Questionnaire - Page 8(j) of 9
(1014 maximum possible questions)
Last updated: Sep 22, 2008

THE ANALYST TM
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This section deals with recreational (possibly medicinal) drug use. Although your answers will never be released to any third party, leave the answer at "Never / don't know" if you would prefer not to answer.
929.  Have you used cocaine?
Never / don't know
Minor episode(s) in the past only
Significant episode(s) in the past only
Moderate current use
Heavy current use
930.  Have you used ecstacy?
Never / don't know
Minor episode(s) in the past only
Significant episode(s) in the past only
Moderate current use
Heavy current use
931.  Have you used GHB?
Never / don't know
Minor episode(s) in the past only
Significant episode(s) in the past only
Moderate current use
Heavy current use
932.  Have you used heroin or morphine (other than prescription narcotics)?
Never / don't know
Minor episode(s) in the past only
Significant episode(s) in the past only
Moderate current use
Heavy current use
933.  Have you used LSD?
Never / don't know
Minor episode(s) in the past only
Significant episode(s) in the past only
Moderate current use
Heavy current use
934.  Have you used marijuana?
Never / don't know
Minor episode(s) in the past only
Significant episode(s) in the past only
Moderate current use
Heavy current use
935.  Have you used methamphetamines?
Never / don't know
Minor episode(s) in the past only
Significant episode(s) in the past only
Moderate current use
Heavy current use

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