Attachment WEB 1_I Attachment WEB 1_Interview Questionnaire

2022 National Survey on Drug Use and Health (NSDUH)

Attachment WEB 1_Interview Questionnaire

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⚠️ Notice: This form may be outdated.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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2022 NATIONAL SURVEY ON DRUG USE AND HEALTH (NSDUH): DRAFT WEB Specifications for Programming

Substance Abuse and Mental Health Services Administration

Center for Behavioral Health Statistics and Quality

Rockville, Maryland 20857

Last Revised: March 15, 2021

2022 NATIONAL SURVEY ON DRUG USE AND HEALTH (NSDUH): DRAFT WEB SPECIFICATIONS FOR PROGRAMMING

Contract No. HHSS283201700002C
RTI Project No. 0215638.022.021.102.001

RTI Authors:

Gretchen McHenry
Jeanne Snodgrass
Larry Kroutil

RTI Project Director:

David Hunter

SAMHSA Project Officer:

Rong Cai

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: March 15, 2021

Recommended Citation: Center for Behavioral Health Statistics and Quality. (2021). 2021 National Survey on Drug Use and Health (NSDUH): Draft Web 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 XXX.

Content of 2021 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
	HYPERLINK \l "_Toc378318241" icotine	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	415
	Special Topics	ACASI	None	535
	Prior Substance Use	ACASI	None	543
	Alcohol and Drug Treatment	ACASI	None	601
	Health	ACASI	None	629
	Mental Health Service Utilization	ACASI	None	649
	Social Environment	ACASI: 18+ year-olds only	None	661
	Parenting Experiences	ACASI: parents of 12-17-year-olds	None	663
	Youth Experiences	ACASI: 12-17-year-olds only	None	667
	Mental Health	ACASI: 18+ year-olds only	None	681
	Adult Depression	ACASI: 18+ year-olds only	None	691
		ACASI: 12-17-year-olds only	None	709
	Adolescent Depression	ACASI: 12-17-year-olds only	None	723
	Definitions for Use in Consumption of Alcohol Module	ACASI	None	741
	Consumption of Alcohol	ACASI	None	743
		ACASI	None	753
	Market Information for Marijuana	ACASI	None	769
		ACASI	None	785
		ACASI	None	789
		ACASI	None	795
		CAPI	Showcards 6&7	803
		CAPI	None	815
		CAPI (Proxy allowed)	Showcards 8&9	829
		CAPI (Proxy allowed)	Showcards 10-12	837
		FI & respondent complete form.	Verification Form	851

* 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.

2022 NATIONAL SURVEY ON DRUG USE AND HEALTH

WEB INSTRUMENT REVISIONS

Introduction

Page 1: CAI version number and OMB expiration date will be updated.

Core Demographics

Page 8: Logic in under12 was edited in the specifications to better represent existing CAI program functions.

Nicotine

Page 17-57: The Tobacco module was replaced with the Nicotine module developed originally for the 2025 NSDUH redesign. This module includes updated terminology and items on vaping nicotine.

Marijuana

Page 75-87: The Marijuana module was replaced with the the one developed for the redesigned 2025 NSDUH. This module includes updated terminology, updated modes of administration for marijuana and items on CBD use.

Blunts

Pages 410-411: Items BL03-BL06SP pertaining to marijuana use were updated with the terminology used in the Marijuana module.
Page 412: Items on marijuana use recommended by a doctor or health professional (MJMM01 and MJMM02) were moved to the end of the Marijuana module.
Page 411: Logic in BL07 was edited in the specifications to better represent existing CAI program functions.

Definitions for Use in the Drugs Module

Page 414: Logic for MAR12MON was updated to no longer include a variable deleted from the revised Marijuana module.

Substance Dependence and Abuse

Pages 429--434: Terminology was updated in the marijuana section of this module (DPMJINT-DPMJLAW) to reflect the updated terminology in the revised Marijuana module.

Prior Substance Use

Pages 488--491: Terminology was updated in the marijuana section of this module (LU02-LUMJ08) to reflect the updated terminology in the revised Marijuana module.
Pages 499--502: Terminology was updated in the smokeless tobacco section of this module (LU05-LUSN08) to reflect the updated terminology in the new Nicotine module.
Pages 503--506: Terminology was updated in the cigar section of this module (LU07-LUCR08) to reflect the updated terminology in the new Nicotine module.

Alcohol and Drug Treatment

Pages 544-554: The Drug Treatment module was replaced with the Alcohol and Drug Treatment module developed for the redesigned 2025 NSDUH. This new module includes updated terminology, newer treatment options, and treatment that has increased in popularity.

Mental Health Services Utilization

Pages 598-603: The Adult Mental Health Service Utilization and Youth Mental Health Service Utilization modules were replaced with the Mental Health Service Utilization module developed for the redesigned 2025 NSDUH. This new module is asked of both adults and youth, and includes updated terminology, newer treatment options, and treatment options that have increased in popularity.

Parenting Experiences

Page 619: Wording for pe02b and pe02d were updated to align with the new terminology in the Nictone and Marijuana modules.

Youth Experiences

Page 624: To align with the new Nicotine module, items from the previous Tobacco module asking non smoking youth about the possibility of their smoking in the future (CG02 and CG03) were moved to the Youth Experiences module.
Pages 624 and 628-630: Wording for items about marijuana (YE16b, YE07b, YE07b1, YE19b, YE19b1, YE20b, and YE20b1) were updated to align with the new terminology in the Marijuana module.
Pages 635-636: Items to measure suicidality for all adolescent respondents, including any suicidal ideation due to the COVID-19 pandemic, and an item to provide resources for any youth reporting suicidiality in the past 12 months (YSUI01-YHELP) were moved from the deleted Youth Mental Health Utilization module to the Youth Experiences module.
Page 636: Updated the suicide prevention hotline name in YHELP.

Mental Health

Page 648: Updated the suicide prevention hotline name in AHELP.

Consumption of Alcohol

Page 706: Wording for the first response option in CA09 was updated to align with the new terminology in the Marijuana module.

Emerging Issues

Page 712: The routing logic for ALMAT1 was updated to replace the past 12 month treatment item in the old Drug Treatment module with the new past 12 month treatment items in the Alcohol and Drug Treatment module.
Page 714: The routing logic for OPMAT1 was updated to replace the past 12 month treatment item in the old Drug Treatment module with the new past 12 month treatment items in the Alcohol and Drug Treatment module.
Pages 719-720: VPANYLIF through VPNIRECb were deleted from this module. VPANYLIF and VPANYREC, items about lifetime vaping of any substance, are no longer needed, and questions about vaping nicotine have been moved to the new Nicotine module.
Pages 720-721: Logic to items used to measure vaping of marijuana and only flavoring (VPMJLIF-VPFLRECb) were updated to align with the other updated items about vaping.
Pages 723-724: IFPY and IFMED were replaced with more detailed items (IFLIF-IFNDRECb) to measure use of non-prescription fentanyl.

Market Information for Marijuana

Page 725-729: The Market Information for Marijuana module was replaced with the new module developed for the redesigned 2025 NSDUH. This module includes updated terminology to account for respondents who live in states where medical or recreational marijuana use is legal.

COVID-19

Page 765: Wording for COV3 was updated to include the new terminology from the new Marijuana module.

Household Roster

Page 769: Wording for PERAGEYR was updated to align with the wording currently used to ask for age during the household screening process.

2022 National Survey on Drug Use and Health:

Web Specifications for Programming

NSDUH Web Instrument Version: XX

OMB Control #: 0930-0110

Expiration Date: 10/31/2022

PROGRAMMER NOTES:

All response options have been changed to sentence case but not marked as a change.
Include a Next and Back navigation button at the bottom of every screen.
If respondent clicks Next without entering a response, the screen will reload with a soft error and DK/REF response options visible. A response must be selected to move to the next screen.

SCREENER PRELOADS:

Respondent age
- DEFINE RESAGE

IF RESPONDENT AGE FROM SCREENER ≥ 18, THEN RESAGE = 1,

ELSE RESAGE = 2

Number of selected respondents in household
- DEFINE FIPE1

IF TWO PERSONS SELECTED FOR AN INTERVIEW AT THIS SDU, THEN FIPE1 = 1,

ELSE FIPE1 = 2

Youth selected
- DEFINE YOUTH_SELECTED

IF NO PERSON 12-17 YEARS OLD SELECTED FOR INTERVIEW, THEN YOUTH SELECTED = 0,

IF ONE PERSON 12-17 YEARS OLD SELECTED FOR INTERVIEW, THEN YOUTH_SELECTED = 1,

ELSE YOUTH_SELECTED = 2

Introduction

LANG Would you like to complete this interview in English or Spanish?

English

Spanish

ACON1 [IF RESAGE = 1] If you are using a mobile device, turn your device horizontally for best display.

This year, about 70,000 people across the nation will complete this interview. You have been randomly chosen to take part. You will represent over 4,500 other people similar to you. You may choose not to take part in this study, but no one else can take your place. When you finish the interview, you will receive a $30 gift card.

This study asks about tobacco, alcohol, and drug use or non-use, knowledge and attitudes about drugs, mental health, and other health issues. The data you provide are confidential. Only the combined responses from all 70,000 people will be reported, not just one person's answers.

If you would like additional information about this study, please review the Study Description available by clicking on this link: [INSERT LINK TO STUDY DESCRIPTION]

While the interview has some personal questions, federal law keeps your answers private. Your participation is voluntary. You can quit the interview at any time by closing your browser window and you can refuse to answer any questions.

If you have to stop the interview, after 15 minutes you will be logged out automatically and will need your Participant Code and PIN, that you will create, to resume the interview at the point where you exited. However, if you stop the interview and do not resume within 24 hours, all of your answers will be removed for security purposes to protect your privacy – you will still be able to complete the interview and receive a $30 gift card but you will need to start over.

ACON2 You may consider some of the questions to be sensitive in nature and some questions may also make you feel certain emotions, such as sadness. For example, the interview asks questions about criminal history, depression, suicide and other topics. Remember, you can refuse to answer any questions and you can stop the interview at any time. If you become upset during the interview and wish to speak to a mental health professional about how you are feeling, you can call the toll-free helpline number below.

Substance Abuse and Mental Health Services Administration’s Treatment Referral Helpline (24-hour service for local treatment options)

1-800-662-HELP (4357)

1-800-487-4889 (TTY)

http://findtreatment.samhsa.gov

If you have any questions about the study, call 1-800-848-4079. If you have questions about your rights as a study participant, call RTI’s Office of Research Protection at 1-866-214-2043 (a toll-free number).

To start the interview, please check the acceptance box below to indicate you:

are 18 years old or older,
are a current resident of the selected household,
are at home in a private location, and
have read and understand the information provided to you about your participation.

Then click “Next” to begin the interview.

If you do not wish to proceed with the interview, exit this screen by closing your browser window.

[CHECK BOX] I’ve read the information above and agree to proceed with the interview.

YCON1 [IF RESAGE = 2] If you are using a mobile device, turn your device horizontally for best display.

Before you begin, please ensure you are at home in a private location where no one else can see your responses. It is recommended you complete the entire interview in one sitting, which takes about an hour, depending on your answers. This year, about 70,000 people across the nation will complete this interview. You have been randomly chosen to take part. You will represent over 1,000 young people in this country who are similar to you. You may choose not to take part in this study, but no one else can take your place. When you finish the interview, you will receive a $30 gift card.

If you would like additional information about this study, please review the Study Description available by clicking on this link: [INSERT LINK TO STUDY DESCRIPTION]

Click Next to continue.

YCON2 [IF RESAGE = 2] If you have to stop the interview, after 15 minutes you will be logged out automatically and will need your Participant Code and PIN, that you will create, to resume the interview at the point where you exited. However, if you stop the interview and do not resume within 24 hours, all of your answers will be removed for security purposes to protect your privacy – you will still be able to complete the interview and receive a $30 gift card but you will need to start over.

You may consider some of the questions to be sensitive in nature and some questions may also make you feel certain emotions, such as sadness. For example, the interview asks questions about criminal history, depression, suicide and other topics. Remember, you can refuse to answer any questions and you can stop the interview at any time.

If you become upset during the interview and wish to speak to a mental health professional about how you are feeling, you can call the toll-free helpline number below.

Substance Abuse and Mental Health Services Administration’s Treatment Referral Helpline (24-hour service for local treatment options)

1-800-662 HELP (4357)

1-800-487-4889 (TTY)

http://findtreatment.samhsa.gov

To start the interview, please check the acceptance box below to indicate you have read and understand the information provided to you about your participation.

Then click “Next” to begin the interview.

If you do not wish to proceed with the interview, exit this screen by closing your browser window.

[CHECK BOX] I’ve read the information above and agree to proceed with the interview.

YRESIDE [IF RESAGE = 2] Are you a current resident of this household?

1 Yes

2 No

YNORES [IF YRESIDE = 2] Since you are not a resident of this household, you are not eligible to complete this interview. Please click Next to exit this interview.

PROGRAMMER: IF YNORES = NEXT, EXIT INTERVIEW

YPARENT [IF RESAGE = 2] Is your parent or guardian at home?

1 Yes

2 No

YNOPAR [IF YPARENT = 2] Please wait to complete this interview until your parent or guardian is at home.

Click on Exit to exit the interview.

YPRIV [IF RESAGE = 2] Are you at home in a private location?

1 Yes

2 No

YNOPRIV [IF YPRIV = 2] Please move to a private location before beginning this interview.

Click next to continue when you are in a private location.

CREATED_PIN [IF (ACON2 OR YCON2 = NEXT) AND NO PIN PREVIOUSLY CREATED]

If you leave the survey for any reason, you will need your Participant Code and PIN to reenter the survey. Please create a secret four-digit PIN. This PIN will help keep your answers private.

Enter the PIN you wish to create. (4-digit number, not all zeros):

____ [ALLOW FOUR DIGITS, NOT ALL ZEROS]

Re-enter the PIN:

____ [ALLOW FOUR DIGITS, NOT ALL ZEROS]

HARD ERROR: [IF CREATED_PIN IS INVALID] Invalid PIN, please try again.

HARD ERROR: [IF PINS DO NOT MATCH] PINs do not match. Please try again.

PROGRAMMER NOTE: ENTERED_PIN WILL APPEAR IF A RESPONDENT BREAKSOFF AND TRIES TO REENTER THE SURVEY AFTER A VALID PIN HAS BEEN CREATED.

ENTERED_PIN [IF SURVEY RESUMED AFTER A VALID PIN WAS CREATED] Please enter your PIN to resume the survey.

____ [ALLOW FOUR DIGITS, NOT ALL ZEROS]

HARD ERROR: [IF INCORRECT PIN IS ENTERED] Please enter your 4-digit PIN to resume where you left off.

Core Demographics

age1 What is your date of birth?

DOB: ________________

DK/REF

DEFINE CALCAGE:

CALCAGE = AGE CALCULATED BY "SUBTRACTING" DATE OF BIRTH FROM DATE OF INTERVIEW.

HARD ERROR: [IF YEAR OF BIRTH ENTERED IS 2020]: Please check to make sure the date of birth you have entered is correct.

HARD ERROR: [IF CALCAGE > 120]: Your age ([CALCAGE]) is greater than the maximum age allowed. Please check to make sure the date of birth you have entered is correct.

AGEREF [IF AGE1 = DK OR REF] The interview cannot be completed without your age. Please back up to enter your date of birth or click Next to exit the survey.

confirm [IF AGE1 NE DK/REF] That would make you [CALCAGE] years old. Is this correct?

1 Yes

2 No

DK/REF

AGEREF2 [IF CONFIRM = DK OR REF] The interview cannot be completed without your age. Please back up to confirm your date of birth or click Next to exit the survey.

SCRAGE [IF RESAGE = 1 AND CALCAGE < 18] This age does not match the age of the person who was selected for this interview. If you are not AGE-FILL years old, click Back to correct your date of birth. If you are AGE-FILL years old, click Exit to exit the interview.

HARD ERROR: [IF CONFIRM = 2] Please go back to the previous question and correct your date of birth. If your age is now correct, select Yes.

[IF CONFIRM = 2, GO BACK TO AGE1]

under12 [IF CONFIRM = 1 OR DK/REF AND CALCAGE < 12] Since you are [CALCAGE] years old, you cannot complete the interview. Thank you for your time.

PROGRAM SHOULD ROUTE TO FIEXIT.

DEFINE CURNTAGE:

IF CALCAGE > 11 AND CONFIRM = 1, CURNTAGE = CALCAGE

ELSE RESPONDENT IS INELIGIBLE; ROUTE TO FIEXIT

FIPE4 In which state do you live?

________ [DROP DOWN WITH 50 STATES AND WASHINGTON D.C.]

QD01 What is your sex?

5 Male

9 Female

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] Which of these Hispanic, Latino, or Spanish groups best describes you? Select all that apply.

1 Mexican, Mexican American, Mexicano, or Chicano

2 Puerto Rican

3 Central or South American

4 Cuban or Cuban American

5 Dominican (from Dominican Republic)

6 Spanish (from Spain)

7 Other

DK/REF

QD04othr [IF QD04 = 7] Which other Hispanic, Latino or Spanish group best describes you?

_____________

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN QD04othr.

QD05 Which of these groups describes you? Select all that apply.

1 White

2 Black or African American

3 American Indian or Alaska Native, including 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

DK/REF

QD05ASIA [IF QD05 = 8] Which of these Asian groups describes you? Select all that apply.

1 Asian Indian

2 Chinese

3 Filipino

4 Japanese

5 Korean

6 Vietnamese

7 Other

DK/REF

QD05OTHA [IF QD05ASIA = 7] Which other Asian group or groups describes you?

OTHER ASIAN GROUP: _____________

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN QD05OTHA.

QD05OTHR [IF QD05 = 9] 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

QD08 [IF QD07 = 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] To verify, you are currently on active duty in the armed forces. Is this correct?

1 Yes

2 No

DK/REF

MILTERM2 [IF MILTERM1 = 1] People who are currently on active duty in the armed forces are not eligible to be interviewed in this study. Thank you for your time.

[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)] When did you serve on active duty in the United States Armed Forces or Reserve components? Select all that apply.

September 2001 or later
August 1990 to August 2001. including the 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?

DK/REF

QD11 What is the highest grade or year of school you have completed?

Please include junior or community college attendance. Do not include technical school attendance.

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 (AA, AS)

17 Bachelor’s Degree (BA, BS)

18 Master’s Degree (MA, MS, MEng, M. Ed, MSW, MBA)

Doctorate Degree (PhD, EdD)
Professional Degree Beyond a Bachelor’s Degree (MD, DDS, DVM, LLB, JD)

DK/REF

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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

Calendar

calendar Throughout the rest of this interview, you will be asked 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, a calendar can be displayed in a new tab with the beginning dates for each one of them.

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.

PROGRAMMER: Fill date on 30 day reference date field and highlight the 30-day reference date. MAKE TEXT THAT SAYS ‘BLUE’ BLUE IN COLOR.

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.

calendr3 Please use the calendar as you go through the interview to help you remember when different things happened.

To view the calendar, click on the calendar icon on the right.

PLAYINFO In some questions, you can click on a help button at the bottom left to see extra information to help you answer a question.

PROGRAMMER: DISPLAY IN LOWER LEFT: [Help]

Extra information to help you answer a question will appear here. Click [Help] again to close this message.

Nicotine

LEADCIG These questions are about your cigarette smoking.

Click Next 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 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. Thank you for your cooperation. PROGRAM SHOULD ROUTE TO FIEXIT.

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 < 10:

CGCC05 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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

CGMENTH1 [IF CG05 = 1)] Were the cigarettes you smoked most often during the past 30 days menthol?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

CG14 [IF CG05 = 1] 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 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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] You first started smoking cigarettes every day in [CGCC17-CGCC17a fill]. That would make you [MYR1STDC] years old when you first started smoking cigarettes every day. Is this correct?

4 Yes

6 No

DK/REF

UPDATE: IF CGCC18 NE (6, BLANK OR DK/REF) AND (CGCC17 AND CGCC17a NE CG16y1-CG16m2) THEN DAILYCIG = MYR1STDC

CG16a [IF (CG05 = 2 OR DK/REF) OR ((CG08 < 4) OR (CG08 = 4 AND CG07 <17) OR (CG08 = 5 AND CG07 <7) OR (CG08 = 6 AND CG07 <4) OR (CG08 = 7 AND CG07 <3 AND CG07DKRE NE BLANK)) Have you smoked at least 100 cigarettes in your entire life?

1 Yes

2 No

DK/REF

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

Click Next to continue.

VPLIFThe next questions are about vaping nicotine with e-cigarettes or other vaping devices. These devices might also be called vapes, vape pens, or mods. When answering, please include any device that heats a liquid containing nicotine into a vapor.] [PROGRAMMER, SHOW IN GRAY FONT:

Have you an e-cigarette or other vaping device?, even once, vaped nicotine with ever

1 Yes

2 No

DK/REF

VPL[IF VPLIF = REF] The answers that people give us about vaping nicotine with e-cigarettes or other vaping devices are important to this study’s success. We know that this information is personal but remember your answers will be kept confidential. EFFRI

Please think again about answering this question: Have you vaped nicotine with an e-cigarette or other vaping device?, even once,ever

1 Yes

2 No

DK/REF

VPFT you vaped nicotine with an e-cigarette or other vaping device?first time = 1] How old were you the FFREI [IF VPLIF = 1 OR VPL

AGE: [RANGE: 1 - 110]

DK/REF

DEFINE ENNICAGE:

IF VPFT NE (BLANK OR DK/REF) THEN ENNICAGE = VPFT

ELSE ENNICAGE = BLANK

IF CURNTAGE < ENNICAGE

CGEN01 You were . Is this correct?vaped nicotine with an e-cigarette or other vaping device years old when you first [ENNICAGE]

4 Yes

6 No

DK/REF

CGEN02 [IF CGEN01=4] The answers for the last question and an earlier question disagree. Which answer is correct?

1 years old[CURNTAGE] I am currently

2vaped nicotine with an e-cigarette or other vaping device I first time years old the [ENNICAGE] I was

3 Neither answer is correct

DK/REF

CGEN03 age?current [IF CGEN02 = 2 OR CGEN02 = 3] Please answer this question again. What is your

AGE: [RANGE: 1 - 110]

DK/REF

CGEN03a years old, we cannot interview you for this study.[CGEN03 AGE] [IF CGEN03 < 12] Since you have indicated that you are Thank you for your cooperation. PROGRAM SHOULD ROUTE TO PENTER1.

