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EMQ (European Model Questionnaire) Questions Map:
Questions used in National General Population Survey Questionnaires, 2002–12
Last updated April 2013: The EMQ Questions Map is subject to periodical updates to ensure the most recently conducted surveys are included.
EMCDDA Epidemiology Unit
Date 4.6.2013
Foreword
This map was complied under contract with Alexandra Ionescu with the objective to map questions from national General Population Survey questionnaires into a common database to promote further harmonisation with the European Model Questionnaire (EMQ). This work will inform and support subsequent combination of databases for common analysis. The main work, carried out from October 2010 to January 2011, was facilitated by regular communication and close cooperation with the Epidemiology Unit Project Team.
Acknowledgements: Thanks are due to the general population survey experts and their National Reitox Focal Points for providing the EMCDDA with copies of the questionnaires and in some cases translating them into English. Thanks are also due to EMCDDA Communications Unit and other EMCDDA members of staff for assistance for translations when the Questionnaires were not provided in English.
KeySpreadsheets One spreadsheet per country
Total: 29
Heading of columns A, B, C Column A: Matching GPS Country to the European Model Questionnaire (EMQ)
Column B: Year of penultimate survey (when available); survey context; survey mode
Column C: Year of latest survey; survey context; survey mode
Content of columns A, B, C Column A: European Model Questionnaire (EMQ)
Column B: matching questions from the penultimate survey
Column C: matching questions from the latest survey
Column A: European Model Questionnaire (EMQ) 6 SECTIONS (Grey shading)
1. Tobacco
2. Alcohol
3. Pharmaceuticals
4. Illicit drugs
Cannabis
Ecstasy
Amphetamines
Cocaine
Heroin
Relevin (not mandatory)
LSD
n.b. There is an addition at the end of this section, 4 cells on items not included in the EMQ: Inhalants, Hallucinogens (other) and 2 questions on
availability. See cell below for further information
5. Opinions
about drug addicts (not mandatory)
about drug policies (not mandatory)
about Behaviour
Perceptions of risk
6. Respondent Attributes
any additional questions (e.g. lifestyle) are signalled as "ADDITIONAL QUESTION"
Column A: Questions not part of the EMQ The yellow background of some cells in column A is an indicator of whether non-EMQ questions on Inhalants, other Hallucinogens or availability
(x2) were included.
Columns B and C: Question wording; response
categories
a. When questions and their response categories are the same as the EMQ, only the question number is indicated
b. When questions are the same as the EMQ but their response categories differ, the question number is indicated, followed by the full wording of
the different response categories (R C)
c. When a single question within a section is not asked the cell simply states "QUESTION NOT ASKED"
d. If an entire section is absent from the questionnaire, this is indicated via "SECTION NOT ASKED" in the gray box that delimitates the sections
Columns B and C: "SEE COMMENT" If a question requires the respondent make a choice from a list of substances, this list will be displayed in full as a comment and the instruction
"SEE COMMENT" will appear
Columns B and C: "R.C" Meaning: response categories (usually when different from EMQ)
Columns B and C: F to … (possibly underlined) Filter to _
bold (font) Identifying a substance within a comment (when main illicit drugs questions are in table/list format)
italics (font) The precise words that differ from the EMQ (see comment)
Question numbers Most questions are in the format "Q_". Exceptions: when the questionnaire is divided into sections that have a specific letter, e.g. "D_" or "A_"
Sheet tab colours Grey tab = no questionnaires available, Pink tab = checked for accuracy by country expert
Matching GPS Belgium (Health Interview Survey) to EMQ 2004
Context: Health Interview Survey
Mode: self-completion: licit and illicit substances
face-to-face: Respondent Attributes;
Pharmaceuticals
2008
Context: Health Interview Survey
Mode: self-completion: licit and illicit substances
face-to-face: Respondent Attributes;
Pharmaceuticals
European Model Questionnaire
1. Tobacco self-completion self-completion
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes;
No; else
TA.01 Have you ever smoked at least 100 cigarettes or
the equivalent amount of tobacco in your lifetime?
R C:
1. Yes
2. No
If you have never smoked this amount, F to ID.01
(cannabis questions)
TA.01 Have you ever smoked at least 100 cigarettes
(about 5 packets) or the equivalent amount of tobacco
in your lifetime?
R C:
Yes
No: F to TA.05
TA.03 Have you ever smoked (cigarettes, cigars,
pipes…) daily or almost daily, for at least one year?
R.C.:
Yes
No F to TA.05
Have you ever smoked in past? Yes; No; else TA.02. Do you now smoke?
R C:
Yes, daily
Yes, occasionally
No (If No, questions for quitters are separate to
questions for active smokers)
TA.05 Do you smoke at all nowadays?
R C:
1. Yes, daily: F to TA.06
2. Yes, occasionally
3. Not at all
2. Alcohol self-completion self-completion
During the last 12 months have you drunk beer, wine, spirits or any
other alcoholic drink? Yes; No; else
AL.01. Please indicate on the following list which
alcoholic beverages you drank in the past 12 months
(even if only once)? SEE COMMENT
If you haven't had any alcohol in the past 12 months, F
to NS.01
AL.01 During the past 12 months, how often have you
had alcoholic drinks of any kind (beer, wine, spirits,
liqueurs or other alcoholic beverages)?
R.C.: 1. Never (F to TR.01); 2. Monthly or less (F to
AL.04); 3. 2-4 times a month; 4. 2-3 times a week; 5 4-6
times a week; 6. Every day
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
AL.04. Do you usually drink alcoholic beverages during
the days of the week (Monday till Thursday)?
R.C.: Yes: F to AL.05; No
If Yes, AL.05. On how many weekdays (Monday to
Thursday) do you usually drink alcoholic beverages? 4
days 3 days 2 days 1 day
AL.07. Do you usually drink alcoholic beverages during
the weekend (Friday to Sunday)?
R.C.Yes: F to AL.08; No: F to AL.10
If Yes AL.08. On how many days of the weekend (Friday
to Sunday) do you usually drink alcoholic beverages? 3
days 2 days 1 day
AL.02 How many drinks containing alcohol do you have
each day in a typical week ? Start with Monday and take
one day at a time. Indicate the number of glasses per
alcoholic beverage and per day. SEE COMMENT.
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
AL.02. In the past 6 months , did you ever drink 6
glasses or more of alcoholic beverages
(possibly different) in one day?
R.C.:Yes No If Yes, F to AL.03
AL.03 In the past 6 months , how often
did you drink 6 or more alcoholic beverages (possibly
different) in one day?
Every day
5 to 6 times a week
3 to 4 times a week
1 to 2 times a week
1 to 3 times a month
3 to 5 times in six months
1 to 2 times in six months
AL.03 During the past 12 months , how often did you
have 6 or more drinks on one occasion?
R.C.:
Never
Less than monthly
Monthly
Weekly
Daily or almost daily
During the last 30 days, have you drunk any alcohol? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, on how many days did you drink alcohol?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-
3 days
QUESTION NOT ASKED QUESTION NOT ASKED
3. Pharmaceuticals face-to-face
Recall period: 2 weeks
face-to-face
Recall period: 2 weeks
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
How often do you take sedatives or tranquilizers? 4 times a week;
2-3 times a week; 2-4 times a month; Once a month or less; else
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
DR.05 During the last two weeks, that ended yesterday,
did you use any prescribed tranquilizers or other
medicines for the nerves?
R.C.: Yes; No; Don't know; No answer
DR.06 During the last 2 weeks, that ended yesterday,
did you use non-prescribed medicines (which could be
obtained over the counter in the pharmacy) during the
last two weeks?
R.C.: Yes F to DR.08; No; Don't know; No answer
DR.07 When did you use any non-prescribed medicines
for the last time? On _/_/__ OR __ weeks ago; __
months ago; __ years ago; never; don't know; no answer
DR.08 During the last 2 weeks , that ended yesterday,
did you use any non-prescribed sleeping tablets?
R.C.: Yes; No; Don't know; No answer
DR.09 During the last 2 weeks , that ended yesterday,
did you use any non-prescribed tranquilisers or other
medicines for the nerves?
R.C.: Yes; No; Don't know; No answer
DR.10 Did you use during the last 2 weeks non
prescribed medicines that were not bought in a
pharmacy?
R.C.: Yes; No: F to DR.12; Don't know; No answer
DR.01 During the past two weeks, have you used any
medicines that were prescribed or recommended for you
by a doctor?
R.C.
Yes
No: F to DR.03;
don't know: F to DR.03;
No answer: F to DR.03
DR.02 Were they medicines for …?
Astma; Chronic bronchitis, chronic obstructive
pulmonary disease, emphysema; High blood pressure;
Lowering the blood cholesterol level; Other
cardiovascular disease, such as stroke and heart attack;
Pain in the joints (arthrosis, arthritis); Pain in the neck or
back; Headache or migraine; Other pain;
Diabetes; Allergic symptoms (eczema, rhinitis, hay
fever); Stomach troubles; Cancer (chemotherapy);
Depression; Tension or anxiety; Prevention of
osteoporosis; Sleeping tablets; Antibiotics; (for women)
contraceptive pills, injections, patches;
(for women) hormones for menopause; Some other
medicines prescribed by a doctor. (If yes): What type of
medicines?
R.C.:
Yes; No; Don't know; No answer
DR.03 During the past 2 weeks, have you used any
medicines or dietary supplement or herbal medicines or
vitamins not prescribed or recommended by a doctor ?
R.C.:
During the last 30 days, on how many days did you take sedatives
or tranquilizers?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
QUESTION NOT ASKED QUESTION NOT ASKED
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I
got them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above
applies: else
DR.11 How did you obtain these medicines? (Multiple
responses possible)
R C: 1. Diet shop; 2. Diet department in a department
store; 3. Internet; 4. Paramedical (nurse,
psychotherapist); 5. Doctor; 6. Other, specify; Don't
know; No answer
QUESTION NOT ASKED
4. Illicit drugs self-completion self-completion
Cannabis (LYP and LMP for Cannabis only)
Do you personally know people who take cannabis? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cannabis yourself? Yes; No; else ID.01 R.C. Yes; No: F to AL.01 ID.01 R C: Yes; No: F to ID.06
At what age did you take cannabis for the first time? ID.02 ID.02
During the last 12 months, have you taken cannabis? Yes; No;
else
ID.03 R.C. Yes; No: F to AL.01 ID.03 R.C.: Yes; No: F to ID.06
During the last 30 days, have you taken cannabis? Yes; No; else ID.04 R.C. Yes; No: F to AL.01 ID.04 R.C.: Yes; No: F to ID.06
During the last 30 days, on how many days did you take cannabis?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
ID.05 ID.05
Ecstasy SECTION NOT ASKED ID.06 Have you ever taken cocaine, amphetamines,
ecstasy or other similar substances?
R.C.:
Yes
No: F to AL.01
Do you personally know people who take ecstasy? Yes; No; else QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes; No; else ID.07. Which of the following have you taken?
(more than one answer possible)
SEE COMMENT
At what age did you take ecstasy for the first time? QUESTION NOT ASKED
During the last 12 months, have you taken ecstasy? Yes; No; else QUESTION NOT ASKED
During the last 30 days, have you taken ecstasy? Yes; No; else QUESTION NOT ASKED
During the last 30 days, on how many days did you take ecstasy?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
QUESTION NOT ASKED
Amphetamines SECTION NOT ASKED
Do you personally know people who take amphetamines? Yes;
No; else
QUESTION NOT ASKED
Have you ever taken amphetamines yourself? Yes; No; else ID.07. Which of the following have you taken?
(more than one answer possible)
SEE COMMENT
At what age did you take amphetamines for the first time? QUESTION NOT ASKED
During the last 12 months, have you taken amphetamines? Yes;
No; else
QUESTION NOT ASKED
During the last 30 days, have you taken amphetamines? Yes; No;
else
QUESTION NOT ASKED
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED
Cocaine SECTION NOT ASKED
Do you personally know people who take cocaine? Yes; No; else QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes; No; else ID.07. Which of the following have you taken?
(more than one answer possible)
SEE COMMENT
At what age did you take cocaine for the first time? QUESTION NOT ASKED
During the last 12 months, have you taken cocaine? Yes; No;
else
QUESTION NOT ASKED
During the last 30 days, have you taken cocaine? Yes; No; else QUESTION NOT ASKED
During the last 30 days, on how many days did you take cocaine?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
QUESTION NOT ASKED
Heroin SECTION NOT ASKED
Do you personally know people who take heroin? Yes; No; else QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else ID.07. Which of the following have you taken?
(more than one answer possible)
SEE COMMENT
At what age did you take heroin for the first time? QUESTION NOT ASKED
During the last 12 months, have you taken heroin? Yes; No; else QUESTION NOT ASKED
During the last 30 days, have you taken heroin? Yes; No; else QUESTION NOT ASKED
During the last 30 days, on how many days did you take heroin?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
QUESTION NOT ASKED
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD SECTION NOT ASKED
Do you personally know people who take LSD? Yes; No; else QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else ID.07. Which of the following have you taken?
(more than one answer possible)
SEE COMMENT
At what age did you take LSD for the first time? QUESTION NOT ASKED
During the last 12 months, have you taken LSD? Yes; No; else QUESTION NOT ASKED
During the last 30 days, have you taken LSD? Yes; No; else QUESTION NOT ASKED
During the last 30 days, on how many days did you take LSD?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
QUESTION NOT ASKED
Inhalants QUESTION NOT ASKED QUESTION NOT ASKED
Hallucinogens (other) QUESTION NOT ASKED QUESTION NOT ASKED
Availability
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
QUESTION NOT ASKED QUESTION NOT ASKED
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice;
3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39
times; 7) 40 times or more
QUESTION NOT ASKED QUESTION NOT ASKED
5. Opinions SECTION NOT ASKED SECTION NOT ASKED
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a
patient; don't know, cannot decide; else
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely disagree,
fully disagree, else
Opinions about behaviour
Individuals differ according to whether or not they disapprove of
people doing certain things. I will mention a few things which some
people may do. Can you tell me if you would not disapprove or
disapprove or strongly disapprove when people do any of these
things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
INTRO: Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do certain
things. I will again mention a few things, which some people may
do. Please tell me if you consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes face-to-face face-to-face
Please indicate if you are a male or female 1. male 2. female Completed by interviewer Completed by interviewer
What is your age? Completed by interviewer
Date of birth: ____ / ____ / 19 ___
Completed by interviewer
Date of birth: ____ / ____ / 19 ___
Which of the following describes the composition of the household
to which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult
with children at home, other situation
QUESTION NOT ASKED QUESTION NOT ASKED
Which of the following best applies to you: you are employed or
self-employed, you are a full-time student, you are unemployed,
none of the above
EM.01 Do you have at this moment a paid job, even if it
is temporarily interrupted?
