, please indicate whether you strongly agree, agree, disagree, or strongly disagree.

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 Strongly agree

2 Agree

3 Disagree

4 Strongly disagree

DK/REF

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] 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 school during the past 12 months?

1 You liked going to school a lot

2 You kind of liked going to school

3 You didn’t like going to school very much

4 You hated going to school

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

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 Always

2 Sometimes

3 Seldom

4 Never

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 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 Always

2 Sometimes

3 Seldom

4 Never

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?

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

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 Most of them

4 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?

1 None of them

2 A few of them

3 Most of them

4 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 Most of them

4 All of them

DK/REF

YE16d [IF YE09 = 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 Most of them

4 All of them

DK/REF

YE06a [IF YE09 = 1 OR YE09a = 1] The next questions ask about your parents. By parents, we mean either your biological parents, adoptive parents, stepparents, or adult guardians who live in your household.

During the past 12 months, how often did your parents check on whether you had done your homework?

1 Always

2 Sometimes

3 Seldom

4 Never

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YE06b [IF YE09 = 1 OR YE09a = 1] During the past 12 months, how often did your parents provide help with your homework when you needed it?

1 Always

2 Sometimes

3 Seldom

4 Never

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. By parents, we mean either your biological parents, adoptive parents, stepparents, or adult guardians who live in your household. OTHERWISE SIMPLY SHOW QUESTION AS IS.] During the past 12 months, how often did your parents make you do chores around the house?

1 Always

2 Sometimes

3 Seldom

4 Never

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YE06d [IF CURNTAGE = 12 - 17] During the past 12 months, how often did your parents limit the amount of time you watched TV?

1 Always

2 Sometimes

3 Seldom

4 Never

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YE06e [IF YE09=1 OR YE09a = 1] During the past 12 months, how often did your parents limit the amount of time you went out with friends on school nights?

1 Always

2 Sometimes

3 Seldom

4 Never

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YE06f [IF CURNTAGE = 12 - 17] During the past 12 months, how often did your parents let you know when you’d done a good job?

1 Always

2 Sometimes

3 Seldom

4 Never

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YE06g [IF CURNTAGE = 12 - 17] During the past 12 months, how often did your parents tell you they were proud of you for something you had done?

1 Always

2 Sometimes

3 Seldom

4 Never

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 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

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 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

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 would feel about you smoking one or more packs of cigarettes per day?

1 Neither approve nor disapprove

2 Somewhat disapprove

3 Strongly disapprove

DK/REF

YE07b [IF CURNTAGE = 12 - 17] How do you think your parents would feel about you trying marijuana or hashish once or twice?

1 Neither approve nor disapprove

2 Somewhat disapprove

3 Strongly disapprove

DK/REF

YE07b1 [IF CURNTAGE = 12 - 17] How do you think your parents would feel about you using marijuana or hashish once a month or more?

1 Neither approve nor disapprove

2 Somewhat disapprove

3 Strongly disapprove

DK/REF

YE07c [IF CURNTAGE = 12 - 17] How do you think your parents would feel about you having one or two drinks of an alcoholic beverage nearly every day?

1 Neither approve nor disapprove

2 Somewhat disapprove

3 Strongly disapprove

DK/REF

YE19a [IF CURNTAGE = 12 - 17] How do you feel about someone your age smoking one or more packs of cigarettes a day?

1 Neither approve nor disapprove

2 Somewhat disapprove

3 Strongly disapprove

DK/REF

YE19b [IF CURNTAGE = 12 - 17] How do you feel about someone your age trying marijuana or hashish once or twice?

1 Neither approve nor disapprove

2 Somewhat disapprove

3 Strongly disapprove

DK/REF

YE19b1 [IF CURNTAGE = 12 - 17] How do you feel about someone your age using marijuana once a month or more?

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?

1 Neither approve nor disapprove

2 Somewhat disapprove

3 Strongly disapprove

DK/REF

YE20a [IF CURNTAGE = 12 - 17] How do you think your close friends would feel about you smoking one or more packs of cigarettes a day?

1 Neither approve nor disapprove

2 Somewhat disapprove

3 Strongly disapprove

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 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 Neither approve nor disapprove

2 Somewhat disapprove

3 Strongly disapprove

DK/REF

YE20c [IF CURNTAGE = 12 - 17] How do you think your close friends would feel about you having one or two drinks of an alcoholic beverage nearly every day?

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.

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

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

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?

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?

[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?

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.

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

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

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

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 . . .

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 No difficulty

2 Mild difficulty

3 Moderate difficulty

4 Severe difficulty

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

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 Yes

2 No

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].

[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.

# OF WEEKS: [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

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.

# OF DAYS:__________ [RANGE: 0-365]

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

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?

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

SUI02 [IF SUI01=1] During the past 12 months, did you make any plans to kill yourself?

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

SUI03 [IF SUI01=1] During the past 12 months, did you try to kill yourself?

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?

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?

DK/REF

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?

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

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

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?

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

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?

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 [IF ANY AD24a – AD24f = 1] The next questions are about changes in appetite and weight.

[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?

DK/REF

AD26c2 [IF AD26c = 1 AND AD26c1 NE YES AND QD01 = 9] Did you gain weight without trying to because you were pregnant?

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:__________ [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?

DK/REF

AD26f [IF AD26e1 = 2 OR DK/REF] How many pounds did you lose?