CGEN04? nicotine with an e-cigarette or other vaping device you vaped first time01 = 6] Please answer this question again. How old were you the 02 = 3 OR CGEN [IF CGEN02 = 1 OR CGEN

AGE: [RANGE: 1 - 110]

DK/REF

UPDATE: IF CGEN04 (BLANK OR DK/REF) THEN ENNICAGE = CGEN04NOT

UPDATE: IF CGEN03 (BLANK OR DK/REF) THEN CURNTAGE = CGEN03NOT

IF ENNICAGE < 10:

CGEN05 You were . Is this correct? nicotine with an e-cigarette or other vaping deviceyears old when you first vaped[ENNICAGE]

4 Yes

6 No

DK/REF

CGEN06?vaped nicotine with an e-cigarette or other vaping device you first time [IF CGEN05 = 6] Please answer this question again. How old were you the

AGE: [RANGE: 1 - 110]

DK/REF

UPDATE: IF CGEN06 NOT (BLANK OR DK/REF) THEN ENNICAGE = CGEN06

VPFTY?[CURRENT YEAR]or [CURRENT YEAR - 1] [IF CGEN05 NE DK/RE AND CGEN06 NE DK/REF AND ENNICAGE = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF ENNICAGE = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you first vape nicotine with an e-cigarette or other vaping device in aR

1 CURRENT YEAR - 1

2 CURRENT YEAR

DK/REF

VPFTY?[CURRENT YEAR - 1] or [CURRENT YEAR - 2] [IF ENNICAGE = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you first vape nicotine with an e-cigarette or other vaping device in bR

1 CURRENT YEAR - 2

2 CURRENT YEAR - 1

DK/REF

VPFTM did you first vape nicotine with an e-cigarette or other vaping device?[CURRENT YEAR] in month [IF CGEN05 NE DK/RE AND CGEN06 NE DK/REF AND ENNICAGE = CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what aO

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 > CURRENT MONTH] aOVPFTM

The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

VPFTM did you first vape nicotine with an e-cigarette or other vaping device?]bRVPFTY or aRVPFTY[YEAR FROM in month)] In what 1 - 2 = bRVPFTY OR 1 - 2 = aRVPFTY[IF bO

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 > CURRENT MONTH] bOVPFTM = 2 AND aRVPFTY

The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

DEFINE MYR1STEN:

MYR1STEN = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF BIRTH FROM MONTH AND YEAR OF FIRST USE (). IF MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STEN IS BLANK.FTMbNIFTYa-VPNIVP

IF MYR1STEN NE 0 AND NE ENNICAGE:

CGEN07 You first . Is this correct?nicotine with an e-cigarette or other vaping device years old when you first vaped [MYR1STEN]. That would make you fill]bOa-VPFTMRVPFTY[ in vaped nicotine with an e-cigarette or other vaping device

4 Yes

6 No

DK/REF

CGEN08 [IF CGEN07 = 4] Earlier, you reported that you were. Which answer is correct?vaped nicotine with an e-cigarette or other vaping deviceyears old when you first [ENNICAGE]

1 years old[MYR1STEN] when I was fill]bOa-VPFTMRVPFTY [ invaped nicotine with an e-cigarette or other vaping device I first

2vaped nicotine with an e-cigarette or other vaping device I first timeyears old the [ENNICAGE] I was

3 Neither answer is correct

DK/REF

UPDATE: IF CGEN08 = 1, THEN ENNICAGE = MYR1STEN.

CGEN09?[CURRENT YEAR], or [CURRENT YEAR-2], [CURRENT YEAR-1] in vape nicotine with an e-cigarette or other vaping device [IF CGEN08=2 OR CGEN08=3 OR CGEN07=6] Please answer this question again. Did you first

1 CURRENT YEAR -2

2 CURRENT YEAR -1

3 CURRENT YEAR

DK/REF

CGEN09a ?vape nicotine with an e-cigarette or other vaping device did you first [CGEN09] inmonth [IF CGEN09 NE (BLANK OR DK/REF)] Please answer this question again. In what

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF CGEN09 = 3 AND CGEN09a > CURRENT MONTH]

The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue..

UPDATE: IF CGEN09a NE (BLANK OR DK/REF) THEN UPDATE MYR1STEN.

MYR1STEN = AGE AT FIRST USE CALCULATED BY “SUBTRACTING” DATE OF BIRTH FROM MONTH AND YEAR OF FIRST USE (CGEN09 AND CGEN09a). IF MONTH OF FIRST USE = MONTH OF BIRTH, THEN MYR1STEN IS BLANK.IF MYR1STEN = ENNICAGE THEN MYR1STEN = 0

CGEN10)] bOVPFTM OR aOVPFTM AND MONTH FROM CGEN09a NE MONTH FROM bRVPFTY OR aRVPFTY [IF CGEN08 NE 1 AND MYR1STEN NE 0 AND (YEAR FROM CGEN09 NE YEAR FROM You first . Is this correct?vaped nicotine with an e-cigarette or other vaping deviceyears old when you first [MYR1STEN] . That would make you [CGEN09-CGEN09a fill] with an e-cigarette or other vaping device invaped nicotine

4 Yes

6 No

DK/REF

UPDATE: THEN ENNICAGE = MYR1STEN NE (BLANK OR DK/REF))) bOVPFTM AND bOVPFTM NE (BLANK OR DK/REF)) OR (CGEN09a NE aOVPFTM AND aOVPFTM NE (BLANK OR DK/REF)) OR (CGEN09a NE bRVPFTY AND bRVPFTY NE (BLANK OR DK/REF)) OR (CGEN09 NE aRVPFTY AND aRVPFTY((CGEN09 NE IF CGEN10 NE (6, BLANK OR DK/REF) AND

VPPM up to and including today. During the past 30 days, have you vaped nicotine with an e-cigarette or other vaping device? [DATEFILL] = 1] Now think about the past 30 days, that is, from FFREI [IF VPLIF = 1 OR VPL

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

VPREC vaped nicotine with an e-cigarette or other vaping device?last [IF VPPM = 2] How long has it been since you

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

VPRE vaped nicotine with an e-cigarette or other vaping device?last of how long it has been since you best guess [IF VPREC = DK] What is your KDC

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

VPRECR [IF VPREC = REF] The answers that people give us about vaping nicotine with e-cigarettes and other vaping devices are important to this study’s success. We know that this information is personal, but remember your answers will be kept confidential.EF

Please think again about answering this question: How long has it been since you vaped nicotine with an e-cigarette or other vaping device?last

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

VPPMN did you vape nicotine with an e-cigarette or other vaping device?days, on how many [DATEFILL] [IF VPPM = 1] During the past 30 days, that is, since UM

# OF DAYS: [RANGE: 1-30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

VPPMN of the number of days you vaped nicotine with an e-cigarette or other vaping device during the past 30 days?best estimate = DK OR REF] What is your UM[IF VPPMN R UN

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

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

Click Next to continue.

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

Have you ever, even once, used smokeless tobacco?

1 Yes

2 No

DK/REF

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say snus.

Snus [snooz]

CGREF3 [IF CG25 = REF] The answers that people give us about their use of smokeless tobacco are important to this study’s success. We know that this information is personal, but remember your answers will be kept confidential.

Please think again about answering this question: Have you ever, even once, used smokeless tobacco?

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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 < 10:

CGSN05 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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

CRINTRO, such as cigarillos, big cigars, and little cigars that look like cigarettes.only of tobacco cigars madeThe next questions are about smoking

Click Next to continue.

CG34 [PROGRAMMER, SHOW IN GRAY FONT: The next questions are about smoking cigars, made only of tobacco, such as cigarillos, big cigars, and little cigars that look like cigarettes.]

Have you ever smoked part or all of a cigar or cigarillo?

1 Yes

2 No

DK/REF

CGREF4 [IF CG34 = REF] The answers that people give us about their cigar or cigarillo smoking are important to this study’s success. We know that this information is personal, but remember your answers will be kept confidential.

Please think again about answering this question: Have you ever smoked part or all of a cigar or cigarillo?

1 Yes

2 No

DK/REF

CG35 [IF CG34 = 1 OR CGREF4 = 1] How old were you the first time you smoked part or all of a cigar or cigarillo?

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 You were [CIGARAGE] years old when you first smoked part or all of a cigar or cigarillo. Is this correct?

4 Yes

6 No

DK/REF

CGCR02 [IF CGCR01=4] The answers for the last question and an earlier question disagree. Which answer is correct?

1 I am currently [CURNTAGE] years old

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

3 Neither answer is correct

DK/REF

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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 or cigarillo?

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 < 10:

CGCR05 You were [CIGARAGE] years old when you first smoked part or all of a cigar or cigarillo. Is this correct?

4 Yes

6 No

DK/REF

CGCR06 [IF CGCR05 = 6] Please answer this question again. How old were you the first time you smoked part or all of a cigar or cigarillo?

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 or cigarilooin [CURRENT YEAR - 1] or [CURRENT YEAR]?

1 CURRENT YEAR - 1

2 CURRENT YEAR

DK/REF

CG35b [IF CIGARAGE = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you first smoke part or all of a cigar or cigarillo in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?

1 CURRENT YEAR - 2

2 CURRENT YEAR - 1

DK/REF

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

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

CG35d [IF CG35a = 1 - 2 OR CG35b = 1 - 2] In what month in [YEAR FROM CG35a or CG35b] did you first smoke part or all of a cigar or cigarillo?

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF CG35d > CURRENT MONTH] The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 You first smoked part or all of a cigar or cigarillo in [CG35a-d fill]. That would make you [MYR1STCR] years old when you first smoked part or all of a cigar or cigarillo. Is this correct?

4 Yes

6 No

DK/REF

CGCR08 [IF CGCR07 = 4] Earlier, you reported that you were [CIGARAGE] years old when you first smoked part or all of a cigar or cigarillo. Which answer is correct?

1 I first smoked part or all of a cigar or cigarillo in [CG35a-d fill] when I was [MYR1STCR] years old

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

3 Neither answer is correct

DK/REF

UPDATE: IF CGCR08 = 1, THEN CIGARAGE = MYR1STCR.

CGCR09 [IF CGCR08=2 OR CGCR08=3 OR CGCR07=6] Please answer this question again. Did you first smoke part or all of a cigar or cigarillo in [CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT YEAR]?

1 CURRENT YEAR -2

2 CURRENT YEAR -1

3 CURRENT YEAR

DK/REF

CGCR09a [IF CGCR09 NE (BLANK OR DK/REF)] Please answer this question again. In what month in [CGCR09] did you first smoke part or all of a cigar or cigarillo?

1 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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

4 Yes

6 No

DK/REF

UPDATE: IF CGCR10 NE (6, BLANK OR DK/REF) AND (CGCR09 AND CGCR09a NE CG35a-d) THEN CIGARAGE = MYR1STCR

CG36 [IF CG34 = 1 OR CGREF4 = 1] Now think about the past 30 days, that is, from [DATEFILL] up to and including today. During the past 30 days, have you smoked part or all of a cigar or cigarillo?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

CG37 [IF CG36 = 2] How long has it been since you last smoked part or all of a cigar or cigarillo?

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

2 More than 12 months ago but within the past 3 years

3 More than 3 years ago

DK/REF

CG37DK [IF CG37 = DK] What is your best guess of how long it has been since you last smoked part or all of a cigar or cigarillo?

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

2 More than 12 months ago but within the past 3 years

3 More than 3 years ago

DK/REF

CG37RE [IF CG37 = REF] The answers that people give us about their cigar or cigarillo smoking are important to this study’s success. We know that this information is personal, but remember your answers will be kept confidential.

Please think again about answering this question: How long has it been since you last smoked part or all of a cigar or cigarillo?

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

2 More than 12 months ago but within the past 3 years

3 More than 3 years ago

DK/REF

CG38 [IF CG36 = 1] During the past 30 days, that is, since [DATEFILL], on how many days did you smoke part or all of a cigar or cigarillo?

# 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 or cigarillo during the past 30 days?

1 1 or 2 days

2 3 to 5 days

3 6 to 9 days

4 10 to 19 days

5 20 to 29 days

6 All 30 days

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

CG42 The last questions on tobacco products are about using a pipe to smoke tobacco. Have you ever, even once, smoked tobacco in a pipe?

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.

Click Next 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

Click Next 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.

Click Next 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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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, you reported 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, you reported 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 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 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

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

Click Next to continue.

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

, even once, used any CBD or hemp products?everHave you

1 Yes

2 No

DK/REF

CBLAST used any form of CBD or hemp product?last[IF CBDLIF=1] How long has it been since you

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

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

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

4 More than 3 years ago

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

MRJINTRO The next questions are about marijuana and cannabis products, sometimes called pot, weed, any cannabis product , or concentratesSome of the ways these products can be used are smoking (such as in joints, pipes, bongs, blunts, or hookahs), vaping (using vape pens, dab pens, tabletop vaporizers, or portable vaporizers), dabbing, eating or drinking, or applying as a lotion..

[IF CBDLIF=1, DK/REF: Please your use of CBD or hemp products when answering these questions.]excludeany cannabis product Any cannabis product any cannabis product

Click Next to continue.

MJ01 Have you ever, even once, used marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

MJREF [IF MJ01 = REF] The answers that people give us about their use of marijuana and any cannabis product are important to this study’s success. We know that this information is personal, but remember your answers will be kept confidential.

Please think again about answering this question: Have you ever, even once, used marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

MJ02 [IF MJ01 =1 OR MJREF = 1] How old were you the first time you used marijuana or any cannabis product ?

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 You were [AGE1STMJ] years old when you first used marijuana or any cannabis product . 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 any cannabis product

3 Neither answer is correct

DK/REF

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

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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

MJCC04 [IF MJCC02=1 OR MJCC02=3 OR MJCC01=6] Please answer this question again. Think about the first time you used marijuana or any cannabis product . How old were you the first time you used marijuana or any cannabis product ?

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 <10:

MJCC05 You were [AGE1STMJ] years old the first time you used marijuana or any cannabis product . Is this correct?

4 Yes

6 No

DK/REF

MJCC06 [IF MJCC05=6] Please answer this question again. Think about the first time you used marijuana or any cannabis product . How old were you the first time you used marijuana or any cannabis product ?

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 any cannabis product in [CURRENT YEAR - 1] or [CURRENT YEAR]?

1 CURRENT YEAR - 1

2 CURRENT YEAR

DK/REF

MJ03b [IF AGE1STMJ = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you first use marijuana or any cannabis product in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?

1 CURRENT YEAR - 2

2 CURRENT YEAR - 1

DK/REF

MJ03c [IF MJCC05 NE DK/REF AND MJCC06 NE DK/REF AND AGE1STMJ = CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you first use marijuana or any cannabis product ?

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF MJ03c > CURRENT MONTH] The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

MJ03d [IF MJ03a = 1 - 2 OR MJO3b = 1 - 2] In what month in [YEAR FROM MJ03a or MJ03b] did you first use marijuana or any cannabis product ?

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF MJ03b = 2 AND MJ03d > CURRENT MONTH] The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 You first used marijuana or any cannabis product in [MJ03a-d fill]. That would make you [MYR1STMJ] years old when you first used marijuana or any cannabis product . Is this correct?

4 Yes

6 No

DK/REF

MJCC18 [IF MJCC17 = 4] Earlier, you reported that you were [AGE1STMJ] years old when you first used marijuana or any cannabis product . Which answer is correct?

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

2 I was [AGE1STMJ] years old the first time I used marijuana or any cannabis product

3 Neither answer is correct

DK/REF

UPDATE: IF MJCC18 = 1, THEN AGE1STMJ = MYR1STMJ.

MJCC19 [IF MJCC18=2 OR MJCC18=3 OR MJCC17=6] Please answer this question again. Did you first use marijuana or any cannabis product in [CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT YEAR]?

1 CURRENT YEAR -2

2 CURRENT YEAR -1

3 CURRENT YEAR

DK/REF

MJCC19a [IF MJCC19 NE (BLANK OR DK/REF)] Please answer this question again. In what month in [MJCC19] did you first use marijuana or any cannabis product ?

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF MJCC19 = 3 AND MJCC19a > CURRENT MONTH] The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] You first used marijuana or any cannabis product in [MJCC19-MJCC19a fill]. That would make you [MYR1STMJ] years old when you first used marijuana or any cannabis product . Is this correct?

4 Yes

6 No

DK/REF

UPDATE: IF MJCC20 NE (6, BLANK OR DK/REF) AND ((MJCC19 NE MJ03aM AND J03a NE (BLANK OR DK/REF)) OR (MJCC19 NE MJ03b AND MJ03b NE (BLANK OR DK/REF) OR (MJCC19a NE MJ03c AND MJ03c NE (BLANK OR DK/REF) OR (MJCC19a NE MJ03d AND MJ03d NE (BLANK OR DK/REF))(THEN AGE1STMJ = MYR1STMJ

MJLAST3 [IF MJ01 = 1 OR MJREF = 1] How long has it been since you last used marijuana or any cannabis product ?

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

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

3 More than 12 months ago

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

MJRECDK [IF MJLAST3 = DK] What is your best guess of how long it has been since you last used marijuana or any cannabis product ?

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

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

3 More than 12 months ago

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

MJRECRE [IF MJLAST3 = REF] The answers that people give us about their use of marijuana and any cannabis product are important to this study’s success. We know that this information is personal, but remember your answers will be kept confidential.

Please think again about answering this question: How long has it been since you last used marijuana or any cannabis product ?

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

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

3 More than 12 months ago

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

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 any cannabis product during the past 12 months.

What would be the easiest way for you to tell us how many days you’ve used it?

1 Average number of days per week during the past 12 months

2 Average number of days per month during the past 12 months

3 Total number of days during the past 12 months

DK/REF

MJYRAVE [IF MJFRAME3 = 3 OR DK/REF] On how many days in the past 12 months did you use marijuana or any cannabis product ?

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 any cannabis product 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 any cannabis product 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 any cannabis product ?

NUMBER OF DAYS: [RANGE: 1 - 30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

MJ06DKRE [IF MJ06 = DK/REF] What is your best estimate of the number of days you used marijuana or any cannabis product during the past 30 days?

1 1 or 2 days

2 3 to 5 days

3 6 to 9 days

4 10 to 19 days

5 20 to 29 days

6 All 30 days

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

DEFINE ESTIMJ

IF MJ06DKRE = 1, THEN ESTIMJ = 1

IF MJ06DKRE = 2, THEN ESTIMJ = 3

IF MJ06DKRE = 3, THEN ESTIMJ = 6

IF MJ06DKRE = 4, THEN ESTIMJ = 10

IF MJ06DKRE = 5, THEN ESTIMJ = 20

IF MJ06DKRE = 6, THEN ESTIMJ = 30

ELSE ESTIMJ = BLANK

DEFINE MJ30DAY

IF MJ06DKRE = 1, THEN MJ30DAY = “1 or 2"

IF MJ06DKRE = 2, THEN MJ30DAY = “3 to 5"

IF MJ06DKRE = 3, THEN MJ30DAY = “6 to 9"

IF MJ06DKRE = 4, THEN MJ30DAY = “10 to 19"

IF MJ06DKRE = 5, THEN MJ30DAY = “20 to 29"

IF MJ06DKRE = 6, THEN MJ30DAY = “all 30"

ELSE MJ30DAY = BLANK

DEFINE TOTMJ:

IF MJYRAVE 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, you reported that you used marijuana or any cannabis product on [MJ06] of the past 30 days. Is this correct?

4 Yes

6 No

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

MJCC07b [IF ESTIMJ > TOTMJ] For the last question, you reported that you used marijuana or any cannabis product on [MJ30DAY] of the past 30 days. Is this correct?

4 Yes

6 No

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

DEFINE FILLMJ:

IF MJYRAVE > 1, THEN FILLMJ = “[MJYRAVE] days”

ELSE IF MJYRAVE = 1, THEN FILLMJ = “1 day”

ELSE IF MJMONAVE > 1, THEN FILLMJ = “[MJMONAVE] days per month”

ELSE IF MJMONAVE = 1, THEN FILLMJ = “1 day per month”

ELSE IF MJWKAVE > 1, THEN FILLMJ = “[MJWKAVE] days per week”

ELSE IF MJWKAVE = 1, THEN FILLMJ = “1 day per week”

DEFINE FILLMJA:

IF FILLMJ = “[MJMONAVE] day(s) per month” OR “[MJWKAVE] day(s) per week” FILLMJA = “for a total of [TOTMJ] days”

ELSE FILLMJA = BLANK

MJCC08 [IF MJCC07a = 4 OR MJCC07b = 4] The answers for the last question and an earlier question disagree. Which answer is correct?

1 I used marijuana or any cannabis product on [FILLMJ] in the past 12 months [FILLMJA]

2 I used marijuana or any cannabis product on [MJ06 / MJ30DAY] days in the past 30 days

3 Neither answer is correct

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

MJCC09 [IF MJCC08 = 2 OR MJCC08 = 3] Please answer this question again. Think about the past 12 months, from [DATEFILL] through today. We want to know how many days you’ve used marijuana or any cannabis product during the past 12 months.

What would be the easiest way for you to tell us how many days you’ve used it?

1 Average number of days per week during the past 12 months

2 Average number of days per month during the past 12 months

3 Total number of days during the past 12 months

DK/REF

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

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 any cannabis product 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 any cannabis product 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 any cannabis product ?

# OF DAYS: [RANGE: 1 - 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 any cannabis product during the past 30 days?

1 1 or 2 days

2 3 to 5 days

3 6 to 9 days

4 10 to 19 days

5 20 to 29 days

6 All 30 days

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

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

Select all that apply.

1 Smoking

2 Vaping

3 Dabbing waxes, shatter, or concentrates

4 Eating or drinking

5 Putting drops, strips, lozenges, or sprays in your mouth or under your tongue

6 Applying lotion, cream, or patches to your skin

7 Taking pills

8 Some other way

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

MJMDPYOa ways you used marijuana or any cannabis product during the past 12 months.other[IF MJMODEPY = 8] Please type in one or more of the

[PROGRAMMER: PROVIDE 5 ROWS.]

~~____________________________________________________________~~

MJMODEPM , in which of the following ways did you use marijuana or any cannabis product? [DATEFILL], that is, sinceDuring the past 30 days[IF MJLAST3=1 OR MJRECDK = 1 OR MJRECREF = 1]

Select all that apply.

1 Smoking

2 Vaping

3 Dabbing waxes, shatter, or concentrates

4 Eating or drinking

5 Putting drops, strips, lozenges, or sprays in your mouth or under your tongue

6 Applying lotion or cream to your skin

7 Taking pills

8 Some other way

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

MJMDPMOa[IF MJMODEPM = 8] Please type in one or more of the other ways you used marijuana or any cannabis product during the past 30 days.

[PROGRAMMER: PROVIDE 5 ROWS.]

MJMM01 [IF (MJLAST3 = 1 - 2 OR MJRECDK = 1 - 2 OR MJRECRE = 1 - 2) Earlier, you reported using marijuana or any cannabis product in the past year. Was any of your marijuana or any cannabis product use in the past 12 months recommended by a doctor or other health care professional?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

MJMM02 [IF MJMM01=1] Was all of your marijuana or any cannabis product use in the past 12 months recommended by a doctor or other health care professional?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

Cocaine

COCINTRO These questions are about cocaine, including all the different forms of cocaine such as powder, ‘crack,’ free base, and coca paste.