R.C.: Yes, paid job: F to EM.03; Yes, but temporarily
interrupted; No, no paid job: F to EM.07; don't know; no
answer
EM.01
Do you have at this moment a paid job, even if it is
temporarily interrupted?
Yes, paid job (even temporarily interrupted): F to EM.04.
No, no paid job
Don’t know
No answer
What is the highest level of education you have completed ET 03 What is your highest diploma or grade?
R.C. Primary education; Lower vocational secondary
education; Lower technical, art or professional
education; Higher vocational secondary education;
Higher technical secondary education; Higher art
secondary education; Higher professional education;
Post-secondary non higher education; Higher education
(short type); Higher education (long type); Academic
education; Post academic training; Doctorate; Other,
specify: ; No diploma; Don’t know; No answer
ET.03. What is the highest diploma or degree you have
obtained?
R.C. Primary education
Lower vocational secondary education
Lower technical, art or professional education
Higher vocational secondary education
Higher technical secondary education
Higher art secondary education
Higher professional education
Post-secondary non higher education
Higher education (short type)
Higher education (long type)
Academic education
Post academic training
Doctorate
Other, specify:
No diploma
Don’t know
No answer
What is the <identification code> of your home address? Person's Number: __ Person's Number: __
Matching GPS Bulgaria to EMQ 2008
Context: Drugs, alcohol, tobacco and attitudes
Mode: Face-to-face interview European Model Questionnaire 72 questions
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes; No;
else
Q51. IN THE LAST 30 DAYS hav your smoked (a) cigarettes, cigars or pipe? R.C. No; 1 or 2
days; 3 to 9 days; 10 to 19 days; 20 to 31 days and
Q52. IN THESE DAYS OF THE PAST MONTH usually smoke cigarettes ? R.C. I have not
smoked; Up to 1 cigarette a day; 2-3 cigarettes a day; 4 to 7 cigarettes a day; half a pack of
cigarettes a day; one pack per day; more than one pack of cigarettes a day
Have you ever smoked in past? Yes; No; else Q48. HAVE YOU EVER IN YOUR LIFE smoked TOBACCO (cigarettes, cigars or pipe)? R.C.
yes, no and skip
Alternatives: standard prevalence model (LTP,LYP,LMP)
2. Alcohol
During the last 12 months have you drunk beer, wine, spirits or any
other alcoholic drink? Yes; No; else
Q28. HOW OFTEN IN LAST 12 MONTHS you have used ALCOHOLIC BEVERAGES? R.C. I
have not drunk alcohol in the last 12 months; Once a month or less; Once a week or less; 2-4
times a week; 5 or more times a week
How often do you drink alcohol? 4 times a week; 2-3 times a week;
2-4 times a month; Once a month or less; else
Q28. HOW OFTEN IN LAST 12 MONTHS you have used ALCOHOLIC BEVERAGES? R.C. I
have not drunk alcohol in the last 12 months; Once a month or less; Once a week or less; 2-4
times a week; 5 or more times a week
How often do you drink 6 glasses or more of an alcoholic drink on the
same occasion? Daily or almost daily; every week; every month; less
than once a month; never; else
Q29. HOW OFTEN IN LAST 12 MONTHS you have consumed six or more standard drinks in
a row? (Under "standard drink" is understood here or bottle / can of beer or glass of wine, or
50 g of concentrate) R.C. I have not drunk alcohol in the last 12 months; I have not consumed
(a) 6 or more drinks in past 12 months; It happened more often than once a month; It
happened about once a month; It happened about once a week; It happened about 2-4 times
a week; It happened almost every day
During the last 30 days, have you drunk any alcohol? Yes; No; else
During the last 30 days, on how many days did you drink alcohol?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
Alternatives: Specific types of alcoholic drinks
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q5. Have you in the past 12 months taken any of the following medicines without a
prescription?
How often do you take sedatives or tranquilizers? 4 times a week; 2-3
times a week; 2-4 times a month; Once a month or less; else
Q7. How many days in the last 12 months you have used without prescription hypnotics,
tranquilizers or antidepressants? R.C. Average monthly or less frequently; on average 2-4
times a month; average number of days per week; daily or almost daily
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
Q6. Have you in the past 30 days taken any of the following medicines without a prescription?
During the last 30 days, on how many days did you take sedatives or
tranquilizers?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I got
them from somebody else I know; I bought them without a prescription
in a pharmacy or drug store; None of the above applies: else
4. Illicit drugs
Cannabis
Do you personally know people who take cannabis? Yes; No; else
Have you ever taken cannabis yourself? Yes; No; else Q16. Have you ever in your life taken any of the following substances? R.C. no never; yes
once; 2-5 times; yes more times more times
At what age did you take cannabis for the first time? Q16. R.C. If yes what was your age at first use? ……years old
During the last 12 months, have you taken cannabis? Yes; No; else Q20. During the last 12 months have you taken any of the following substances? R.C. no not
in last 12 months; yes once; 2-5 times; yes more times more times
During the last 30 days, have you taken cannabis? Yes; No; else Q19. During the last 30 days have you smoked marijuana or other forms of cannabis? R.C.
Once; In 2 to 8 days; More than 8 days, but not every day; Daily; I have not smoked marijuana
or other forms of cannabis in the last. 30 days
During the last 30 days, on how many days did you take cannabis?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q19. During the last 30 days have you smoked marijuana or other forms of cannabis? R.C.
Once; In 2 to 8 days; More than 8 days, but not every day; Daily; I have not smoked marijuana
or other forms of cannabis in the last 30 days
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else
Have you ever taken ecstasy yourself? Yes; No; else Q16. Have you ever in your life taken any of the following substances? R.C. no never; yes
once; 2-5 times; yes more times more times
At what age did you take ecstasy for the first time? Q16. R.C. If yes what was your age at first use? ……years old
During the last 12 months, have you taken ecstasy? Yes; No; else Q20. During the last 12 months have you taken any of the following substances? R.C. no not
in last 12 months; yes once; 2-5 times; yes more times more times
During the last 30 days, have you taken ecstasy? Yes; No; else Q21. During the last 30 days have you taken any of the following substances? R.C. no not in
last 30 days; yes once; 2-5 times; yes more times more times
During the last 30 days, on how many days did you take ecstasy? On
__ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
See Q21. above R.C. no not in last 30 days; yes once; 2-5 times; yes more times
Amphetamines
Do you personally know people who take amphetamines? Yes; No;
else
Have you ever taken amphetamines yourself? Yes; No; else Q16. Have you ever in your life taken any of the following substances? R.C. no never; yes
once; 2-5 times; yes more times more times
At what age did you take amphetamines for the first time? Q16. R.C. If yes what was your age at first use? ……years old
During the last 12 months, have you taken amphetamines? Yes; No;
else
Q20. During the last 12 months have you taken any of the following substances? R.C. no not
in last 12 months; yes once; 2-5 times; yes more times more times
During the last 30 days, have you taken amphetamines? Yes; No;
else
Q21. During the last 30 days have you taken any of the following substances? R.C. no not in
last 30 days; yes once; 2-5 times; yes more times more times
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
See Q21. above R.C. no not in last 30 days; yes once; 2-5 times; yes more times
Cocaine
Do you personally know people who take cocaine? Yes; No; else
Have you ever taken cocaine yourself? Yes; No; else Q16. Have you ever in your life taken any of the following substances? R.C. no never; yes
once; 2-5 times; yes more times more times
At what age did you take cocaine for the first time? Q16. R.C. If yes what was your age at first use? ……years old
During the last 12 months, have you taken cocaine? Yes; No; else Q20. During the last 12 months have you taken any of the following substances? R.C. no not
in last 12 months; yes once; 2-5 times; yes more times more times
During the last 30 days, have you taken cocaine? Yes; No; else Q21. During the last 30 days have you taken any of the following substances? R.C. no not in
last 30 days; yes once; 2-5 times; yes more times more times
During the last 30 days, on how many days did you take cocaine? On
__ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
See Q21. above R.C. no not in last 30 days; yes once; 2-5 times; yes more times
Heroin
Do you personally know people who take heroin? Yes; No; else
Have you ever taken heroin yourself? Yes; No; else Q16. Have you ever in your life taken any of the following substances? R.C. no never; yes
once; 2-5 times; yes more times more times
At what age did you take heroin for the first time? Q16. R.C. If yes what was your age at first use? ……years old
During the last 12 months, have you taken heroin? Yes; No; else Q20. During the last 12 months have you taken any of the following substances? R.C. no not
in last 12 months; yes once; 2-5 times; yes more times more times
During the last 30 days, have you taken heroin? Yes; No; else Q21. During the last 30 days have you taken any of the following substances? R.C. no not in
last 30 days; yes once; 2-5 times; yes more times more times
During the last 30 days, on how many days did you take heroin? On
__ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
See Q21. above R.C. no not in last 30 days; yes once; 2-5 times; yes more times
Relevin (not mandatory)
LSD
Do you personally know people who take LSD? Yes; No; else
Have you ever taken LSD yourself? Yes; No; else Q16. Have you ever in your life taken any of the following substances? R.C. no never; yes
once; 2-5 times; yes more times more times
At what age did you take LSD for the first time? Q16. R.C. If yes what was your age at first use? ……years old
During the last 12 months, have you taken LSD? Yes; No; else Q20. During the last 12 months have you taken any of the following substances? R.C. no not
in last 12 months; yes once; 2-5 times; yes more times more times
During the last 30 days, have you taken LSD? Yes; No; else Q21. During the last 30 days have you taken any of the following substances? R.C. no not in
last 30 days; yes once; 2-5 times; yes more times more times
During the last 30 days, on how many days did you take LSD? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
See Q21. above R.C. no not in last 30 days; yes once; 2-5 times; yes more times
Inhalants See Q16, Q20 and Q21. above
Hallucinogens (other) See Q16, Q20 and Q21. above
Availability
How difficult would it be for you personally to obtain «drug» within 24
hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice; 3)
3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39 times; 7)
40 times or more
Q12 Are drugs available to you? R.C. no; yes I have been offered; yes they tried to force me
to take them
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a patient;
don't know, cannot decide; else
Q58. If you think you have problems with drug addicts what measures should be taken? (can
specify more than one answer) R.C. strict laws for manufacturers and distributors of drugs;
tougher laws for drug users; pay more attention to prevention; isolate from society; legalize
drugs; create more medical treatment services; talk openly about the problems; other (please
write); do not know; no action as addicts do not deserve attention; no such problem
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
To what extent do you agree or disagree with the following statement:
"People should be permitted to take heroin"?
Opinions about behaviour
Individuals differ according to whether or not they disapprove of
people doing certain things. I will mention a few things which some
people may do. Can you tell me if you would not disapprove or
disapprove or strongly disapprove when people do any of these
things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I will
again mention a few things, which some people may do. Please tell
me if you consider it to be no risk, a slight risk, a moderate risk or a
great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day Q59.1 Do you think there is risk to people from smoking cigarettes a) occasionally and b)
regularly R.C. no risk; moderate risk; big risk; don't know
Having five or more drinks each weekend Q59.3 Do you think there is risk to people who drink alcohol a) occasionally and b) regularly
R.C. no risk; moderate risk; big risk; don't know
Smoke hashish or marijuana regularly Q59.2 Do you think there is risk to people who smoke cannabis a) occasionally and b)
regularly R.C. no risk; moderate risk; big risk; don't know
Try ecstasy once or twice 59.5. Do you think there is risk to people who who use ecstasy a) occasionally and b) regularly
R.C. no risk; moderate risk; big risk; don't know
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female Q67
What is your age? Q68
Which of the following describes the composition of the household to
which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult with
children at home, other situation
Q9. How many people do you live with in a permanent residence in the last year? R.C. . With
one more person; With two more people With three more people; with four or more; I live
mostly alone and
What is your marital status? R.C. Married; Single; Divorced; Widower/widow; live with partner
Which of the following best applies to you: you are employed or self-
employed, you are a full-time student, you are unemployed, none of
the above
What is the highest level of education you have completed Q69. What is your level of education? R.C. I have never been to school; incomplete primary;
main; completed secondary; average; higher than average; I am currently a student
What is the identification code of your home address?
Matching GPS Czech Republic to EMQ 2004
Context: Health status and lifestyle Survey (drugs)
Mode: face-to-face interview
Total number of questions: 36
2008
Context: Drug use
map filled in by national expert - we have
original questionnaire (2008) in Czech only
Total number of questions: 171European Model Questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes;
No; else
Q7 Do you currently smoke cigarettes? R C:
1 yes, occasionally (F to Q10)
2 yes, daily - 1–5 cigarettes (F to Q9)
3 yes, daily - 6–20 cigarettes (F to Q9)
4 yes, daily more than 20 cigarettes (F to Q9)
5 I do not smoke cigarettes, I smoke cigars or pipe (F to Q12)
6 I do not smoke
Q2 ... in the last 30 days Did you smoke
cigarettes, cigars or pipe in the last 30 days? R C:
1 yes, occasionally
2 yes, regularly, but not daily
3 yes, daily
4 no
Have you ever smoked in past? Yes; No; else Q8 Have you ever smoked in past? R C:
1 yes, occasionally (F to Q10)
2 yes, daily - 1–5 cigarettes
3 yes, daily - 6–20 cigarettes
4 yes, daily more than 20 cigarettes
5 I did not smoke cigarettes, I smoked cigars or pipe (F to Q12)
6 I have never smoked (F to Q12)
Q1 Have you ever smoked cigarettes, cigars or
pipe in your life?
1 yes, I tried
2 yes, occasionally
3 yes, regularly but not daily
4 yes, daily
5 no (continue with Q3)
Alternatives: Use of standard prevalence questions
(LTP,LYP,LMP)
Q9 Age of smoking regularly, Q10 for how many years have you
smoked?
Q11 Age of first use
2. Alcohol
During the last 12 months have you drunk beer, wine, spirits or any
other alcoholic drink? Yes; No; else
Q13 (If No, F to Q 16) Q3
1 yes, once
2 yes, more than once
3 no (continue with Q8)
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
Q12 R C: 1. 4 times a week or more often
2. 2-3 times a week
3. 2-4 times a month
4. once a month or less
5. I am lifetime abstainer (F to question 19)
Q4 1. 4 times a week or more often
2. 2-3 times a week
3. 2-4 times a month
4. once a month or less
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
Q16 How often do you drink 5 glasses or more ... Q5:
1 daily or amost daily
2 every week
3 every month
4 less than once a month
5 never
During the last 30 days, have you drunk any alcohol? Yes; No; else Q14 Q6:
1 yes
2 no (continue with Q8)
During the last 30 days, on how many days did you drink alcohol?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-
3 days
Q15 R C: Daily or almost daily; every week; every month; less than
once a month; never; else
Q7 How often have you drunk alcohol in the last
30 days?