Please enter your answer as a whole number.

# OF 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.

[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?

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 Yes

2 No

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

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

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

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?

AGE:__________ [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.

______________ NUMBER [RANGE: 1-1000]

DK/REF

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

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?

No Very Severe

Interference Mild Moderate Severe Interference

│ │

0 1 2 3 4 5 6 7 8 9 10

DK/REF

AD66b [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 Mild Moderate Severe Interference

│ │

0 1 2 3 4 5 6 7 8 9 10

DK/REF

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 Mild Moderate Severe Interference

│ │

0 1 2 3 4 5 6 7 8 9 10

DK/REF

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.

No Very Severe

Interference Mild Moderate Severe Interference

│ │

0 1 2 3 4 5 6 7 8 9 10

DK/REF

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.

# OF DAYS:__________ [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?

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.

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.

______________[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

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

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

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 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 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 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

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 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

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 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 — 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?

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 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

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

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 ?

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.

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

Adolescent Depression

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

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”

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?

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 Yes

2 No

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 Yes

2 No

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

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.

# 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

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?

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

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

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

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 Not at all

2 A little

3 Some

4 A lot

5 Extremely

DK/REF

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 Often

2 Sometimes

3 Not very often

4 Never

DK/REF

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

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 Very Severe

Problems Mild Moderate Severe Problems

│ │

0 1 2 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 Very Severe

Problems Mild Moderate Severe Problems

│ │

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 Very Severe

Problems Mild Moderate Severe Problems

│ │

0 1 2 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 Very Severe

Problems Mild Moderate Severe Problems

│ │

0 1 2 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.

# 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.

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
An herbalist, chiropractor, acupuncturist, or massage therapist
Another type of helping professional

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

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

2 A little

3 Some

4 A lot

5 Extremely

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

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 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’

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?

I was alone the last time I drank
I was with one other person the last time I drank
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, 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?

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?

I bought it myself
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?

I bought it at a store, restaurant, bar, club or event
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?

I bought it at a liquor store, convenience store, grocery store, or gas station
I bought it at a restaurant, bar or club
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?

Under age 21

2 Age 21 or older

DK/REF

CA06 [IF CA04 = 2] Who bought the alcoholic beverage for you?

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

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
Someone under age 21 gave it to me
I took it from home
I took it from someone else’s home
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?

[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.

Marijuana or hashish
Cocaine or ‘crack’
Heroin
Hallucinogens
Inhalants
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 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.

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: [RANGE: 1 - 110]

DK/REF

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 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 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. 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

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 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

CA15 [IF CURNTAGE = 18 OR OLDER] Do you think you ever had a problem with your own drug or alcohol use?

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?

DK/REF

CA17 [IF CURNTAGE = 18 OR OLDER] Do you think you ever had a problem with your own mental health?

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?

DK/REF

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 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

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 Disulfiram, also known as Antabuse

3 Naltrexone pills, also known as ReVia or Trexan

4 Injectable naltrexone, also known as Vivitrol

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.

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 medication-assisted 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 medication-assisted treatment include:

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
Methadone
Naltrexone pills, also known as ReVia or Trexan

Injectable naltrexone, also known as Vivitrol

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]?

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].

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
Methadone
Naltrexone pills, also known as ReVia or Trexan
Injectable naltrexone, also known as Vivitrol
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].

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].

Press [ENTER] to continue.

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 disulfiram, also known as Antabuse?

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 disulfiram, also known as Antabuse?

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 injectable naltrexone, also known as Vivitrol?

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 buprenorphine or buprenorphine-naloxone pills or film taken by mouth, also known as Suboxone, Zubsolv, Bunavail, or Subutex?

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 number of days in the past 12 months that you used buprenorphine or buprenorphine-naloxone pills or film taken by mouth, also known as Suboxone, Zubsolv, Bunavail, or Subutex?

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 injectable buprenorphine, also known as Sublocade?

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 buprenorphine implanted under the skin, also known as Probuphine?

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

KAINTRO This next question is about kratom, which can come in forms such as powder, pills, or leaf.

Press [ENTER] to continue.

KA01 Have you ever, even once, used kratom?

1 Yes

2 No

DK/REF

KALAST3 [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

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

Market Information for Marijuana

MJE01 [IF MJLAST3 = 1 OR 2 OR MJRECDK = 1 OR 2 OR MJRECRE = 1 OR 2] Now think about the last time you used marijuana. How did you get this marijuana?

1 You bought it

2 You traded something else for it

3 You got it for free or shared someone else’s

4 You grew it yourself

DK/REF

MJE02 [IF MJE01 = 1] How long has it been since you last bought any marijuana?

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

MJE03 [IF MJE01 = 2 - 4 OR DK/REF] During the past 12 months, that is, since [DATEFILL], did you buy any marijuana?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

MJE04 [IF MJE03 = 1] How long has it been since you last bought any marijuana?

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

MJE05 [IF MJE02 = 1 OR MJE04 = 1] During the past 30 days, that is, since [DATEFILL], on how many days did you buy marijuana?

# OF DAYS: [RANGE: 1 - 30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

MJE06 [IF MJE02 = 1 - 3 OR MJE03 = 1] Think about the last time you bought marijuana. Did you buy marijuana that had already been rolled into joints or did you buy the marijuana in loose form?