Click Next 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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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, you reported 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, you reported 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 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.

Click Next 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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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, you reported 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, you reported 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 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.

Click Next 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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next 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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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, you reported 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, you reported 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 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

Click Next to continue.

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say these drugs.

Hallucinogens [huh-LOOS-en-uh-jens]

LSD [el-ess-dee]

PCP, also called ‘angel dust’ or phencyclidine [pee-see-pee, fen-sike-luh-deen]

Peyote [pay-oh-tee]

Mescaline [mess-ka-lin]

Psilocybin [sill-i-sigh-bin]

‘Ecstasy’ or ‘Molly’, also called MDMA [ek-stuh-see, molly, em-dee-em-ay]

Ketamine, also called “Special K” or “Super K” [ket-uh-meen]

DMT, also called dimethyltryptamine [dee-em-tee, die-meth-ill-trip-tuh-meen]

AMT, also called alpha-methyltryptamine [ay-em-tee, al-fa-meth-ill-trip-tuh-meen]

Foxy, also called 5-MeO-DIPT [fox-ee, five-me-oh-dee-eye-pee-tee]

Salvia divinorum [salv-ee-uh div-i-nor-um]

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, click Next 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,click Next 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, click Next 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, click Next 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, click Next 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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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, you reported 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, you reported 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 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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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 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, you reported 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, you reported 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 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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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 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, you reported 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, you reported 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 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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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 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, you reported 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, you reported 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 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 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 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 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

Click Next to continue.

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say some of these inhalants.

Amyl nitrite, ‘poppers,’ locker room odorizers, or ‘rush’ [am-ill-NY-trite]

Glue, shoe polish, or toluene [TAWL-you-een]

Halothane, ether, or other anesthetics [hal-oh-thane, ann-uh-STHET-icks]

Lacquer thinner, or other paint solvents [lack-er]

Lighter gases, such as butane or propane [byoo-tane or pro-pain]

Nitrous oxide or ‘whippits’ [ny-truss OCK-side]

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, click Next 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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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 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. Thank you for your cooperation.

PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click NEXT to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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, you reported 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, you reported 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 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

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 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.

Click Next to continue.

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say these drugs.

Methamphetamine [Meth-am-FET-uh-meen]

Stimulant [stim-U-lent]

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 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. Thank you for your cooperation. PROGRAM SHOULD ROUTE TO FIEXIT.

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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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, you reported 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, you reported 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 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, click 95.

Click Next to continue.

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say these drugs.

Prescription pain relievers [pree-skrip-shun pane ree-LEE-vers]

Tylenol [TIE-len-all]

Advil [ADD-vill]

Aleve [uh-LEEV]

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?

Select all that apply.

1 Vicodin

2 Lortab

3 Norco

4 Zohydro ER

5 Hydrocodone (generic)

95 I have not used any of these pain relievers in the past 12 months

DK/REF

DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3, 4, OR 5.

PR02 Please look at the names and pictures of the pain relievers shown below.

PROGRAMMER: DISPLAY PILLS HERE FOR OXYCONTIN, PERCOCET, AND PERCODAN.

In the past 12 months, which, if any, of these pain relievers have you used?

Select all that apply.

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?

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)] 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 click 95 if you have not used any of the pain relievers asked about in the past 12 months. Please click Back to return to these questions so that you can revise your answers.

PR04 Please look at the names and pictures of the pain relievers shown below. Remember, some forms of these pain relievers may look different from the pictures, but you should include any form that you have used.

PROGRAMMER: DISPLAY PILLS HERE FOR ULTRAM, ULTRAM ER, ULTRACET, TRAMADOL, AND EXTENDED-RELEASE TRAMADOL.

In the past 12 months, which, if any, of these pain relievers have you used?

Select all that apply.

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?

Select all that apply.

1 Tylenol with codeine 3 or 4 (NOT over-the-counter Tylenol)

2 Codeine pills (generic)

95 I have not used any of these pain relievers in the past 12 months

DK/REF

DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1 OR 2.

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?

Select all that apply.

1 Avinza

2 Kadian

3 MS Contin

4 Morphine (generic)

5 Extended-release morphine (generic)

95 I have not used any of these pain relievers in the past 12 months

DK/REF

DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3, 4, OR 5.

PR07 Please look at the names and pictures of the pain relievers shown below. Remember, some forms of these pain relievers may look different from the pictures, but you should include any form that you have used.

PROGRAMMER: DISPLAY IMAGES HERE FOR DURAGESIC, FENTORA, AND FENTANYL.

In the past 12 months, which, if any, of these pain relievers have you used?

Select all that apply.

1 Duragesic

2 Fentora

3 Fentanyl (generic)

95 I have not used any of these pain relievers in the past 12 months

DK/REF

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

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?

Select all that apply.

1 Suboxone

2 Buprenorphine (generic)

3 Buprenorphine plus naloxone (generic)

95 I have not used any of these pain relievers in the past 12 months

DK/REF

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

PR09 Please look at the names and pictures of the pain relievers shown below.

PROGRAMMER: DISPLAY PILLS HERE FOR OPANA, OPANA ER, OXYMORPHONE, AND EXTENDED-RELEASE OXYMORPHONE.

In the past 12 months, which, if any, of these pain relievers have you used?

Select all that apply.

1 Opana

2 Opana ER

3 Oxymorphone (generic)

4 Extended-release oxymorphone (generic)

95 I have not used any of these pain relievers in the past 12 months

DK/REF

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

PR10 Please look at the names and pictures of the pain relievers shown below.

PROGRAMMER: DISPLAY PILLS HERE FOR DEMEROL, DILAUDID OR HYDROMORPHONE, EXALGO OR EXTENDED-RELEASE HYDROMORPHONE, AND METHADONE.

In the past 12 months, which, if any, of these pain relievers have you used?

Select all that apply.

1 Demerol

2 Dilaudid or hydromorphone

3 Exalgo or extended-release hydromorphone

4 Methadone

95 I have not used any of these pain relievers in the past 12 months

DK/REF

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

PRANYOTH In the past 12 months, have you used any other prescription pain reliever?

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

SHOW 12-MONTH CALENDAR ON SCREEN.

1 Yes

2 No

DK/REF

DEFINE PR12MON:

IF (PR01 NE 95 OR DK/REF) OR (PR02 NE 95 OR DK/REF) OR (PR03 NE 95 OR DK/REF) OR (PR04 NE 95 OR DK/REF) OR (PR05 NE 95 OR DK/REF) OR (PR06 NE 95 OR DK/REF) OR (PR07 NE 95 OR DK/REF) OR (PR08 NE 95 OR DK/REF) OR (PR09 NE 95 OR DK/REF) OR (PR10 NE 95 OR DK/REF) OR (PRANYOTH = 1) THEN PR12MON = 1.

ELSE PR12MON = 2.

DEFINE PRYRCOUNT:

INITIALIZE PRYRCOUNT TO 0.

ADD 1 TO PRYRCOUNT FOR EACH INDIVIDUAL DRUG SELECTED IN 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, click 95.

Click Next to continue.

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say tranquilizers.

Tranquilizers [tran-kwill-eye-zers]

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?

Select all that apply.

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?

Select all that apply.

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?

Select all that apply.

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)] 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 click 95 if you have not used any of the tranquilizers asked about in the past 12 months. Please click Back 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?

Select all that apply.

1 Cyclobenzaprine (generic), also known as Flexeril

2 Soma

95 I have not used any of these tranquilizers in the past 12 months

DK/REF

DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1 OR 2.

TRANYOTH In the past 12 months, have you used any other prescription tranquilizer?

SHOW 12-MONTH CALENDAR ON SCREEN.

1 Yes

2 No

DK/REF

DEFINE TR12MON:

IF (TR01 NE 95 OR DK/REF) OR (TR02 NE 95 OR DK/REF) OR (TR03 NE 95 OR DK/REF) OR (TR04 NE 95 OR DK/REF) OR (TRANYOTH = 1) THEN TR12MON = 1.

ELSE TR12MON = 2.

DEFINE TRYRCOUNT:

INITIALIZE TRYRCOUNT TO 0.

ADD 1 TO TRYRCOUNT FOR EACH INDIVIDUAL DRUG SELECTED IN 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, click 95.

Click Next to continue.

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say these drugs.

Stimulants [stim-U-lents]

Dexatrim [DECKS-uh-trim]

No-Doz [No doze]

Hydroxycut [hi-drocks-ee-cut]

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?

Select all that apply.

1 Adderall

2 Adderall XR

3 Dexedrine

95 I have not used any of these stimulants in the past 12 months

DK/REF

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

ST02 Please look at the names and pictures of the stimulants shown below.

PROGRAMMER: DISPLAY PILLS HERE FOR DEXTROAMPHETAMINE, AMPHETAMINE-DEXTROAMPHETAMINE MIX, AND EXTENDED-RELEASE AMPHETAMINE-DEXTROAMPHETAMINE MIX.

In the past 12 months, which, if any, of these stimulants have you used?

Select all that apply.

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?

Select all that apply.

1 Ritalin

2 Ritalin LA

3 Concerta

4 Daytrana

95 I have not used any of these stimulants in the past 12 months

DK/REF

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

STCC01 [IF ((ST01 = 1 AND ST02 = 1 AND ST03 = 1) OR (ST01 =2 AND ST02 = 2 AND ST03 = 2)) AND (# of responses in ST01 = 1) AND (# of responses in ST02 = 1) AND (# of responses in ST03 = 1)] 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 click 95 if you have not used any of the stimulants asked about in the past 12 months. Please click Back 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?

Select all that apply.

1 Metadate CD

2 Metadate ER

3 Methylphenidate (generic)

4 Extended-release methylphenidate (generic)

95 I have not used any of these stimulants in the past 12 months

DK/REF

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

ST05 Please look at the names and pictures of the stimulants shown below.

PROGRAMMER: DISPLAY PILLS FOR FOCALIN, FOCALIN XR, DEXMETHYLPHENIDATE, AND EXTENDED-RELEASE DEXMETHYLPHENIDATE.

In the past 12 months, which, if any, of these stimulants have you used?

Select all that apply.

1 Focalin

2 Focalin XR

3 Dexmethylphenidate (generic)

4 Extended-release dexmethylphenidate (generic)

95 I have not used any of these stimulants in the past 12 months

DK/REF

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?

Select all that apply.

1 Benzphetamine

2 Didrex

3 Diethylpropion

4 Phendimetrazine

5 Phentermine

95 I have not used any of these stimulants in the past 12 months

DK/REF

DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3, 4, OR 5.

ST07 Please look at the names and pictures of the stimulants shown below.

PROGRAMMER: DISPLAY PILLS FOR PROVIGIL, TENUATE, AND VYVANSE.

In the past 12 months, which, if any, of these stimulants have you used?

Select all that apply.

1 Provigil

2 Tenuate

3 Vyvanse

95 I have not used any of these stimulants in the past 12 months

DK/REF

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

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, click 95.

Click Next to continue.

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say these drugs.

Sedatives [SED-uh-tivs]

Sominex [SOM-in-ex]

Unisom [U-ni-som]

Nytol [NIE-tall]

Benadryl [ben-UH-drill]

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?

Select all that apply.

Ambien
Ambien CR
Zolpidem (generic)
Extended-release zolpidem (generic)

95 I have not used any of these sedatives in the past 12 months

DK/REF

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

SV02 Please look at the names and pictures of the sedatives shown below.

PROGRAMMER: DISPLAY IMAGES FOR LUNESTA, SONATA, AND ZALEPLON.

In the past 12 months, which, if any, of these sedatives have you used?

Select all that apply.

Lunesta or eszopiclone
Sonata or zaleplon

95 I have not used any of these sedatives in the past 12 months

DK/REF

DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1 OR 2.

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?

Select all that apply.

Halcion
Restoril
Flurazepam (generic), also known as Dalmane
Temazepam (generic)
Triazolam (generic)

95 I have not used any of these sedatives in the past 12 months

DK/REF

DO NOT ALLOW 95 IN COMBINATION WITH ANY RESPONSE OF 1, 2, 3, 4, OR 5.

SVCC01 [IF ((SV01 = 1 AND SV02 = 1 AND SV03 = 1) OR (SV01 =2 AND SV02 = 2 AND SV03 = 2)) AND (# of responses in SV01 = 1) AND (# of responses in SV02 = 1) AND (# of responses in SV03 = 1)] 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 click 95 if you have not used any of the sedatives asked about in the past 12 months. Please click Back 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?

Select all that apply.

Butisol
Seconal
Phenobarbital (generic)

95 I have not used any of these sedatives in the past 12 months

DK/REF

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

SVANYOTH In the past 12 months, have you used any other prescription sedative?

Remember, do not include “over-the-counter” sedatives such as Sominex, Unisom, Nytol, or Benadryl.

SHOW 12-MONTH CALENDAR ON SCREEN.

1 Yes

2 No

DK/REF

DEFINE SV12MON:

IF (SV01 NE 95 OR DK/REF) OR (SV02 NE 95 OR DK/REF) OR (SV03 NE 95 OR DK/REF) OR (SV04 NE 95 OR DK/REF) OR (SVANYOTH = 1) THEN SV12MON = 1.

ELSE SV12MON = 2.

DEFINE SVYRCOUNT:

INITIALIZE SVYRCOUNT TO 0.

ADD 1 TO SVYRCOUNT FOR EACH INDIVIDUAL DRUG SELECTED IN 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

Click Next 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

Click Next 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, you reported that, in the past 12 months, you used [PRFILL].

Click Next 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 LEFT: Click [Help] if you want to see 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. Please answer this question again.

IF 1 <= AGE1STPR1 < 10:

PRCC05A1 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

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 PRJANFLAG1=1 THEN PRMFU1=1

DEFINE PRDECFLAG1:

PRDECFLAG1 = 0

IF AGE1STPR1 = CURNTAGE AND PRYFU1=CURRENT YEAR-1 AND BIRTH MONTH=12 THEN PRDECFLAG1 = 1

IF PRDECFLAG1=1 THEN PRMFU1=12

IF (PRAGEFT=CURNTAGE AND BIRTHDAY MONTH=INTERVIEW MONTH AND DATE OF INTERVIEW ≥ DOB) THEN PRMFU1=CURRENT MONTH

PRY01d. [IF PRYFU1 NE 0 AND PRMFU1=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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

UPDATE: IF PRY01D = 1-12 THEN PRMFU1 = PRY01D

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, you reported 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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 LEFT: Click [Help] if you want to see 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. Please answer this question again.

IF 1 <= AGE1STPR2 < 10:

PRCC05A2 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 DATE OF INTERVIEW >= DOB AND NUMBER OF DAYS BASED ON THE DIFFERENCE BETWEEN DATE OF INTERVIEW AND DOB <= 30, THEN PR30INIT2 = 1

ELSE 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

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 PRJANFLAG2=1 THEN PRMFU2=1

DEFINE PRDECFLAG2:

PRDECFLAG2 = 0

IF AGE1STPR2 = CURNTAGE AND PRYFU2=CURRENT YEAR-1 AND BIRTH MONTH=12 THEN PRDECFLAG2 = 1

IF PRDECFLAG2=1 THEN TSMFU2=12

IF (AGE1STPR2=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH AND DATE of INTERVIEW > OR = DOB) THEN PRMFU2=CURRENT MONTH

PRY02d [IF PRYFU2 NE 0 AND PRMF2=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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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, you reported 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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, click Next to go to the next question. Remember, you do not need to type in the names of any prescription pain relievers you already reported.

______________

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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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].”

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 you reported 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.

Click Next 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?

Select all that apply.

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?

Select all that apply.

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, click Next 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, click Next 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, click Next 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

Click Next 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

Click Next 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, you reported that, in the past 12 months, you used [TRFILL].

Click Next 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 LEFT: Click [Help] if you want to see 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. Please answer this question again.

IF 1 <= AGE1STTR1 < 10:

TRCC05A1 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

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 TRJANFLAG1=1 THEN TRMFU1=1

DEFINE TRDECFLAG1:

TRDECFLAG1 = 0

IF AGE1STTR1 = CURNTAGE AND TRYFU1=CURRENT YEAR-1 AND BIRTH MONTH=12 THEN TRDECFLAG1 = 1

IF TRDECFLAG1=1 THEN TRMFU1=12

IF (TSAGEFT=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH AND DATE OF INTERVIEW ≥ DOB) THEN TRMFU1=CURRENT MONTH

TRY01d. [IF TRYFU1 NE 0 AND TRMFU1=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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

UPDATE: IF TRY01D = 1-12 THEN TRMFU1 = TRY01D

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, you reported 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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 LEFT: Click [Help] if you want to see 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. Please answer this question again.

IF 1 <= AGE1STTR2 < 10:

TRCC05A2 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 DATE OF INTERVIEW >= DOB AND NUMBER OF DAYS BASED ON THE DIFFERENCE BETWEEN DATE OF INTERVIEW AND DOB <= 30, THEN TR30INIT2 = 1

ELSE 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

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 TRJANFLAG2=1 THEN TRMFU2=1

DEFINE TRDECFLAG2:

TRDECFLAG2 = 0

IF AGE1STTR2 = CURNTAGE AND TRYFU2=CURRENT YEAR-1 AND BIRTH MONTH=12 THEN TRDECFLAG2 = 1

IF TRDECFLAG2=1 THEN TRMFU2=12

IF (AGE1STTR2=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH AND DATE OF INTERVIEW ≥ DOB) THEN TRMFU2=CURRENT MONTH

TRY02d. [IF TRYFU2 NE 0 AND TRMFU2=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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

UPDATE: IF TRY02D = 1-12 THEN TRMFU2 = TRY02D

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, you reported 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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, click Next to go to the next question. Remember, you do not need to type in the names of any prescription tranquilizers you already reported.

______________

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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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].”

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 you reported 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.

Click Next 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?

Select all that apply.

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?

Select all that apply.

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, click Next 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, click Next 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, click Next 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

Click Next 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

Click Next 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, you reported that, in the past 12 months, you used [STFILL].

Click Next 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 LEFT: Click [Help] if you want to see 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. Please answer this question again.

IF 1 <= AGE1STST1 < 10:

STCC05A1 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

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 STJANFLAG1=1 THEN STMFU1=1

DEFINE STDECFLAG1:

STDECFLAG1 = 0

IF AGE1STST1 = CURNTAGE AND STYFU1=CURRENT YEAR-1 AND BIRTH MONTH=12 THEN STDECFLAG1 = 1

IF STDECFLAG1=1 THEN STMFU1=12

IF (STAGEFT=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH AND DATE OF INTERVIEW ≥ DOB) THEN STMFU1=CURRENT MONTH

STY01d [IF STYFU1 NE 0 AND STMFU1=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

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, you reported 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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 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. Please answer this question again.

IF 1 <= AGE1STST2 < 10:

STCC05A2 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 DATE OF INTERVIEW >= DOB AND NUMBER OF DAYS BASED ON THE DIFFERENCE BETWEEN DATE OF INTERVIEW AND DOB <= 30, THEN ST30INIT2 = 1

ELSE 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

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 STJANFLAG2=1 THEN STMFU2=1

DEFINE STDECFLAG2:

STDECFLAG2 = 0

IF AGE1STST2 = CURNTAGE AND STYFU2=CURRENT YEAR-1 AND BIRTH MONTH=12 THEN STDECFLAG2 = 1

IF STDECFLAG2=1 THEN STMFU2=12

IF (AGE1STST2=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH AND DATE OF INTERVIEW ≥ DOB) THEN STMFU2=CURRENT MONTH

STY02d. [IF STYFU2 NE 0 STMFU2=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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

UPDATE: IF STY02D = 1-12 THEN STMFU2 = STY02D

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, you reported 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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, click Next to go to the next question. Remember, you do not need to type in the names of any prescription stimulants you already reported.

__________________

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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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].”

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 you reported 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.

Click Next 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?

Select all that apply.

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?

Select all that apply.

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, click Next 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, click Next 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, click Next 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

Click Next 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

Click Next 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, you reported that, in the past 12 months, you used [SVFILL].

Click Next 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 LEFT: Click [Help] if you want to see 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. Please answer this question again.

IF 1 <= AGE1STSV1 < 10:

SVCC05A1 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

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 SVJANFLAG1=1 THEN SVMFU1=1

DEFINE SVDECFLAG1:

SVDECFLAG1 = 0

IF AGE1STSV1 = CURNTAGE AND SVYFU1=CURRENT YEAR-1 AND BIRTH MONTH=12 THEN SVDECFLAG1 = 1

IF SVDECFLAG1=1 THEN SVMFU1=12

IF (SVAGEFT=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH AND DATE OF INTERVIEW ≥ DOB) THEN SVMFU1=CURRENT MONTH

SVY01d. [IF SVYFU1 NE 0 SVMFU1=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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

UPDATE: IF SVY01D = 1-12 THEN SVMFU1 = SVY01D

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, you reported 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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 LEFT: Click [Help] if you want to see 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. Please answer this question again.

IF 1 <= AGE1STSV2 < 10:

SVCC05A2 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 DATE OF INTERVIEW >= DOB AND NUMBER OF DAYS BASED ON THE DIFFERENCE BETWEEN DATE OF INTERVIEW AND DOB <= 30, THEN SV30INIT2 = 1

ELSE 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

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 SVJANFLAG2=1 THEN SVMFU2=1

DEFINE SVDECFLAG2:

SVDECFLAG2 = 0

IF AGE1STSV2 = CURNTAGE AND SVYFU2=CURRENT YEAR-1 AND BIRTH MONTH=12 THEN SVDECFLAG2 = 1

IF SVDECFLAG2=1 THEN SVMFU2=12

IF (AGE1STTR2=CURNTAGE AND BIRTH MONTH=INTERVIEW MONTH AND DATE OF INTERVIEW ≥ DOB) THEN SVMFU2=CURRENT MONTH

SVY02d. [IF SVYFU2 NE 0 SVMFU2=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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

UPDATE: IF SVY02D = 1-12 THEN SVMFU2 = SVY02D

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, you reported 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)]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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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, click Next to go to the next question. Remember, you do not need to type in the names of any prescription sedatives you already reported.

______________

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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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, click Next.

______________

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see 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

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].”

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 you reported 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.

Click Next 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?

Select all that apply.

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?

Select all that apply.

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, click Next 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, click Next 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, click Next 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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say non-prescription.

Non-prescription [NON pree-skrip-shun]

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, click Next 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, click Next 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, click Next 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, click Next 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, click Next 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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say GHB.

GHB or gamma hydroxybutyrate [Gee-aytch-bee or gam-uh hi-DROCK-see-byoo-ti-rate]

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.

