How often have you used any of these drugs or intoxicants in the last 12 months? Tobacco

How often have you used any of these drugs or intoxicants in the last 12 months? Sedatives (w/o Prescription)

How often have you used any of these drugs or intoxicants in the last 12 months? Cocaine Paste

In the past 12 months, how often have you used illegal drugs (e.g., marijuana, cocaine, coca paste, etc.)?

Who do you usually use drugs with?

In the past 12 months, how often has your partner used illegal drugs (eg marijuana, cocaine, coca paste, etc)?

How often have you used any of these drugs or intoxicants in the last 12 months? Heroine

How often have you used any of these drugs or intoxicants in the last 12 months? Ecstasy

In the last 12 months, have you had family, work or social problems due to alcohol consumption?

Have you ever driven (an automobile or some other vehicle) while you were drunk?