Before I reached age 18, someone touched my intimate parts when I did not want them to

Do you feel that you smoke too much?

Have you ever had a health problem related to your smoking?

Do you smoke?

Which drugs or intoxicants, if any, have you ever tried? Alcohol

Which drugs or intoxicants if any have you ever tried? Stimulants

Which drugs or intoxicants, if any, have you ever tried? Sedatives

Which drugs or intoxicants, if any, have you ever tried? Heroin

Which drugs or intoxicants, if any, have you ever tried? Medication (w/o Prescription)

Which drugs or intoxicants, if any, have you ever tried? None