Click Next 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 you reported that you had used heroin. In what way have you used heroin?

Select all that apply.

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, click Next 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 “You reported 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, click Next 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, click Next.

________________

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, click Next.

________________

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, click Next.

________________

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, click Next.

________________

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 you reported 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 okay. When you have finished typing your answer, click Next 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.

Click Next 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.

Click Next 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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 any cannabis product

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 any cannabis product [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 any cannabis product ?

I didn’t consider a ‘blunt’ to be marijuana or any cannabis product
I made a mistake when I answered the earlier question about ever using marijuana or any cannabis product
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 any cannabis product .

When you have finished, click Next 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 any cannabis product during the past 30 days?

1 I didn’t consider a ‘blunt’ to be marijuana or any cannabis product

2 I made a mistake earlier when I answered how long ago I last used marijuana or any cannabis product

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 any cannabis product during the past 30 days.

When you have finished, click Next to go to the next question.

______________

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN BL06SP.

BL07 [IF CG36=1 AND (BL02 = 1 AND (BL03 = 2 OR BLANK) AND (BL04 = 2 OR BLANK)] 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 MJCC13a > 5 OR MJC13b = 3 - 6 OR (MJ06 > 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

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

Substance Dependence and Abuse

DPINTRO [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 PR12MON = 1 OR TR12MON = 1 OR ST12MON = 1 OR SV12MON = 1] Now we’d like for you to tell us about your experiences with the

[CIG30DAY = 1 AND ALC12MON = 2 4 AND (MAR12MON = 2 4 AND COC12MON = 2 AND CRK12MON = 2 AND HER12MON = 2 AND HAL12MON = 2 AND INH12MON = 2 AND MET12MON = 2 AND PR12MON = 2 AND TR12MON = 2 AND ST12MON = 2 AND SV12MON = 2)] cigarettes you smoked.

[CIG30DAY = 1 AND 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 PR12MON = 2 AND TR12MON = 2 AND ST12MON = 2 AND SV12MON = 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 PR12MON = 2 AND TR12MON = 2 AND ST12MON = 2 AND SV12MON = 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 PR12MON = 1 OR TR12MON = 1 OR ST12MON = 1 OR SV12MON = 1)] cigarettes you smoked and the other drugs that you used.

[CIG30DAY = 2 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 PR12MON = 1 OR TR12MON = 1 OR ST12MON = 1 OR SV12MON = 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 PR12MON = 1 OR TR12MON = 1 OR ST12MON = 1 OR SV12MON = 1)]cigarettes you smoked, the alcohol you drank, and the other drugs that you used.

[CIG30DAY = 2 AND 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 PR12MON = 1 OR TR12MON = 1 OR ST12MON = 1 OR SV12MON = 1)]drugs that you used.

Click Next to continue.

DRCIG Think about your use of cigarettes during the past 30 days as you answer these next questions.

Click Next to continue.

PROGRAMMER: SHOW 30 DAY CALENDAR

(IF CIG30DAY NE 1, SKIP TO DPMJINT)

DRCGE01 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 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 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 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 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 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 [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 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 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 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 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 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 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 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 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 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 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 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 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

DPALINT [IF ALC12MON= 1 OR 2 OR 3] Think about your use of alcohol during the past 12 months as you answer these next questions.

Click Next to continue.

(IF ALC12MON= 4 ~~= 2~~ OR BLANK, SKIP TO DPMJINT)

DPALFEEL During the past 12 months, did you spend a great deal of your time drinking alcohol, feeling its effects, or getting over the effects of drinking?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALGET [IF DPALFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get alcohol?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALLRGR During the past 12 months, were there many times when you ended up drinking alcohol in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALBDLY During the past 12 months, were there times when you wanted to drink alcohol so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALURGE [IF DPALBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to drink alcohol?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALMORE Do you need to drink a lot more alcohol than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALLESS [IF DPALMORE = 2 OR DK/REF] Does drinking the same amount of alcohol have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALSTOP During the past 12 months, did you try to cut down or try to stop drinking alcohol?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALCANT [IF DPALSTOP=1] Some people who drink alcohol try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop drinking alcohol?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALWISH [IF DPALSTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop drinking alcohol?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by drinking alcohol?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALPCNT [IF DPALPHYS = 1]: Did you continue to drink alcohol even though it was causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALMNTL [IF DPALPHYS = 2 OR DK/REF OR DPALPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by drinking alcohol?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALMCNT [IF DPALMNTL = 1]: Did you continue to drink alcohol even though it was causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALBLCK [IF (DPALPHYS = 2 OR DK/REF OR DPALPCNT = 2 OR DK/REF) AND (DPALMNTL=2 OR DK/REF OR DPALMCNT = 2 OR DK/REF)] A blackout is lack of memory. That is, you were awake, but you have no recall of the things you did or that were done to you.

During the past 12 months, did you repeatedly have blackouts while drinking or after drinking alcohol?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALBCNT [IF DPALBLCK = 1] Did you continue to drink alcohol even though drinking gave you repeated blackouts?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your alcohol use?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALSERI Sometimes people who drink alcohol have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your alcohol use?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your alcohol use?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALACNT [IF DPALARGU = 1]: Did you continue to drink alcohol even though it often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALHURT During the past 12 months, did you repeatedly get into situations where drinking alcohol increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALWD People may experience withdrawal symptoms when they drink less or stop drinking alcohol. Withdrawal symptoms are stronger and last longer than a hangover.

During the past 12 months, did you have the following withdrawal symptoms after you drank less or stopped drinking alcohol for a while?

	Yes	No
DPALWD_1 Sweating or feeling that your heart was beating fast	⃝ 1	⃝ 2
DPALWD _2 Having your hands tremble	⃝ 1	⃝ 2
DPALWD _3 Having trouble sleeping	⃝ 1	⃝ 2
DPALWD _4 Vomiting or having an upset stomach	⃝ 1	⃝ 2
DPALWD _5 Seeing, hearing, or feeling things that weren't really there	⃝ 1	⃝ 2
DPALWD _6 Feeling like you couldn't sit still	⃝ 1	⃝ 2
DPALWD _7 Feeling anxious	⃝ 1	⃝ 2
DPALWD _8 Having seizures or fits	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALOVER During the past 12 months, did you use alcohol or another drug to get over or avoid having alcohol withdrawal symptoms?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: DISPLAY IN LOWER RIGHT:

Click Help to see these symptoms again.

DPALUSE [IF DPALOVER=1] Which of the following did you use to get over or avoid having alcohol withdrawal symptoms during the past 12 months?

	Yes	No
DPALUSE _1 Alcohol	⃝ 1	⃝ 2
DPALUSE _2 Prescription sedatives, tranquilizers, sleeping pills, or downers	⃝ 1	⃝ 2
DPALUSE _3 Something else	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPALOTH [IF DPALUSE_3=1] You indicated that you took something else to get over or avoid having alcohol withdrawal symptoms during the past 12 months. What did you take?

______________________________________

DK/REF

DPALLAW 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

DPMJINT [IF ~~MJ12MON2= 1~~ MAR12MON = 1 OR 2 OR 3] Think about your use of marijuana or any cannabis product during the past 12 months as you answer these next questions.

Click Next to continue.

(IF MAR12MON = 4 OR BLANK, SKIP TO DPCCINT)

DPMJFEEL During the past 12 months, did you spend a great deal of your time using marijuana or any cannabis product , feeling its effects, or getting over the effects of marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJGET [IF DPMJFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJLRGR During the past 12 months, were there many times when you ended up using marijuana or any cannabis product in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJBDLY During the past 12 months, were there times when you wanted to use marijuana or any cannabis product so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJURGE [IF DPMJBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJMORE Do you need to use a lot more marijuana or any cannabis product than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJLESS [IF DPMJMORE = 2 OR DK/REF] Does using the same amount of marijuana or any cannabis product have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJSTOP During the past 12 months, did you try to cut down or try to stop using marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJCANT [IF DPMJSTOP = 1] Some people who use marijuana or any cannabis product try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJWISH [IF DPMJSTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJPCNT [IF DPMJPHYS = 1]: Did you continue to use marijuana or any cannabis product even though it was causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJMNTL [IF DPMJPHYS = 2 OR DK/REF OR DPMJPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJMCNT [IF DPMJMNTL = 1]: Did you continue to use marijuana or any cannabis product even though it was causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJSERI Sometimes people who use marijuana or any cannabis product have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of marijuana or any cannabis product ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJACNT [IF DPMJARGU = 1]: Did you continue to use marijuana or any cannabis product even though it often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJHURT During the past 12 months, did you repeatedly get into situations where using marijuana or any cannabis product increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJWDa People may experience withdrawal symptoms when they use less or stop using marijuana or any cannabis product .

During the past 12 months, did you have the following withdrawal symptoms after you used less or stopped using marijuana or any cannabis product for a while?

	Yes	No
DPMJWD1 Feeling irritable or angry	⃝ 1	⃝ 2
DPMJWD2 Feeling anxious or nervous	⃝ 1	⃝ 2
DPMJWD3 Having trouble sleeping	⃝ 1	⃝ 2
DPMJWD4 Losing your appetite or losing weight without trying to	⃝ 1	⃝ 2
DPMJWD5 Feeling like you couldn’t sit still	⃝ 1	⃝ 2
DPMJWD6 Feeling depressed	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJWDb During the past 12 months, did you have the following withdrawal symptoms after you used less or stopped using marijuana or any cannabis product for a while?

	Yes	No
DPMJWD7 Stomach ache	⃝ 1	⃝ 2
DPMJWD8 Shaking or tremors	⃝ 1	⃝ 2
DPMJWD9 Sweating	⃝ 1	⃝ 2
DPMJWD10 Fever	⃝ 1	⃝ 2
DPMJWD11 Chills	⃝ 1	⃝ 2
DPMJWD12 Headache	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJOVER During the past 12 months, did you use marijuana, any cannabis product , another cannabis product, or another drug to get over or avoid having marijuana or any cannabis product withdrawal symptoms?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: DISPLAY IN LOWER RIGHT:

Click Help to see these symptoms again.

DPMJUSE [IF DPMJOVER=1] Which of the following did you use to get over or avoid having marijuana or any cannabis product withdrawal symptoms during the past 12 months?

	Yes	No
DPMJUSE_1 Marijuana, any cannabis product , or another cannabis product	⃝ 1	⃝ 2
DPMJUSE_2 Something else	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMJOTH [IF DPMJUSE_2=1] You indicated that you took something else to get over or avoid having marijuana or any cannabis product withdrawal symptoms during the past 12 months. What did you take?

______________________________________

DK/REF

DPMJLAW During the past 12 months, did using marijuana or any cannabis product 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

DPCCINT [IF COC12MON = 1 OR CRK12MON = 1] Think about your use of cocaine, including the form of cocaine called ‘crack,’ during the past 12 months as you answer these next questions.

Click Next to continue.

(IF COC12MON = 2 AND CRK12MON = 2, SKIP TO DPHEINT)

DPCCFEEL During the past 12 months, did you spend a great deal of your time using cocaine, feeling its effects, or getting over the effects of cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCGET [IF DPCCFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCLRGR During the past 12 months, were there many times when you ended up using cocaine in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCBDLY During the past 12 months, were there times when you wanted to use cocaine so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCURGE [IF DPCCBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCMORE Do you need to use a lot more cocaine than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCLESS [IF DPCCMORE = 2 OR DK/REF] Does using the same amount of cocaine have much less effect on you than it used to ?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCSTOP During the past 12 months, did you try to cut down or try to stop using cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCCANT [IF DPCCSTOP = 1] Some people who use cocaine try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCWISH [IF DPCCSTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCPCNT [IF DPCCPHYS = 1]: Did you continue to use cocaine even though it was causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCMNTL [IF DPCCPHYS = 2 OR DK/REF OR DPCCPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCMCNT [IF DPCCMNTL = 1]: Did you continue to use cocaine even though it was causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCSERI Sometimes people who use cocaine have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of cocaine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCACNT [IF DPCCARGU = 1]: Did you continue to use cocaine even though it often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCHURT During the past 12 months, did you repeatedly get into situations where using cocaine increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCBLUE People may experience withdrawal symptoms when they use less or stop using cocaine.

During the past 12 months, have you felt kind of blue or down after you used less or stopped using cocaine for a while?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCWD [IF DPCCBLUE = 1] During the past 12 months, did you have the following withdrawal symptoms after you used less or stopped using cocaine for a while?

	Yes	No
DPCCWD_1 Feeling tired or exhausted	⃝ 1	⃝ 2
DPCCWD_2 Having bad dreams	⃝ 1	⃝ 2
DPCCWD_3 Having trouble sleeping or sleeping more than you normally do	⃝ 1	⃝ 2
DPCCWD_4 Feeling hungry more often	⃝ 1	⃝ 2
DPCCWD_5 Feeling either very slowed down or like you couldn’t sit still	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCOVER During the past 12 months, did you use cocaine or another drug to get over or avoid having cocaine withdrawal symptoms?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: DISPLAY IN LOWER RIGHT:

Click Help to see these symptoms again.

DPCCUSE [IF DPCCOVER=1] Which of the following did you use to get over or avoid having cocaine withdrawal symptoms during the past 12 months?

	Yes	No
DPCCUSE_1 Cocaine	⃝ 1	⃝ 2
DPCCUSE_2 Methamphetamine	⃝ 1	⃝ 2
DPCCUSE_3 Prescription stimulants or uppers	⃝ 1	⃝ 2
DPCCUSE_4 Something else	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPCCOTH [IF DPCCUSE_4=1] You indicated that you took something else to get over or avoid having cocaine withdrawal symptoms during the past 12 months. What did you take?

______________________________________

DK/REF

DPCCLAW During the past 12 months, did using cocaine 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

DPHEINT [IF HER12MON = 1] Think about your use of heroin during the past 12 months as you answer these next questions.

Click Next to continue.

(IF HER12MON = 2, SKIP TO DPHAINT)

DPHEFEEL During the past 12 months, did you spend a great deal of your time using heroin, feeling its effects, or getting over the effects of heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEGET [IF DPHEFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHELRGR During the past 12 months, were there many times when you ended up using heroin in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEBDLY During the past 12 months, were there times when you wanted to use heroin so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEURGE [IF DPHEBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEMORE Do you need to use a lot more heroin than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHELESS [IF DPHEMORE = 2 OR DK/REF] Does using the same amount of heroin have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHESTOP During the past 12 months, did you try to cut down or try to stop using heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHECANT [IF DPHESTOP = 1] Some people who use heroin try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEWISH [IF DPHESTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEPCNT [IF DPHEPHYS = 1]: Did you continue to use heroin even though it was causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEMNTL [IF DPHEPHYS = 2 OR DK/REF OR DPHEPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEMCNT [IF DPHEMNTL = 1]: Did you continue to use heroin even though it was causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHESERI Sometimes people who use heroin have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of heroin?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEACNT [IF DPHEARGU = 1]: Did you continue to use heroin even though it often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEHURT During the past 12 months, did you repeatedly get into situations where using heroin increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEWD People may experience withdrawal symptoms when they use less or stop using heroin.

During the past 12 months, did you have the following withdrawal symptoms after you used less or stopped using heroin for a while?

	Yes	No
DPHEWD_1 Feeling kind of blue or down	⃝ 1	⃝ 2
DPHEWD_2 Vomiting or feeling nauseous	⃝ 1	⃝ 2
DPHEWD_3 Having cramps or muscle aches	⃝ 1	⃝ 2
DPHEWD_4 Having teary eyes or a runny nose	⃝ 1	⃝ 2
DPHEWD_5 Feeling sweaty, having enlarged eye pupils, or having body hair standing up on your skin	⃝ 1	⃝ 2
DPHEWD_6 Having diarrhea	⃝ 1	⃝ 2
DPHEWD_7 Yawning	⃝ 1	⃝ 2
DPHEWD_8 Having a fever	⃝ 1	⃝ 2
DPHEWD_9 Having trouble sleeping	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEOVER During the past 12 months, did you use heroin or another drug to get over or avoid having heroin withdrawal symptoms?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: DISPLAY IN LOWER RIGHT:

Click Help to see these symptoms again.

DPHEUSE [IF DPHEOVER=1] Which of the following did you use to get over or avoid having heroin withdrawal symptoms during the past 12 months?

	Yes	No
DPHEUSE_1 Heroin	⃝ 1	⃝ 2
DPHEUSE_2 Prescription pain relievers	⃝ 1	⃝ 2
DPHEUSE_3 Something else	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHEOTH [IF DPHEUSE_3=1] You indicated that you took something else to get over or avoid having heroin withdrawal symptoms during the past 12 months. What did you take?

______________________________________

DK/REF

DPHELAW 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

DPHAINT [IF HAL12MON = 1] Think about your use of hallucinogens, such as LSD, ‘acid,’ PCP, ‘Ecstasy’ or ‘Molly,’ psilocybin or mushrooms, mescaline, or peyote, during the past 12 months as you answer these next questions.

Click Next to continue.

(IF HAL12MON = 2, SKIP TO DPININT)

DPHAFEEL During the past 12 months, did you spend a great deal of your time using hallucinogens, feeling their effects, or getting over the effects of hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAGET [IF DPHAFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHALRGR During the past 12 months, were there many times when you ended up using hallucinogens in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHABDLY During the past 12 months, were there times when you wanted to use hallucinogens so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAURGE [IF DPHABDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAMORE Do you need to use a lot more hallucinogens than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHALESS [IF DPHAMORE = 2 OR DK/REF] Does using the same amount of hallucinogens have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHASTOP During the past 12 months, did you try to cut down or try to stop using hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHACANT [IF DPHASTOP = 1] Some people who use hallucinogens try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAWISH [IF DPHASTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAPCNT [IF DPHAPHYS = 1]: Did you continue to use hallucinogens even though they were causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAMNTL [IF DPHAPHYS = 2 OR DK/REF OR DPHAPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAMCNT [IF DPHAMNTL = 1]: Did you continue to use hallucinogens even though they were causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHASERI Sometimes people who use hallucinogens have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of hallucinogens?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAACNT [IF DPHAARGU = 1]: Did you continue to use hallucinogens even though they often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHAHURT During the past 12 months, did you repeatedly get into situations where using hallucinogens increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPHALAW 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

DPININT [IF INH12MON = 1] Think about your use of inhalants, such as amyl nitrite, ‘poppers,’ nitrous oxide, gasoline or lighter fluids, glue, spray paints, or correction fluids, during the past 12 months as you answer these next questions.

Click Next to continue.

(IF INH12MON = 2, SKIP TO DPMEINT)

DPINFEEL During the past 12 months, did you spend a great deal of your time using inhalants, feeling their effects, or getting over the effects of inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINGET [IF DPINFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINLRGR During the past 12 months, were there many times when you ended up using inhalants in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINBDLY During the past 12 months, were there times when you wanted to use inhalants so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINURGE [IF DPINBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINMORE Do you need to use a lot more inhalants than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINLESS [IF DPINMORE = 2 OR DK/REF] Does using the same amount of inhalants have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINSTOP During the past 12 months, did you try to cut down or try to stop using inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINCANT [IF DPINSTOP = 1] Some people who use inhalants try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINWISH [IF DPINSTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINPCNT [IF DPINPHYS = 1]: Did you continue to use inhalants even though they were causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINMNTL [IF DPINPHYS = 2 OR DK/REF OR DPINPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINMCNT [IF DPINMNTL = 1]: Did you continue to use inhalants even though they were causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINSERI Sometimes people who use inhalants have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of inhalants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINACNT [IF DPINARGU = 1]: Did you continue to use inhalants even though they often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINHURT During the past 12 months, did you repeatedly get into situations where using inhalants increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPINLAW 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

DPMEINT [IF MET12MON = 1] Think about your use of methamphetamine during the past 12 months as you answer these next questions.

Click Next to continue.

(IF MET12MON = 2, SKIP TO DPPRINT)

DPMEFEEL During the past 12 months, did you spend a great deal of your time using methamphetamine, feeling its effects, or getting over the effects of methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEGET [IF DPMEFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMELRGR During the past 12 months, were there many times when you ended up using methamphetamine in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEBDLY During the past 12 months, were there times when you wanted to use methamphetamine so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEURGE [IF DPMEBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEMORE Do you need to use a lot more methamphetamine than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMELESS [IF DPMEMORE = 2 OR DK/REF] Does using the same amount of methamphetamine have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMESTOP During the past 12 months, did you try to cut down or try to stop using methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMECANT [IF DPMESTOP=1] Some people who use methamphetamine try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEWISH [IF DPMESTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEPCNT [IF DPMEPHYS = 1]: Did you continue to use methamphetamine even though it was causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEMNTL [IF DPMEPHYS = 2 OR DK/REF OR DPMEPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEMCNT [IF DPMEMNTL = 1]: Did you continue to use methamphetamine even though it was causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMESERI Sometimes people who use methamphetamine have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of methamphetamine?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEACNT [IF DPMEARGU = 1]: Did you continue to use methamphetamine even though it often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEHURT During the past 12 months, did you repeatedly get into situations where using methamphetamine increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEBLUE People may experience withdrawal symptoms when they use less or stop using methamphetamine.

During the past 12 months, have you felt kind of blue or down after you used less or stopped using methamphetamine for a while?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEWD [IF DPMEBLUE=1] During the past 12 months, did you have the following withdrawal symptoms after you used less or stopped using methamphetamine for a while?

	Yes	No
DPMEWD_1 Feeling tired or exhausted	⃝ 1	⃝ 2
DPMEWD_2 Having bad dreams	⃝ 1	⃝ 2
DPMEWD_3 Having trouble sleeping or sleeping more than you normally do	⃝ 1	⃝ 2
DPMEWD_4 Feeling hungry more often	⃝ 1	⃝ 2
DPMEWD_5 Feeling either very slowed down or like you couldn’t sit still	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEOVER During the past 12 months, did you use methamphetamine or another drug to get over or avoid having methamphetamine withdrawal symptoms?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: DISPLAY IN LOWER RIGHT:

Click Help to see these symptoms again.

DPMEUSE [IF DPMEOVER=1] Which of the following did you use to get over or avoid having methamphetamine withdrawal symptoms during the past 12 months?

	Yes	No
DPMEUSE_1 Methamphetamine	⃝ 1	⃝ 2
DPMEUSE_2 Cocaine or crack	⃝ 1	⃝ 2
DPMEUSE_3 Prescription stimulants or uppers	⃝ 1	⃝ 2
DPMEUSE_4 Something else	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPMEOTH [IF DPMEUSE_4=1] You indicated that you took something else to get over or avoid having methamphetamine withdrawal symptoms during the past 12 months. What did you take?