1 daily or almost daily (5-7 days a week)
2 several times a week (3-4 days a week)
3 at least once a week
4 less than once a week
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q20 Have you ever taken any of the following substances?
SEE COMMENT
R C: Yes, in last 30 days; Yes, in last 12 months; Yes, lifetime; No,
never
If Never, F to Q 23
Q8
(list of sedatives by brand provided as a footnote
in original questionnaire, SEE COMMENT - in
Czech)
1 yes, once
2 yes, more than once
3 no (continue with Q13)
How often do you take sedatives or tranquilizers? 4 times a week
or more; 2-3 times a week; 2-4 times a month; once a month or
less
Q21 How often have you taken the following substances in the last 30
days? SEE COMMENT
R C: Daily or almost daily; Several times a week; at least once a week;
less than once a month
Q9 How often do you take sedatives or
tranquilizers?
1 4 times a week or often
2 2-3 times a week
3 2-4 times a month
4 once a month or less
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
see Q21 above Q10
1 yes
2 no (continue with Q12)
During the last 30 days, on how many days did you take sedatives
or tranquilizers? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
see Q21 above Q11 How often have you taken sedatives in the
last 30 days?
1 daily or almost daily (5-7 days a week)
2 several times a week (3-4 days a week)
3 at least once a week
4 less than once a week
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I
got them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above
applies: else
QUESTION NOT ASKED Q12 How did you obtain sedatives or tranquilizers
the last time you took them?
1 had them prescribed
2 got them from someone I know
3 bought them without prescription
4 got them in another way
4. Illicit drugs Main illicit drug questions (+ sedatives and tranquilisers) in list
format
Separate sets of questions for each substance
Cannabis
Do you personally know people who take cannabis? Yes; No; else Q19 Do you personally know someone who takes any of the following
substances? (Mark one answer in each row)
SEE COMMENT
Q13
1 yes
2 no
Have you ever taken cannabis yourself? Yes; No; else Q20 Have you ever taken any of the following substances?
SEE COMMENT
R.C: Yes, in last 30 days; Yes, in last 12 months; Yes, lifetime; No,
never
Q14
1 yes
2 no (continue with Q19)
At what age did you take cannabis for the first time? QUESTION NOT ASKED Q15
During the last 12 months, have you taken cannabis? Yes; No;
else
see Q20 above Q16
1 yes, once
2 yes, more than once
3 no (continue with Q19)
During the last 30 days, have you taken cannabis? Yes; No; else see Q20 above Q17
1 yes
2 no (continue with Q19)
During the last 30 days, on how many days did you take cannabis?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q21 How often have you taken the following substances in the last 30
days?
SEE COMMENT
R.C: Daily or almost daily; Several times a week; at least once a week;
less than once a month
Q18 .. How often have you taken cannabis in the
last 30 days?
1 daily or almost daily (5-7 days a week)
2 several times a week (3-4 days a week)
3 at least once a week
4 less than once a week
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
Q23 SEE COMMENT Q73
1 impossible
2 very difficult
3 fairly difficult
4 fairly easy
5 very easy
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else Q19 Do you personally know someone who takes any of the following
substances? (Mark one answer in each row)
SEE COMMENT
Q19
1 yes
2 no
Have you ever taken ecstasy yourself? Yes; No; else Q20 Have you ever taken any of the following substances?
SEE COMMENT
R.C: Yes, in last 30 days; Yes, in last 12 months; Yes, lifetime; No,
never
Q20
1 yes
2 no (continue with Q25)
At what age did you take ecstasy for the first time? QUESTION NOT ASKED Q21
During the last 12 months, have you taken ecstasy? Yes; No; else see Q20 above Q22
1 yes, once
2 yes, more than once
3 no (continue with Q25)
During the last 30 days, have you taken ecstasy? Yes; No; else see Q20 above Q23
1 yes
2 no (continue with Q25)
During the last 30 days, on how many days did you take ecstasy?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q21 How often have you taken the following substances in the last 30
days?
SEE COMMENT
R.C: Daily or almost daily; Several times a week; at least once a week;
less than once a month
Q24 …How often have you taken ecstasy in the
last 30 days?
1 daily or almost daily (5-7 days a week)
2 several times a week (3-4 days a week)
3 at least once a week
4 less than once a week
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
Q23 Q85
1 impossible
2 very difficult
3 fairly difficult
4 fairly easy
5 very easy
Amphetamines Pervitin Pervitin
Do you personally know people who take amphetamines? Yes; No;
else
Q19 Do you personally know someone who takes any of the following
substances? (Mark one answer in each row)
SEE COMMENT
Q25
1 yes
2 no
Have you ever taken amphetamines yourself? Yes; No; else Q20 Have you ever taken any of the following substances?
SEE COMMENT
R.C: Yes, in last 30 days; Yes, in last 12 months; Yes, lifetime; No,
never
Q26
1 yes
2 no (continue with Q32)
At what age did you take amphetamines for the first time? QUESTION NOT ASKED Q27
During the last 12 months, have you taken amphetamines? Yes;
No; else
see Q20 above Q28
1 yes, once
2 yes, more than once
3 no (continue with Q31)
During the last 30 days, have you taken amphetamines? Yes; No;
else
see Q20 above Q29
1 yes
2 no (continue with Q31)
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q21 How often have you taken the following substances in the last 30
days?
SEE COMMENT
R.C: Daily or almost daily; Several times a week; at least once a week;
less than once a month
Q30 …How often have you taken pervitin in the
last 30 days?
1 daily or almost daily (5-7 days a week)
2 several times a week (3-4 days a week)
3 at least once a week
4 less than once a week
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
Q23 Q96
1 impossible
2 very difficult
3 fairly difficult
4 fairly easy
5 very easy
ADDITIONAL QUESTION - CZ Q22 Have you ever taken any of the following substances by injection?
(Mark one answer in each row.)
1 Pervitin, amphetamines
2 Cocaine, crack
3 Heroin, other opiates
Q31 Have you ever taken pervitin by injection?
1 no
2 yes, more than 12 months ago
3 yes, within the last 12 months but not in the last
30 days
4 yes, within the last 30 days
Do you personally know people who take cocaine? Yes; No; else Q19 Do you personally know someone who takes any of the following
substances? (Mark one answer in each row)
SEE COMMENT
Q32
1 yes
2 no
Have you ever taken cocaine yourself? Yes; No; else Q20 Have you ever taken any of the following substances?
SEE COMMENT
R.C: Yes, in last 30 days; Yes, in last 12 months; Yes, lifetime; No,
never
Q33
1 yes
2 no (continue with Q38)
At what age did you take cocaine for the first time? QUESTION NOT ASKED Q34
During the last 12 months, have you taken cocaine? Yes; No; else see Q20 above Q35
1 yes, once
2 yes, more than once
3 no (continue with Q38)
During the last 30 days, have you taken cocaine? Yes; No; else see Q20 above Q36
1 yes
2 no (continue with Q38)
During the last 30 days, on how many days did you take cocaine?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q21 How often have you taken the following substances in the last 30
days?
SEE COMMENT
R.C: Daily or almost daily; Several times a week; at least once a week;
less than once a month
Q37 …How often have you taken cocaine in the
last 30 days?
1 daily or almost daily (5-7 days a week)
2 several times a week (3-4 days a week)
3 at least once a week
4 less than once a week
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
Q23 Q107
1 impossible
2 very difficult
3 fairly difficult
4 fairly easy
5 very easy
Heroin
Do you personally know people who take heroin? Yes; No; else Q19 Do you personally know someone who takes any of the following
substances? (Mark one answer in each row)
SEE COMMENT
Q38
1 yes
2 no
Have you ever taken heroin yourself? Yes; No; else Q20 Have you ever taken any of the following substances?
SEE COMMENT
R.C: Yes, in last 30 days; Yes, in last 12 months; Yes, lifetime; No,
never
Q39
1 yes
2 no (continue with Q45)
At what age did you take heroin for the first time? QUESTION NOT ASKED Q40
During the last 12 months, have you taken heroin? Yes; No; else see Q20 above Q41
1 yes, once
2 yes, more than once
3 no (continue with Q44)
During the last 30 days, have you taken heroin? Yes; No; else see Q20 above Q42
1 yes
2 no (continue with Q44)
During the last 30 days, on how many days did you take heroin?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q21 How often have you taken the following substances in the last 30
days?
SEE COMMENT
R.C: Daily or almost daily; Several times a week; at least once a week;
less than once a month
Q43 …How often have you taken heroin last 30
days?
1 daily or almost daily (5-7 days a week)
2 several times a week (3-4 days a week)
3 at least once a week
4 less than once a week
ADDITIONAL QUESTION - CZ Q22 Have you ever taken any of the following substances by injection?
(Mark one answer in each row.)
1 Pervitin, amphetamines
2 Cocaine, crack
3 Heroin, other opiates
Q44 Have you ever taken heroin by injection?
1 no
2 yes, more than 12 months ago
3 yes, within the last 12 months but not in the last
30 days
4 yes, within the last 30 days
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
Q23 Q118
1 impossible
2 very difficult
3 fairly difficult
4 fairly easy
5 very easy
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD
Do you personally know people who take LSD? Yes; No; else Q19 Do you personally know someone who takes any of the following
substances? (Mark one answer in each row)
SEE COMMENT
Q45
1 yes
2 no
Have you ever taken LSD yourself? Yes; No; else Q20 Have you ever taken any of the following substances?
SEE COMMENT
R.C: Yes, in last 30 days; Yes, in last 12 months; Yes, lifetime; No,
never
Q46
1 yes
2 no (continue with Q51)
At what age did you take LSD for the first time? QUESTION NOT ASKED Q47
During the last 12 months, have you taken LSD? Yes; No; else see Q20 above Q48
1 yes, once
2 yes, more than once
3 no (continue with Q51)
During the last 30 days, have you taken LSD? Yes; No; else see Q20 above Q49
1 yes
2 no (continue with Q51)
During the last 30 days, on how many days did you take LSD? On
__ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q21 How often have you taken the following substances in the last 30
days?
SEE COMMENT
R.C: Daily or almost daily; Several times a week; at least once a week;
less than once a month
Q50 … How often have you taken LSD in the last
30 days?
1 daily or almost daily (5-7 days a week)
2 several times a week (3-4 days a week)
3 at least once a week
4 less than once a week
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
Q23 Q129
1 impossible
2 very difficult
3 fairly difficult
4 fairly easy
5 very easy
Inhalants Q19 covered, SEE COMMENT QUESTIONS NOT ASKED
Hallucinogenic mushrooms Q19 covered, SEE COMMENT
Do you personally know people who take hallucinogenic
mushrooms? Yes; No; else
Q19 Do you personally know someone who takes any of the following
substances? (Mark one answer in each row)
SEE COMMENT
Q45
1 yes
2 no
Have you ever taken hallucinogenic mushrooms yourself? Yes;
No; else
Q20 Have you ever taken any of the following substances?
SEE COMMENT
R.C: Yes, in last 30 days; Yes, in last 12 months; Yes, lifetime; No,
never
Q46
1 yes
2 no (continue with Q57)
At what age did you take hallucinogenic mushrooms for the first
time?
QUESTION NOT ASKED Q47
During the last 12 months, have you taken hallucinogenic
mushrooms? Yes; No; else
see Q20 above Q48
1 yes, once
2 yes, more than once
3 no (continue with Q57)
During the last 30 days, have you taken hallucinogenic
mushrooms? Yes; No; else
see Q20 above Q49
1 yes
2 no (continue with Q57)
During the last 30 days, on how many days did you take
hallucinogenic mushrooms? On __ days OR 1. 20 days or more;
2.10-19 days; 3.4-9 days; 4. 1-3 days
Q21 How often have you taken the following substances in the last 30
days?
SEE COMMENT
R.C: Daily or almost daily; Several times a week; at least once a week;
less than once a month
Q50 … How often have you taken hallucinogenic
mushrooms in the last 30 days?
1 daily or almost daily (5-7 days a week)
2 several times a week (3-4 days a week)
3 at least once a week
4 less than once a week
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
Q23 Q129
1 impossible
2 very difficult
3 fairly difficult
4 fairly easy
5 very easy
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you would
not disapprove or disapprove or strongly disapprove when people
do any of these things?Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I
will again mention a few things, which some people may do.
Please tell me if you consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female Q31 Q165
1 male
2 female
What is your age? Q32 Q166
Which of the following describes the composition of the household
to which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult
with children at home, other situation
Q33 R C:
SEE COMMENT
Q167 What is your marital status?
1 single
2 married
3 divorced
4 widower
5 partner (common-law husband/wife)
Q171 What is the composition of your household?
1 single/living alone
2 living alone with child/children
3 living with parents
4 living with partner
5 living with partner and children
6 living with friends, schoolmates
7 living with other persons
Q29 Q57 (trying ecstasy once or twice), Q58 (trying
heroin once or twice), Q59 (smoking 10 or more
cigarettes daily), Q60 (drinking one or two drinks
several times a week), Q61 (smoking cannabis
occasionally)
1 I do not disapprove
2 I disapprove
3 I strongly disapprove
4 I do not know
Q30 Q62 (smoking one or more packs of cigarettes
daily), Q63 (drinking 5 or more glasses of alcohol
every weekend), Q64 (trying cannabis once or
twice), Q65 (taking cannabis regularly), Q66
(trying ecstasy once or twice), Q67 (trying pervitin
once or twice), Q68 (trying cocaine once or twice)
1 no risk
2 small risk
3 moderate risk
4 great risk
Which of the following best applies to you: you are employed or
self-employed, you are a full-time student, you are unemployed,
none of the above
Q36 Q169 What is job?
1 employed
2 self-employed
3 both employed and self-employed
4 retired
5 (disabled) pensioner
6 student
7 at home
8 maternity or parental leave
9 unemployed (registered at the office)
10 unemployed (not registered at the office)
11 other
What is the highest level of education you have completed? Q34 Q168 What is the highest education completed?