1 You bought joints

2 You bought the marijuana in loose form

DK/REF

MJE07 [IF MJE06 = 1] How many joints did you buy the last time you bought marijuana?

# OF JOINTS: [RANGE: 1 - 500]

DK/REF

MJE08 [IF MJE07 > 1 OR DK/REF] How much did you pay for the joints you bought this last time?

[IF MJE07 = 1] How much did you pay for the joint you bought this last time?

1 less than $5.00

2 $5.00 to $10.99

3 $11.00 to $20.99

4 $21.00 to $50.99

5 $51.00 to $100.99

6 $101.00 to $150.99

7 $151.00 to $200.99

8 $201.00 to $250.99

9 $251.00 to $300.99

10 $301.00 to $500.99

11 $501.00 to $1000.99

12 More than $1000.99

DK/REF

MJE09 [IF MJE08 = 4 AND MJE07 > 1 OR DK/REF] More specifically, which of these categories includes the price you paid for the joints you bought this last time?

[IF MJE08 = 4 AND MJE07 = 1] More specifically, which of these categories includes the price you paid for the joint you bought this last time?

1 $21.00 to $30.99

2 $31.00 to $40.99

3 $41.00 to $50.99

DK/REF

MJE10 [IF MJE08 = 5 AND MJE07 > 1 OR DK/REF] More specifically, which of these categories includes the price you paid for the joints you bought this last time?

[IF MJE08 = 5 AND MJE07 = 1] More specifically, which of these categories includes the price you paid for the joint you bought this last time?

1 $51.00 to $60.99

2 $61.00 to $70.99

3 $71.00 to $80.99

4 $81.00 to $90.99

5 $91.00 to $100.99

DK/REF

MJE11 [IF MJE08 = 6 AND MJE07 > 1 OR DK/REF] More specifically, which of these categories includes the price you paid for the joints you bought this last time?

[IF MJE08 = 6 AND MJE07 = 1] More specifically, which of these categories includes the price you paid for the joint you bought this last time?

1 $101.00 to $110.99

2 $111.00 to $120.99

3 $121.00 to $130.99

4 $131.00 to $140.99

5 $141.00 to $150.99

DK/REF

MJE12 [IF MJE08 = 10 AND MJE07 > 1 OR DK/REF] More specifically, which of these categories includes the price you paid for the joints you bought this last time?

[IF MJE08 = 10 AND MJE07 = 1] More specifically, which of these categories includes the price you paid for the joint you bought this last time?

1 $301.00 to $350.99

2 $351.00 to $400.99

3 $401.00 to $450.99

4 $451.00 to $500.99

DK/REF

MJE13 [IF MJE08 = 11 AND MJE07 > 1 OR DK/REF] More specifically, which of these categories includes the price you paid for the joints you bought this last time?

[IF MJE08 = 11 AND MJE07 = 1] More specifically, which of these categories includes the price you paid for the joint you bought this last time?

1 $501.00 to $550.99

2 $551.00 to $600.99

3 $601.00 to $650.99

4 $651.00 to $700.99

5 $701.00 to $750.99

6 $751.00 to $800.99

7 $801.00 to $850.99

8 $851.00 to $900.99

9 $901.00 to $950.99

10 $951.00 to $1000.99

DK/REF

MJE14 [IF MJE06 = 2] Now we want to know how much marijuana you bought the last time you bought marijuana.

Do you want to give your answer in grams, ounces, or pounds?

1 Grams

2 Ounces

3 Pounds

DK/REF

DEFINE MJUNIT1A:

IF MJE14 = 1 THEN MJUNIT1A = “grams”

IF MJE14 = 2 THEN MJUNIT1A = “ounces”

IF MJE14 = 3 THEN MJUNIT1A = “pounds”

ELSE MJUNIT1A = BLANK

MJE15 [IF MJE14 NE DK/REF AND MJUNIT1A= “grams”] The last time you bought marijuana, how many grams did you buy?

1 At least 1 but less than 5 grams

2 At least 5 but less than 10 grams

3 10 grams or more

DK/REF

MJE16 [IF MJE15 =3] How many grams of marijuana did you buy?

# OF GRAMS: __________ [RANGE 10 - 99]

DK/REF

MJE17 [IF MJE14 NE DK/REF AND MJUNIT1A= “ounces”] The last time you bought marijuana, how many ounces did you buy?

1 At least 1/8, but less than 1/4 of an ounce

2 At least 1/4 but less than 1/3 of an ounce

3 At least 1/3 but less than ½ of an ounce

4 At least ½ but less than 1 ounce

5 At least 1 but less than 5 ounces

6 At least 5 but less than 10 ounces

7 At least 10 but less than 16 ounces

DK/REF

MJE18 [IF MJE14 NE DK/REF AND MJUNIT1A= “pounds”] The last time you bought marijuana, how many pounds did you buy?

1 At least 1 but less than 2 pounds

2 At least 2 but less than 3 pounds

3 At least 3 but less than 4 pounds

4 At least 4 but less than 5 pounds

5 5 or more pounds

DK/REF

MJE19 [IF MJE18 = 5] How many pounds of marijuana did you buy?

# OF POUNDS: [RANGE: 5 - 99]

DK/REF

MJE20 [IF MJE14 NE BLANK] How much did you pay for the marijuana you bought this last time?

