How many times in the past year have you used an illegal drug?
How many times in the past year have you used a prescription medication for non medical
reasons (including taking them for reasons other than prescribed, doses other than
prescribed, or prescription medications that were not prescribed to you)?
How often did you have a drink containing alcohol in the past year?
How many drinks containing alcohol did you have on a typical day when you were drinking
in the past year?
How often did you have six or more drinks on one occasion in the past year?
Have you been diagnosed with any of the following medical conditions? Select all that
apply. If yes, please explain.