1 elementary
2 vocational school, secondary school without
diploma
3 secondary school with diploma
4 higher vocational school
5 university education
What is the <identification code> of your home address? no
Matching GPS Denmark (Health Interview Survey) to EMQ 2005
Context: Health Interview Survey
Mode: face-to-face: 19 sections, 202 questions
self-completion: 12 sections, 50 questionsEuropean Model Questionnaire
1. Tobacco Section 15 face-to-face
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes;
No; else
Q98 Do you smoke daily ? R C: Yes; No; No Information
If Yes F to Q103 If No next Q
Q99 Do you smoke occasionally? R C Yes, at least once a week; Yes, rarely; No
Have you ever smoked in past? Yes; No; else Q101 Have you ever smoked daily ?
2. Alcohol Section 14 face-to-face
During the last 12 months have you drunk beer, wine, spirits or any
other alcoholic drink? Yes; No; else
Q89 Yes No DK (If No or DK, F to Section 15)
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
Q93 R C: 1. less than once a month 2. 1-3 times a month 3. 1-2 times a week 4. 3-4 times a
week 5. 5-7 times a week No information, DK, have not consumed alcohol in the past year
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
Q91 How many times during the past month have you consumed 5 alcoholic drinks or more at
one time? Number of times __
During the last 30 days, have you drunk any alcohol? Yes; no; else QUESTION NOT ASKED
During the last 30 days, on how many days did you drink alcohol?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-
3 days
Q88 FREQUENCY TABLE: Across: Beer, white wine, red wine, fortified wine, spirits. Down:
Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday
How many standard alcoholic drinks did you consume each day last week? You may answer in
the categories beer, white wine, red wine, fortified wine and spirits. Let us start with yesterday:
Monday-Sunday: Tick
If the respondent has consumed more than one standard drink in the past week F to Q90,
otherwise F to Q89
3. Pharmaceuticals Section 6 face-to-face
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q39 During the past 2 weeks have you taken any of the following prescription or over the counter
medicines? SEE COMMENT
How often do you take sedatives or tranquilizers? 4 times a week
or more; 2-3 times a week; 2-4 times a month; once a month or
less
QUESTION NOT ASKED
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
QUESTION NOT ASKED
During the last 30 days, on how many days did you take sedatives
or tranquilizers? On__ days OR 1. 20 days or more 2. 10-19 days
3. 4-9 days 4. 1-3 days
QUESTION NOT ASKED
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I
got them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above
applies: else
Q27 (section 3 face-to-face) Many people occasionally use medicine that was prescribed for
another person. In the past year, how many times did you take medicine prescribed for another
person (such as your spouse or partner)?
≥4 times; 2–3 times; Once;None in the past year; Do not know
4. Illicit drugs Thank you for the interview. Here is a questionnaire, and I will kindly ask you to complete it
when I leave. When you have completed it, please send it back
to us in this stamped and pre-addressed envelope.
Cannabis Section 6 self-completion
Do you personally know people who take cannabis? Yes; No; else QUESTION NOT ASKED
Have you ever taken cannabis yourself? Yes; No; else Q22 Have you ever tried one or more of the following drugs?
SEE COMMENT
R C: No; Yes, during the past month; Yes, during the past year (but not during the past month);
Yes, previously (but not during the past year)
At what age did you take cannabis for the first time? Q22a If Yes, how old were you when you tried this? __ Years old
During the last 12 months, have you taken cannabis? Yes; No;
else
see Q22
During the last 30 days, have you taken cannabis? Yes; No; else see Q23
During the last 30 days, on how many days did you take cannabis?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q23 How many days in the past month have you used one or more of the drugs mentioned ?
Only check one mark:
R C: 1. Have never used these drugs 2. Have not used these drugs during the past month 3.
Have used these drugs 1-3 days during the past month 4. Have used these drugs 4-9 days
during the past month 5. Have used these drugs 10-19 days during the past month 6. Have used
these drugs >_20 days during the past month
Ecstasy Section 6 self-completion
Do you personally know people who take ecstasy? Yes; No; else QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes; No; else Q22 Have you ever tried one or more of the following drugs? SEE COMMENT
R C No; Yes, during the past month; Yes, during the past year (but not during the past month);
Yes, previously (but not during the past year)
At what age did you take ecstasy for the first time? Q22a If Yes, how old were you when you tried this? __ Years old
During the last 12 months, have you taken ecstasy? Yes; No; else see Q22
During the last 30 days, have you taken ecstasy? Yes; No; else see Q23
During the last 30 days, on how many days did you take ecstasy?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q23 How many days in the past month have you used one or more of the drugs mentioned? 1.
Have never used these drugs 2. Have not used these drugs during the past month 3. Have used
these drugs 1-3 days during the past month 4. Have used these drugs 4-9 days during the past
month 5. Have used these drugs 10-19 days during the past month 6. Have used these drugs
>_20 days during the past month
Amphetamines Section 6 self-completion
Do you personally know people who take amphetamines? Yes; No;
else
QUESTION NOT ASKED
Have you ever taken amphetamines yourself? Yes; No; else Q22 Have you ever tried one or more of the following drugs?
R.C No; Yes, during the past month; Yes, during the past year (but not during the past month);
Yes, previously (but not during the past year)
At what age did you take amphetamines for the first time? Q22a If Yes, how old were you when you tried this? __ Years old
During the last 12 months, have you taken amphetamines? Yes;
No; else
see Q22
During the last 30 days, have you taken amphetamines? Yes; No;
else
see Q23
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q23 How many days in the past month have you used one or more of the drugs mentioned? R C:
1. Have never used these drugs 2. Have not used these drugs during the past month 3. Have
used these drugs 1-3 days during the past month 4. Have used these drugs 4-9 days during the
past month 5. Have used these drugs 10-19 days during the past month 6. Have used these
drugs >_20 days during the past month
Cocaine Section 6 self-completion
Do you personally know people who take cocaine? Yes; No; else QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes; No; else Q22 Have you ever tried one or more of the following drugs?
SEE COMMENT
No; Yes, during the past month; Yes, during the past year (but not during the past month); Yes,
previously (but not during the past year)
At what age did you take cocaine for the first time? Q22a If Yes, how old were you when you tried this? __ years old
During the last 12 months, have you taken cocaine? Yes; No; else see Q22
During the last 30 days, have you taken cocaine? Yes; No; else see Q23
During the last 30 days, on how many days did you take cocaine?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q23 How many days in the past month have you used one or more of the drugs mentioned? 1.
Have never used these drugs 2. Have not used these drugs during the past month 3. Have used
these drugs 1-3 days during the past month 4. Have used these drugs 4-9 days during the past
month 5. Have used these drugs 10-19 days during the past month 6. Have used these drugs
>_20 days during the past month
Heroin Section 6 self-completion
Do you personally know people who take heroin? Yes; No; else QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else Q22 Have you ever tried one or more of the following drugs?
No; Yes, during the past month; Yes, during the past year (but not during the past month); Yes,
previously (but not during the past year
At what age did you take heroin for the first time? Q22a If Yes, how old were you when you tried this? __ Years old
During the last 12 months, have you taken heroin? Yes; No; else see Q22
During the last 30 days, have you taken heroin? Yes; No; else see Q23
During the last 30 days, on how many days did you taken heroin?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q23 How many days in the past month have you used one or more of the drugs mentioned? 1.
Have never used these drugs 2. Have not used these drugs during the past month 3. Have used
these drugs 1-3 days during the past month 4. Have used these drugs 4-9 days during the past
month 5. Have used these drugs 10-19 days during the past month 6. Have used these drugs
>_20 days during the past month
Relevin (not mandatory) QUESTIONS NOT ASKED
LSD Section 6 self-completion
Do you personally know people who take LSD? Yes; No; else QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else Q22 Have you ever tried one or more of the following drugs?
SEE COMMENT
No; Yes, during the past month; Yes, during the past year (but not during the past month); Yes,
previously (but not during the past year)
At what age did you take LSD for the first time? Q22a If Yes, how old were you when you tried this? __ Years old
During the last 12 months, have you taken LSD? Yes; No; else see Q22
During the last 30 days, have you taken LSD? Yes; No; else see Q23
During the last 30 days, on how many days did you take LSD? On
__ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q23 How many days in the past month have you used one or more of the drugs mentioned? 1.
Have never used these drugs 2. Have not used these drugs during the past month 3. Have used
these drugs 1-3 days during the past month 4. Have used these drugs 4-9 days during the past
month 5. Have used these drugs 10-19 days during the past month 6. Have used these drugs
>_20 days during the past month
Inhalants QUESTION NOT ASKED
Hallucinogens (other) Q22 SEE COMMENT above
Availability
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
QUESTION NOT ASKED
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice;
3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39
times; 7) 40 times or more
QUESTION NOT ASKED
5. Opinions SECTION NOT ASKED
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a
patient; don't know, cannot decide; else
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely disagree,
fully disagree, else
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you would
not disapprove or disapprove or strongly disapprove when people
do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I
will again mention a few things, which some people may do.
Please tell me if you consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes 9
Please indicate if you are a male or female 1. male 2. female face-to-face: Q1; self-completion: Q48
What is your age? face-to-face: Q2 When were you born?; Q2a Write the age (years); self-completion Q49 When
were you born?
Which of the following describes the composition of the household
to which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult
with children at home, other situation
face-to-face: Q4 Are you cohabiting? ; Q5 How many adults 16 years or older live in this
household? (Include yourself); Q5a 5a. How many children 15 years or younger live in this
household?
Which of the following best applies to you: you are employed or
self-employed, you are a full-time student, you are unemployed,
none of the above
Q8 What is your occupation?
R C: Currently in employment; Under education or training; Pensioner; Other
What is the highest level of education you have completed? Q6 How much school education have you had?
Q7 Have you completed any vocational training or any educational programme after school?
What is the <identification code> of your home address? self-completion: Q50 What is your postcode?
Matching GPS Germany to EMQ 2006
Context: Survey on licit and illicit psychoactive substance use
Mode: Mail (PAPI), Telephone
2009
Context: Survey on licit and illicit psychoactive substance use
Mode: Mail (PAPI), Telephone, Online
European Model Questionnaire 117 questions 94 questions
1. Tobacco
Do you smoke tobacco, such as cigarettes,
cigars or a pipe? Yes; No; else
Q21 Do you smoke at present? Yes No Q19 Do you smoke at present? Yes No
Have you ever smoked in past? Yes; No;
else
Q22 Have you ever smoked at least 100
cigarettes/cigarillos/cigars/pipes? Yes No
Q20 Have you ever smoked at least 100
cigarettes/cigarillos/cigars/pipes? Yes No
2. Alcohol
During the last 12 months, have you drunk
beer, wine, spirits or any other alcoholic
drink? Yes; No; else
Q52 How long has it been since you last drank alcoholic drinks i.e.
beer, wine, champagne…?
Not longer than 30 days ago (F to Q53)
Between 1-12 months ago (F to Q59)
Longer than a year ago (F to Q73 Illicit Substances)
Never drunk alcohol (F to Q73 Ilicit substances)
Q59 (for those who have not drunk alcohol in the last 30 days, but have
drunk alcohol in the last 12 months) On how many days out of the last
12 months did you drink alcohol, irrespective of whether it was beer,
wine/champagne or alcopops? On about __ days
Q36 How long is it since you last drank alcoholic drinks i.e. beer, wine,
champagne…
Not longer than 30 days ago (F to Q37)
Between 1-12 months ago (F to Q44 LYP)
Longer than a year ago (F to Q73 Illicit Substances)
Never drunk alcohol (F to Q73 Ilicit substances)
Q44 If you have not drunk alcohol in the last 30 days but you drank in
the last 12 months: On how many days in the last 12 months did you
drink alcohol, irrespective of whether it was beer, wine/champagne or
alcoholic mixed drinks? On about __ days
How often do you drink alcohol? 4 times a
week; 2-3 times a week; 2-4 times a month;
Once a month or less; else
Q50 Do you drink alcohol at least once a month or did you use to drink
alcohol at least once a month? Yes; No (If Yes, age of first use)
Q34 Do you drink alcohol at least once a month or did you use to drink
alcohol at least once a month? Yes; No (If Yes, age of first use)
How often do you drink 6 glasses or more of
an alcoholic drink on the same occasion?
Daily or almost daily; every week; every
month; less than once a month; never; else
Q58 On how many days out of the last 30 did you drink 5 or more
glasses of alcohol , irrespective of whether it was beer,
wine/champagne or alcopops? R C: On about __ days; Did not drink
more than 5 glasses of alcohol on any day
Q64 (for those who have not drunk alcohol in the last 30 days but have
done so in the last 12 months) On how many days out of the last 12
months did you drink 5 or more glasses of alcohol , irrespective of
whether it was beer, wine/champagne or alcopops? R C: On about __
days; Did not drink more than 5 glasses of alcohol on any day
Q42 On how many days out of the last 30 did you drink 5 or more
glasses of alcohol , irrespective of whether it was beer,
wine/champagne or alcoholic mixed drinks? R C: On about __ days; Did
not drink more than 5 glasses of alcohol on any day
Q49 (for those who have not drunk alcohol in the last 30 days but have
done so in the last 12 months) On how many days in the last 12 months
did you drink 5 or more glasses of alcohol, irrespective of whether they
were beer, wine/champagne or alcoholic mixed drinks? R C: On about
__ days; Did not drink 5 or more glasses of alcohol on any day
During the last 30 days, have you drunk any
alcohol? Yes; No; else
see Q52 see Q36
During the last 30 days, on how many days
did you drink alcohol? On__days, OR 1.20
days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q53 On how many days out of the last 30 did you drink alcohol,
irrespective of whether it was beer, wine/champagne or alcopops? On
about __ days
Q54 (…) beer
Q55 (…) wine/champagne
Q56 (…) spirits
Q57 (…) alcopops
Q37 On how many days of the last 30 did you drink alcohol, irrespective
of whether it was beer, wine/champagne or alcoholic mixed drinks? On
about __ days
Q38 On how many days out of the last 30 did you drink beer?
Q39 (…) wine/champagne
Q40 (…) spirits
Q41 (…) alcoholic mixed drinks
Alternatives: Specific types of alcoholic
drinks
Yes: LMP Beer, wine or champagne, spirits, alcopops Yes: LMP Beer, wine or champagne, spirits, alcoholic mixed drinks
3. Pharmaceuticals Introduction: List of commonly used medicines (brands) Introduction: List of commonly used medicines (brands)
During the last 12 months, have you taken
any sedatives or tranquilizers? Yes; No; else
Q17 Have you taken any of the following in the last 12 months?
Painkillers, Sleeping pills, Tranquilisers, Stimulants, Appetite
suppressants, Antidepressants, Antipsychotics R C: Tick the
corresponding box (F to Q18) OR the box 'None in the last 12 months'
No (F to Q20)
Q15 Have you taken any of the following in the last 12 months?