1 less than $5.00

2 $5.00 to $10.99

3 $11.00 to $20.99

4 $21.00 to $50.99

5 $51.00 to $100.99

6 $101.00 to $150.99

7 $151.00 to $200.99

8 $201.00 to $250.99

9 $251.00 to $300.99

10 $301.00 to $500.99

11 $501.00 to $1000.99

12 More than $1000.99

DK/REF

MJE21 [IF MJE20 = 4] More specifically, which of these categories includes the price you paid for the marijuana you bought this last time?

1 $21.00 to $30.99

2 $31.00 to $40.99

3 $41.00 to $50.99

DK/REF

MJE22 [IF MJE20 = 5 ] More specifically, which of these categories includes the price you paid for the marijuana you bought this last time?

1 $51.00 to $60.99

2 $61.00 to $70.99

3 $71.00 to $80.99

5 $81.00 to $90.99

6 $91.00 to $100.99

DK/REF

MJE23 [IF MJE20 = 6] More specifically, which of these categories includes the price you paid for the marijuana you bought this last time?

1 $101.00 to $110.99

2 $111.00 to $120.99

3 $121.00 to $130.99

4 $131.00 to $140.99

5 $141.00 to $150.99

DK/REF

MJE24 [IF MJE20 = 10] More specifically, which of these categories includes the price you paid for the marijuana you bought this last time?

1 $301.00 to $350.99

2 $351.00 to $400.99

3 $401.00 to $450.99

4 $451.00 to $500.99

DK/REF

MJE25 [IF MJE20 = 11] More specifically, which of these categories includes the price you paid for the marijuana you bought this last time?

1 $501.00 to $550.99

2 $551.00 to $600.99

3 $601.00 to $650.99

4 $651.00 to $700.99

5 $701.00 to $750.99

6 $751.00 to $800.99

7 $801.00 to $850.99

8 $851.00 to $900.99

9 $901.00 to $950.99

10 $951.00 to $1000.99

DK/REF

MJE26 [IF MJE02 = 1 - 3 OR MJE03 = 1] The last time you bought marijuana, who did you buy it from?

1 A friend

2 A relative or family member

3 Someone I had just met or didn’t know well

DK/REF

MJE27 [IF MJE02 = 1 - 3 OR MJE03 = 1] The last time you bought marijuana, where were you when you bought it?

1 Inside a public building, such as a store, restaurant, sports arena, bar, or club

2 Inside a school building

3 Outside on school property

4 Inside a home, apartment, or dorm

5 Outside in a public area, such as a parking lot, street, or park

6 Some other place

DK/REF

MJE27SP [IF MJE27 = 6] Where were you when you last bought marijuana? When you have finished typing your answer, press the [ENTER] key to go to the next question.

_______________

DK/REF

MJE28 [IF CURNTAGE = 15 OR OLDER AND (MJE02 = 1 - 3 OR MJE03 = 1)] The last time you bought marijuana were you at work at your job or business?

1 Yes

2 No

3 Do not work at a job or business

DK/REF

MJE29 [IF MJE02 = 1 - 3 OR MJE03 = 1] The last time you bought marijuana, where did you buy it?

1 Near where you are now living

2 Somewhere else

DK/REF

MJE30 [IF MJE02 = 1 - 3 OR MJE03 = 1] Did you sell any of the marijuana you bought this last time?

1 Yes

2 No

DK/REF

MJE31 [IF MJE02 = 1 - 3 OR MJE03 = 1] Did you give away or share any of the marijuana you bought this last time?

1 Yes

2 No

DK/REF

MJE32 [IF MJE01 = (3 - 4 OR DK/REF) AND MJE03 = 2] During the past 12 months, that is, since [DATEFILL], did you trade something for marijuana?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

MJE33 [IF MJE32 = 1] During the past 30 days, that is, since [DATEFILL], did you trade something for marijuana?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

MJE34 [IF MJE01 = 2 AND MJE03 = 2] How long has it been since you last traded something for marijuana?

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

MJE35 [IF MJE33 = 1 OR MJE34 = 1] During the past 30 days, that is, since [DATEFILL], on how many days did you trade something for marijuana?

# OF DAYS: [RANGE: 1 - 30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

MJE36 [IF (MJE34 = 1 OR 2) OR MJE32 = 1] Think about the last time you traded something for marijuana. Did you get marijuana that had already been rolled into joints or did you get the marijuana in loose form?

1 You got joints

2 You got the marijuana in loose form

DK/REF

MJE37 [IF MJE36 = 1] How many joints did you get the last time you traded something for marijuana?

# OF JOINTS: [RANGE: 1 - 500]

DK/REF

MJE38 [IF MJE37 > 1 OR DK/REF] How much do you think the marijuana in these joints was worth?

[IF MJE37 = 1] How much do you think the marijuana in this joint was worth?

1 less than $5.00

2 $5.00 to $10.99

3 $11.00 to $20.99

4 $21.00 to $50.99

5 $51.00 to $100.99

6 $101.00 to $150.99

7 $151.00 to $200.99

8 $201.00 to $250.99

9 $251.00 to $300.99

10 $301.00 to $500.99

11 $501.00 to $1000.99

12 More than $1000.99

DK/REF

MJE39 [IF MEJ38 = 4 AND MJE37 > 1 OR DK/REF] More specifically, which of these categories includes the price you think the marijuana in these joints was worth?

[IF MJE38 = 4 AND MJE37 = 1] More specifically, which of these categories includes the price you think the marijuana in this joint was worth?

