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ANNEX 3 2006 QUESTIONNAIRE
QEVE [ASK ALL]
Have you EVER taken [ type of drug] even if it was a long time ago?
1. Yes
2. No
3. Don't want to answer
Question repeated for each of the following drugs:
1. AMPHETAMINE (SPEED, SULPH, WHIZZ, UPPERS)
2. CANNABIS (MARIJUANA, POT, GRASS, HASH, GANJA, BLOW, DOPE, SPLIFF, JOINTS, WEED)
3. COCAINE (COKE, CHARLIE, SNOW, BASE)
4. CRACK (ROCK, SAND, STONE, PEBBLES)
5. ECSTASY ('E','X', ECCIES, 'XTC', MDMA)
6. HEROIN (SMACK, SKAG, 'H', MORPHINE, BROWN, JUNK, GEAR)
7. LSD (ACID, TABS, TRIPS, STARS, WHITE LIGHTNING)
8. MAGIC MUSHROOMS (MUSHIES, PSILOCYBIN)
9. METHADONE/PHYSEPTONE (PHY, METH, JUICE)
10. SEMERON (SEMS)
11. TEMAZEPAM (RUGGERS, JELLIES, EGGS, BEANS)
12. VALIUM (VALLIES, BLUES)
13. ANABOLIC STEROIDS (STEROIDS)
14. POPPERS (AMYL NITRITE)
15. CRYSTAL METH (ICE, GLASS, TINA)
16. KETAMINE (GREEN, K, SPECIAL K, SUPER K, VITAMIN K)
17. GLUES, SOLVENTS, GAS OR AEROSOLS (TO SNIFF OR INHALE)
QOF2 [ASK ALL]
Has anyone (apart from a doctor) offered to give or sell you [ type of drug] in the last 12 MONTHS?
1. Yes
2. No
3. Don't want to answer
[Question repeated for each of the 17 drugs listed at QEVE]
Q12M [ASK IF ANY DRUG TAKEN AT QEVE]
Have you taken [ type of drug] in the last 12 MONTHS?
1. Yes
2. No
3. Don't want to answer
[Question repeated for each drug ever taken at QEVE]
Q1M [ASK IF ANY DRUG TAKEN AT Q12M]
Have you taken [ type of drug] in the last MONTH?
1. Yes
2. No
3. Don't want to answer
[Question repeated for each drug taken in the last 12 months at Q12M]
QDR1ST [ASK IF MORE THAN 1 DRUG EVER TAKEN AT QEVE]
You said that at some point in your life you have taken the following drugs. Which one was the first that you ever took?
YOU CAN CHOOSE ONLY ONE ANSWER AT THIS QUESTION
1. AMPHETAMINE (SPEED, SULPH, WHIZZ, UPPERS)
2. CANNABIS (MARIJUANA, POT, GRASS, HASH, GANJA, BLOW, DOPE, SPLIFF, JOINTS, WEED)
3. COCAINE (COKE, CHARLIE, SNOW, BASE)
4. CRACK (ROCK, SAND, STONE, PEBBLES)
5. ECSTASY ('E','X', ECCIES, 'XTC', MDMA)
6. HEROIN (SMACK, SKAG, 'H', MORPHINE, BROWN, JUNK, GEAR)
7. LSD (ACID, TABS, TRIPS, STARS, WHITE LIGHTNING)
8. MAGIC MUSHROOMS (MUSHIES, PSILOCYBIN)
9. METHADONE/PHYSEPTONE (PHY, METH, JUICE)
10. SEMERON (SEMS)
11. TEMAZEPAM (RUGGERS, JELLIES, EGGS, BEANS)
12. VALIUM (VALLIES, BLUES)
13. ANABOLIC STEROIDS (STEROIDS)
14. POPPERS (AMYL NITRITE)
15. CRYSTAL METH (ICE, GLASS, TINA)
16. KETAMINE (GREEN, K, SPECIAL K, SUPER K, VITAMIN K)
17. GLUES, SOLVENTS, GAS OR AEROSOLS (TO SNIFF OR INHALE)
18. DONT WANT TO ANSWER
[Only those drugs ever taken at QEVE are shown on screen]
[If only 1 drug ever taken then answer is set automatically]
QDRAGE [ASK IF QDR1ST NE DON'T WANT TO ANSWER]
And how old were you when you first took [ drug mentioned at QDR1ST]?
1. Less than 10
2. 10-15
3. 16-19
4. 20-24
5. 25-29
6. 30 or more
7. Not sure
8. Don't want to answer
QDRMETH [ASK IF TAKEN ANY DRUG IN LAST MONTH AT Q1M]
Which of these methods of taking drugs have you ever tried?