Painkillers; Sleeping pills; Tranquilisers; Stimulants; Appetite
suppressants, Antidepressants, Antipsychotics, Anabolic Steroids R C:
Tick the corresponding box OR the box 'None in the last 12 months' (F
to Q18)
How often do you take sedatives or
tranquilizers? 4 times a week or more; 2-3
times a week; 2-4 times a month; once a
month or less
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, have you taken any
sedatives or tranquilizers? Yes; No; else
see Q18 see Q16
During the last 30 days, on how many days
did you take sedatives or tranquilizers?
On__days, OR 1.20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
Q18 How often have you taken the following medicines in the last 30
days? Painkillers; Sleeping pills; Tranquilisers; Stimulants; Appetite
suppressants; Antidepressants, Antipsychotics
R.C: daily; several times a week; once a week; less than once a week;
never
Q16 How often have you taken the following medicines in the last 30
days? Painkillers; Sleeping pills; Tranquilisers; Stimulants; Appetite
suppressants, Antidepressants, Antipsychotics, Anabolic Steroids
R.C: daily; several times a week; once a week; less than once a week;
never
How did you obtain sedatives or tranquilizers
the last time you took them? I bought them
or had them prescribed for me by a doctor, I
got them from somebody else I know; I
bought them without a prescription in a
pharmacy or drug store; None of the above
applies: else
QUESTION NOT ASKED QUESTION NOT ASKED
4. Illicit drugs Main illicit drug questions in table format Main illicit drug questions in table format
Cannabis
Do you personally know people who take
cannabis? Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cannabis yourself?
Yes; No; else
Q74 Which of the following drugs have you tried? Tick boxes. SEE
COMMENT
Q77 Please tick what applies to you: Already tried drugs (F to Q78)
Never tried drugs (F to Q96-next section)
Q55 Which of the following drugs have you tried? Tick boxes. SEE
COMMENT
Q58 Please tick what applies to you: Already tried drugs (F to Q59)
Never tried drugs (F to Q74-next section)
At what age did you take cannabis for the
first time?
Q78 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs.
R.C: at the age of __ ; Never used
Q59 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs.
R C: at the age of __; Never used
During the last 12 months, have you taken
cannabis? Yes; No; else
Q80 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; never used
Q81 Have you used one or more of the drugs mentioned in Q80 in the
last 12 months? Yes; No (F to Q 96-next section)
Q84 Have you taken cannabis in the last 12 months? Yes; No (F to Q
96-next section)
Q61 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; Never used
Q62 Have you used one or more of the drugs mentioned in Q80 in the
last 12 months? Yes; No (F to Q 74-next section)
Q65 Have you taken cannabis in the last 12 months? Yes (F to
consequences and difficulties); No
ADDITIONAL QUESTION How often during
the last 12 months have you taken __?
Q82 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
Q63 How many times have you taken the following drugs in the last 12
months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
During the last 30 days, have you taken
cannabis? Yes; No; else
Q80 When did you last use the following drugs? Tick the relevant box
or enter the number of years.
R C: In the last 30 days; In the last 12 months: Longer time ago: __
years ago, Never used
Q61 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; in the last 12 months; Longer time ago: __
years ago, Never used
During the last 30 days, on how many days
did you take cannabis? On__days, OR 1.20
days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q83 During the last 30 days, on how many days did you take the
following drugs?
R C: On __ days; Never
Q64 During the last 30 days, on how many days did you take the
following drugs?
R C: On __ days; Never used
Ecstasy
Do you personally know people who take
ecstasy? Yes No
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes;
No; else
Q74 Which of the following drugs have you tried? Tick boxes: SEE
COMMENT.
Q77 Please tick what applies to you Already tried drugs (F to Q78)
Never tried drugs (F to Q96-next section)
Q55 Which of the following drugs have you tried? Tick boxes. SEE
COMMENT.
Q58 Please tick what applies to you Already tried drugs (F to Q59)
Never tried drugs (F to Q74-next section)
At what age did you take ecstasy for the first
time?
Q78 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs.
R C: at the age of __ ; Never used
Q59 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs.
R C:at the age of __ ; Never used
During the last 12 months, have you taken
ecstasy? Yes; No; else
Q80 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each. R C: In the last 30
days; In the last 12 months; Longer time ago: __ years ago; never used
Q81 Have you used one or more of the substances mentioned in Q80
in the last 12 months? Yes; No (F to Q 96-next section)
Q61 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; in the last 12 months; Longer time ago: __
years ago; Never used
ADDITIONAL QUESTION How often during
the last 12 months have you taken __?
Q82 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
Q63 How many times have you taken the following drugs in the last 12
months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
During the last 30 days, have you taken
ecstasy? Yes; No; else
Q80 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each. R C: In the last 30
days; In the last 12 months; Longer time age: __ years ago, never used
Q61 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; in the last 12 months; Longer time ago: __
years ago; Never used
During the last 30 days, on how many days
did you taken ecstasy? On__days, OR 1.20
days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q83 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Q64 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Amphetamines
Do you personally know people who take
amphetamines? Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken amphetamines
yourself? Yes; No; else
Q74 Which of the following drugs have you taken? Tick boxes: SEE
COMMENT
Q77 Please tick what applies to you Already tried drugs (F to Q78)
Never tried drugs (F to Q96-next section)
Q55 Which of the following drugs have you taken? Tick boxes: SEE
COMMENT
Q58 Please tick what applies to you Already tried drugs (F to Q59)
Never tried drugs (F to Q74-next section)
At what age did you take amphetamines for
the first time?
Q78 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs.
R C: at the age of __ ; Never
Q59 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs.
R C: at the age of __; Never
During the last 12 months, have you taken
amphetamines? Yes; No; else
Q80 When did you last take the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; never used
Q81 Have you used one or more of the drugs mentioned in Q80 in the
last 12 months? Yes; No (F to Q 96-next section)
Q61 When did you last take the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; Never used
Q71 During the last 12 months, have you taken amphetamines? Yes No
(If no, FILTER to Gambling)
ADDITIONAL QUESTION How often during
the last 12 months have you taken __?
Q82 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
Q63 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
During the last 30 days, have you taken
amphetamines? Yes; No; else
Q80 When did you last take the following drugs? Please tick the
applicable box or enter the number of years for each. R C: In the last 30
days; In the last 12 months; Longer time ago: __ years ago, never used
Q61When did you last take the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; Never used
During the last 30 days, on how many days
did you take amphetamines? On__days,
OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q83 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Q64 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Cocaine
Do you personally know people who take
cocaine? Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes;
No; else
Q74 Which of the following drugs have you taken? Tick boxes: SEE
COMMENT
Q77 Please tick what applies to you: Already tried drugs (F to Q78)
Never tried drugs (F to Q96-next section)
Q55 Which of the following drugs have you taken? Tick boxes. SEE
COMMENT
Q58 Please tick what applies to you: Already tried drugs (F to Q59)
Never tried drugs (F to Q74-next section)
At what age did you take cocaine for the first
time?
Q78 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs. R C: at the age of
__; Never
Q59 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs.
R C: at the age of __; Never
During the last 12 months, have you taken
cocaine? Yes; No; else
Q80 When did you last try the following drugs? Please tick the
applicable box or enter the number of years for each. R C: In the last 30
days; In the last 12 months; Longer time ago: __ years ago; never used
Q81 Have you used one or more of the substances mentioned in Q80
in the last 12 months? Yes; No (F to Q 96-next section)
Q61When did you last take the following substances? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; Never used
Q68 Have you consumed cocaine in the last 12 months? Yes No (If No,
FILTER to LYP amphetamines question)
ADDITIONAL QUESTION How often during
the last 12 months have you taken __?
Q82 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
Q63 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
During the last 30 days, have you taken
cocaine? Yes; No; else
Q80 When did you last take the following drugs? Please tick the
applicable box or enter the number of years for each. R C: In the last 30
days; In the last 12 months; Longer time ago: __ years ago, never used
Q61 When did you last take the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; Never used
During the last 30 days, on how many days
did you take cocaine? On__days, OR 1.20
days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q83 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Q64 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Heroin
Do you personally know people who take
heroin? Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes;
No; else
Q74 Which of the following drugs have you tried? Tick boxes:
Q77 Please tick what applies to you: Already tried drugs (F to Q78)
Never tried drugs (F to Q96-next section)
Q55 Which of the following drugs have you tried? Tick boxes. SEE
COMMENT
Q58 Please tick what applies to you: Already tried drugs (F to Q59)
Never tried drugs (F to Q74-next section)
At what age did you take heroin for the first
time?
Q78 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs. R C: at the age of
__; never
Q59 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs.
R C: at the age of __; Never
During the last 12 months, have you taken
heroin? Yes; No; else
Q80 When did you last try the following drugs? Please tick the
applicable box or enter the number of years for each. R C: In the last 30
days; In the last 12 months: Longer time ago: __ years ago, never used
Q81 Have you used one or more of the drugs mentioned in Q80 in the
last 12 months? Yes; No (F to Q 96-next section)
Q61 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; never used
ADDITIONAL QUESTION How often during
the last 12 months have you taken __?
Q82 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
Q63 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
During the last 30 days, have you taken
heroin? Yes; No; else
Q80 When did you last try the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months: Longer time ago: __
years ago, never used
Q61 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; Never used
During the last 30 days, on how many days
did you taken heroin? On__days, OR 1.20
days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q83 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Q64 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD
Do you personally know people who take
LSD? Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes;
No; else
Q74 Which of the following drugs have you tried? Tick boxes: SEE
COMMENT
Q77 Please tick what applies to you: Already tried drugs (F to Q78)
Never tried drugs (F to Q96-next section)
Q55 Which of the following have you tried? Tick boxes SEE COMMENT
Q58 Please tick what applies to you: Already tried drugs (F to Q59)
Never tried drugs (F to Q74-next section)
At what age did you take LSD for the first
time?
Q78 How old were you when you tried __ for the first time? Please
answer this question for each of the following drugs.
R C: at the age of __; never
Q59 At what age did you try these drugs for the first time? Please
answer this question for each of the following drugs.
R C: at the age of __; Never
During the last 12 months, have you taken
LSD? Yes; No; else
Q80 When did you last try the following drugs? Please tick the
applicable box or enter the number of years for each. R C: In the last 30
days; In the last 12 months;Longer time ago: __ years ago, never used
Q81 Have you used one or more of the drugs mentioned in Q80 in the
last 12 months? Yes; No (F to Q 96-next section)
Q61 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; Never used
ADDITIONAL QUESTION How often during
the last 12 months have you taken __?
Q82 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
Q63 How many times have you taken any of the following drugs in the
last 12 months?
R C: Once; 2-5 times; 6-9 times; 10-19 times; 20-59 times; 60-99 times;
100-199 times; 200 or more times; Never
During the last 30 days, have you taken
LSD? Yes; No; else
Q80 When did you last try the following drugs? Please tick the
applicable box or enter the number of years for each.R C: In the last 30
days; In the last 12 months; Longer time ago: __ years ago, never used
Q61 When did you last use the following drugs? Please tick the
applicable box or enter the number of years for each.
R C: In the last 30 days; In the last 12 months; Longer time ago: __
years ago; Never used
During the last 30 days, on how many days
did you take LSD? On__days, OR 1.20
days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q83 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Q64 During the last 30 days, on how many days did you take the
following drugs? R C: On __ days; Never
Inhalants Q76 Have you ever used volatile substances as drugs? Yes No Q56 Have you ever used volatile substances as drugs? Yes No
Hallucinogens (other) Q75 Have you ever taken magic mushrooms as drugs? Yes No Q57 Have you ever taken magic mushrooms as drugs? Yes No
Availability
How difficult would it be for you personally to
obtain «drug» within 24 hours if you wanted
some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
QUESTION NOT ASKED QUESTION NOT ASKED
Within the last 12 months, how many times
have you been offered <drug> (either free of
charge or to buy)?1) none; 2) once or twice;
3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19
times; 6) 20 to 39 times; 7) 40 times or
more
Q73 Have you ever been offered drugs? R C: No, never; Yes, once:
Yes, several times
Q54 Have you ever been offered drugs? R C: No, never; Yes, once;
Yes, several times
5. Opinions SECTION NOT ASKED SECTION NOT ASKED
Opinions about drug addicts (not
mandatory)
Do you perceive a drug addict more as a
criminal or as a patient? More as a criminal;
more as a patient; neither criminal nor a
patient; don't know, cannot decide; else
Opinions about drug policies (not
mandatory)To what extent do you agree with the
following statement: "People should be
permitted to take hashish or marihuana"?
Fully agree, largely agree, neither agree nor
disagree, largely disagree, fully disagree,
else
To what extent do you agree or disagree with
the following statement: "People should be
permitted to take heroin"? Fully agree,
largely agree, neither agree nor disagree,
largely disagree, fully disagree, else
Opinions about behaviour
INTRO: Individuals differ according to
whether or not they disapprove of people
doing certain things. I will mention a few
things which some people may do. Can you
tell me if you would not disapprove or
disapprove or strongly disapprove when
people do any of these things?Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
Now I would like to know how much you think
people risk harming themselves, physically
or in other ways, if they do certain things. I
will again mention a few things, which some
people may do. Please tell me if you
consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do
any of these things?
Smoke one or more packs of cigarettes a
day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes First and last sections (statistical info and socioeconomic situation)
Please indicate if you are a male or female
1. male 2. female
Q1 Q1
What is your age? Q2 What is your year of birth? 19__ Q2 What is your year of birth? 19__
Which of the following describes the
composition of the household to which you
belong? One person living alone, two
partners without children at home, two
partners with children at home, one adult
with children at home, other situation
Q10 How many people live in your household? R C: Live alone; __
persons
Q10 How many people live in your household (including yourself)? R C:
Live alone; a total of __ persons
Which of the following best applies to you:
you are employed or self-employed, you are
a full-time student, you are unemployed,
none of the above
S7 R C not translated S7 R C not translated
What is the highest level of education you
have completed?
S3, S4
R C not translated
S1 R C not translated
What is the <identification code> of your
home address?