1 $21.00 to $30.99

2 $31.00 to $40.99

3 $41.00 to $50.99

DK/REF

MJE40 [IF MJE38 = 5 AND MJE37 > 1 OR DK/REF] More specifically, which of these categories includes the price you think the marijuana in these joints was worth?

[IF MJE38 = 5 AND MJE37 = 1] More specifically, which of these categories includes the price you think the marijuana in this joint was worth?

1 $51.00 to $60.99

2 $61.00 to $70.99

3 $71.00 to $80.99

5 $81.00 to $90.99

6 $91.00 to $100.99

DK/REF

MJE41 [IF MJE38 = 6 AND MJE37 > 1 OR DK/REF] More specifically, which of these categories includes the price you think the marijuana in these joints was worth?

[IF MJE38 = 6 AND MJE37 = 1] More specifically, which of these categories includes the price you think the marijuana in this joint was worth?

1 $101.00 to $110.99

2 $111.00 to $120.99

3 $121.00 to $130.99

4 $131.00 to $140.99

5 $141.00 to $150.99

DK/REF

MJE42 [IF MEJ38 = 10 AND MJE37 > 1 OR DK/REF] More specifically, which of these categories includes the price you think the marijuana in these joints was worth?

[IF MJE38 = 10 AND MJE37 = 1] More specifically, which of these categories includes the price you think the marijuana in this joint was worth?

1 $301.00 to $350.99

2 $351.00 to $400.99

3 $401.00 to $450.99

4 $451.00 to $500.99

DK/REF

MJE43 [IF MEJ38 = 11 AND MJE37 > 1 OR DK/REF] More specifically, which of these categories includes the price you think the marijuana in these joints was worth?

[IF MJE38 = 11 AND MJE37 = 1] More specifically, which of these categories includes the price you think the marijuana in this joint was worth?

1 $501.00 to $550.99

2 $551.00 to $600.99

3 $601.00 to $650.99

4 $651.00 to $700.99

5 $701.00 to $750.99

6 $751.00 to $800.99

7 $801.00 to $850.99

8 $851.00 to $900.99

9 $901.00 to $950.99

10 $951.00 to $1000.99

DK/REF

MJE44 [IF MJE36 = 2] Now we want to know how much marijuana you got the last time you traded something for marijuana.

Do you want to give your answer in grams, ounces, or pounds?

1 Grams

2 Ounces

3 Pounds

DK/REF

DEFINE MJUNIT2A:

IF MJE44 = 1 THEN MJUNIT2A = “grams”

IF MJE44 = 2 THEN MJUNIT2A = “ounces”

IF MJE44 = 3 THEN MJUNIT2A = “pounds”

ELSE MJUNIT2A = BLANK

MJE45 [IF MJUNIT2A= “grams”] The last time you traded something for marijuana, how many grams did you get?

1 At least 1 but less than 5 grams

2 At least 5 but less than 10 grams

3 10 grams or more

DK/REF

MJE46 [IF MJE45=3] How many grams did you get?

# OF GRAMS: __________ [RANGE 10 - 99].

DK/REF

MJE47 [IF MJUNIT2A= “ounces”] The last time you traded something for marijuana, how many ounces did you get?

1 At least 1/8, but less than 1/4 of an ounce

2 At least 1/4 but less than 1/3 of an ounce

3 At least 1/3 but less than ½ of an ounce

4 At least ½ but less than 1 ounce

5 At least 1 but less than 5 ounces

6 At least 5 but less than 10 ounces

7 At least 10 but less than 16 ounces

DK/REF

MJE48 [IF MJUNIT2A= “pounds”] The last time you traded something for marijuana, how many pounds did you get?

1 At least 1 but less than 2 pounds

2 At least 2 but less than 3 pounds

3 At least 3 but less than 4 pounds

4 At least 4 but less than 5 pounds

5 5 or more pounds

DK/REF

MJE49 [IF MJE48 = 5] How many pounds of marijuana did you get?

# OF POUNDS: [RANGE: 5 - 99]

DK/REF

MJE50 [IF MJE44 NE BLANK] How much do you think the marijuana you got this last time was worth?

1 less than $5.00

2 $5.00 to $10.99

3 $11.00 to $20.99

4 $21.00 to $50.99

5 $51.00 to $100.99

6 $101.00 to $150.99

7 $151.00 to $200.99

8 $201.00 to $250.99

9 $251.00 to $300.99

10 $301.00 to $500.99

11 $501.00 to $1000.99

12 More than $1000.99

DK/REF

MJE51 [IF MJE50 = 4] More specifically, which of these categories includes the price you think the marijuana you got this last time was worth?

1 $21.00 to $30.99

2 $31.00 to $40.99

3 $41.00 to $50.99

DK/REF

MJE52 [IF MJE50 = 5 ] More specifically, which of these categories includes the price you think the marijuana you got this last time was worth?

1 $51.00 to $60.99

2 $61.00 to $70.99

3 $71.00 to $80.99

4 $81.00 to $90.99

5 $91.00 to $100.99

DK/REF

MJE53 [IF MJE50 = 6] More specifically, which of these categories includes the price you think the marijuana you got this last time was worth?