YOU CAN CHOOSE MORE THAN ONE ANSWER AT THIS QUESTION IF YOU WISH
1. Smoked / sniffed / inhaled
2. Swallowed / eaten / drunk
3. Injected
4. Other
5. Don't want to answer
QDRMOST [ASK IF MORE THAN 1 DRUG TAKEN AT Q1M]
You said that in the last month you have taken the following drugs. In the last month which one have you taken most often?
YOU CAN CHOOSE ONLY ONE ANSWER AT THIS QUESTION
1. AMPHETAMINE (SPEED, SULPH, WHIZZ, UPPERS)
2. CANNABIS (MARIJUANA, POT, GRASS, HASH, GANJA, BLOW, DOPE, SPLIFF, JOINTS, WEED)
3. COCAINE (COKE, CHARLIE, SNOW, BASE)
4. CRACK (ROCK, SAND, STONE, PEBBLES)
5. ECSTASY ('E','X', ECCIES, 'XTC', MDMA)
6. HEROIN (SMACK, SKAG, 'H', MORPHINE, BROWN, JUNK, GEAR)
7. LSD (ACID, TABS, TRIPS, STARS, WHITE LIGHTNING)
8. MAGIC MUSHROOMS (MUSHIES, PSILOCYBIN)
9. METHADONE/PHYSEPTONE (PHY, METH, JUICE)
10. SEMERON (SEMS)
11. TEMAZEPAM (RUGGERS, JELLIES, EGGS, BEANS)
12. VALIUM (VALLIES, BLUES)
13. ANABOLIC STEROIDS (STEROIDS)
14. POPPERS (AMYL NITRITE)
15. CRYSTAL METH (ICE, GLASS, TINA)
16. KETAMINE (GREEN, K, SPECIAL K, SUPER K, VITAMIN K)
17. GLUES, SOLVENTS, GAS OR AEROSOLS (TO SNIFF OR INHALE)
18. DONT WANT TO ANSWER
[Only those drugs taken in the last month at Q1M are shown on screen]
[If only 1 drug taken in the last month then answer is set automatically]
QDRHOLD [ASK IF QDRMOST NE DON'T WANT TO ANSWER]
How difficult is it to get hold of [ drug mentioned at QDRMOST]?
YOU CAN CHOOSE ONLY ONE ANSWER AT THIS QUESTION
1. Very difficult
2. Fairly difficult
3. Fairly easy
4. Very easy
5. Don't want to answer
QDROFT [ASK IF QDRMOST NE DON'T WANT TO ANSWER]
How many times have you taken [ drug mentioned at QDRMOST] in the last month?
YOU CAN CHOOSE ONLY ONE ANSWER AT THIS QUESTION
1. Every day or almost every day
2. 5-6 days each week
3. 3-4 days each week
4. 1-2 days each week
5. Once or twice in the last month
6. Not sure
7. Don't want to answer
QDRMIX [ASK IF MORE THAN 1 DRUG AT QEVE]
Whilst under the influence of [ drug mentioned at QDRMOST], have you ever taken any other drug?
1. Yes
2. No
3. Don't want to answer
QDRWHIC [ASK IF QDRMIX = YES]
Which drugs have you ever taken while under the influence of [ drug mentioned at QDRMOST]?
1. AMPHETAMINE (SPEED, SULPH, WHIZZ, UPPERS)
2. CANNABIS (MARIJUANA, POT, GRASS, HASH, GANJA, BLOW, DOPE, SPLIFF, JOINTS, WEED)
3. COCAINE (COKE, CHARLIE, SNOW, BASE)
4. CRACK (ROCK, SAND, STONE, PEBBLES)
5. ECSTASY ('E','X', ECCIES, 'XTC', MDMA)
6. HEROIN (SMACK, SKAG, 'H', MORPHINE, BROWN, JUNK, GEAR)
7. LSD (ACID, TABS, TRIPS, STARS, WHITE LIGHTNING)
8. MAGIC MUSHROOMS (MUSHIES, PSILOCYBIN)
9. METHADONE/PHYSEPTONE (PHY, METH, JUICE)
10. SEMERON (SEMS)
11. TEMAZEPAM (RUGGERS, JELLIES, EGGS, BEANS)
12. VALIUM (VALLIES, BLUES)
13. ANABOLIC STEROIDS (STEROIDS)
14. POPPERS (AMYL NITRITE)
15. CRYSTAL METH (ICE, GLASS, TINA)
16. KETAMINE (GREEN, K, SPECIAL K, SUPER K, VITAMIN K)
17. GLUES, SOLVENTS, GAS OR AEROSOLS (TO SNIFF OR INHALE)
18. DONT WANT TO ANSWER
[Only those drugs ever taken at QEVE are shown on screen]
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