__ __
Matching GPS Estonia (Work, family and leisure) to EMQ 2003
Context: Work, family, leisure, health, drugs survey
(Alcohol and Illicit drugs section)
Mode: Mail (PAPI)
2008
Context: Work, family, leisure, health, drugs
survey (Alcohol and Illicit drugs section)
Mode: Mail (PAPI)
European Model Questionnaire
1. Tobacco not in this section; In Health s ection (4/7)
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes;
No; else
E6
Have you ever smoked in past? Yes; No; else E6
2. Alcohol Alcohol and Illicit Drugs section (7/7)
During the last 12 months have you drunk beer, wine, spirits or any
other alcoholic drink? Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
Q142 How often do you usually have an alcoholic drink? I
do not drink; I stopped drinking __ years ago; I drink alcohol:
daily or almost daily; at least once a week; once or twice a
month; more seldom
H1 I do not drink; I stopped drinking __ years ago;
I drink alcohol: daily or almost daily; at least once
a week; once or twice a month; more seldom
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
Q145 R C reversed H4 R C: Never; Almost daily; At least once a
week; At least once a month; More seldom
During the last 30 days, have you drunk any alcohol? Yes; no; else Q143 H2
During the last 30 days, on how many days did you drink alcohol?
Daily or almost daily; several times a week; at least once a week;
less than once a week; else
QUESTION NOT ASKED QUESTION NOT ASKED
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q146 R C: 1. No, never 2. Yes: almost daily 3. 2-3 times a
week 4. 2-4 times a month 5. at least once a month 6. more
seldom
H5 R C: 1. No, never 2. Yes: almost daily 3. 2-3
times a week 4. 2-4 times a month 5. at least
once a month 6. more seldom
How often do you take sedatives or tranquilizers? 4 times a week
or more; 2-3 times a week; 2-4 times a month; once a month or
less
see Q146 see H5
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
Q147 R C: 1. No, I have not; 2. Yes: almost daily; several
times a week; at least once a week; more seldom
H6 R.C: 1. No, I have not; 2. Yes, almost daily;
several times a week; at least once a week; more
seldom
During the last 30 days, on how many days did you take sedatives
or tranquilizers? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
see Q147 see H6
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I
got them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above
applies: else
Q148 H7
4. Illicit drugs Q150 Do you personally know a person who has taken or
takes illicit drugs? No; Yes, I know one; Yes, I know several
Cannabis
Do you personally know people who take cannabis? Yes; No; else Q151 If you know someone who uses drugs, then does
he/she use…SEE COMMENT for each, circle Yes; No
H10.a
Have you ever taken cannabis yourself? Yes; No; else Q152 Have you ever tried or taken any drugs? No, never F
to Q157; I have tried; I have taken; I use now
H11 Have you ever tried or taken any drugs? No,
never (F to QH17); I have tried; I have taken; I
use now
At what age did you take cannabis for the first time? Q153 How old were you when you first tried any drug? What
did you take then? I was __ years old and I took __.
H12 a How old were you when you first tried any
drug? What did you take then? I was __ years old
and I took __
During the last 12 months, have you taken cannabis? Yes; No;
else
Q155 What drugs and how many times have you taken?
SEE COMMENT
R C: 1. Last 12 months __ times; 2. Last 30 days __ times
H14a1 What drugs and how many times have
you taken? A) Cannabis (marijuana, hashish,
ganja, grass, weed, anasha etc)? Last 12 months
__ times
During the last 30 days, have you taken cannabis? Yes; No; else see Q155 H14a2 What drugs and how many times have
you taken? A) Cannabis (marijuana, hashish,
ganja, grass, weed, anasha etc)? Last 30 days __
times
During the last 30 days, on how many days did you take cannabis?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q156 In case you have taken any of the abovementioned
drugs during the last 30 days, then how often have you
taken them? R.C for each (SEE COMMENT): Almost daily;
several times a week; at least once a week; more seldom
H15a If you have taken any of the above-
mentioned drugs during the last 30 days, then
how often have you taken them? A) Cannabis
(marijuana, hashish, ganja, grass, weed etc)?
R.C: Almost daily; Several times a week; At least
once a week; more seldom
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else Q151 If you know someone who uses drugs, then does
he/she use… SEE COMMENT for each, circle Yes; No
H10.c
Have you ever taken ecstasy yourself? Yes; No; else Q152 Have you ever tried or taken any drugs? No, never F
to Q157; I have tried; I have taken; I use now
H11 Have you ever tried or taken any drugs? No,
never (F to QH17); I have tried; I have taken; I
use now
At what age did you take ecstasy for the first time? Q153 How old were you when you first tried any drug? What
did you take then? I was __ years old and I took __
H12 a How old were you when you first tried any
drug? What did you take then? I was __ years old
and I took __
During the last 12 months, have you taken ecstasy? Yes; No; else Q155 What drugs and how many times have you taken?
SEE COMMENT
R C: Last 12 months __ times; Last 30 days __ times
H14c1 What drugs and how many times have you
taken? C) Ecstasy (bonbons)? Last 12 months __
times
During the last 30 days, have you taken ecstasy? Yes; No; else see Q155 H14c2 What drugs and how many times have you
taken? C) Ecstasy (bonbons)? Last 30 days __
times
During the last 30 days, on how many days did you take ecstasy?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q156 In case you have taken any of the abovementioned
drugs during the last 30 days, then how often have you
taken them? R.C for each (SEE COMMENT): Almost daily;
several times a week; at least once a week; more seldom
H15c If you have taken any of the above-
mentioned drugs during the last 30 days, then
how often have you taken them? C) Ecstasy
(bonbons)? R.C: Almost daily; Several times a
week; At least once a week; more seldom
Amphetamines
Do you personally know people who take amphetamines? Yes; No;
else
Q151 If you know someone who uses drugs, then does
he/she use… SEE COMMENT for each, circle Yes; No
H10.b
Have you ever taken amphetamines yourself? Yes; No; else Q152 Have you ever tried or taken any drugs? No, never F
to Q157; I have tried; I have taken; I use now
H11 Have you ever tried or taken any drugs? No,
never (F to QH17); I have tried; I have taken; I
use now
At what age did you take amphetamines for the first time? Q153 How old were you when you first tried any drug? What
did you take then? I was __ years old and I took __
H12 a How old were you when you first tried any
drug? What did you take then? I was __ years old
and I took __
During the last 12 months, have you taken amphetamines? Yes;
No; else
Q155 What drugs and how many times have you taken?
SEE COMMENT
R C: Last 12 months __ times; Last 30 days __ times
H14b1 What drugs and how many times have
you taken? B) Amphetamines? Last 12 months
__ times
During the last 30 days, have you taken amphetamines? Yes; No;
else
see Q155 H14b2 What drugs and how many times have
you taken? B) Amphetamines? Last 30 days __
times
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q156 In case you have taken any of the abovementioned
drugs during the last 30 days, then how often have you
taken them? R.C for each (SEE COMMENT): Almost daily;
several times a week; at least once a week; more seldom
H15b If you have taken any of the above-
mentioned drugs during the last 30 days, then
how often have you taken them? B)
Amphetamines? R.C: Almost daily; Several
times a week; At least once a week; more seldom
Cocaine
Do you personally know people who take cocaine? Yes; No; else Q151 If you know someone who uses drugs, then does
he/she use… SEE COMMENT for each, circle Yes; No
H10.e
Have you ever taken cocaine yourself? Yes; No; else Q152 Have you ever tried or taken any drugs? No, never F
to Q157; I have tried; I have taken; I use now
H11 Have you ever tried or taken any drugs? No,
never (F to QH17); I have tried; I have taken; I
use now
At what age did you take cocaine for the first time? see Q153 H12 a How old were you when you first tried any
drug? What did you take then? I was __ years old
and I took __
During the last 12 months, have you taken cocaine? Yes; No; else Q155 What drugs and how many times have you taken?
SEE COMMENT
R C: Last 12 months __ times; Last 30 days __ times
H14e1 What drugs and how many times have
you taken? E) Cocaine (Coca, Charlie)? Last 12
months __ times
During the last 30 days, have you taken cocaine? Yes; No; else see Q155 H14e2 What drugs and how many times have
you taken? E) Cocaine (Coca, Charlie)? Last 30
days __ times
During the last 30 days, on how many days did you take cocaine?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q156 In case you have taken any of the abovementioned
drugs during the last 30 days, then how often have you
taken them? R.C for each (SEE COMMENT): Almost daily;
several times a week; at least once a week; more seldom
H15e If you have taken any of the above-
mentioned drugs during the last 30 days, then
how often have you taken them? E) Cocaine
(Coca, Charlie)? R.C: Almost daily; Several
times a week; At least once a week; more seldom
Heroin
Do you personally know people who take heroin? Yes; No; else Q151 If you know someone who uses drugs, then does
he/she use…SEE COMMENT for each, circle Yes; No
H10.g
Have you ever taken heroin yourself? Yes; No; else Q152 Have you ever tried or taken any drugs? No, never F
to Q157; I have tried; I have taken; I use now
H11 Have you ever tried or taken any drugs? No,
never (F to QH17); I have tried; I have taken; I
use now
At what age did you take heroin for the first time? Q153 How old were you when you first tried any drug? What
did you take then? I was __ years old and I took __
H12 How old were you when you first tried any
drug? What did you take then? I was __ years old
and I took __
During the last 12 months, have you taken heroin? Yes; No; else Q155 What drugs and how many times have you taken?
SEE COMMENT
R C: Last 12 months __ times; Last 30 days __ times
H14g1 What drugs and how many times have
you taken? G) Heroin? Last 12 months __ times
During the last 30 days, have you taken heroin? Yes; No; else see Q155 H14g2 What drugs and how many times have
you taken? G) Heroin? Last 30 days __ times
During the last 30 days, on how many days did you taken heroin?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q156 In case you have taken any of the abovementioned
drugs during the last 30 days, then how often have you
taken them? R.C for each (SEE COMMENT): Almost daily;
several times a week; at least once a week; more seldom
H15g If you have taken any of the above-
mentioned drugs during the last 30 days, then
how often have you taken them? G) Heroin?
R.C: Almost daily; Several times a week; At least
once a week; more seldom
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD
Do you personally know people who take LSD? Yes; No; else Q151 If you know someone who uses drugs, then does
he/she use… SEE COMMENT for each, circle Yes; No
H10.h
Have you ever taken LSD yourself? Yes; No; else Q152 Have you ever tried or taken any drugs? No, never F
to Q157; I have tried; I have taken; I use now
H11 Have you ever tried or taken any drugs? No,
never (F to QH17); I have tried; I have taken; I
use now
At what age did you take LSD for the first time? Q153 How old were you when you first tried any drug? What
did you take then? I was __ years old and I took __
H12 a How old were you when you first tried any
drug? What did you take then? I was __ years old
and I took __
During the last 12 months, have you taken LSD? Yes; No; else Q155 What drugs and how many times have you taken?
SEE COMMENT
R C: Last 12 months __ times; Last 30 days __ times
H14h1 What drugs and how many times have
you taken? H) LSD? Last 12 months __ times
During the last 30 days, have you taken LSD? Yes; No; else see Q155 H14h2 What drugs and how many times have
you taken? H) LSD? Last 30 days __ times
During the last 30 days, on how many days did you take LSD? On
__ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q156 In case you have taken any of the abovementioned
drugs during the last 30 days, then how often have you
taken them? R.C for each (SEE COMMENT): Almost daily;
several times a week; at least once a week; more seldom
H15h If you have taken any of the above-
mentioned drugs during the last 30 days, then
how often have you taken them? H) LSD? R.C:
Almost daily; Several times a week; At least once
a week; more seldom
Inhalants Q154 H13 Have you ever used any volatile substances
(glue, paint etc)? No; Yes (if Yes, write the
number of times)
Magic mushrooms not included not included
Availability
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easyWithin the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice;
3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39
times; 7) 40 times or more
Q149 Have you ever been offered any kind of drugs
(sedatives or tranquilizers without a doctor's prescription,
marihuana, hashish, amphetamine, ecstasy, opiates,
cocaine etc)? No, never; yes, without pay; Yes, for money;
Both, without pay and for money
H8 Have you ever been offered any kind of drugs
(sedatives or tranquilizers without a doctor's
prescription, marihuana, hashish, amphetamine,
ecstasy, opiates, cocaine etc)? No, never; yes,
without pay; Yes, for money; Both, without pay
and for money
5. Opinions
Opinions about drug addicts
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a
patient; don't know, cannot decide; else
Q157 H16
Opinions about drug policies
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
Q158 H17
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely disagree,
fully disagree, else
Q159 H18
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you would
not disapprove or disapprove or strongly disapprove when people
do any of these things?Trying ecstasy once or twice QUESTION NOT ASKED
Trying heroin once or twice QUESTION NOT ASKED
Smoking 10 or more cigarettes QUESTION NOT ASKED
Have one or two drinks several times a week QUESTION NOT ASKED
Smoking hashish or marijuana occasionally QUESTION NOT ASKED
Perception of risk
INTRO: Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do certain
things. I will again mention a few things, which some people may
do. Please tell me if you consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes likely in another section; only Illicit Drugs section
available herePlease indicate if you are a male or female 1. male 2. female A1
What is your age? A2
Q160 H19
Which of the following describes the composition of the household
to which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult
with children at home, other situation
D3
Which of the following best applies to you: you are employed or
self-employed, you are a full-time student, you are unemployed,
none of the above
B1
What is the highest level of education you have completed? A3
What is the <identification code> of your home address?
Matching GPS Ireland (NACD Drug Prevalence Study) to
EMQ
2002/2003
Context: Licit and illicit substance use
Mode: Interview, PAPI
2006/2007
Context: Licit and illicit substance use
Mode: Interview, CAPI
2010/2011
Context: Licit and illicit substance use
Mode: Interview, CAPIEuropean Model Questionnaire 154 questions 182 questions 195 questions+ 17 administrative questions
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe?
