Variables Items | Drug names |
Personal Drug Use | |
Have you ever used any of the following substances without a prescription or more than prescribed? If so, how often, do you use the following drugs? | Amphetamines (prescription stimulants like Ritalin, Adderal) |
Methamphetamine ("speed", "meth") | |
Cocaine | |
Prescription Opioids for pain (like Oxycontin, Vicodin, Norco, Percocet, others) | |
Heroin ("smack") | |
Fentanyl | |
Xylazine ("tranq", "tranq dope", "sleep"cut) | |
Non-opioid prescription pills for pain (like gabapentin [Neurontin], duloxetine [Cymbalta], venlafaxine [Effexor]) | |
Hallucinogens ("LSD", "acid", Psilocybin, "mushrooms", "shrooms", Mescaline, "peyote") | |
Thinner or other inhalants or solvents, such as glue | |
GHB | |
Disassociates (Ketamine, "special K", "K", Nitrous Oxide, "whippets") | |
Prescription pills for anxiety (like diazepam [Valium], lorazepam, alprazolam) | |
Close-other Drug Use | |
Has someone close to you used any of the following substances without a prescription or more than prescribed in the last year? If so, how often do they use the following drugs? | Amphetamines (prescription stimulants like Ritalin, Adderal) |
Methamphetamine ("speed", "meth") | |
Cocaine | |
Prescription Opioids for pain (like Oxycontin, Vicodin, Norco, Percocet, others) | |
Heroin ("smack") | |
Fentanyl | |
Xylazine ("tranq", "tranq dope", "sleep"cut) | |
Non-opioid prescription pills for pain (like gabapentin [Neurontin], duloxetine [Cymbalta], venlafaxine [Effexor]) | |
Hallucinogens ("LSD", "acid", Psilocybin, "mushrooms", "shrooms", Mescaline, "peyote") | |
Thinner or other inhalants or solvents, such as glue | |
GHB | |
Disassociates (Ketamine, "special K", "K", Nitrous Oxide, "whippets") | |
Prescription pills for anxiety (like diazepam [Valium], lorazepam, alprazolam) |