______________________________________

DK/REF

DPMELAW 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

DPPRINT [IF PR12MON = 1] Think about your use of prescription pain relievers during the past 12 months as you answer these next questions.

Earlier the computer recorded that in the past 12 months you used [IF PRYRCOUNT=1 FILL PRFILL][IF PRYRCOUNT >=2 FILL WITH “the pain relievers listed below” ].

[IF PRYRCOUNT >=2 FILL WITH THE INDIVIDUAL DRUGS SELECTED FROM PR01-PR10 BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF PRYANYOTH = 1, ADD "some other prescription pain reliever."]

The next questions refer to [IF PRYANYOTH NE 1 AND PRYRCOUNT =1 FILL PRFILL as a prescription pain reliever; IF PRYANYOTH = 1 AND PRYRCOUNT =1 FILL WITH “this other prescription pain reliever”; IF PRYRCOUNT >=2 FILL WITH “these as prescription pain relievers”].

Click Next to continue.

(IF PR12MON = 2, SKIP TO DPTRINT)

DPPRFEEL During the past 12 months, did you spend a great deal of your time using any prescription pain relievers, feeling their effects, or getting over the effects of any prescription pain relievers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRGET [IF DPPRFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get any prescription pain relievers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRLRGR During the past 12 months, were there many times when you ended up using any prescription pain relievers in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRBDLY During the past 12 months, were there times when you wanted to use any prescription pain relievers so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRURGE [IF DPPRBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use any prescription pain relievers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRMORE Do you need to use a lot more of any prescription pain relievers than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRLESS [IF DPPRMORE = 2 OR DK/REF] Does using the same amount of any prescription pain relievers have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRSTOP During the past 12 months, did you try to cut down or try to stop using any prescription pain relievers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRCANT [IF DPPRSTOP=1] Some people who use prescription pain relievers try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using any prescription pain relievers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRWISH [IF DPPRSTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using any prescription pain relievers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using a prescription pain reliever?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRPCNT [IF DPPRPHYS = 1]: Did you continue to use any prescription pain relievers even though they were causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRMNTL [IF DPPRPHYS = 2 OR DK/REF OR DPPRPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using a prescription pain reliever?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRMCNT [IF DPPRMNTL = 1]: Did you continue to use any prescription pain relievers even though they were causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of any prescription pain relievers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRSERI Sometimes people who use prescription pain relievers have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of any prescription pain relievers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of a prescription pain reliever?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRACNT [IF DPPRARGU = 1]: Did you continue to use any prescription pain relievers even though they often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRHURT During the past 12 months, did you repeatedly get into situations where using a prescription pain reliever increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPRWD People may experience withdrawal symptoms when they use less or stop using prescription pain relievers.

During the past 12 months, did you have the following withdrawal symptoms after you used less or stopped using any prescription pain relievers for a while?

	Yes	No
DPPRWD_1 Feeling kind of blue or down	⃝ 1	⃝ 2
DPPRWD_2 Vomiting or feeling nauseous	⃝ 1	⃝ 2
DPPRWD_3 Having cramps or muscle aches	⃝ 1	⃝ 2
DPPRWD_4 Having teary eyes or a runny nose	⃝ 1	⃝ 2
DPPRWD_5 Feeling sweaty, having enlarged eye pupils, or having body hair standing up on your skin	⃝ 1	⃝ 2
DPPRWD_6 Having diarrhea	⃝ 1	⃝ 2
DPPRWD_7 Yawning	⃝ 1	⃝ 2
DPPRWD_8 Having a fever	⃝ 1	⃝ 2
DPPRWD_9 Having trouble sleeping	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPROVER During the past 12 months, did you use any prescription pain relievers or other drugs to get over or avoid having prescription pain reliever withdrawal symptoms?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: DISPLAY IN LOWER RIGHT:

Click Help to see these symptoms again.

DPPRUSE [IF DPPROVER=1] Which of the following did you use to get over or avoid having prescription pain reliever withdrawal symptoms during the past 12 months?

	Yes	No
DPPRUSE_1 Prescription pain relievers	⃝ 1	⃝ 2
DPPRUSE_2 Heroin	⃝ 1	⃝ 2
DPPRUSE_3 Something else	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPPROTH [IF DPPRUSE_3=1] You indicated that you took something else to get over or avoid having prescription pain reliever withdrawal symptoms during the past 12 months. What did you take?

______________________________________

DK/REF

DPPRLAW 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

DPTRINT [IF TR12MON = 1] Think about your use of prescription tranquilizers during the past 12 months as you answer these next questions.

Earlier the computer recorded that in the past 12 months you used [IF TRYRCOUNT=1 FILL TRFILL][IF TRYRCOUNT >=2 FILL WITH “the tranquilizers listed below” ].

[IF TRYRCOUNT >=2 FILL WITH THE INDIVIDUAL DRUGS SELECTED FROM TR01-TR04 BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF TRYOTH = 1, ADD "some other prescription tranquilizer."]

The next questions refer to [IF TRYANYOTH NE 1 AND TRYRCOUNT =1 FILL TRFILL as a prescription tranquilizer; IF TRYANYOTH = 1 AND TRYRCOUNT =1 FILL WITH “this other prescription tranquilizer”; IF TRYRCOUNT >=2 FILL WITH “these as prescription tranquilizers”].

Click Next to continue.

(IF TR12MON = 2, SKIP TO DPSTINT)

DPTRFEEL During the past 12 months, did you spend a great deal of your time using any prescription tranquilizers, feeling their effects, or getting over the effects of any prescription tranquilizers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRGET [IF DPTRFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get any prescription tranquilizers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRLRGR During the past 12 months, were there many times when you ended up using any prescription tranquilizers in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRBDLY During the past 12 months, were there times when you wanted to use any prescription tranquilizers so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRURGE [IF DPTRBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use any prescription tranquilizers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRMORE Do you need to use a lot more of any prescription tranquilizers than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRLESS [IF DPTRMORE= 2 OR DK/REF] Does using the same amount of any prescription tranquilizers have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRSTOP During the past 12 months, did you try to cut down or try to stop using any prescription tranquilizers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRCANT [IF DPTRSTOP=1] Some people who use prescription tranquilizers try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using any prescription tranquilizers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRWISH [IF DPTRSTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using any prescription tranquilizers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using a prescription tranquilizer?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRPCNT [IF DPTRPHYS = 1]: Did you continue to use any prescription tranquilizers even though they were causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRMNTL [IF DPTRPHYS = 2 OR DK/REF OR DPTRPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using a prescription tranquilizer?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRMCNT [IF DPTRMNTL = 1]: Did you continue to use any prescription tranquilizers even though they were causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of any prescription tranquilizers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRSERI Sometimes people who use prescription tranquilizers have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of any prescription tranquilizers?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of a prescription tranquilizer?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRACNT [IF DPTRARGU = 1]: Did you continue to use any prescription tranquilizers even though they often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRHURT During the past 12 months, did you repeatedly get into situations where using a prescription tranquilizer increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTRWD People may experience withdrawal symptoms when they use less or stop using prescription tranquilizers.

During the past 12 months, did you have the following withdrawal symptoms after you used less or stopped using any prescription tranquilizers for a while?

	Yes	No
DPTRWD_1 Sweating or feeling that your heart was beating fast	⃝ 1	⃝ 2
DPTRWD_2 Having your hands tremble	⃝ 1	⃝ 2
DPTRWD_3 Having trouble sleeping	⃝ 1	⃝ 2
DPTRWD_4 Vomiting or having an upset stomach	⃝ 1	⃝ 2
DPTRWD_5 Seeing, hearing, or feeling things that weren't really there	⃝ 1	⃝ 2
DPTRWD_6 Feeling like you couldn't sit still	⃝ 1	⃝ 2
DPTRWD_7 Feeling anxious	⃝ 1	⃝ 2
DPTRWD_8 Having seizures or fits	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTROVER During the past 12 months, did you use any prescription tranquilizers or other drugs to get over or avoid having prescription tranquilizer withdrawal symptoms?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: DISPLAY IN LOWER RIGHT:

Click Help to see these symptoms again.

DPTRUSE [IF DPTROVER=1] Which of the following did you use to get over or avoid having prescription tranquilizer withdrawal symptoms during the past 12 months?

	Yes	No
DPTRUSE_1 Prescription tranquilizers, sedatives, downers, or sleeping pills	⃝ 1	⃝ 2
DPTRUSE_2 Alcohol	⃝ 1	⃝ 2
DPTRUSE_3 Something else	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPTROTH [IF DPTRUSE_3=1] You indicated that you took something else to get over or avoid having prescription tranquilizer withdrawal symptoms during the past 12 months. What did you take?

______________________________________

DK/REF

DPTRLAW 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

DPSTINT [IF ST12MON = 1] Think about your use of prescription stimulants during the past 12 months as you answer these next questions.

Earlier the computer recorded that in the past 12 months you used [IF STYRCOUNT =1 FILL STFILL][IF STYRCOUNT >=2 FILL WITH “the stimulants listed below” ].

[IF STYRCOUNT >=2 FILL WITH THE INDIVIDUAL DRUGS SELECTED FROM ST01- ST07 BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF STANYOTH = 1, ADD "some other prescription stimulant."]

The next questions refer to [IF STANYOTH NE 1 AND STYRCOUNT =1 FILL STFILL as a prescription stimulant; IF STANYOTH = 1 AND STYRCOUNT =1 FILL WITH “this other prescription stimulant”; IF STYRCOUNT >=2 FILL WITH “these as prescription stimulants”].

Click Next to continue.

(IF ST12MON = 2, SKIP TO DPSVINT)

DPSTFEEL During the past 12 months, did you spend a great deal of your time using any prescription stimulants, feeling their effects, or getting over the effects of any prescription stimulants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTGET [IF DPSTFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get any prescription stimulants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTLRGR During the past 12 months, were there many times when you ended up using any prescription stimulants in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTBDLY During the past 12 months, were there times when you wanted to use any prescription stimulants so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTURGE [IF DPSTBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use any prescription stimulants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTMORE Do you need to use a lot more of any prescription stimulants than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTLESS [IF DPSTMORE = 2 OR DK/REF] Does using the same amount of any prescription stimulants have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTSTOP During the past 12 months, did you try to cut down or try to stop using any prescription stimulants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTCANT [IF DPSTSTOP=1] Some people who use prescription stimulants try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using any prescription stimulants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTWISH [IF DPSTSTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using any prescription stimulants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using a prescription stimulant?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTPCNT [IF DPSTPHYS = 1]: Did you continue to use any prescription stimulants even though they were causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTMNTL [IF DPSTPHYS = 2 OR DK/REF OR DPSTPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using a prescription stimulant?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTMCNT [IF DPSTMNTL = 1]: Did you continue to use any prescription stimulants even though they were causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of any prescription stimulants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTSERI Sometimes people who use prescription stimulants have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of any prescription stimulants?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of a prescription stimulant?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTACNT [IF DPSTARGU = 1]: Did you continue to use any prescription stimulants even though they often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTHURT During the past 12 months, did you repeatedly get into situations where using a prescription stimulant increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTBLUE People may experience withdrawal symptoms when they use less or stop using prescription stimulants.

During the past 12 months, have you felt kind of blue or down after you used less or stopped using any prescription stimulants for a while?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTWD [IF DPSTBLUE=1] During the past 12 months, did you have the following withdrawal symptoms after you used less or stopped using prescription stimulants for a while?

	Yes	No
DPSTWD_1 Feeling tired or exhausted	⃝ 1	⃝ 2
DPSTWD_2 Having bad dreams	⃝ 1	⃝ 2
DPSTWD_3 Having trouble sleeping or sleeping more than you normally do	⃝ 1	⃝ 2
DPSTWD_4 Feeling hungry more often	⃝ 1	⃝ 2
DPSTWD_5 Feeling either very slowed down or like you couldn’t sit still	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTOVER During the past 12 months, did you use any prescription stimulants or other drugs to get over or avoid having prescription stimulant withdrawal symptoms?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: DISPLAY IN LOWER RIGHT:

Click Help to see these symptoms again.

DPSTUSE [IF DPSTOVER=1] Which of the following did you use to get over or avoid having prescription stimulant withdrawal symptoms during the past 12 months?

	Yes	No
DPSTUSE_1 Prescription stimulants or uppers	⃝ 1	⃝ 2
DPSTUSE_2 Cocaine or crack	⃝ 1	⃝ 2
DPSTUSE_3 Methamphetamine	⃝ 1	⃝ 2
DPSTUSE_4 Something else	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSTOTH [IF DPSTUSE_4=1] You indicated that you took something else to get over or avoid having prescription stimulant withdrawal symptoms during the past 12 months. What did you take?

______________________________________

DK/REF

DPSTLAW 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

DPSVINT [IF SV12MON = 1] Think about your use of prescription sedatives during the past 12 months as you answer these next questions.

Earlier the computer recorded that in the past 12 months you used [IF SVYRCOUNT =1 FILL SVFILL][IF SVYRCOUNT >=2 FILL WITH “the sedatives listed below” ].

[IF SVYRCOUNT >= 2 FILL WITH THE INDIVIDUAL DRUGS SELECTED FROM SV01-SV04 BELOW. USE MULTIPLE COLUMNS AS NEEDED. IF SVANYOTH = 1, ADD "some other prescription sedative".]

The next questions refer to [IF SVANYOTH NE 1 AND SVYRCOUNT =1 FILL SVFILL as a prescription sedative; IF SVANYOTH = 1 AND SVYRCOUNT =1 FILL WITH “this other prescription sedative”; IF SVYRCOUNT >=2 FILL WITH “these as prescription sedatives”].

Click Next to continue.

(IF SV12MON = 2, SKIP TO INTROSP)

DPSVFEEL During the past 12 months, did you spend a great deal of your time using any prescription sedatives, feeling their effects, or getting over the effects of any prescription sedatives?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVGET [IF DPSVFEEL=2 OR DK/REF] During the past 12 months, did you spend a great deal of your time getting or trying to get any prescription sedatives?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVLRGR During the past 12 months, were there many times when you ended up using any prescription sedatives in larger amounts or for a longer time than you meant to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVBDLY During the past 12 months, were there times when you wanted to use any prescription sedatives so badly that you couldn't think of anything else?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVURGE [IF DPSVBDLY = 2 OR DK/REF] During the past 12 months, were there times when you had a strong urge to use any prescription sedatives?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVMORE Do you need to use a lot more of any prescription sedatives than you used to in order to get the feeling you want?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVLESS [IF DPSVMORE = 2 OR DK/REF] Does using the same amount of any prescription sedatives have much less effect on you than it used to?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVSTOP During the past 12 months, did you try to cut down or try to stop using any prescription sedatives?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVCANT [IF DPSVSTOP=1] Some people who use prescription sedatives try to cut down or stop but find they can’t. Was there more than one time in the past 12 months when you tried but were unable to cut down or stop using any prescription sedatives?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVWISH [IF DPSVSTOP=2 OR DK/REF] In the past 12 months, did you often wish that you could cut down or stop using any prescription sedatives?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVPHYS During the past 12 months, did you have any long-lasting or repeated physical health problems that were caused or made worse by using a prescription sedative?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVPCNT [IF DPSVPHYS = 1]: Did you continue to use any prescription sedatives even though they were causing long-lasting or repeated physical health problems or making your physical health problems worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVMNTL [IF DPSVPHYS = 2 OR DK/REF OR DPSVPCNT = 2 OR DK/REF] During the past 12 months, did you have any long-lasting or repeated problems with emotions or mental health that were caused or made worse by using a prescription sedative?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVMCNT [IF DPSVMNTL = 1]: Did you continue to use any prescription sedatives even though they were causing long-lasting or repeated problems with your emotions or mental health or making your emotions or mental health worse?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVACTV This question is about important activities such as:

Spending time with friends and family
Attending special events at work or school
Participating in hobbies and sports
Attending religious services and events

During the past 12 months, did you give up or spend a lot less time doing any of these types of important activities because of your use of any prescription sedatives?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVSERI Sometimes people who use prescription sedatives have serious problems at work, school, or home—such as:

missing a lot of work or school
getting demoted, having your hours cut, or losing a job
not being able to get a job or keep a job
getting suspended, expelled, or dropping out of school
failing to take care of family

During the past 12 months, did you have any serious problems like these at work, school, or home because of your use of any prescription sedatives?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVARGU During the past 12 months, did you often have arguments or other problems with family or friends that were caused or made worse by your use of a prescription sedative?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVACNT [IF DPSVARGU = 1]: Did you continue to use any prescription sedatives even though they often caused arguments or problems with family or friends?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVHURT During the past 12 months, did you repeatedly get into situations where using a prescription sedative increased your chances of getting physically hurt?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVWD People may experience withdrawal symptoms when they use less or stop using prescription sedatives.

During the past 12 months, did you have the following withdrawal symptoms after you used less or stopped using any prescription sedatives for a while?

	Yes	No
DPSVWD_1 Sweating or feeling that your heart was beating fast	⃝ 1	⃝ 2
DPSVWD_2 Having your hands tremble	⃝ 1	⃝ 2
DPSVWD_3 Having trouble sleeping	⃝ 1	⃝ 2
DPSVWD_4 Vomiting or having an upset stomach	⃝ 1	⃝ 2
DPSVWD_5 Seeing, hearing, or feeling things that weren't really there	⃝ 1	⃝ 2
DPSVWD_6 Feeling like you couldn't sit still	⃝ 1	⃝ 2
DPSVWD_7 Feeling anxious	⃝ 1	⃝ 2
DPSVWD_8 Having seizures or fits	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVOVER During the past 12 months, did you use any prescription sedatives or other drugs to get over or avoid having prescription sedative withdrawal symptoms?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: DISPLAY IN LOWER RIGHT:

Click Help to see these symptoms again.

DPSVUSE [IF DPSVOVER=1] Which of the following did you use to get over or avoid having prescription sedative withdrawal symptoms during the past 12 months?

	Yes	No
DPSVUSE_1 Prescription sedatives, tranquilizers, sleeping pills, or downers	⃝ 1	⃝ 2
DPSVUSE_2 Alcohol	⃝ 1	⃝ 2
DPSVUSE_3 Something else	⃝ 1	⃝ 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

DPSVOTH [IF DPSVUSE_3=1] You indicated that you took something else to get over or avoid having prescription sedative withdrawal symptoms during the past 12 months. What did you take?

______________________________________

DK/REF

DPSVLAW 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

Special Topics

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

Click Next 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.

Click Next 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, click Next 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] 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, click Next 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, click Next 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 any cannabis product , 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] You last used marijuana or any cannabis product [MJREC FILL]. How old were you the last time you used marijuana or any cannabis product ?

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 You were [AGELSTMJ] years old when you last used marijuana or any cannabis product . 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 any cannabis product . How old were you the last time you used marijuana or any cannabis product ?

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 any cannabis product 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 any cannabis product 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 any cannabis product ?

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF LU02c > CURRENT MONTH] The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

LU02d [IF LU02a = 1 - 2 OR LU02b = 1 - 2] In what month in [YEAR FROM LU02a or LU02b] did you last use marijuana or any cannabis product ?

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF LU02d > CURRENT MONTH] The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 You last used marijuana or any cannabis product in [LU02a-d fill]. That would make you [MYRLSTMJ] years old when you last used marijuana or any cannabis product . Is this correct?

4 Yes

6 No

DK/REF

LUMJ06 [IF LUMJ05 = 4] Earlier, you reported that you were [AGELSTMJ] years old when you last used marijuana or any cannabis product . Which answer is correct?

1 I last used marijuana or any cannabis product in [LU02a-d fill] when I was [MYRLSTMJ] years old

2 I was [AGELSTMJ] years old the last time I used marijuana or any cannabis product

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 any cannabis product in [CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT YEAR]?

1 CURRENT YEAR -2

2 CURRENT YEAR -1

3 CURRENT YEAR

DK/REF

LUMJ07a [IF LUMJ07 NE (BLANK OR DK/REF)] Please answer this question again. In what month in [LUMJ07] did you last use marijuana or any cannabis product ?

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF LUMJ07a > CURRENT MONTH] The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] You last used marijuana or any cannabis product in [LUMJ07- LUMJ07a fill]. That would make you [MYRLSTMJ] years old when you last used marijuana or any cannabis product . 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, you reported 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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, you also reported 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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)] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported that you were [AGELSTSN] years old when you last used “smokeless” tobacco. Which answer is correct?

1 I last used smokeles” 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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

AGE:_____[RANGE: 1-110]

DK/REF

DEFINE AGELSTCR:

IF LU07 NE (BLANK OR DK/REF) THEN AGELSTCR = LU07

ELSE AGELSTCR = BLANK

IF AGELSTCR < CIGARAGE OR AGELSTCR < 10 OR IF CURNTAGE < AGELSTCR

LUCC15 You were [AGELSTCR] years old when you last smoked part or all of a cigar or cigarillo. Is this correct?

4 Yes

6 No

DK/REF

LUCC16 [IF LUCC15 = 6] Please answer this question again. Think about the last time you smoked part or all of a cigar or cigarillo. How old were you the last time you smoked part or all of a cigar or cigarillo?

AGE:_______[RANGE: 1-110]

DK/REF

UPDATE: IF LUCC16 NOT (BLANK OR DK/REF) THEN AGELSTCR = LUCC16

LU07a [IF LU07 NE DK AND AGELSTCR = CURNTAGE AND DATE OF INTERVIEW < DOB OR IF AGELSTCR = CURNTAGE - 1 AND DATE OF INTERVIEW ≥ DOB] Did you last smoke part or all of a cigar or cigarillo in [CURRENT YEAR - 1] or [CURRENT YEAR]?

1 CURRENT YEAR - 1

2 CURRENT YEAR

DK/REF

LU07b [IF AGELSTCR = CURNTAGE - 1 AND DATE OF INTERVIEW < DOB] Did you last smoke part or all of a cigar or cigarillo in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?

1 CURRENT YEAR - 2

2 CURRENT YEAR - 1

DK/REF

LU07c [IF LU07 NE DK/RE AND AGELSTCR = CURNTAGE AND DATE OF INTERVIEW ≥ DOB] In what month in [CURRENT YEAR] did you last smoke part or all of a cigar or cigarillo?

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF LU07c > CURRENT MONTH] The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

LU07d [IF LU07a = 1 - 2 OR LU07b = 1 - 2] In what month in [YEAR FROM LU07a or LU07b] did you last smoke part or all of a cigar or cigarillo?

1 January

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 You last smoked part or all of a cigar or cigarillo in [LU07a-d fill]. That would make you [MYRLSTCR] years old when you last smoked part or all of a cigar or cigarillo. Is this correct?

4 Yes

6 No

DK/REF

LUCR06 [IF LUCR05 = 4] Earlier, you reported that you were [AGELSTCR] years old when you last smoked part or all of a cigar or cigarillo. Which answer is correct?

