(INTERVIEWER: READ TO THE RESPONDENT:) Finally, we have some questions concerning your experience, if any, smoking cigarettes and using marijuana, cocaine, and other drugs. Currently, there is little accurate information on the actual experiences of people your age...

...Remember, as is true with all portions of this interview, the answers you give will remain strictly confidential and will not be associated with your name in any way...

...INTERVIEWER: TURN THE COMPUTER AROUND AND INSTRUCT R HOW TO PROCEED BY FOLLOWING THE INSTRUCTIONS AT THE TOP OF EACH SCREEN. R HAS FINISHED THE DRUG USE SUPPLEMENT WHEN HE/SHE IS ON THE SCREEN THANKING HIM/HER FOR FILLING OUT THE SUPPLEMENT. PLEASE ASSIST R IF ASKED TO DO SO.

This interview is protected by a legal Certificate of Confidentiality. This Certificate is intended to protect your identity from any authorities not directly connected with the conduct of this research. This protection does not apply to voluntary disclosure of information about communicable diseases or child abuse. Participation in the survey is voluntary.

IF YOU UNDERSTAND THIS STATEMENT OF CONFIDENTIALITY PROTECTION, PRESS <ENTER> TO CONTINUE.

OTHERWISE, PLEASE ASK YOUR INTERVIEWER FOR MORE INFORMATION.

The questions in this short section are to be completed by you without the interviewer, unless you have questions. Please read the instructions in the following screens before you begin to answer the questions. Once you have selected or entered your answer, the machine will automatically go to the next question.

The first thing you will need to do is to "TURN ON" each screen. To do this simply press the "DOWN ARROW" key, located in the lower right hand corner of the keypad. This will allow you to select or enter an answer to the question.

Once you have selected or entered your answer, press <ENTER> TWICE to continue to the next question.

If you do not know an answer or do not wish to answer a question, press <F6> for DON'T KNOW, or <F5> for DO NOT WISH TO ANSWER. These keys are at the top of the keyboard.

There are two types of questions in this short section...

QUESTION TYPE #1: ENTER AN ANSWER IN THE SPACE PROVIDED:

EXAMPLE: How many more children do you expect to have?

If the answer is "3", you would TURN ON the screen using the "DOWN ARROW" key, and type "3" in the space provided. Then press <ENTER> TWICE to continue.

QUESTION TYPE #2: CHOOSE ONE ANSWER ONLY:

EXAMPLE: What did you do most often for entertainment last year?

If the answer is "WENT TO A PLAY" you would TURN ON the screen using the"DOWN ARROW" key and highlight "WENT TO A PLAY" also using the "DOWN ARROW" key. Then press <ENTER> to select that answer and hit <ENTER> again to continue.

You are now ready to begin this short section of the questionnaire.

You are free to complete this short section of the questionnaire without your interviewer, but please don't hesitate to ask your interviewer questions at any time.

Have you smoked at least 100 cigarettes in your entire life?

(PRESS "DOWN ARROW" TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TWICE TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

How old were you when you first started smoking daily?

(PRESS "DOWN ARROW" TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TWICE TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

(How old were you when you first started smoking daily?)

(ENTER AGE IN YEARS)

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND ENTER YOUR ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

Do you NOW smoke daily, occasionally or not at all?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

How long has it been since you last smoked cigarettes daily?

(ENTER TIME UNIT)

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN, AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

(How long has it been since you last smoked cigarettes daily?)

(ENTER NUMBER OF MONTHS OR YEARS)

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN, AND ENTER YOUR ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

How many cigarettes do you smoke per day?

(ENTER NUMBER OF CIGARETTES PER DAY)

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND ENTER YOUR ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

In your lifetime, on how many occasions have you used marijuana?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

How old were you the first time you ever used marijuana?

(ENTER AGE IN YEARS)

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND ENTER YOUR ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

When was the most RECENT time you used marijuana?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)


(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

During the last 30 days, how often did you use marijuana on average?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

In your lifetime, on how many occasions have you used cocaine OTHER than "crack"?

(PRESS "DOWN ARROW' KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

How old were you the first time you ever used cocaine OTHER than "crack"?

(ENTER AGE IN YEARS)

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND ENTER YOUR ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

When was the most RECENT time you used cocaine OTHER than "crack"?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

During the last 30 days, how often did you use cocaine OTHER than "crack" on average?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

In your lifetime, on how many occasions have you used "crack" ("rock") cocaine?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

How old were you the first time you ever used "crack" ("rock") cocaine?

(ENTER AGE IN YEARS)

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN, AND ENTER YOUR ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

When was the most RECENT time you used "crack" ("rock") cocaine?

(PRESS "DOWN ARROW"KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

During the last 30 days, how often did you use "crack" ("rock") cocaine on average?


(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

The next few questions are about your use of some drugs and medication. Please choose "YES" or "NO" for each of the types of drugs listed below to indicate if you have or have not used the drugs on the list.

BECAUSE A DOCTOR TOLD YOU TO, HAVE YOU EVER USED...

Sedatives, such as barbituates, sleeping pills and Seconal ("downers")?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

BECAUSE A DOCTOR TOLD YOU TO, HAVE YOU EVER USED...

Tranquilizers, such as Librium, Valium and Xanax?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

BECAUSE A DOCTOR TOLD YOU TO, HAVE YOU EVER USED...

Stimulants, such as amphetamines, Preludin, uppers and speed?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

BECAUSE A DOCTOR TOLD YOU TO, HAVE YOU EVER USED...

Pain killers, such as Darvon, Demerol, Percodan, and Tylenol with codeine?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Sedatives, such as barbituates, sleeping pills and Seconal ("downers")?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Tranquilizers, such as Librium, Valium and Xanax?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Stimulants, such as amphetamines, Preludin, uppers and speed?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Pain killers, such as Darvon, Demerol, Percodan, and Tylenol with codeine?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Inhalants, such as glue, amyl nitrite, poppers and aerosol sprays?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Hallucinogens, such as LSD, PCP, peyote, and mescaline?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Heroin?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Steroids (also known as anabolic steroids)?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Injection (shooting up) of any drug?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

MDMA (or Ecstasy), a hallucinogen?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

WITHOUT A DOCTOR TELLING YOU TO, HAVE YOU EVER USED...

Crystal Methamphetamine or "Ice", an amphetimine?

(PRESS "DOWN ARROW" KEY TO TURN ON SCREEN AND TO HIGHLIGHT AN ANSWER. THEN PRESS <ENTER> TO CONTINUE.)

(PRESS <F6> FOR DON'T KNOW AND <F5> FOR DO NOT WISH TO ANSWER.)

YOU ARE NOW DONE WITH THIS SECTION OF THE SURVEY. THANK YOU VERY MUCH FOR
YOUR PARTICIPATION.

To ensure strict confidentiality of the questions you have just answered, these questions have been blocked off. They cannot be opened again until they get back to the survey staff in Chicago.

You may now return the machine to your interviewer.

INTERVIEWER: HOW WAS THE DRUG USE SUPPLEMENT ADMINISTERED?