1 $101.00 to $110.99

2 $111.00 to $120.99

3 $121.00 to $130.99

4 $131.00 to $140.99

5 $141.00 to $150.99

DK/REF

MJE54 [IF MJE50 = 10] More specifically, which of these categories includes the price you think the marijuana you got this last time was worth?

1 $301.00 to $350.99

2 $351.00 to $400.99

3 $401.00 to $450.99

4 $451.00 to $500.99

DK/REF

MJE55 [IF MJE50 = 11] More specifically, which of these categories includes the price you think the marijuana you got this last time was worth?

1 $501.00 to $550.99

2 $551.00 to $600.99

3 $601.00 to $650.99

4 $651.00 to $700.99

5 $701.00 to $750.99

6 $751.00 to $800.99

7 $801.00 to $850.99

8 $851.00 to $900.99

9 $901.00 to $950.99

10 $951.00 to $1000.99

DK/REF

MJE56 [IF (MJE01 = 2 AND MJE03 = 2) OR MJE32 = 1] The last time you traded something for marijuana, who did you get it from?

1 A friend

2 A relative or family member

3 Someone I had just met or didn’t know well

DK/REF

MJE57 [IF (MJE01 = 2 AND MJE03 = 2) OR MJE32 = 1] The last time you traded something for marijuana, where were you when you got it?

1 Inside a public building, such as a store, restaurant, sports arena, bar, or club

2 Inside a school building

3 Outside on school property

4 Inside a home, apartment, or dorm

5 Outside in a public area, such as a parking lot, street, or park

6 Some other place

DK/REF

MJE57SP [IF MJE57 = 6] Where were you when you last traded something for marijuana? When you have finished typing your answer, press the [ENTER] key to go to the next question.

_______________

DK/REF

MJE58 [IF (MJE01 = 2 AND MJE03 = 2) OR MJE32 = 1] The last time you traded something for marijuana, where did you get it?

1 Near where you are now living

2 Somewhere else

DK/REF

MJE59 [IF (MJE01 = 2 AND MJE03 = 2) OR MJE32 = 1] The last time you traded something for marijuana, did you keep it all for yourself?

1 Yes

2 No

DK/REF

MJE60 [IF MJE59 = 2] Did you sell any of the marijuana you got this last time?

1 Yes

2 No

DK/REF

MJE61 [IF MJE59 = 2] Did you give away any of the marijuana you got this last time?

1 Yes

2 No

DK/REF

MJE62 [IF MJE01 = 4 AND MJE03 = 2 AND MJE32 =2] The last time you grew marijuana, did you keep it all for yourself?

1 Yes

2 No

DK/REF

MJE63 [IF MJE62 = 2] Did you sell any of the marijuana you grew this last time?

1 Yes

2 No

DK/REF

MJE64 [IF MJE62 = 2] The last time you grew marijuana, did you give any of it away for free?

1 Yes

2 No

DK/REF

MJE65 [IF MJE01 =3 AND MJE03 = 2 AND MJE32 = 2] The last time you got marijuana for free, who did you get it from?

1 A friend

2 A relative or family member

3 Someone I had just met or didn’t know well

DK/REF

MJE66 [IF MJE01 = 3 AND MJE03 = 2 AND MJE32 = 2] The last time you got marijuana for free, where were you when you got it?

1 Inside a public building, such as a store, restaurant, sports arena, bar, or club

2 Inside a school building

3 Outside on school property

4 Inside a home, apartment, or dorm

5 Outside in a public area, such as a parking lot, street, or park

6 Some other place

DK/REF

MJE66SP [IF MJE66 = 6] Where were you when you last got marijuana for free? When you have finished typing your answer, press the [ENTER] key to go to the next question.

_______________

DK/REF

MJE67 [IF MJE01 = 3 AND MJE03 = 2 AND MJE32 = 2] The last time you got marijuana for free, where did you get it?

1 Near where you are now living

2 Somewhere else

DK/REF

MJE68 [IF MJE01 = 3 AND MJE03 = 2 AND MJE32 = 2] The last time you got marijuana for free, did you keep it all for yourself?

1 Yes

2 No

DK/REF

MJE69 [IF MJE68 = 2] Did you sell any of the marijuana you got this last time?

1 Yes

2 No

DK/REF

MJE70 [IF MJE68 = 2] Did you give away any of the marijuana you got this last time?

1 Yes

2 No

DK/REF

Back End Demographics

QD13 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.

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 Alabama 27 Montana

2 Alaska 28 Nebraska

3 Arizona 29 Nevada

4 Arkansas 30 New Hampshire

5 California 31 New Jersey

6 Colorado 32 New Mexico

7 Connecticut 33 New York

8 Delaware 34 North Carolina

9 The District Of Columbia (Washington, Dc) 35 North Dakota

10 Florida 36 Ohio

11 Georgia 37 Oklahoma

12 Hawaii 38 Oregon

13 Idaho 39 Pennsylvania

14 Illinois 40 Rhode Island

15 Indiana 41 South Carolina

16 Iowa 42 South Dakota

17 Kansas 43 Tennessee

18 Kentucky 44 Texas

19 Louisiana 45 Utah

20 Maine 46 Vermont

21 Maryland 47 Virginia

22 Massachusetts 48 Washington

23 Michigan 49 West Virginia

24 Minnesota 50 Wisconsin

25 Mississippi 51 Wyoming

26 Missouri

52 Outside Of U.S.

DK/REF

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 Yes

2 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.

NUMBER OF 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.