1 I last smoked part or all of a cigar in [LU07a-d fill] when I was [MYRLSTCR] years old

2 I was [AGELSTCR] years old the last time I smoked part or all of a cigar or cigarillo

3 Neither answer is correct

DK/REF

UPDATE: IF LUCR06 = 1, THEN AGELSTCR = MYRLSTCR

LUCR07 [IF LUCR06=2 OR LUCR06=3 OR LUCR05 = 6] Please answer this question again. Did you last smoke part or all of a cigar or cigarillo in [CURRENT YEAR-2], [CURRENT YEAR-1], or [CURRENT YEAR]?

1 CURRENT YEAR -2

2 CURRENT YEAR -1

3 CURRENT YEAR

DK/REF

LUCR07a [IF LUCR07 NE (BLANK OR DK/REF)] Please answer this question again. In what month in [LUCR07] did you last smoke part or all of a cigar or cigarillo?

1 January

2 February

3 March

4 April

5 May

6 June

7 July

8 August

9 September

10 October

11 November

12 December

DK/REF

HARD ERROR: [IF LUCR07a > CURRENT MONTH] The month in [CURRENT YEAR] you entered has not begun yet. Please answer this question again, then click Next to continue

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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

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)] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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)] 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 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. Please answer this question again, then click Next 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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)] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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)] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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)] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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)] 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 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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

Alcohol and Drug Treatment

/*lifetime inhalant use*/

DEFINE INLIF

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, THEN INLIF = 1

ELSE, INLIF = 2

/*lifetime hallucinogen use*/

DEFINE HALIF

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=1THEN HALIF = 1, LS01k =1 OR

ELSE, HALIF = 2

/*lifetime drug use*/

DEFINE SUBUSE

IF MJ01 = 1 OR MJREF = 1 OR

CC01 = 1 OR CCREF = 1 OR CK01 = 1 OR CKREF = 1 OR

HE01 = 1 OR HEREF = 1 OR

HALIF= 1 OR

INLIF=1 OR

ME01=1 OR MEREF=1 OR

PR12MON = 1 OR PRLANY=1 OR

ST12MON=1 OR STLANY=1 OR

TR12MON=1 OR TRLANY=1 OR

ST12MON=1 OR SVLANY=1, THEN SUBUSE=1;

ELSE, SUBUSE = 2

/*lifetime alcohol use */

DEFINE ALCUSE

IF AL01 = 1 OR ALREF = 1 then ALCUSE=1; else ALCUSE=2;

/*different combinations of alcohol or drug use */

DEFINE SUBUSE2

If SUBUSE=1 or ALCUSE=1 then SUBUSE2=1

TXSBINTa including nicotine or tobacco. notalcohol or drug use, your [IF SUBUSE2 = 1] The next questions ask about help you may have received for

Click Next to continue.

TXSBSUPP ? alcohol or drug usefor your support group = 1] During the past 12 months, have you participated in a [IF SUBUSE2

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBERalcohol or drug use?for your emergency room or emergency department = 1] During the past 12 months, were you seen in an [IF SUBUSE2

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBHELP [IF (TXSBSUPP=1 OR TXSBER=1) AND ALCUSE=1 AND SUBUSE=1] When you received the following help in the past 12 months, was it for your alcohol use only, your drug use only, or for both your alcohol and drug use?

Help Received	For Alcohol use only	For Drug use only	For both Alcohol and Drug use
[If TXSBSUPP=1] Support groups
[If TXSBER=1] Emergency room or emergency department

TXSBINTB This is sometimes called inpatient or residential treatment.. stayed overnight or longerwhere you alcohol or drug useyour = 1] The next question asks about professional counseling, medication, or other treatment you may have received for [IF SUBUSE2

Click Next to continue.

TXSBIPTalcohol or drug use where you stayed overnight or longer. This is sometimes called inpatient or residential treatment.] = 1] [REPEAT IN GRAY FONT: The next questions asks about professional counseling, medication, or other treatment you may have received for your [IF SUBUSE2

During the past 12 months, have you to receive professional counseling, medication, or other treatment for your alcohol or drug use in…stayed overnight or longer

Stayed overnight or longer for treatment in…	Yes	No
TXSBIPTa a hospital as an inpatient?	1	2
TXSBIPTb a residential drug or alcohol rehab or treatment center?	1	2
TXSBIPTc a residential mental health treatment center?	1	2
TXSBIPTdor longer? some other place where you stayed overnight	1	2

DK/REF

PROGRAMMER SHOW 12 MONTH CALENDAR

PROGRAMMER: USE STATIC GRID

TXSBIPTdO treatment for your alcohol or drug use in the past 12 months. Then, d place where you stayed overnight or longer to receiveotherPlease describe the = 1]TXSBIPTd[IF click Next to continue.

_______________ [ALLOW 30 CHARACTERS]

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS

DEFINE INFILL2

IF IN, or rushodorizers, locker room oppers. pa = 1, THEN INFILL2 = amyl nitrites01

IF IN, degreaser, or cleaning fluidb = 1, THEN INFILL2 = correction fluid01

IF INc = 1, THEN INFILL2 = gasoline or lighter fluid 01

IF IN or toluene, show polish,d = 1, THEN INFILL2 = glue01

IF INother anesthetics or , ether, = 1, THEN INFILL2 = halothane01e

IF INpaint solventsother = 1, THEN INFILL2 = lacquer thinner or 01f

IF IN = 1, THEN INFILL2 = butane or propane01g

IF IN whippits = 1, THEN INFILL2 = nitrous or 01h

IF IN01h1=1, THEN INFILL2 = felt-tip pens, felt-tip markers, or magic markers

IF IN = 1, THEN INFILL2 = spray paints01i

IF IN, or air dustercleaner = 1, THEN INFILL2 = computer keyboard01ii

IF INother aerosol sprays = 1, THEN INFILL2 = 01j

IF INother inhalants = 1, THEN INFILL2 = 01l

DEFINE HALLFILL2

IF a = 1, THEN HALLFILL2 = LSD or acidLS01

IF , or phencyclidineangel dust, = 1, THEN HALLFILL2 = PCPLS01b

IF peyote = 1, THEN HALLFILL2 = LS01c

IF = 1, THEN HALLFILL2 = mescalineLS01d

IF , found in mushroomspsyilocybin = 1, THEN HALLFILL2 = LS01e

IF = 1, THEN HALLFILL2 = Ecstasy, Molly, or MDMALS01f

IF LS01i = 1, THEN HALLFILL2 = Ketamine, “Special K”, or “Super K”

IF = 1, THEN HALLFILL2 = DMT, AMT, or FoxyLS01j

IF divinorumSalvia = 1, THEN HALLFILL2 = LS01k

IF other hallucinogens = 1, THEN HALLFILL2 = LS01h

PROGRAMMER: INCLUDE ONLY FIRST 2 INHALANTS AND HALLUCINOGENS ENDORSED WITH “or” BETWEEN FILLS

IF # OF SUBSTANCES ENDORSED >= 2 AND FIRST_SUBSTANCE NE SECOND_SUBSTANCE THEN

INFILL2/HALLFILL2 = “SUCH AS “ + <NEWLINE>FIRST_SUBSTANCE, OR <NEWLINE>SECOND_SUBSTANCE

ELSEIF # OF SUBSTANCES ENDORSED = 1 OR (# OF SUBSTANCES ENDORSED = 2 AND FIRST_SUBSTANCE = SECOND_SUBSTANCE) THEN

INFILL2/HALLFILL2 = “SUCH AS “ + <NEWLINE>FIRST_SUBSTANCE

ELSE

INFILL2/HALLFILL2 = BLANK

TXSBSUBI to receive treatment in the past 12 months? stay overnight or longerwhich of the following substances did you = 1)] For TXSBIPTd OR TXSBIPTc OR TXSBIPTb OR TXSBIPTa[IF (

Substance	Yes	No
TXSBSUBIa[IF AL01=1 OR ALREF=1] Alcohol?	1	2
TXSBSUBIb [IF MJ01=1 OR MJREF=1]Marijuana or cannabis products?	1	2
TXSBSUBIc? [INFILL2]Inhalants such as [INLIF=1]	1	2
TXSBSUBId?[HALLFILL2]Hallucinogens such as [HALIF=1]	1	2
TXSBSUBIeCocaine or "crack"? [CC01 = 1 OR CCREF = 1 OR CK01 = 1 OR CKREF = 1]	1	2
TXSBSUBIfHeroin? [HE01 = 1 OR HEREF = 1]	1	2
TXSBSUBIg[ME01= OR MEREF=1] Methamphetamine?	1	2
TXSBSUBIh[PR12MON=1 OR PRLANY=1] Prescription pain relievers?	1	2
TXSBSUBIi[ST12MON=1 OR STLANY=1] Prescription stimulants?	1	2
TXSBSUBIj[T R12MON=1 OR TRLANY=1] Prescription tranquilizers?	1	2
TXSBSUBIk [SV12MON=1 OR SVLANY=1] Prescription sedatives?	1	2
TXSBSUBIl Some other drug?	1	2

DK/REF

PROGRAMMER: USE STATIC GRID

TXSBIPSPTXSBSUBI [IF l = 1] .press ENTER to continuePlease type in the name of the other drug for which you received treatment in the past 12 months. Then,

_______________ [ALLOW 30 CHARACTERS]

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS

TXSBINTC treatment.outpatient needing to stay overnight. This type of care is called withoutProfessional counseling, medication or other treatment can also be provided

Click Next to continue

TXSBOPT Professional counseling, medication or other treatment can also be provided without needing to stay overnight. This type of care is called outpatient treatment.] [IF SUBUSE2 = 1] [REPEAT IN GRAY FONT:

During the past 12 months, have you received professional counseling, medication, or other treatment for your alcohol or drug use at…outpatient

Received outpatient treatment at…	Yes	No
TXSBOPTaa drug or alcohol rehab or treatment center as an outpatient?	1	2
TXSBOPTba mental health treatment center as an outpatient?	1	2
TXSBOPTcthe office of a therapist, psychologist, psychiatrist, or other substance use treatment professional?	1	2
TXSBOPTda general medical clinic or doctor’s office?	1	2
TXSBOPTe a hospital as an outpatient?	1	2
TXSBOPTfyour school’s health or counseling center?	1	2
TXSBOPTgsome other place as an outpatient?	1	2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

PROGRAMMER: USE STATIC GRID

TXSBOPTgO place where you received outpatient treatment for your alcohol or drug use in the past 12 months. Then, otherPlease describe the = 1] TXSBOPTg [IF click Next to continue.

_______________ [ALLOW 30 CHARACTERS]

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS

TXSBSUBO treatment in the past 12 months? outpatientwhich of the following substances did you receive =1)] For TXSBOPTg=1 or TXSBOPTf=1 or TXSBOPTe=1 or TXSBOPTd=1 or TXSBOPTc=1 or TXSBOPTb=1 or TXSBOPTa[IF (

Substance	Yes	No
TXSBSUBOa[IF AL01=1 OR ALREF=1] Alcohol?
TXSBSUBOb [IF MJ01=1 OR MJREF=1]Marijuana or cannabis products?	1	2
TXSBSUBOc? [INFILL2]Inhalants such as [INLIF=1]	1	2
TXSBSUBOd?[HALLFILL2]Hallucinogens such as [HALIF=1]	1	2
TXSBSUBOeCocaine or "crack"? [CC01 = 1 OR CCREF = 1 OR CK01 = 1 OR CKREF = 1]	1	2
TXSBSUBOfHeroin? [HE01 = 1 OR HEREF = 1]	1	2
TXSBSUBOg[ME01= OR MEREF=1] Methamphetamine?	1	2
TXSBSUBOh[PR12MON=1 OR PRLANY=1] Prescription pain relievers?	1	2
TXSBSUBOi[ST12MON=1 OR STLANY=1] Prescription stimulants?	1	2
TXSBSUBOj[ TR12MON=1 OR TRLANY=1] Prescription tranquilizers?	1	2
TXSBSUBO[ kSV12MON=1 OR SVLANY=1] Prescription sedatives?
TXSBSUBOl Some other drug?	1	2

DK/REF

PROGRAMMER: USE STATIC GRID

TXSBOPSPTXSBSUBO [IF l = 1] .press ENTER to continuePlease type in the name of the other drug for which you received treatment in the past 12 months. Then,

_______________ [ALLOW 30 CHARACTERS]

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS

TXALRX . These medications are different from medications given to stop an overdose. alcohol useThe next questions are about prescription medication you may have used to cut back or stop your [IF AL01 = 1 OR ALREF = 1]

Some examples of these medications include:

• Campral Acamprosate, also known as

• Disulfiram, also known as Antabuse,

• Trexan or ReVia Naltrexone pills, also known as

• Injectable naltrexone, also known as Vivitrol

During the past 12 months, did you use medication prescribed to you to help cut back or stop your alcohol use?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXDRRX . These medications are different from medications given to stop an overdose. drug useThe next questions are about prescription medication you may have used to cut back or stop your [IF (HE01 =1 OR HEREF =1) OR (PR12MON = 1 OR PRLANY = 1)]

Some examples of these medications include:

Methadone
Buprenorphine or buprenorphine-naloxone pills or film taken by mouth, also known as Suboxone, , or SubutexBunavail, Zubsolv
Injectable buprenorphine, also known as Sublocade
Buprenorphine implant placed under the skin, also known as Probuphine
Naltrexone pills, also known as Trexan or ReVia
Injectable naltrexone, also known as Vivitrol

During the past 12 months, did you use medication prescribed to you to help cut back or stop your drug use?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBTELE from a therapist or other healthcare professional over the phone, by email, or through video calling?your alcohol or drug useDuring the past 12 months, have you received any professional counseling, medication or treatment for [IF SUBUSE2= 1]

Yes 1

No 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBJAIL During the past 12 months, did you receive any professional counseling, medication, or other treatment for your alcohol or drug use while you were in a prison, jail or juvenile detention center? = 1] [IF SUBUSE2

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBDTOX During the past 12 months, have you received detoxification services, or detox, from a health care professional to manage symptoms of withdrawal from your alcohol or drug use? ]SV12MON OR 12MON = 1R = 1 OR COC12MON = 1 OR CRK12MON = 1 OR HER12MON = 1 OR HAL12MON = 1 OR INH12MON = 1 OR MET12MON = 1 OR PR12MON = 1 OR ST12MON = 1 OR TMAR12MON= 1 OR ALC12MON[IF

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBPEERDuring the past 12 months, have you received help from a peer support specialist or recovery coach who works with a substance use treatment program or other treatment provider?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBSRVS IF (TXSBTELE=1 OR TXSBJAIL=1 OR TXSBDTOX=1 OR TXSBPEER) AND ALCUSE=1 AND SUBUSE=1]When you received the following treatment services in the past 12 months, was it for your alcohol use only, your drug use only, or both your alcohol and drug use?

Treatment services received	For Alcohol use only	For Drug use only	For both alcohol and drug use
[If TXSBTELE=1] Professional treatment over the phone, by email, or through video calling
[If TXSBJAIL=1] Treatment while you were in a prison, jail or juvenile detention center
[If TXSBDTOX=1] Detoxification services, or detox for symptoms of withdrawal
[If TXSBPEER=1] Peer support specialist or recovery coach

TXSBSEK?or drug useprofessional counseling, medication, or other treatment for your alcohol seek During the past 12 months, did you NE 1) AND (TXSBJAIL NE 1) AND (TXALRX NE 1) AND (TXDRRX NE 1) AND (TXSBTELE NE 1)]] TXSBOPTg AND TXSBOPTf AND TXSBOPTe AND TXSBOPTd AND TXSBOPTc AND TXSBOPTb AND TXSBOPTa NE 1) AND (TXSBIPTd AND TXSBIPTc AND TXSBIPTb AND TXSBIPTa[(TXSBSUPP AND TXSBPEER AND TXSBER AND TXSBDTOX NE 1) AND ( [IF (IF SUBUSE2 = 1) AND

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBSEK2?or drug use in the past 12 months additional professional counseling, medication, or other treatment for your alcohol seek you Other than the help you already reported receiving, did ] NE 1 AND TXSBJAIL NE 1 AND TXSBRX NE 1 AND TXDRRX NE 1 AND TXSBTELE NE 1TXSBOPTg AND TXSBOPTf AND TXSBOPTe AND TXSBOPTd AND TXSBOPTc AND TXSBOPTb AND TXSBOPTa NE 1 AND TXSBIPTd AND TXSBIPTc AND TXSBIPTb AND TXSBIPTa or TXSBDTOX=1) AND OR TXSBER=1 (TXSBSUPP=1 OR TXSBPEER=1 IF (IF SUBUSE2 = 1) AND[

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSEKTYPE was it for alcohol use only, drug use only, or both alcohol and drug use?, =1 or TXSEK2=1] During the past 12 months when you sought [if TXSEK2=1, FILL: additional] professional treatmentTXSEK [IF

1 Alcohol use only

2 Drug use only

3 Both alcohol and drug use

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBGETuse? professional counseling, medication, or other treatment for your alcohol or drug you think you should get [IF TXSBSEK = NO, DK/REF] During the past 12 months, did

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBGEuse in the past 12 months? or drug additional professional counseling, medication or other treatment for your alcohol get you think you should] Other than the help you already reported receiving, did IF TXSBSEK2=NO, DK/REF [2T

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXGETTYPE was it for alcohol use only, drug use only, or both alcohol and drug use?,you should get [if TXGET2=1, FILL: additional] professional treatment =1 or TXGET2=1] During the past 12 months when you thought TXGET [IF

1 Alcohol use only

2 Drug use only

3 Both alcohol and drug use

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXSBNONE . during the past 12 monthssThere may be many reasons you did not get (IF TXSBGET2=1 OR TXSBSEK2= 1, FILL: additional) treatment [IF (TXSBGET OR TXSBGET2 OR TXSBSEK OR TXSBSEK2) = 1]

For each statement, please mark whether or not it was one of the reasonsuse.or drug professional counseling, medication, or other treatment for your alcohol (IF TXSBGET2=1 OR TXSBSEK2= 1, FILL: additional) why you did not get

	One of the reasons	NOT one of the reasons
TXSBNOaYou thought it would cost too much.	1	2
TXSBNObYou did not have health insurance coverage for alcohol or drug use treatment.	1	2
TXSBNOcYour health insurance would not pay enough of the costs for treatment.	1	2

DK/REF

PROGRAMMER: ONE ROW AT A TIME

TXSBNONE use.or drug professional counseling, medication, or other treatment for your alcohol (IF TXSBGET2=1 OR TXSBSEK2= 1, FILL: additional) why you did not get For each statement, please mark whether or not it was one of the reasons [IF (TXSBGET OR TXSBGET2 OR TXSBSEK OR TXSBSEK2) = 1]

	One of the reasons	NOT one of the reasons
TXSBNOdYou did not know how or where to get treatment.	1	2
TXSBNOeYou could not find a treatment program or health care professional you wanted to go to.	1	2
TXSBNOfThere were no openings in the treatment program or with the health care professional you wanted to go to.	1	2
TXSBNOgYou had problems with things like transportation, childcare, or getting appointments at times that worked for you.	1	2
TXSBNOhYou didn’t have enough time for treatment.	1	2
TXSBNOiYou were worried that your information would not be kept private.	1	2

DK/REF

PROGRAMMER: ONE ROW AT A TIME

TXSBNONE use.or drug professional counseling, medication, or other treatment for your alcohol (IF TXSBGET2=1 OR TXSBSEK2= 1, FILL: additional) why you did not get [IF (TXSBGET OR TXSBGET2 OR TXSBSEK OR TXSBSEK2) = 1] For each statement, please mark whether or not it was one of the reasons

	One of the reasons	NOT one of the reasons
TXSBNOjyou got treatment.You were worried about what people would think or say if	1	2
TXSBNOkYou thought that if people knew you were in treatment bad things would happen, like losing your job, home, or children.	1	2
TXSBNOlYou were not ready to start treatment.	1	2
TXSBNOm You were not ready to stop or cut back using alcohol or drugs.	1	2
TXSBNOYou thought you should have been able to handle your alcohol or drug use on your own. n	1	2
TXSBNOYou thought your family, friends, or religious group wouldn’t like it if you got treatment. o	1	2
TXSBNOpYou thought you would be forced to stay in rehab or treatment against your will.	1	2
TXSBNOqYou didn’t think treatment would help you.	1	2
TXSBNOrYou thought no one would care if you got better.	1	2

DK/REF

PROGRAMMER: ONE ROW AT A TIME

Health

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

Click Next 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, click 1. To answer in meters and centimeters, click 2. To answer in inches only, click 3. To answer in centimeters only, click 4. Then click Next 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.

______feet [RANGE: 2-8]

DK/REF

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

______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 click Next.

______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.

_______ meters [RANGE: 0-2]

DK/REF

HLTH08a [IF HLTH04 = 2 AND HLTH07 NE DK/REF] Please type in the number of centimeters and then click Next.

______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 click Next.

______centimeter(s) [RANGE: 60-250]

DK/REF

HLTH09 The next question asks about your weight.

To answer in pounds, click 1. To answer in kilograms, click 2. Then click Next 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 click Next.

________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 click Next.

_______ 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 click Next.

________pounds [RANGE: 40-999]

DK/REF

HLTH14 [IF HLTH02=1 AND HLTH09 =2] About how much did you weigh before you got pregnant? Please type in the number of kilograms and then click Next.

_______ 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

HLTHTELE During the past 12 months, have you talked to a doctor, physician assistant, or nurse practitioner about your own health over the phone, by email, or through video calling instead of going to an in-person appointment?

1 Yes

2 No

DK/REF

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) AND (HLTHTELE NE YES)]

OR [(HLTH19 = 0 OR (HLTH19DK = 0 OR DK/REF)) AND (HLTHTELE = YES)] THEN VISITFILL = “the talk you had with a doctor or other health care professional”

IF HLTH19>1 OR HLTH19DK>1 OR (HLTH19 = 1 AND HLTHTELE = 1) OR (HLTH19DK = 1 AND HLTHTELE = 1THEN 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 OR HLTHTELE = 1] 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 OR HLTHTELE = 1) 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 HLTHTELE = 1)) OR (HLTH17=1 AND (HLTH16>=1 OR HLTH19>=1 OR HLTH19DK>=1 OR HLTHTELE = 1)) OR ((HLTH19>=1 OR HLTH19DK>=1) AND (HLTH16>=1 OR HLTH17=1 OR HLTHTELE = 1)) OR (HLTHTELE = 1 AND (HLTH16>=1 OR HLTH17=1 OR HLTH19>=1 OR HLTH19DK>=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 AND HLTHTELE NE 1) OR (HLTH17 =1 AND HLTH16 = 0 AND HLTH19<1 AND HLTH19DK<1 AND HLTHTELE NE 1) OR ((HLTH19 >=1 OR HLTH19DK>=1) AND HLTH16 = 0 AND HLTH17 NE 1 AND HLTHTELE NE 1) OR (HLTHTELE = 1 AND HLTH16 NE 1 AND HLTH17 NE 1 AND HLTH19 < 1 AND HLTH19DK < 1)) AND (ALLAST3=1 OR 2 OR ALRECDK=1 OR 2 OR ALRECRE=1 OR 2)] Please think about [VISITFILL] during the past 12 months when you answer this question. Choose the statement or statements below that describe any discussion you may have had in person with a doctor or other health professional about your alcohol use.