Yes; No; else
Q1 Q1 Q1
Have you ever smoked in past? Yes; No; else Q2 Q2 Q2
2. Alcohol
During the last 12 months, have you drunk beer, wine, spirits or
any other alcoholic drink? Yes; No; else
Q11 Q12 See note
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
QUESTION NOT ASKED QUESTION NOT ASKED Q11b How often have you
consumed alcohol in the last
12 months? Daily, 4/5 times a week 2, 2/3 times a
week, Once a week, 2-3 times a month, Once a
month,Less often than once a month, Never, Don’t
know ,Refused
How often do you drink 6 glasses or more of an alcoholic drink
on the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
Q14 Q15 Q11d During the last 12 months, how
often have you consumed (drunk)
the equivalent of 4 pints of
beer/cider or more or 7 pub
measures of spirits or one bottle
of wine or 6 pre-mixed spirit drinks
(alcopops) on one drinking
occasion?Daily, 4/5 times a week 2, 2/3 times a
week, Once a week, 2-3 times a month, Once a
month,Less often than once a month, Never, Don’t
know ,Refused
During the last 30 days, have you drunk any alcohol? Yes; No;
else
Q12 Q13
During the last 30 days, on how many days did you drink
alcohol? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q13 Q14 Removed can be answered from Q11b
3. Pharmaceuticals Have you ever heard of any of these? (sedatives and tranquilisers
showcard)
Have you ever heard of any of these? (sedatives and tranquilisers
showcard)
Have you ever heard of any of these? (sedatives
and tranquilisers showcard)During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q19 During the last 12 months have you taken sedatives, tranquilisers or
anti-depressants ? Yes; No
Q20 Q20
How often do you take sedatives or tranquilizers? 4 times a week
or more; 2-3 times a week; 2-4 times a month; once a month or
less
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
Q20 Q21 Q21
During the last 30 days, on how many days did you take
sedatives or tranquilizers? On__days, OR 1.20 days or more;
2.10-19 days; 3.4-9 days; 4. 1-3 days
Q21 Q22 Q22
How did you obtain sedatives or tranquilizers the last time you
took them? I bought them or had them prescribed for me by a
doctor, I got them from somebody else I know; I bought them
without a prescription in a pharmacy or drug store; None of the
above applies: else
Q23 Q24 Q24
4. Illicit drugs
Cannabis Have you ever heard of any of these? (cannabis showcard) Have you ever heard of any of these? (cannabis showcard) Have you ever heard of any of these? (cannabis
showcard)Do you personally know people who take cannabis? Yes; No;
else
Q25 Q35 Q35
Have you ever taken cannabis yourself? Yes; No; else Q26 Q36 Q36
At what age did you take cannabis for the first time? Q27 Q37 Q37
During the last 12 months, have you taken cannabis? Yes; No;
else
Q28 Q39 Q39
During the last 30 days, have you taken cannabis? Yes; No; else Q29 Q40 Q40
During the last 30 days, on how many days did you take
cannabis? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
Q30 Q41 Q41
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
For Yes at Q28: Q151a: How easy or difficult is it to obtain cannabis in a
24 hour period? R C reversed
For Yes at Q39: Q174: How easy or difficult is it to obtain cannabis in a 24
hour period? R C reversed
For Yes at Q39: Q174: How easy or difficult is it to
obtain cannabis in a 24 hour period? R C reversed
Ecstasy Have you ever heard of any of these? (ecstasy showcard) Have you ever heard of any of these? (ecstasy showcard) Have you ever heard of any of these? (ecstasy
showcard)Do you personally know people who take ecstasy? Yes; No; else Q34 Q46 Q46
Have you ever taken ecstasy yourself? Yes; No; else Q35 Q47 Q47
At what age did you take ecstasy for the first time? Q36 Q48 Q48
During the last 12 months, have you taken ecstasy? Yes; No;
else
Q37 Q50 Q50
During the last 30 days, have you taken ecstasy? Yes; No; else Q38 Q51 Q51
During the last 30 days, on how many days have you taken
ecstasy? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q39 Q52 Q52
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
For Yes at Q37: Q151a: How easy or difficult is it to obtain ecstasy in a 24
hour period? R C reversed
For Yes at Q50: Q175: How easy or difficult is it to obtain ecstasy in a 24 hour
period? R C reversed
For Yes at Q50: Q175: How easy or difficult is it to
obtain ecstasy in a 24 hour period? R C reversed
Amphetamines Have you ever heard of any of these? (amphetamines showcard) Have you ever heard of any of these? (amphetamines showcard) Have you ever heard of any of these?
(amphetamines showcard)Do you personally know people who take amphetamines? Yes;
No; else
Q41 Q54 Q54
Have you ever taken amphetamines yourself? Yes; No; else Q42 Q55 Q55
At what age did you take amphetamines for the first time? Q43 Q56 Q56
During the last 12 months, have you taken amphetamines? Yes;
No; else
Q44 Q58 Q58
During the last 30 days, have you taken amphetamines? Yes;
No; else
Q45 Q59 Q59
During the last 30 days, on how many days did you take
amphetamines? On__days, OR 1.20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
Q46 Q60 Q60
Cocaine Have you ever heard of any of these? (cocaine showcard) - before
Heroin
Have you ever heard of any of these? (cocaine showcard) - before Heroin Have you ever heard of any of these? (cocaine
showcard) - before HeroinDo you personally know people who take cocaine? Yes; No; else Q55 Q71 Q71
Have you ever taken cocaine yourself? Yes; No; else Q56 Q72 Q72
At what age did you take cocaine for the first time? Q57 Q73 Q73
During the last 12 months, have you taken cocaine? Yes; No;
else
Q58 Q75 Q75
For each of the following substances, if yes at LYP, then the following question is asked: In which of the following places did you obtain the cannabis on the last occasion you used it? Street/park;
disco/bar/club; office/workplace; school/college; house of a dealer; house of a friend; ordered by phone for collection/delivery; Internet
During the last 30 days, have you taken cocaine? Yes; No; else Q59 Q76 Q76
During the last 30 days, on how many days did you take
cocaine? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q60 Q77 Q77
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
For Yes at Q58: Q151a: How easy or difficult is it to obtain cocaine in a
24 hour period? R C reversed
For Yes at Q75: How easy or difficult is it to obtain cocaine in a 24 hour
period? R C reversed
For Yes at Q75: How easy or difficult is it to obtain
cocaine in a 24 hour period? R C reversed
Heroin Have you ever heard of any of these? (heroin showcard) Have you ever heard of any of these? (heroin showcard) Have you ever heard of any of these? (heroin
showcard)Do you personally know people who take heroin? Yes; No; else Q63 Q80 Q80
Have you ever taken heroin yourself? Yes; No; else Q64 Q81 Q81
At what age did you take heroin for the first time? Q65 Q82 Q82
During the last 12 months, have you taken heroin? Yes; No;
else
Q66 Q84 Q84
During the last 30 days, have you taken heroin? Yes; No; else Q67 Q85 Q85
During the last 30 days, on how many days have you taken
heroin? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q68 Q86 Q86
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
For Yes at Q66: Q151a: How easy or difficult is it to obtain heroin in a 24
hour period? R C reversed
QUESTION NOT ASKED QUESTION NOT ASKED
Relevin QUESTIONS NOT ASKED QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD Have you ever heard of any of these? (LSD showcard) Have you ever heard of any of these? (LSD showcard) Have you ever heard of any of these? (LSD
showcard)Do you personally know people who take LSD? Yes; No; else Q71 Q89 Q89
Have you ever taken LSD yourself? Yes; No; else Q72 Q90 Q90
At what age did you take LSD for the first time? Q73 Q91 Q91
During the last 12 months, have you taken LSD? Yes; No; else Q74 Q93 Q93
During the last 30 days, have you taken LSD? Yes; No; else Q75 Q94 Q94
During the last 30 days, on how many days did you take LSD?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q76 Q95 Q95
Inhalants
Hallucinogens (other)
Availability
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2) once
or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6)
20 to 39 times; 7) 40 times or more
Q130 Here in Ireland have you ever been offered illegal drugs? Yes No Question asked if NO, DK or Refused at Q36, Q47, Q55, Q72, Q81, Q90 Question asked if NO, DK or Refused at Q36, Q47,
Q55, Q72, Q81, Q90
5. Opinions
Opinions about drug addicts
Do you perceive a drug addict more as a criminal or as a
patient? More as a criminal; more as a patient; neither criminal
nor a patient; don't know, cannot decide; else
Q126 Q154 Q154
Opinions about drug policies
To what extent do you agree with the following statement:
"People should be permitted to take hashish or marijuana"? Fully
agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
Q127 Q155 Q155 People should be permitted to take hashish
or marijuana for recreational reasons"
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
Q127 Q155 Q155
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you would
not disapprove or disapprove or strongly disapprove when
people do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do
certain things. I will again mention a few things, which some
people may do. Please tell me if you consider it to be no risk, a
slight risk, a moderate risk or a great risk, if people do any of
these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female C3 C3 C3
What is your age C1 What was your age last birthday? What was your age last birthday?
State exact age and code: 1. 15-16 ; 2. 17-19; 3. 20-24; 4. 25-30; 5. 31-
34; 6. 35-40; 7. 41-54; 8. 55-64
C1b What was your age last birthday? State exact age and code: 1. 15-16 ; 2.
17-19; 3. 20-24; 4. 25-30; 5. 31-34; 6. 35-40; 7. 41-54; 8. 55-64; refused
C1b What was your age last birthday? State exact
age and code: 1. 15-16 ; 2. 17-19; 3. 20-24; 4. 25-
30; 5. 31-34; 6. 35-40; 7. 41-54; 8. 55-64; refused
Which of the following describes the composition of the
household to which you belong? One person living alone, two
partners without children at home, two partners with children at
home, one adult with children at home, other situation
C2 Which of these describes you? R C: Single, Never married; Married;
Co-habiting; Separated; Divorced; Widowed
C2 R C: Which of these describes you? Single, never married; Married; Co-
habiting; Separated; Divorced; Widowed; refused; don't know
C2 R C: Which of these describes you? Single,
never married; Married; Co-habiting; Separated;
Divorced; Widowed; refused; don't know
Which of the following best applies to you: you are employed or
self-employed, you are a full-time student, you are unemployed,
none of the above
C5 R C: SEE COMMENT C6a R C: SEE COMMENT C6a R C: SEE COMMENT
What is the highest level of education you have completed? C13 R C: SEE COMMENT C14 R C: SEE COMMENT C14 R C: SEE COMMENT have left lower
secondary and upper secondary and removed
secondary education as it was confusing.
What is the <identification code> of your home address? Unique Address Code and Sample Point number recorded Unique Address Code and Sample Point number recorded Unique Address Code and Sample Point number
recorded
Q129 Q157
Q128 ; instead of hashish or marijuana the word used is cannabis Q156 ; instead of hashish or marijuana the word used is cannabis Q156 ; instead of hashish or marijuana the word
used is cannabis. Removed 'Have one or two
drinks several times a week' as we have
replaced all alcohol questions.
Q157 Replaced with 'binge drinking' which is
defined as the equivalent of 4 pints of
beer/cider or more or 7 pub
measures of spirits or one bottle
of wine or 6 pre-mixed spirit drinks
(alcopops) on one drinking
occasion
Matching GPS Greece to EMQ Context: Greek National Population Survey on Licit and Illicit Substance Use, 2004
Mode: Face-to-face; pen-and-pencil; household interview
European Model Questionnaire Greek questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes; No; else During the last 30 days: how many cigarettes did you smoke on an average day? (0; <1
cig/day…>2 packets of cig/day)
Have you ever smoked in past? Yes; No; else Have you ever smoked? (Never; 1-2 times;…Daily now)
Alternatives: standard prevalence model (LTP,LYP,LMP)
2. Alcohol
During the last 12 months have you drunk beer, wine, spirits or any other
alcoholic drink? Yes; No; else
During the last 12 months have you drunk any alcoholic drink? (Never; 1-2 times;…>100
times)
How often do you drink alcohol? 4 times a week; 2-3 times a week; 2-4
times a month; Once a month or less; else
How often do you drink alcohol? (4 times a week; 2-3 times a week; 2-4 times a month;
Once a month or less)
How often do you drink 6 glasses or more of an alcoholic drink on the
same occasion? Daily or almost daily; every week; every month; less than
once a month; never; else
How often do you drink 6 glasses or more of an alcoholic drink on the same occasion?
(Daily or almost daily; every week; every month; less than once a month; never)
During the last 30 days, have you drunk any alcohol? Yes; No; else During the last 30 days have you drunk any alcoholic drink? (Never; 1-2 times;…>100
times)
During the last 30 days, on how many days did you drink alcohol? On__
days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3 days
During the last 30 days, on how many days did you drink alcohol? (On_______days)
Alternatives: Specific types of alcoholic drinks
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or tranquilizers?
Yes; No; else
During the last 12 months, have you taken any sedatives or tranquilizers? (Never; 1-2
times;…>100 times)
How often do you take sedatives or tranquilizers? 4 times a week; 2-3
times a week; 2-4 times a month; Once a month or less; else
How often do you take sedatives or tranquilizers? (4 times a week; 2-3 times a week; 2-4
times a month; Once a month or less)
During the last 30 days, have you taken any sedatives or tranquilizers?
Yes; No; else
During the last 30 days , have you taken any sedatives or tranquilizers? (Never; 1-2
times;…>100 times)
During the last 30 days, on how many days did you take sedatives or
tranquilizers?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
During the last 30 days, on how many days did you take sedatives or tranquilizers?
(On_________days)
How did you obtain sedatives or tranquilizers the last time you took them? I
bought them or had them prescribed for me by a doctor, I got them from
somebody else I know; I bought them without a prescription in a pharmacy
or drug store; None of the above applies: else
How did you obtain sedatives or tranquilizers the last time you took them? (I bought them
or had them prescribed for me by a doctor, I got them from somebody else I know; I bought
them without a prescription in a pharmacy or drug store; None of the above applies)
4. Illicit drugs
Cannabis
Do you personally know people who take cannabis? Yes; No; else Do you personally know people who take cannabis? (Yes; No)
Have you ever taken cannabis yourself? Yes; No; else Have you ever taken cannabis yourself? (No, never; 1-2 times;…>100 times)
At what age did you take cannabis for the first time? At what age did you take cannabis for the first time? (Age________)
During the last 12 months, have you taken cannabis? Yes; No; else During the last 12 months, have you taken cannabis? (No; 1-2 times;…>100 times)
During the last 30 days, have you taken cannabis? Yes; No; else During the last 30 days, have you taken cannabis? (No; 1-2 times;…>100 times)
During the last 30 days, on how many days did you take cannabis? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
During the last 30 days, on how many days did you take cannabis? (On_________days)
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else Do you personally know people who take ecstasy? (Yes; No)
Have you ever taken ecstasy yourself? Yes; No; else Have you ever taken ecstasy yourself? (No, never; 1-2 times;…>100 times)
At what age did you take ecstasy for the first time? At what age did you take ecstasy for the first time? (Age________)
During the last 12 months, have you taken ecstasy? Yes; No; else During the last 12 months, have you taken ecstasy? (No; 1-2 times;…>100 times)
During the last 30 days, have you taken ecstasy? Yes; No; else During the last 30 days, have you taken ecstasy? (No; 1-2 times;…>100 times)
During the last 30 days, on how many days did you take ecstasy? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
During the last 30 days, on how many days did you take ecstasy? (On_________days)
Amphetamines
Do you personally know people who take amphetamines? Yes; No; else Do you personally know people who take amphetamines? (Yes; No)
Have you ever taken amphetamines yourself? Yes; No; else Have you ever taken amphetamines yourself? (No, never; 1-2 times;…>100 times)
At what age did you take amphetamines for the first time? At what age did you take amphetamines for the first time? (Age________)
During the last 12 months, have you taken amphetamines? Yes; No; else During the last 12 months, have you taken amphetamines? (No; 1-2 times;…>100 times)
During the last 30 days, have you taken amphetamines? Yes; No; else During the last 30 days, have you taken amphetamines? (No; 1-2 times;…>100 times)
During the last 30 days, on how many days did you take amphetamines?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
During the last 30 days, on how many days did you take amphetamines?