NUMBER OF 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]

I am only attracted to males
I am mostly attracted to males
I am equally attracted to males and females
I am mostly attracted to females
I am only attracted to females
I am not sure

QD63 [IF CURNTAGE = 18 OR OLDER] Which one of the following do you consider yourself to be?

1 Heterosexual, that is, straight

2 [IF QD01=9 THEN “Lesbian or] Gay

3 Bisexual

DK/REF

QD55 How well do you speak English?

1 Very well

2 Well

3 Not well

4 Not at all

DK/REF

QD56 Are you deaf or do you have serious difficulty hearing?

1 Yes

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

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 1^st grade

2 2^nd grade

3 3^rd grade

4 4^th grade

5 5^th grade

6 6^th grade

7 7^th grade

8 8^th grade

9 9^th grade

10 10^th grade

11 11^th grade

12 12^th grade

13 College or university/1^st year

14 College or university/2^nd year

15 College or university/3^rd year

16 College or university/4^th year

17 College or university/5^th 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?

[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 1^st grade

2 2^nd grade

3 3^rd grade

4 4^th grade

5 5^th grade

6 6^th grade

7 7^th grade

8 8^th grade

9 9^th grade

10 10^th grade

11 11^th grade

12 12^th grade

13 College or university/1^st year

14 College or university/2^nd year

15 College or university/3^rd year

16 College or university/4^th year

17 College or university/5^th 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?

No schooling completed
1^st grade completed
2^nd grade completed
3^rd grade completed
4^th grade completed
5^th grade completed
6^th grade completed
7^th grade completed
8^th grade completed
9^th grade completed
10^th grade completed
11^th grade completed
Regular high school diploma
12^th grade, NO DIPLOMA

14 GED certificate of high school completion

15 Some college credit, but no degree

16 Associate’s degree (for example, AA, AS)

17 Bachelor’s degree (for example, BA, BS)

18 Master’s degree (for example, MA, MS, MEng, M. Ed, MSW, MBA)

19 Doctorate degree (for example, PhD, EdD)

20 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] 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” 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

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.”

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?

To select more than one category, press the space bar between each category you select.

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

Employment

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].

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? 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.

QD28 [IF QD26 =1] How many hours did you work last week at all jobs or businesses?

# OF HOURS WORKED: [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 Looking for work

2 On layoff and not looking for work

3 Keeping house or caring for children full time

4 going to school/training

5 Retired

6 Disabled for work

7 Didn’t want a job

8 Some other reason

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?

# OF EMPLOYERS IN PAST 12 MONTHS: [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?

# OF EMPLOYERS IN PAST 12 MONTHS: [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?

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?

# OF WEEKS WITHOUT A JOB OR BUSINESS: [RANGE: 0 - 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 that the computer recorded is [YEAR FROM QD39a]. Press [ENTER] to close this box and then enter the correct year.

[IF QD39a < (SYSTEM YEAR - CURRENT AGE)] HARD ERROR: The year the computer recorded is earlier than your birth date. Press [ENTER] to close this box and then double-check the year.

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 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

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.

# OF 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.

# OF 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?

1 Yes

2 No

DK/REF

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

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?

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] 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

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 [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.

Household Roster

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

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).

# 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.

AGE IN WHOLE YEARS: [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.

AGE IN MONTHS: [RANGE: 1 - 23]

DK/REF

CHMONSEX [IF CHAGEMON = 1 - 23] Is the [CHAGEMON FILL]-month old child a male or a female?

5 MALE

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 6. Please look at this card and tell me which category best describes his relationship to you.

1 SELF

2 HUSBAND

3 SON (INCLUDES STEP, FOSTER, ADOPTIVE)

4 SON-IN LAW

5 BROTHER (INCLUDES HALF, STEP, FOSTER, ADOPTIVE)

6 BROTHER-IN-LAW

7 FATHER (INCLUDES STEP, FOSTER, ADOPTIVE)

8 FATHER-IN-LAW

9 UNCLE

10 NEPHEW

11 GRANDFATHER

12 GRANDSON

13 COUSIN

14 EX-HUSBAND

15 UNMARRIED PARTNER

16 HOUSEMATE OR ROOMMATE

17 TENANT, BOARDER, OR EXCHANGE STUDENT

18 OTHER RELATIVE

19 OTHER NON-RELATIVE

DK/REF

Shape25 Shape26

[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]. IF THE ANSWER YOU ENTERED IN THE ROSTER IS CORRECT, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

[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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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.

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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.

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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”.

IF RESPONDENT NOT TALKING ABOUT SELF:

HAND R SHOWCARD 7. 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

Shape27 Shape28

[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]. IF THE ANSWER YOU ENTERED IN THE ROSTER IS CORRECT, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

[NOTE: FI SHOULD ONLY BE ALLOWED TO CHANGE PERAGEYR AND FRELATON.]

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

SUPPWIF [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 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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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.

_________________________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

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

Shape29 Shape30

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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

[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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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]. IF THE ANSWERS ARE CORRECT AS IS, HIGHLIGHT ‘SUPPRESS’ AND PRESS [ENTER].