Select all that apply.

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. Please answer this question again.

HLTH23 [(IF HLTH16>0 OR HLTH17=1 OR HLTH19>0 OR HLTH19DK>0 OR HLTHTELE = 1) 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.

Select all that apply.

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

PROGRAMMER: DISPLAY IN LOWER LEFT: Click [Help] if you want to see how to say these conditions.

Diabetes or sugar diabetes [die-uh-BEE-tees]

Chronic bronchitis, emphysema, chronic obstructive pulmonary disease, also called COPD [bron-KI-tis, em-fuh-SEE-muh, kroon-ick, ob-struk-tiv pul-muh-nair-ee, see-oh-pee-dee]

Cirrhosis of the liver [si-ROH-sis]

Hepatitis B or C [hep-uh-TIE-tus]

Asthma [AZ-muh]

HIV or AIDS [aytch-eye-vee or ayds]

Cancer or a malignancy of any kind [kan-ser or muh-LIG-nun-see]

Hypertension, also called high blood pressure [hie-per-TEN-shun]

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. Please answer this question again.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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?

Select all that apply.

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 type in 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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].

Click Next 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this 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. Please answer this question again.

Mental Health Service Utilization

TXMHINTmental health, emotions, or behavior.your These next questions ask about help you may have received for

Click Next to continue

TXMHSUPP?mental health, emotions, or behaviorto help you with your support group During the past 12 months, have you participated in a

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHER?for your mental health, emotions, or behavioremergency room or emergency department During the past 12 months, were you seen in an

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHINTb.. This is sometimes called inpatient or residential treatmentstayed overnight or longermental health, emotions, or behavior where you your The next question asks about professional counseling, medication, or other treatment you may have received for

Click Next to continue

TXMHIPT .]inpatient or residential treatment. This is sometimes called overnight or longer stayed mental health, emotions, or behavior where you your[REPEAT IN GRAY FONT: The next question asks about professional counseling, medication, or other treatment you may have received for

During the past 12 months, have you to receive professional counseling, medication, or other treatment for your mental health, emotions, or behavior in…stayed overnight or longer

~~Location~~ Stayed overnight or longer for treatment in…	Yes	No
TXMHIPTa a hospital as an inpatient?	1	2
TXMHIPTb~~drug or alcohol rehab or treatment center?~~a residential mental health treatment center?	1	2
TXMHIPTc~~mental health treatment center?~~ a residential drug or alcohol rehab or treatment center?	1	2
TXMHIPTdovernight or longer? where you stayed ~~in which~~some other place	1	2

DK/REF

PROGRAMMER SHOW 12 MONTH CALENDAR

PROGRAMMER: USE STATIC GRID

TXMHIPTdOWhen you have finished typing your answer, Please describe the other place where you received treatment overnight or longer for your mental health, emotions, or behavior in the past 12 months. = 1] TXMHIPTd [IF click Next to continue.

_______________ [ALLOW 30 CHARACTERS]

DK/REF

TXMHINTC treatment.outpatient needing to stay overnight. This type of care is called withoutProfessional counseling, medication or other treatment can also be provided

Click Next to continue

TXMHOPTProfessional counseling, medication or other treatment can also be provided without needing to stay overnight. This type of care is called outpatient treatment.] [REPEAT IN GRAY FONT:

During the past 12 months, have you received professional counseling, medication, or other treatment for your mental health, emotions, or behavior at…outpatient

~~Location~~ Received outpatient treatment at…	Yes	No
TXMHOPTaa mental health treatment center as an outpatient?
TXMHOPTb a drug or alcohol treatment or rehab center as an outpatient?	1	2
TXMHOPTc the office of a therapist, psychologist, psychiatrist, or mental health professional?	1	2
TXMHOPTd a general medical clinic or doctor’s office?	1	2
TXMHOPTea hospital as an outpatient?	1	2
TXMHOPTf your school’s health or counseling center?~~school, college, or from a university clinic~~	1	2
TXMHOPTg some other place as an outpatient?	1	2

DKRE

PROGRAMMER: USE STATIC GRID

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHOPTgOThen, place where you received outpatient treatment for your mental health, emotions, or behavior in the past 12 months. otherPlease describe the = 1] TXMHOPTg [IF click Next to continue.

_______________ [ALLOW 30 CHARACTERS]

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS

TXMHRX that was prescribed to you to help with your mental health, emotions, or behavior?medication During the past 12 months, did you take any

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHTELE?~~or instant chat programs~~from a therapist or other healthcare professional over the phone, by email, or through video calling your mental health, emotions, or behavior During the past 12 months have you received any professional counseling, medication or treatment for

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHJAIL while you were in a prison, jail or juvenile detention center? your mental health, emotions, or behaviorDuring the past 12 months, did you receive any professional counseling, medication, or other treatment for

Yes1

No 2

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHPEER During the past 12 months, have you received help from a peer support specialist or recovery coach who works with a mental health treatment program or other treatment provider?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHSEKother treatment for your mental health, emotions, or behavior?professional counseling, medication, or ~~need~~ seek NE 1) AND (TXMHJAIL NE 1) AND (TXMHRX NE 1) AND (TXMHTELE NE 1)] During the past 12 months, did you TXMHOPTg AND TXMHOPTf AND TXMHOPTe AND TXMHOPTd AND TXMHOPTc AND TXMHOPTb AND TXMHOPTa NE 1) AND (TXMHIPTd AND TXMHIPTc AND TXMHIPTb AND TXMHIPTa [IF (TXMHSUPP NE 1 OR TXMHPEER NE 1 OR TXMHER NE 1) AND (

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHSEK2? in the past 12 months additional professional counseling, medication, or other treatment for your mental health, emotions, or behaviorseek you Other than the help you already reported, did ] NE 1) AND (TXMHJAIL NE 1) AND (TXMHRX NE 1) AND (TXMHTELE NE 1)TXMHOPTg AND TXMHOPTf AND TXMHOPTe AND TXMHOPTd AND TXMHOPTc AND TXMHOPTb AND TXMHOPTa NE 1) AND (TXMHIPTd AND TXMHIPTc AND TXMHIPTb AND TXMHIPTaIF (TXMHSUPP=1 OR TXMHPEER=1 OR TXMHER=1) AND ([

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHGET professional counseling, medication, or other treatment for your mental health, emotions, or behavior?you think you should get [IF TXMHSEK = NO, DK/REF] During the past 12 months, did

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHGET in the past 12 months? mental health, emotions, or behavior get additional professional counseling, medication or other treatment for your you think you should] Other than the help you already reported, did IF TXMHSEK2=NO, DK/REF2 [

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

TXMHNONE during the past 12 months. sThere may be many reasons you did not get (IF TXMHGET2=1 OR TXMHSEK2= 1, FILL: additional) treatment 1] (TXMHGET OR TXMHGET2 OR TXMHSEK OR TXMHSEK2) =[IF

For each statement, please mark whether or not it was one of the reasons counseling, medication or other treatment for your mental health, emotions, or behavior.professional (IF TXMHGET2=1 OR TXMHSEK2= 1, FILL: additional) why you did not get

	One of the reasons	Not one of the reasons
TXMHNOaYou thought it would cost too much.	1	2
TXMHNObYou did not have health insurance coverage for mental health treatment.	1	2
TXMHNOcYour health insurance would not pay enough of the costs for treatment.	1	2

DK/REF

PROGRAMMER: ONE ROW AT A TIME

TXMHNONEprofessional counseling, medication or other treatment for your mental health, emotions, or behavior.(IF TXMHGET2=1 OR TXMHSEK2= 1, FILL: additional) why you did not get For each statement, please mark whether or not it was one of the reasons ] (TXMHGET OR TXMHGET2 OR TXMHSEK OR TXMHSEK2) = 1[IF

	One of the reasons	Not one of the reasons
TXMHNOdYou did not know how or where to get treatment.	1	2
TXMHNOeYou could not find a treatment program or health care professional you wanted to go to.	1	2
TXMHNOfThere were no openings in the treatment program or with the health care professional you wanted to go to.	1	2
TXMHNOgYou had problems with things like transportation, childcare, or getting appointments at times that worked for you.	1	2
TXMHNOhYou didn’t have enough time for treatment.	1	2
TXMHNOiYou were worried that your information would not be kept private.	1	2

DK/REF

PROGRAMMER: ONE ROW AT A TIME

TXMHNONE professional counseling, medication or other treatment for your mental health, emotions, or behavior.(IF TXMHGET2=1 OR TXMHSEK2= 1, FILL: additional)why you did not get For each statement, please mark whether or not it was one of the reasons ] (TXMHGET OR TXMHGET2 OR TXMHSEK OR TXMHSEK2) = 1[IF

	One of the reasons	Not one of the reasons
TXMHNOjYou were worried about what people would think or say if you got treatment.	1	2
TXMHNOkYou thought that if people knew you were in treatment bad things would happen, like losing your job, home, or children.	1	2
TXMHNOlYou were not ready to start treatment.	1	2
TXMHNOmYou thought you should have been able to handle your mental health, emotions, or behavior on your own.	1	2
TXMHNOnYou thought your family, friends, or religious group wouldn’t like it if you got treatment.	1	2
TXMHNOoYou were afraid of being committed to a hospital or forced into treatment against your will.	1	2
TXMHNOp You thought you would be told you needed to take medication.	1	2
TXMHNOqYou didn’t think treatment would help you.	1	2
TXMHNOrYou thought no one would care if you got better.	1	2

DK/REF

PROGRAMMER: ONE ROW AT A TIME

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.

Click Next 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 any cannabis product 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 (RESAGE = 1 AND FIPE1 = 1 AND YOUTH_SELECTED = 1) ADMINISTER THIS SECTION; ELSE SKIP TO YOUTH EXPERIENCES IF RESPONDENT IS 12 -17 OR DIINTRO IF RESPONDENT IS 18 OR OLDER)

FIPE3b [IF RESAGE = 1 AND FIPE1 = 1 AND YOUTH_SELECTED = 1] Are you the parent or legal guardian of the 12-17 year old in this household who was also selected for an interview?

DK/REF

leadpar [IF FIPE3b = 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.

Click Next to continue.

pe01 [IF FIPE3b = 1] What is the birth date of your child who was also selected to complete an interview?

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 answer this question again, then click Next 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 answer this question again, then click Next to continue.

pe01a [IF PE01 NE DK/REF] 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 any cannabis product , 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.

Click Next 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

CG02 [IF CURNTAGE = 12 - 17 AND (CG01 = 2 OR CGREF1 = 2)] If one of your best friends offered you a cigarette, would you smoke it?

1 Definitely yes

2 Probably yes

3 Probably not

4 Definitely not

DK/REF

CG03 [IF CURNTAGE = 12 - 17 AND (CG01 = 2 OR CGREF1 = 2)] At any time during the next 12 months do you think you will smoke a cigarette?

1 Definitely yes

2 Probably yes

3 Probably not

4 Definitely not

DK/REF

YE16a [IF YE09 = 1] How many of the students in your grade at school would you say smoke cigarettes?

[IF YE09a = 1] Please think about the school you would be attending if you were not home-schooled, as you answer these next questions.

How many of the students in your grade at school would you say smoke cigarettes?

1 None of them

2 A few of them

3 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 any cannabis product ?

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 any cannabis product 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 any cannabis product 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 any cannabis product 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 any cannabis product 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 any cannabis product 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?

Select all that apply.

1 There is nobody I can talk to about serious problems

2 My mother or father or guardian

3 My boyfriend or girlfriend

4 Some other adult

5 Some other person or persons

DK/REF

YE08 [IF CURNTAGE = 12 - 17] Now think about the past 12 months, that is, from [DATEFILL] through today. During the past 12 months, have you talked with at least one of your parents about the dangers of tobacco, alcohol, or drug use? By parents, we mean either your biological parents, adoptive parents, stepparents, or adult guardians -- whether or not they live with you.

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YE23b [IF CURNTAGE = 12 - 17] During the past 12 months have you participated in a problem solving, communication skills or self-esteem group?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

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

YSUINT [IF CURNTAGE = 12-17] The next few questions are about thoughts of suicide. You can answer “I’m not sure” or “I don’t want to answer” to any question.

Click Next to continue.

YSUI01 [IF CURNTAGE = 12 – 17] 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?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YCOV9 [IF YSUI01 = 1] Was this because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

YSUI02 [IF CURNTAGE = 12 – 17] During the past 12 months, did you make any plans to kill yourself?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YCOV10 [IF YSUI02 = 1] Was this because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

YSUI03 [IF CURNTAGE = 12 – 17] During the past 12 months, did you try to kill yourself?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YCOV11 [IF YSUI03 = 1] Was this because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

YSUI04 [IF YSUI03=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?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YSUI05 [IF YSUI04=1] Did you stay in a hospital overnight or longer because you tried to kill yourself?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

YHELP [IF YSUI01 OR YSUI02 OR YSUI03 = 1] If you ever feel that you need to talk to someone about mental health issues, you can call the National Suicide Prevention Lifeline Network. Counselors are available to talk at any time of the day or night and they can give you information about services in your area.

Please write down these numbers and website address. Then click Next to continue.

1-800-273-TALK or 1-800-273-8255

1-888-628-9454 (Spanish)

http://suicidepreventionlifeline.org/

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.

Click Next 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.

Click Next 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

COV9 [IF SUI01 = 1] Was this because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

SUI02 [IF CURNTAGE=18 OR OLDER] During the past 12 months, did you make any plans to kill yourself?

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

COV10 [IF SUI02 = 1]Was this because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

SUI03 [IF CURNTAGE=18 OR OLDER] During the past 12 months, did you try to kill yourself?

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

COV11 [IF SUI03 = 1] Was this because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

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

AHELP [IF SUI01 OR SUI02 OR SUI03 = 1] If you ever feel that you need to talk to someone about mental health issues, you can call the National Suicide Prevention Lifeline Network. Counselors are available to talk at any time of the day or night and they can give you information about services in your area.

Please write down these numbers and website address. Then click Next to continue.

1-800-273-TALK or 1-800-273-8255

1-888-628-9454 (Spanish)

http://suicidepreventionlifeline.org/

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 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 you were just asked 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

Shape1 Shape2 Shape3 │ │

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

Shape4 Shape5 Shape6 │ │

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

Shape7 Shape8 Shape9 │ │

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

Shape10 Shape11 Shape12 │ │

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

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, click Next 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

YSUINT [IF CURNTAGE = 12-17] The next few questions are about thoughts of suicide. You can answer “I’m not sure” or “I don’t want to answer” to any question.

Click Next to continue.

YSUI01 [IF CURNTAGE = 12 – 17] 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?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YCOV9 [IF YSUI01 = 1] Was this because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

YSUI02 [IF CURNTAGE = 12 – 17] During the past 12 months, did you make any plans to kill yourself?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YCOV10 [IF YSUI02 = 1] Was this because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

YSUI03 [IF CURNTAGE = 12 – 17] During the past 12 months, did you try to kill yourself?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YCOV11 [IF YSUI03 = 1] Was this because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

YSUI04 [IF YSUI03=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?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

YSUI05 [IF YSUI04=1] Did you stay in a hospital overnight or longer because you tried to kill yourself?

Yes
No
I’m not sure
I don’t want to answer

DK/REF

YHELP [IF YSUI01 OR YSUI02 OR YSUI03 = 1] If you ever feel that you need to talk to someone about mental health issues, you can call the National Lifeline Network. Counselors are available to talk at any time of the day or night and they can give you information about services in your area.

Please write down these numbers and website address. Then click Next to continue.

1-800-273-TALK or 1-800-273-8255

1-888-628-9454 (Spanish)

http://suicidepreventionlifeline.org/

Adolescent Depression

INTROYD [IF CURNTAGE = 12-17] The next questions are about your mental health, emotions, and behavior. Please make sure you’re in a private location when you answer these questions.

If you don’t want to answer these questions, you can select “Don’t Know” or “Rather Not Answer” to any question.

Click Next to continue.

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 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 you were just asked 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?

Select all that apply.

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, click Next 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 any cannabis product ’

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.

Click Next to continue.

CA01 [IF ALC30USE = 1] Earlier,you reported 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?

Select all that apply.

1 I drank in a car or other vehicle

2 I drank at my home

3 I drank at someone else’s home

4 I drank at a park, on a beach, or in a parking lot

5 I drank in a restaurant, bar or club

6 I drank at a concert or sports game

7 I drank at school

8 I drank at some other place

DK/REF

CA02SP [IF CA02b = 8] Please type in the other place you drank the last alcoholic beverages that you drank. You do not need to give a detailed description — just a few words will be okay. When you have finished typing your answer, click Next 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, click Next 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. 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?

Select all that apply.

Marijuana or any cannabis product
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. Please answer this 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 you reported 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 you reported 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 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. Please answer this question again, then click Next 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. Please answer this question again, then click Next 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 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, you reported 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. Please answer this question again, then click Next to continue.

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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)] 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

Emerging Issues

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 TXSBSUPP=1 OR TXSBPEER=1 OR TXSBER=1 or TXSBDTOX=1 1= TXSBTELE OR =1 TXDRRXOR =1 TXSBRXOR =1 TXSBJAILOR =1TXSBOPTg OR =1TXSBOPTf OR =1TXSBOPTe OR =1TXSBOPTd OR =1TXSBOPTc OR =1TXSBOPTb OR =1TXSBOPTa OR =1TXSBIPTd OR =1TXSBIPTc OR =1TXSBIPTb OR =1TXSBIPTa ORAND (AL01=1 OR ALREF=1)] 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?

Select all that apply.

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, click Next to go to the next question.

______________

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, click Next.

______________

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, click Next.

______________

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 TXSBSUPP=1 OR TXSBPEER=1 OR TXSBER=1 or TXSBDTOX=1 1= TXSBTELE OR =1 TXDRRXOR =1 TXSBRXOR =1 TXSBJAILOR =1TXSBOPTg OR =1TXSBOPTf OR =1TXSBOPTe OR =1TXSBOPTd OR =1TXSBOPTc OR =1TXSBOPTb OR =1TXSBOPTa OR =1TXSBIPTd OR =1TXSBIPTc OR =1TXSBIPTb OR =1TXSBIPTa ORAND (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]?

Select all that apply

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, click Next to go to the next question.

______________

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], click Next.

______________

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], click Next.

______________

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].

Click Next 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.

Click Next 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

VPMJLIF [IF MJMODEPTY NE 2 AND MJMODEPM NE 2] The next questions are about vaping marijuana.

Have you ever, even once, vaped marijuana with a vaping device?

1 Yes

2 No

DK/REF

VPMJRECa [IF VPMJLIF=1 AND ( MJMODEPY NE 2 AND MJKMODEPM NE 2)]

How long has it been since you last vaped marijuana with a vaping device?

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

VPFLLIF The next questions are about vaping flavoring.

Have you ever, even once, vaped only flavoring without nicotine or other substances added?

1 Yes

2 No

DK/REF

PROGRAMMER: SHOW PAST 12 MONTH CALENDAR

VPFLRECa [IF VPFLLIF=1]

How long has it been since you last vaped only flavoring?

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

SMLIF The next question is about synthetic marijuana or fake weed, also called K2 or Spice. Have you ever, even once, used synthetic marijuana or fake weed?

DK/REF

SMREC [IF SMLIF=1] How long has it been since you last used synthetic marijuana or fake weed?

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

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

SSLIF The next question is about synthetic stimulants that people use to get high, also called "bath salts" or flakka.

Have you ever, even once, used these synthetic stimulants?

DK/REF

SSREC [IF SSLIF=1] How long has it been since you last used these synthetic stimulants, also called "bath salts" or flakka?

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

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

IFLIF , in the past 12 months.FentoraEarlier, you were asked whether you had used prescription fentanyl, also known as Duragesic or

This next question is about illegally made fentanyl, which is fentanyl that people can't get from a doctor or pharmacy. Illegally made fentanyl can come in forms such as powder, pills, or blotter paper. It can also be mixed with heroin or other drugs.

Have you , even once, used illegally made fentanyl?ever

DK/REF

IFREC used illegally made fentanyl?last[IF IFLIF = 1] How long has it been since you

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

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

IFNDLLIF, even once, used a needle to inject illegally made fentanyl?ever[IF IFLIF = 1] Have you

DK/REF

IFNDRECa used a needle to inject illegally made fentanyl?last[IF IFNDLLIF = 1 AND (IFREC = 1 OR IFREC = DK or REF)] How long has it been since you

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

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

IFNDRECb used a needle to inject illegally made fentanyl?last[IF IFNDLLIF = 1 AND IFREC = 2] How long has it been since you

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

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

Market Information for Marijuana

MJE01 include CBD or hemp products when answering these questions.not Please do IF CBLAST = 1 OR 2] [ Now we return to the topic of marijuana and cannabis products. ]MJLAST = 1 OR 2 OR MJRECDK = 1 OR 2 OR MJRECRE = 1 OR 2[IF

During the , how did you get marijuana or cannabis products?past 12 months

	Yes	No
MJE01a I paid for or bought it	1	2
MJE01b I traded something else for it	1	2
MJE01c I got it from someone for free or shared someone else’s	1	2
MJE01d I grew it myself	1	2
MJE01e I got it some other way	1	2

DK/REF

PROGRAMMER: USE STATIC GRID

PROGRAMMER: SHOW 12 MONTH CALENDAR

MJE01e2 [IF MJE01e = 1] In what other way did you get marijuana or cannabis products?

PROGRAMMER: PROVIDE 5 ROWS

___________________________________________________ [ALLOW 80 CHARACTERS]

DK/REF

MJE02marijuana or cannabis products?last paid for or bought [IF MJE01a = 1] How long has it been since you

1 Within the past 30 days -- that is since [DATEFILL]

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

DK/REF

PROGRAMMER: SHOW 12 MONTH CALENDAR

MJE03 marijuana or cannabis products? pay for or buy [IF MJE02 = 1] During the past 30 days, that is, since [DATEFILL], on how many days did you

# DAYS___________ [RANGE: 1 - 30]

DK/REF

PROGRAMMER: SHOW 30 DAY CALENDAR

MJE04, for these products?in totalmarijuana or cannabis products, how much did you pay, paid for or bought you last time [IF MJE01a = 1] Thinking about the

$______________ [RANGE: 1 - 9000]

DK/REF

MJE04R [If MJE04 = DK/ REF] The information you provide is important. The last time you paid for or bought marijuana or cannabis products, did you pay more or less than 200 dollars?

