| | | |
| PRAMS | Since your baby was born, have you received treatment or counseling for your use of Drugs or medications other than pain relievers | 2019 |
| PRAMS | Since your baby was born, have you received treatment or counseling for your use of drugs? | 2019 |
| PRAMS | When you were growing up, during the first 18 years of your life did you live with anyone who used illegal drugs or who abused prescription medications? | 2019 |
| Not Applicable | For your non-cancer chronic pain patients, how often do you review and/or evaluate patient history of drug or alcohol abuse before starting opioid therapy? | 2019 |
| Not Applicable | During the past 30 days, have you used cocaine or methamphetamines? | 2017 |
| Not Applicable | During the past 30 days, how many times have you used cocaine? | 2017 |
| Not Applicable | During the past 30 days, how many times have you driven while perhaps under the influence of cocaine or methamphetamines? | 2017 |
| Not Applicable | In the past 30 days what substances, if any, did you use with other substances? | 2017 |
| Not Applicable | In the past 30 days what substances, if any, were you under the influence of, while driving? | 2017 |
| Multiple | During the past 12 months, how many times have you taken a prescription stimulant without a doctor's prescription or differently than how a doctor told you to use it? (Count drugs such as Adderall, Ritalin, Concerta, or Vyvanse.) | 2017 |
| Multiple | During the past 12 months, how many times have you taken a prescription stimulant without a doctor's prescription or differently than how a doctor told you to use it? (Count drugs such as Adderall, Ritalin, Concerta, or Vyvanse.) | 2017 |
| Multiple | During the past 12 months, how many times have you taken a prescription benzodiazepine without a doctor's prescription or differently than how a doctor told you to use it? (Count drugs such as Xanax, Valium, Klonopin, or Ativan.) | 2017 |
| Multiple | During the past 12 months, how many times have you taken a prescription benzodiazepine without a doctor's prescription or differently than how a doctor told you to use it? (Count drugs such as Xanax, Valium, Klonopin, or Ativan.) | 2017 |
| PRAMS | During the month before you got pregnant, did you take or use any of the following drugs for any reason? | 2016 |
| PRAMS | During your most recent pregnancy, did you use heroin, cocaine, amphetamines, or barbiturates such as phenobarbital? | 2016 |
| VACS | In the past 30 days, have you used drugs such as marijuana, pills, ecstasy, yama or sniffed any chemical such as petrol or glue? | 2013 |
| DRAI | Did she/he EVER use or take drugs, such as steroids, cocaine, heroin, amphetamines, or anything NOT prescribed by her/his doctor? | 2013 |
| VACS | In the past 30 days, have you used drugs such as marijuana, pills, ecstasy or huffed/sniffed any chemical such as shabu or rugby? | 2012 |
| UBDHQ | Have you ever... Used needles to take drugs, steroids, or anything NOT prescribed by your doctor? | 2012 |
| NHBSS | Have you ever in your life shot up or injected any drugs other than those prescribed for you? By shooting up, I mean anytime you might have used drugs with a needle, either by mainlining, skin popping, or muscling. | 2011 |
| NHBSS | When was the last time you injected any drug? That is, how many days or months or years ago did you last inject? | 2011 |
| NHBSS | Have you ever in your life shot up or injected any drugs other than those prescribed for you? By shooting up, I mean anytime you might have used drugs with a needle, either by mainlining, skin popping, or muscling. | 2011 |
| NHBSS | When was the last time you injected any drug? That is, how many days or months or years ago did you last inject? | 2011 |
| NHBSS | How many people in [project area] do you know who inject? (By “know,’ I mean you know their name OR you see them around even if you don’t know their name). | 2011 |
| NHBSS | Is there anyone else you know in [insert project area] who injects? Remember, by “know,” I mean you know their name OR you see them around even if you don’t know their name. | 2011 |