The next few questions ask about your use of and attitudes toward tobacco, alcohol, and other substances. back over the past 30 days and report how many times, if any, you used the following substances: Never 1-5 6-19 20-39 40 Times Times Times Times or More Cigarettes: Include menthol and During the past 30 regular cigarettes and loose days, how many times tobacco rolled into cigarettes did you smoke part or all of a cigarette? Other tobacco products: Include During the past 30 any tobacco product other than days, how many times cigarettes such as snuff, chewing did you use other tobacco, and smoking tobacco tobacco products? from a pipe Alcoholic beverages: Include During the past 30 beer, wine, wine coolers, malt days, how many times beverages, and liquor did you drink one or more drinks of an alcoholic beverage? Marijuana or hashish: Also During the past 30 known as grass, pot, hash, or days, how many times hash oil did you use marijuana or hashish? Methamphetamine: It is a highly During the past 30 addictive stimulant, also known days, how many times as meth, crystal, ice or speed did you use methamphetamine? During the past 30 Cocaine or crack cocaine: A days, how many times highly addictive stimulant, also did you use crack or known as coke, snow or smack crack cocaine? (usually a white powder) Heroin: A highly addictive drug During the past 30 that relieves pain (usually days, how many times injected) did you use heroin? Hallucinogens: Drugs that cause During the past 30 people to see or experience days, how many times things that are not real, such as did you use any LSD (sometimes called acid), hallucinogens? Ecstasy (sometimes called MDMA), PCP or peyote (sometimes called angel dust)
The next few questions ask about your use of and attitudes toward tobacco, alcohol, and other substances. back over the past 30 days and report how many times, if any, you used the following substances: Never 1-5 Times 6-19 Times 20-39 Times 40 Times or More Cigarettes: Include menthol and regular cigarettes and loose tobacco rolled into cigarettes During the past 30 days, how many times did you smoke part or all of a cigarette? Other tobacco products: Include any tobacco product other than cigarettes such as snuff, chewing tobacco, and smoking tobacco from a pipe During the past 30 days, how many times did you use other tobacco products? Alcoholic beverages: Include beer, wine, wine coolers, malt beverages, and liquor During the past 30 days, how many times did you drink one or more drinks of an alcoholic beverage? Marijuana or hashish: Also known as grass, pot, hash, or hash oil During the past 30 days, how many times did you use marijuana or hashish? Methamphetamine: It is a highly addictive stimulant, also known as meth, crystal, ice or speed During the past 30 days, how many times did you use methamphetamine? Cocaine or crack cocaine: A highly addictive stimulant, also known as coke, snow or smack (usually a white powder) During the past 30 days, how many times did you use crack or crack cocaine? Heroin: A highly addictive drug that relieves pain (usually injected) During the past 30 days, how many times did you use heroin? Hallucinogens: Drugs that cause people to see or experience things that are not real, such as LSD (sometimes called acid), Ecstasy (sometimes called MDMA), PCP or peyote (sometimes called angel dust) During the past 30 days, how many times did you use any hallucinogens?
TA%20Resource%20Guide%202017.docx