Less than $200
$200 or more

DK/REF

MJE04R1 [IF MJE04R = 1] Please look at groups below and select the category that includes the price you paid, in total, for the marijuana or cannabis products you bought last time?

1 Less than $25.00

2 $25.00 to $49.99

3 $50.00 to $99.99

4 $100.00 to $149.99

5 $150.00 to $199.99

DK/REF

MJE04R2 [IF MJE04R = 2] Please look at groups below and select the category that includes the price you paid, in total, for the marijuana or cannabis products you bought last time?

$200 to $299.99
$300 to $399.99
$400 to $499.99
$500 to $599.99
$600 to $699.99
$700 to $799.99
$800 to $899.99
$900 to $999.99
$1000 or more

DK/REF

MJE06 you bought marijuana or cannabis products, did you buy it from either a store or dispensary? last time [IF MJE01a = 1] The

1 Yes

2 No

DK/REF

MJE07 marijuana or cannabis products, how well did you know the person you got it from?paid for or bought you last time[ [IF MJE01a = 1] AND [MJE06 = 2 or DK/REF] ] The

Very well
Somewhat well
Not at all well

DK/REF

MJE05?buy marijuana, what forms of marijuana or cannabis products did you paid for or bought you last time [IF MJE01a = 1] The

Did you buy…	Yes	No
MJE05a Pre-rolled joints?	1	2
MJE05b Marijuana in loose form?	1	2
MJE05c Vaping cartridges, vaping oils, or pre-filled vape pens?	1	2
MJE05d Waxes, shatter, or concentrates, for dabbing?	1	2
MJE05e Edibles, for eating or drinking?	1	2
MJE05f Drops, strips, lozenges, sprays?	1	2
MJE05g Lotion, cream, patches?	1	2
MJE05h Pills?	1	2
MJE05i Some other form or forms?	1	2

DK/REF

PROGRAMMER: USE STATIC GRID

MJE08 the last time you bought marijuana or cannabis products?buy[IF MJE05a = 1] How many pre-rolled joints did you

# PRE-ROLLED JOINTS[RANGE: 1 - 500]

DK/REF

MJE09 [IF (MJE05a = 1) AND (MJE05b OR MJE05c OR MJE05d OR MJE05e OR MJE05f OR MJE05g OR MJE05h OR MJE05i = 1) AND (MJE04 NE DK OR REF)] How much did you pay for the [FILL=joint/joints] you bought the last time?

$[RANGE: 1 - 9000]_________________________________

DK/REF

MJE14the last time you bought marijuana.bought you in loose form [IF MJE05b = 1] Now we want to know how much marijuana

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

1 Grams

2 Ounces, such as an “eighth” or a “quarter”

3 Pounds

DK/REF

MJE15 Please round to the nearest gram. [IF MJE14 = 1] The last time you bought marijuana in loose form, how many grams did you buy?

GRAMS ] – 991 __________ [RANGE

DK/REF

MJE15a [IF MJE15 = DK/REF] The answers you give are important. Which of these ranges represents the amount of marijuana in loose form you bought?

1 At least 1 but less than 3 grams

2 At least 3 but less than 5 grams

3 At least 5 but less than 7 grams

4 At least 7 but less than 10 grams

5 At least 10 but less than 15 grams

6 At least 15 but less than 20 grams

7 At least 20 but less than 30 grams

8 30 grams or more

DK/REF

MJE17 [IF MJE14 = 2] The last time you bought marijuana in loose form, how many ounces did you buy?

1 At least 1/8 but less than 1/4 of an ounce, sometimes called an “eighth”

2 At least 1/4 but less than 1/3 of an ounce, sometimes called a “quarter”

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

4 At least 1/2 but less than 1 ounce, sometimes called “half-an-ounce”

5 At least 1 but less than 2 ounces

6 At least 2 but less than 3 ounces

7 3 ounces or more

DK/REF

MJE17a [IF MJE17 = 7] How many ounces of marijuana did you buy?

OUNCES __________ [RANGE 3 - 50]

DK/REF

MJE18 [IF MJE14 = 3] The last time you bought marijuana in loose form, how many pounds did you buy?

At least half-a-pound but less than 1 pound
At least 1 but less than 2 pounds
At least 2 but less than 3 pounds
At least 3 but less than 4 pounds
At least 4 but less than 5 pounds
5 or more pounds

DK/REF

MJE18a [IF MJE18 = 6] How many pounds of marijuana did you buy?

POUNDS_________ [RANGE: 5 - 99]

DK/REF

MJE19 you bought the last time?loose marijuana How much did you spend on the [IF (MJE05b = 1) AND (MJE05a OR MJE05c OR MJE05d OR MJE05e OR MJE05f OR MJE05g OR MJE05h OR MJE05i = 1) AND (MEJ04 NE DK OR REF)]

$[RANGE: 1 - 9000]______________________________

DK/REF

MJE21 any marijuana or cannabis products?sell, did you past 12 months] During the MJLAST = 1 OR 2 OR MJRECDK = 1 OR 2 OR MJRECRE = 1 OR 2[IF

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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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

SEE Do you have difficulty seeing, even when wearing glasses or contact lenses?

1 No difficulty

2 Some difficulty

3 A lot of difficulty

4 Cannot do at all

DK/REF

HEAR Do you have difficulty hearing, even when using hearing aids?

1 No difficulty

2 Some difficulty

3 A lot of difficulty

4 Cannot do at all

DK/REF

WALK Do you have difficulty walking or climbing steps?

1 No difficulty

2 Some difficulty

3 A lot of difficulty

4 Cannot do at all

DK/REF

MEM Do you have difficulty remembering or concentrating?

1 No difficulty

2 Some difficulty

3 A lot of difficulty

4 Cannot do at all

DK/REF

CARE Do you have difficulty with self-care, such as washing all over or dressing?

1 No difficulty

2 Some difficulty

3 A lot of difficulty

4 Cannot do at all

DK/REF

COMM Using your usual language, do you have difficulty communicating, for example understanding or being understood?

1 No difficulty

2 Some difficulty

3 A lot of difficulty

4 Cannot do at all

DK/REF

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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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) ] 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) ] 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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

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? Click Help to see a definition of “military.”

DK/REF

IF Help IS CLICKED, 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.

QD10e [IF QD10d = 1] Which member or members of your family are currently in the United States military?

Select all that apply.

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].

Click Help to see information about unpaid work.

1 Yes

2 No

DK/REF

IF HELP IS CLICKED, 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.

QD27 [IF QD26 = 2] Even though you did not work at any time last week, did you have a job or business? Click Help to see information about unpaid work.

1 Yes

2 No

DK/REF

IF HELP IS CLICKED, 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.

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/maternity or family 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

____________ YEAR LAST WORKED

DK/REF

PROGRAMMER: DO NOT ALLOW BLANKS IN QD39a.

[IF QD39a > SYSTEM YEAR] HARD ERROR: The year that you reported is [YEAR FROM QD39a]. Please enter the correct year.

[IF QD39a < (SYSTEM YEAR - CURRENT AGE)] HARD ERROR: The year you reported is earlier than your birth date. Please 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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

COVID-19

COV1 Since the beginning of the COVID-19 pandemic, how much, if at all, has COVID-19 negatively affected your emotional or mental health?

1 Not at all

2 A little

3 Some

4 Quite a bit

5 A lot

DK/REF

COV2 [IF AL12MON2 = 1] How much, if at all, has the COVID-19 pandemic affected the amount of alcohol you drink?

1 I drink much less than I did before the COVID-19 pandemic began

2 I drink a little less than I did before the COVID-19 pandemic began

3 I drink about the same amount as I did before the COVID-19 pandemic began

4 I drink a little more than I did before the COVID-19 pandemic began

5 I drink much more than I did before the COVID-19 pandemic began

DK/REF

COV3 [IF(MJ12MON2= 1 OR COC12MON = 1 OR CRK12MON = 1 OR HER12MON = 1 OR HAL12MON = 1 OR INH12MON = 1 OR MET12MON = 1 OR PR12MON = 1 OR TR12MON = 1 OR ST12MON = 1 OR SV12MON = 1)] How much, if at all, has the COVID-19 pandemic affected your drug use other than alcohol?

By drugs we mean cannabis, which includes marijuana and any cannabis product , cocaine, methamphetamine, heroin, fentanyl, hallucinogens, such as LSD, and prescription medications including benzodiazepines such as Xanax and Ativan, stimulants such as Ritalin and Adderall, and opioids such as hydrocodone or oxycodone.

1 I use much less than I did before the COVID-19 pandemic began

2 I use a little less than I did before the COVID-19 pandemic began

3 I use about the same amount as I did before the COVID-19 pandemic began

4 I use a little more than I did before the COVID-19 pandemic began

5 I use much more than I did before the COVID-19 pandemic began

DK/REF

COV4 How often have you had serious financial worries because of the COVID-19 pandemic?

1 All the time

2 Nearly all the time

3 Some of the time

4 Rarely

5 Never

DK/REF

COV5 Were you homeless, living on the street, in a vehicle, or in some type of makeshift housing like a tent or empty building at any time because of the COVID-19 pandemic?

1 Yes

2 No

DK/REF

COV6 Because of the COVID-19 pandemic in the U.S., did you experience any of the following in your access to mental health treatment?

	Yes	No	Does not apply
COV6a Appointments moved from in-person to telehealth?	⃝ 1	⃝ 2	⃝ 3
COV6b Delays or cancellations in appointments?	⃝ 1	⃝ 2	⃝ 3
COV6c Delays in getting prescriptions?	⃝ 1	⃝ 2	⃝ 3
COV6d Unable to access needed care resulting in moderate to severe impact on health?	⃝ 1	⃝ 2	⃝ 3

DK/REF

COV7 Because of the COVID-19 pandemic in the U.S., did you experience any of the following in your access to substance use treatment?

	Yes	No	Does not apply
COV7a Appointments moved from in-person to telehealth?	⃝ 1	⃝ 2	⃝ 3
COV7b Delays or cancellations in appointments?	⃝ 1	⃝ 2	⃝ 3
COV7c Delays in getting prescriptions?	⃝ 1	⃝ 2	⃝ 3
COV7d Unable to access needed care resulting in moderate to severe impact on health?	⃝ 1	⃝ 2	⃝ 3

DK/REF

COV8 Because of the COVID-19 pandemic in the U.S., did you experience any of the following in your access to medical care?

	Yes	No	Does not apply
COV8a Appointments moved from in-person to telehealth?	⃝ 1	⃝ 2	⃝ 3
COV8b Delays or cancellations in appointments or preventive services?	⃝ 1	⃝ 2	⃝ 3
COV8c Delays in getting prescriptions?	⃝ 1	⃝ 2	⃝ 3
COV8d Unable to access needed care resulting in moderate to severe impact on health?	⃝ 1	⃝ 2	⃝ 3

DK/REF

DEFINE CALCAGE2:

CALCAGE2 = VALUE OF CALCAGE WHEN PENTER1 IS REACHED.

Household Roster

INTRODM2 The next questions will ask you about yourself and the people who live with you.

Click Next 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

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 is he or she? (WORDING FOR ADDITIONAL CYCLES: How old is the next oldest person?)

For children less than 24 months.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 child’s age in whole months. 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]

Which category best describes his relationship to you.

1 Self

2 Husband

3 Son (Includes step, foster, and adoptive)

4 Son-in-law

5 Brother (Includes half, step, foster, and adoptive)

6 Brother-in-law

7 Father (Includes step, foster, and 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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]

Which category best describes her relationship to you.

1 Self

2 Wife

3 Daughter (Includes step, foster, and adoptive)

4 Daughter-in-law

5 Sister (Includes half, step, foster, and adoptive)

6 Sister-in-law

7 Mother (Includes step, foster, and 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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?

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.

Proxy Information

PENTER1 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.

Enter 1 and click Next to continue.

[ONCE 1 IS ENTERED FOR PENTER1, NO ONE CAN RE-ENTER PREVIOUS INTERVIEW SCREENS.]

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} Adult family members who live here are your [FAMILY RELATIONSHIP FILLS]. Do you think one of these people would be better able to give 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 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 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 give the correct information for these questions?

[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 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] Are you the respondent’s [QP02 FILL]?

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] 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. Click Next to continue.

[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] 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. Click Next 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, please 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 = Alabama Coordinated Health Network or ACHN

IF FIPE4 =2 THEN MEDIFILL = DenaliCare

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 C

IF FIPE4 =8 THEN MEDIFILL = Diamond State Health Plan

IF FIPE4 =9 THEN MEDIFILL = NONE

IF FIPE4 =10 THEN MEDIFILL = NONE

IF FIPE4 =11 THEN MEDIFILL = 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 FIPE9 THEN MEDIFILL = Healthy Louisiana

IF FIPE4 =20 THEN MEDIFILL = MaineCare

IF FIPE4 =21 THEN MEDIFILL = HealthChoice

IF FIPE4 =22 THEN MEDIFILL = MassHealth

IF FIPE4 =23 THEN MEDIFILL = Healthy Michigan Plan

IF FIPE4 =24 THEN MEDIFILL = Medical Assistance or MA

IF FIPE4 =25 THEN MEDIFILL = Mississippi Coordinated Access Network or MississippiCAN

IF FIPE4 =26 THEN MEDIFILL = MO HealthNet

IF FIPE4 =27 THEN MEDIFILL = NONE

IF FIPE4 =28 THEN MEDIFILL = Heritage Health

IF FIPE4 =29 THEN MEDIFILL = NONE

IF FIPE4 =30 THEN MEDIFILL = AmeriHealth Caritas New Hampshire, New Hampshire Healthy Families, and Well Sense

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 Start

IF FIPE4 =37 THEN MEDIFILL = SoonerCare

IF FIPE4 =38 THEN MEDIFILL = Oregon Health Plan or OHP

IF FIPE4 =39 THEN MEDIFILL = 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 = STAR or STAR+Plus

IF FIPE4 =45 THEN MEDIFILL = NONE

IF FIPE4 =46 THEN MEDIFILL = NONE

IF FIPE4 =47 THEN MEDIFILL = NONE

IF FIPE4 =48 THEN MEDIFILL = Apple Health

IF FIPE4 =49 THEN MEDIFILL = Mountain Health Trust

IF FIPE4 =50 THEN MEDIFILL = BadgerCare Plus

IF FIPE4 =51 THEN MEDIFILL = WYhealth

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 = Medi-Cal

IF FIPE4 = 6 THEN CHIPFILL = Child Health Plan Plus, or CHP+

IF FIPE4 = 7 THEN CHIPFILL = HUSKY B

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 Florida Healthy Kids or MediKids

IF FIPE4 = 11 THEN CHIPFILL = PeachCare for Kids

IF FIPE4 = 12 THEN CHIPFILL = Children’s Health Insurance Program or CHIP

IF FIPE4 = 13 THEN CHIPFILL = Children's Health Insurance Program or SCHIP

IF FIPE4 = 14 THEN CHIPFILL = All Kids

IF FIPE4 = 15 THEN CHIPFILL = Hoosier Healthwise

IF FIPE4 = 16 THEN CHIPFILL = Healthy and Well Kids in Iowa or hawk-i

IF FIPE4 = 17 THEN CHIPFILL = KanCare

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

IF FIPE4 = 19 THEN CHIPFILL = Louisiana Children’s Health Insurance Program or LaCHIP

IF FIPE4 = 20 THEN CHIPFILL = MaineCare or Children’s Health Insurance Program or CHIP

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 = Children’s Health Insurance Program or CHIP

IF FIPE4 = 29 THEN CHIPFILL = Nevada Check Up

IF FIPE4 = 30 THEN CHIPFILL = Children’s Medicaid or CM

IF FIPE4 = 31 THEN CHIPFILL = NJ Family Care

IF FIPE4 = 32 THEN CHIPFILL = Centennial Care for Children

IF FIPE4 = 33 THEN CHIPFILL = Child Health Plus

IF FIPE4 = 34 THEN CHIPFILL = NC Health Choice for Children or NCHC

IF FIPE4 = 35 THEN CHIPFILL = Children’s Health Insurance Program or CHIP

IF FIPE4 = 36 THEN CHIPFILL = Healthy Start

IF FIPE4 = 37 THEN CHIPFILL = SoonerCare

IF FIPE4 = 38 THEN CHIPFILL = Oregon Health Plan or OHP

IF FIPE4 = 39 THEN CHIPFILL = CHIP or Children’s Health Insurance Program

IF FIPE4 = 40 THEN CHIPFILL = RIte Care

IF FIPE4 = 41 THEN CHIPFILL = Partners for Healthy Children

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 = 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?

Click Help to see more information on TRICARE, CHAMPUS, CHAMPVA, the VA and military health care.

PROGRAMMER: INCLUDE THE DEFINITIONS BELOW WHEN THE R CLICKS HELPCHAMPUS 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

[IF QHI06 = 1]

Does [SAMPLE MEMBER POSS] private health insurance include coverage for treatment for any of the following conditions?	Yes	No	DK	RE
QHI08 Alcohol abuse or alcoholism?
QHI09 Drug abuse?
QHI10 Mental or emotional problems?

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?

For Indian Health Insurance, please click “Yes”.

1 Yes

2 No

DK/REF

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?

If less than one month, please 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] Which of the reasons below 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

QHI18 [IF QHI15 = 5] Which of these reasons on this card describe why [SAMPLE MEMBER] never had health insurance coverage?

Select all that apply.

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].

Click Next 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

IF FIPE4 = 2 THEN TANFFILL = the Alaska Temporary Assistance Program or ATAP

IF FIPE4 = 3 THEN TANFFILL = Cash Assistance

IF FIPE4 = 4 THEN TANFFILL = Transitional Employment Assistance or TEA

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

IF FIPE4 = 8 THEN TANFFILL = Temporary Assistance for Needy Families or TANF

IF FIPE4 = 9 THEN TANFFILL = Temporary 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 = Successful Families Program

IF FIPE4 = 18 THEN TANFFILL = the Kentucky Transitional Assistance Program or K-TAP

IF FIPE4 = 19 THEN TANFFILL = Temporary Assistance for Needy Families or TANF

IF FIPE4 = 20 THEN TANFFILL = Temporary Assistance for Needy Families or, TANF

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 and the TANF Work Program or TWP

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 = NMWorks

IF FIPE4 = 33 THEN TANFFILL = Family Assistance or FA

IF FIPE4 = 34 THEN TANFFILL = Work First or WF

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 or TANF

IF FIPE4 = 40 THEN TANFFILL = Cash Assistance, Rhode Island Works, RI Works, or RIW

IF FIPE4 = 41 THEN TANFFILL = 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

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 = WV Works

IF FIPE4 = 50 THEN TANFFILL = Wisconsin Works or W-2

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

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 Below 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.

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

Click Next 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] This question is 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] Which of these income groups 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

QI21B [IF QI20N = 1] Which of these income groups 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]

The next question is 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 ] Please combine everyone’s income – that is, yours and that of your [FAMILY RELATIONSHIP FILL].

[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN=1] Please combine everyone’s income – that is, [SAMPLE MEMBER POSS] and yours.

[IF AT LEAST TWO FAMILY MEMBERS IN ROSTER AND HASJOIN NE 1] Please 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] Please 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 listed earlier.

Click Next 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 ore more

2 Less than $20,000

DK/REF

QI23A [IF QI22=2]

[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1 ] Which of these income groups 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] Which of these income groups 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] Which of these income groups 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] Which of these income groups 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

PROGRAMMER: DROP DOWN BOX FOR MOBILE

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

[IF ONE FAMILY MEMBER IN ROSTER AND HASJOIN NE 1 ] Which of these income groups 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] Which of these income groups 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 =1] Which of these income groupsbest 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?

Click Help for more information about this question.

PROGRAMMER: INCLUDE THE FOLLOWING WHEN THE R CLICKS HELP: 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.

Click Next to continue.

INCENTTYPE Thank you for participating in the National Survey on Drug Use and Health! To show our appreciation for completing this interview, we would like to send you $30, by either electronic pre-paid or physical Visa or MasterCard gift card. Please indicate how you would like to receive your $30.

On the next screen enter your contact information. [IF CURNTAGE < 18] If you choose an electronic gift card, we will ask for your parent or guardian’s email. This information will be kept separate from the answers to this survey, and will only be used for the purpose of sending your gift card.

Electronic Visa Gift Card (Delivered by email within two business days, can only be used for online purchases, and can only be used for purchases of equal or lesser value )
Electronic MasterCard Gift Card (Delivered by email within two business days, can only be used for online purchases, and can only be used for purchases of equal or lesser value )
Physical Visa Gift Card (Delivered by mail within 4-6 weeks and can be used in stores and online)
Physical MasterCard Gift Card (Delivered by mail within 4-6 weeks and can be used in stores and online)
No, thanks. I decline the $30

DEFINE EMAILFILL

IF CURNTAGE ≥ 18 THEN, EMAILFILL = “your”

ELSE EMAILFILL = “your parent or guardian’s”

EADDRESS [IF INCENTTYPE = 1 OR 2]

The email message will be from [email protected] and the subject line will say “How to Redeem Your $30 [Visa OR MasterCard] Card.” If you’d like a physical gift card instead, click Back to change your selection.

Please enter [EMAILFILL] email address to receive the electronic gift card.

[EMAILADD]

Please re-enter [EMAILFILL] email address

[EMAILADD2]

ERROR MESSAGE: IF EMAILADD NE EMAILADD2: The email addresses do not match. Please re-enter them.

MAILINCENT [IF INCENTTYPE = 3 OR 4] Please enter the address you want us to mail the gift card to. If you’d like an electronic gift card instead, click Back to change your selection.

Street address 1: [MADDRESS]

Street address 2: [MADDRESS2]

Please enter your city.

City: [MCITY]

Please enter your state.

State: [MSTATE]

Please enter your zip code.

Zip: [MZIP]

INCENTCON [IF INCENTTYPE = 3 OR 4] Your gift card will be delivered to you in a RTI standard business sized envelope. Since we do not have your name, the letter will be directed to you using your age and gender.

Is this information correct?

FILL:

ADDRESS/PO BOX: [MADDRESS]

[MADDRESS2]

CITY: [MCITY]

STATE: [MSTATE]

ZIP: [MZIP]

IF NO IS ENTERED: Please click Back to go back one screen and enter the correct information.

FIEXIT That is all the questions we have for you. Thank you for participating in the National Survey on Drug Use and Health.

Please click FINISH to end the survey.

FINISH

POSTEXIT For more details on the National Survey on Drug Use and Health, this link takes you to a downloadable document at the NSDUH website that includes answers to common questions, website addresses and other information.

[LINK]

Please close your browser when you are finished.

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File Modified	0000-00-00
File Created	0000-00-00