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

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-in-law”

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-in-law”

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”

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 = “ex-husbands”

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-in-law”

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-in-law”

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-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 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 YES

2 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 [ROSTER FILL]

2 [ROSTER FILL]

3 [ROSTER FILL]

4 [ROSTER FILL]

5 [ROSTER FILL]

6 [ROSTER FILL]

7 [ROSTER FILL]

8 [ROSTER FILL]

9 [ROSTER FILL]

10 OTHER ADULT RELATIVE

DK/REF

QP03 [IF QP01=1 ] (Is your [QP02 FILL] available right now?)

1 Yes

2 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 YES

2 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 YES [ACTIVATE PROXYFILL AS “SAMPLE MEMBER/SAMPLE MEMBER’S” FOR REMAINING QUESTIONS]

2 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

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.

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 “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-in-law’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-in-law’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 “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-in-law’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-in-law’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-in-law’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 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-in-law”

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 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-in-law”

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-in-law”

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 “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 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”

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 1^st~~NONE

IF FIPE4 =2 THEN MEDIFILL = NONE

IF FIPE4 =3 THEN MEDIFILL = AHCCCS or Arizona Health Care Cost Containment System

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~~ Diamond State Health Plan

IF FIPE4 =9 THEN MEDIFILL = ~~NONE~~ Healthy Families

IF FIPE4 =10 THEN MEDIFILL = NONE

IF FIPE4 =11 THEN MEDIFILL = ~~NONE~~ Georgia Families

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 or Louisiana Healthcare Connections

IF FIPE4 =20 THEN MEDIFILL = MaineCare

IF FIPE4 =21 THEN MEDIFILL = ~~NONE~~ HealthChoice

IF FIPE4 =22 THEN MEDIFILL = MassHealth

IF FIPE4 =23 THEN MEDIFILL = ~~NONE~~ Healthy Michigan Plan

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~~ The Nebraska Health Connection

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~~ HealthChoices

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

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 or QUEST Integration

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

IF FIPE4 = 17 THEN CHIPFILL = ~~HealthWave~~ KanCare

IF FIPE4 = 18 THEN CHIPFILL = KCHIP or Kentucky Children’s Health Insurance Program

IF FIPE4 = 19 THEN CHIPFILL = ~~Healthy Louisiana~~ Louisiana Children’s Health Insurance Program 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~~ Centennial Care for Children

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 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 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?

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".

# OF 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 WITHIN THE PAST 6 MONTHS

2 MORE THAN 6 MONTHS AGO, BUT WITHIN THE PAST YEAR

3 MORE THAN 1 YEAR AGO, BUT WITHIN THE PAST 3 YEARS

4 MORE THAN 3 YEARS AGO

5 NEVER HAD COVERAGE

DK/REF

QHI17 [IF QHI15 = 1 - 4 OR DK/REF] HAND R SHOWCARD 8 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 9 Which of these reasons on this card describe why [SAMPLE MEMBER] never had health insurance coverage?

TO SELECT MORE THAN ONE CATEGORY, PRESS THE SPACE BAR BETWEEN EACH CATEGORY YOU SELECT.

1 COST IS TOO HIGH/CAN’T AFFORD PREMIUMS

2 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

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].

PRESS [ENTER] TO CONTINUE.

QI01N 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 [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.

[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 Family Assistance or TFA ~~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

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, Alternative Aid, or AA ~~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~~ Temporary Assistance for Needy Families or TANF

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 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 = Wisconsin Works, 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 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 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

# OF MONTHS RECEIVED ASSISTANCE: [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?

[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

# OF MONTHS RECEIVED ASSISTANCE: [RANGE: 1 - 12]

DK/REF

INTRTINN HAND R SHOWCARD 10 Here is a list of some other sources of income. When you answer the next questions, please consider these income sources as well as those asked about in earlier questions.

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

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 11 Of these income groups, which category best represents [SAMPLE MEMBER POSS] total personal income during [CURRENT YEAR - 1]?

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 12 Of these income groups, which category best represents [SAMPLE MEMBER POSS] total personal income during [CURRENT YEAR - 1]?

21 $20,000 - $24,999

22 $25,000 - $29,999

23 $30,000 - $34,999

24 $35,000 - $39,999

25 $40,000 - $44,999

26 $45,000 - $49,999

27 $50,000 - $74,999

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

2 LESS THAN $20,000

DK/REF

QI23A [IF QI22=2]

[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1 ] HAND R SHOWCARD 11 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 11 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 11 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 11 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 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

QI23B [IF (QI22=1 OR QI20N = 1) AND QI21B NE 30]

[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1 ] HAND R SHOWCARD 12 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 12 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 12 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 12 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.]

$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
$100,000 - $149,999
$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 Is there at least one telephone at this address that is not a cell phone?

1 YES

2 NO

DK/REF

ENDPROXY [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.

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 printing your phone number and current address on this form?

GIVE QUALITY CONTROL FORM AND ENVELOPE TO THE RESPONDENT OR TO THE PARENT/GUARDIAN FOR A YOUTH RESPONDENT, IF AVAILABLE.

Then place it in the postage-paid envelope so that my supervisor can write or call you in several weeks to confirm that I did my job. When you are finished, please seal the envelope and return it to me. As you can see, this is kept separate from the responses that were entered so they will still be completely private.

PRESS [ENTER] TO CONTINUE.

INCENT01 HAND RESPONDENT $30 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 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 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] TO CONTINUE.

FIEXIT END OF INTERVIEW REACHED.

PRESS 1 TO EXIT.

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	plebaron
File Modified	0000-00-00
File Created	2021-01-20