(On_________days)
Cocaine
Do you personally know people who take cocaine? Yes; No; else Do you personally know people who take cocaine? (Yes; No)
Have you ever taken cocaine yourself? Yes; No; else Have you ever taken cocaine yourself? (No, never; 1-2 times;…>100 times)
At what age did you take cocaine for the first time? At what age did you take cocaine for the first time? (Age________)
During the last 12 months, have you taken cocaine? Yes; No; else During the last 12 months, have you taken cocaine? (No; 1-2 times;…>100 times)
During the last 30 days, have you taken cocaine? Yes; No; else During the last 30 days, have you taken cocaine? (No; 1-2 times;…>100 times)
During the last 30 days, on how many days did you take cocaine? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
During the last 30 days, on how many days did you take cocaine? (On_________days)
Heroin
Do you personally know people who take heroin? Yes; No; else Do you personally know people who take heroin? (Yes; No)
Have you ever taken heroin yourself? Yes; No; else Have you ever taken heroin yourself? (No, never; 1-2 times;…>100 times)
At what age did you take heroin for the first time? At what age did you take heroin for the first time? (Age________)
During the last 12 months, have you taken heroin? Yes; No; else During the last 12 months, have you taken heroin? (No; 1-2 times;…>100 times)
During the last 30 days, have you taken heroin? Yes; No; else During the last 30 days, have you taken heroin? (No; 1-2 times;…>100 times)
During the last 30 days, on how many days did you take heroin? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
During the last 30 days, on how many days did you take heroin? (On_________days)
Relevin (not mandatory)
LSD Do you personally know people who take relivin? (Yes; No)
Do you personally know people who take LSD? Yes; No; else Have you ever taken relivin yourself? (No, never; 1-2 times;…>100 times)
Have you ever taken LSD yourself? Yes; No; else
At what age did you take LSD for the first time? Do you personally know people who take LSD? (Yes; No)
During the last 12 months, have you taken LSD? Yes; No; else Have you ever taken LSD yourself? (No, never; 1-2 times;…>100 times)
During the last 30 days, have you taken LSD? Yes; No; else At what age did you take LSD for the first time? (Age________)
During the last 30 days, on how many days did you take LSD? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
During the last 12 months, have you taken LSD? (No; 1-2 times;…>100 times)
Inhalants During the last 30 days, have you taken LSD? (No; 1-2 times;…>100 times)
Hallucinogens (other) During the last 30 days, on how many days did you take LSD? (On_________days)
Availability
How difficult would it be for you personally to obtain «drug» within 24 hours
if you wanted some? 1. Impossible 2. Very difficult 3. Fairly difficult 4. Fairly
easy 5. Very easyWithin the last 12 months, how many times have you been offered <drug>
(either free of charge or to buy)?1) none; 2) once or twice; 3) 3 to 5 times;
4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39 times; 7) 40 times or more
Have you taken inhalants yourself? (standard prevalence model LTP,LYP,LMP)
5. Opinions
Opinions about drug addicts (not mandatory) How difficult would it be for you personally to obtain ….«drug»….. within 24 hours if you
wanted some? (1. Impossible 2. Very difficult 3. Fairly difficult 4. Fairly easy 5. Very easy. 6.
Don't know this substance)
Do you perceive a drug addict more as a criminal or as a patient? More as
a criminal; more as a patient; neither criminal nor a patient; don't know,
cannot decide; else
Within the last 12 months, how many times have you been offered …."drug"… (either
free of charge or to buy)? (1) none; 2) once or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10
to 19 times; 6) Been offered but don't remember how may times)
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People should
be permitted to take hashish or marihuana"? Fully agree, largely agree,
neither agree nor disagree, largely disagree, fully disagree, else
To what extent do you agree or disagree with the following statement:
"People should be permitted to take heroin"?
Do you perceive a drug addict more as a criminal or as a patient? (More as a criminal;
more as a patient; neither criminal nor a patient; don't know, cannot decide)
Opinions about behaviour
Individuals differ according to whether or not they disapprove of people
doing certain things. I will mention a few things which some people may do.
Can you tell me if you would not disapprove or disapprove or strongly
disapprove when people do any of these things?
Do you think people should be permitted to take hashish or marihuana? (No; Yes; Don't
know)
Trying ecstasy once or twice Do you think people should be permitted to take heroin? (No; Yes; Don't know)
Trying heroin once or twice
Smoking 10 or more cigarettes Individuals differ according to whether or not they disapprove of people doing certain
things. I will mention a few things which some people may do. Can you tell me if you
would not disapprove or disapprove or strongly disapprove when people do any of
these things?
Have one or two drinks several times a week Trying ecstasy once or twice (Don't disapprove; disapprove; absolutely disapprove)
Smoking hashish or marijuana occasionally Trying heroin once or twice (Don't disapprove; disapprove; absolutely disapprove)
Perception of risk Smoking 10 or more cigarettes ( Don't disapprove; disapprove; absolutely disapprove)
Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I will
again mention a few things, which some people may do. Please tell me if
you consider it to be no risk, a slight risk, a moderate risk or a great risk, if
people do any of these things?
Have one or two drinks several times a week (Don't disapprove; disapprove; absolutely
disapprove)
Smoke one or more packs of cigarettes a day Smoking hashish or marijuana occasionally (Don't disapprove; disapprove; absolutely
disapprove)
Having five or more drinks each weekend
Smoke hashish or marijuana regularly Now I would like to know how much you think people risk harming themselves,
physically or in other ways, if they do certain things. I will again mention a few things,
which some people may do. Please tell me if you consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do any of these things?
Try ecstasy once or twice Smoke one or more packs of cigarettes a day (No risk…Very high risk)
Try cocaine once or twice Having five or more drinks each weekend (No risk…Very high risk)
6. Respondent attributes Smoke hashish or marijuana regularly (No risk…Very high risk)
Please indicate if you are a male or female Try ecstasy once or twice (No risk…Very high risk)
What is your age? Try cocaine once or twice (No risk…Very high risk)
Which of the following describes the composition of the household to which
you belong? One person living alone, two partners without children at
home, two partners with children at home, one adult with children at home,
other situation
Which of the following best applies to you: you are employed or self-
employed, you are a full-time student, you are unemployed, none of the
above
Gender (male; female)
What is the highest level of education you have completed When were you born? (Year of birth………)
What is the identification code of your home address? Who's is living with you currently?
Are you employed at present?
What do you do exactly for a job? (Describe……)
What is the highest level of education you have completed?
Identification code of home address
Matching GPS Spain (EDADES) to EMQ 2005
Context: Household survey on drug use
Mode: self-completion for drug use questions
2007
Context: Household survey on drug use
Mode: self-completion for drug use questions
European Model Questionnaire 9 pages, 38 questions 17 pages, 112 questions
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes;
No; else
T1 Have you ever smoked a cigarette or any other
type of tobacco, even if drawn only 1-2 drags? R C: 1.
Yes, I have smoked a cigarette occasionally, at least
1-2 drags 2. No, never in my life have I smoked
cigarettes or any type of tobacco
Q41 Have you ever smoked a cigarette or any other type of
tobacco, even if drawn only 1-2 drags? R C: Yes, I have smoked
a cigarette, even if only 1-2 drags; No, never in my life have I
smoked cigarettes or any type of tobacco
Have you ever smoked in past? Yes; No; else T6 Have you ever smoked daily? Q49 Have you ever smoked daily?
ADDITIONAL QUESTION ES T4 During the last 30 days, on how many days did
you smoke cigarettes or other types of tobacco? R C:
On __ days; I haven't smoked in the last 30 days; I
have never smoked a cigarette or any other type of
tobacco
Q44 On how many days out of the last 30 did you smoke? R C:
On 1-3 days; On 4-9 days; On 10-19 days; On 20-29 days; 30
days; I have not smoked any cigarettes or other types of tobacco
in the last 30 days; I have never smoked
ADDITIONAL QUESTION ES T5 During the last 30 days, how many cigarettes,
cigarillos or pipes did you smoke on average?
Q45-48 During the last 30 days, how many cigarettes, cigarillos
or pipes did you smoke on average?
2. Alcohol
During the last 12 months, have you drunk beer, wine, spirits or any
other alcoholic drink? Yes; No; else
A3 During the last 12 months, on how many days
have you had an alcoholic drink? R C: Every day; 5-6
days a week; 3-4 days a week; 1-2 days a week; 2-4
days a month; once a month or less; I have not drunk
alcohol during the last 12 months; I have never drunk
alcohol
Q8 During the last 12 months, on how many days have you had
an alcoholic drink? R C: On 1-3 days; 4-9 days; 10-19 days; 20-
29 days; 30 days; I have not drunk alcohol during the last 12
months; I have never drunk alcohol
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
A8 frequency table LMP by drink Q13-24 frequency table LMP by drink:
Wine/Champagne/Beer/Cider/Aperitifs/Mixers/Fruit
Liqueurs/Spirits How
frequently did you consume alcohol in the last 30 days? On
working days: Every day; on 3 working days; on 2 working days;
on 1 working day; less than 1 working day; No alcohol consumed
during working days in the last 30 days; Never consumed any of
these types of drinks
How frequently did you consume alcohol in the last 30 days?
Weekends: Every weekend; on 3 weekends; On 2 weekends; On
1 weekend; No alcohol consumed at weekends during the last 30
days; Never consumed any of these types of drinks
How often do you drink 6 glasses or more of an alcoholic drink on the
same occasion? Daily or almost daily; every week; every month; less
than once a month; never; else
A7 During the last 30 days, on how many days did
you drink 5 or more alcoholic drinks on the same
occasion? Write down the number of days; I have not
drunk 5 or more alcoholic drinks on the same
occasion; I have not drunk alcohol during the last 30
days; I have never drunk alcohol
Q12 During the last 30 days, on how many days did you drink 5
or more alcoholic drinks on the same occasion? R C: Write down
the number of days; I have not drunk 5 or more alcoholic drinks
on the same occasion; I have not drunk alcohol during the last 30
days; I have never drunk alcohol
During the last 30 days, have you drunk any alcohol? Yes; No; else A6 Out of the last 30 days, on the days when you
consumed alcohol, how many drinks did you have? R
C: __ drinks; I have not drunk alcohol in the last 30
days; I have never drunk alcohol
Q11 Out of the last 30 days, on the days when you consumed
alcohol, how many drinks did you have? R C: __ drinks; I have
not drunk alcohol in the last 30 days; I have never drunk alcohol
During the last 30 days, on how many days did you drink alcohol?
On__days, OR 1. 20 days or more; 2. 10-19 days; 3. 4-9 days; 4. 1-3
days
A5 During the last 30 days, on how many days did
you drink alcohol? R C: On __ days; I haven't drunk
alcohol in the last 30 days; I have never drunk alcohol
Q10 During the last 30 days, on how many days did you drink
alcohol? R C: On 1-3 days; 4-9 days; 10-19 days; 20-29 days; 30
days; I have not drunk alcohol during the last 30 days; I have
never drunk alcohol
3. Pharmaceuticals in a series of Other substances SEE COMMENT in the Other substances section Tranquilisers and
tranquilisers without prescription respectivelyDuring the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
D6 During the last 12 months, have you taken any
tranquilizers without a medical prescription? 1. Yes 2.
No 3. No, I have never taken tranquilisers without
medical prescription
D8 During the last 12 months, have you taken any
sleeping pills without prescription? Yes; without a
prescription; No, not in the last 12 months; Never
without a prescription
Q87 During the last 12 months, on how many days have you
taken tranquilisers or sedatives? 1-3 days; 4-9 days; 10-19 days;
20-29 days; 30-150 days; 150 days; I have not taken tranquilisers
or sedatives during the last 12 months; I have never taken
tranquilisers or sedatives
How often do you take sedatives or tranquilizers? 4 times a week or
more; 2-3 times a week; 2-4 times a month; once a month or less
D2 Please indicate the number of days in the last 12
months when you have taken tranquilisers or
sedatives: Daily, 4-6 days a week; 1-3 days a week; 1-
3 days a month; 6-11 days a year; 1-5 days a year; I
have not taken s/t in the last 12 months; I have never
taken S/T
QUESTION NOT ASKED
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
D3 Number of days a week that you took this
substance in the last 30 days: R C: Daily; 4-6 days a
week; 1-3 days a week; 1-3 days a month; I have not
taken it during the last 30 days; I have never taken it
see Q88
During the last 30 days, on how many days did you take sedatives or
tranquilizers? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
D3 Number of days a week that you took this
substance in the last 30 days: R C: Daily; 4-6 days a
week; 1-3 days a week; 1-3 days a month; I have not
taken it during the last 30 days; I have never taken it
Q88 During the last 30 days, on how many days have you taken
tranquilisers or sedatives? 1-3 days; 4-9 days; 10-19 days; 20-29
days; 30 days; 150 days; I have not taken tranquilisers or
sedatives during the last 30 days; I have never taken
tranquilisers or sedatives
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I got
them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above applies:
else
QUESTION NOT ASKED Separate section on Tranquilisers or sedatives without
prescription
Q93 Can you tell me if in the last 12 months you have taken
tranquilisers or sedatives without a prescription? Yes; No; Never
without a prescription
4. Illicit drugs Table format (tick boxes) SEE COMMENT Separate sections for the 2007 EDADES
SEE COMMENT
Cannabis questions asked separately
Do you personally know people who take cannabis? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cannabis yourself? Yes; No; else M1 Have you smoked , even if it was just once, a joint
or hashish or marijuana? Yes No
Q53 Have you ever taken, even if only once, cannabis or
marijuana? (list of street names in brackets) Yes No
At what age did you take cannabis for the first time? M2 Q54
During the last 12 months, have you taken cannabis? Yes; No; else M3 On how many days out of the last 12 months
have you smoked a joint, hashish or marijuana?
R C: Every day; 5-6 days a week; 3-4 days a week; 1-
2 days a week; 2-4 days a month; once a month or
less; I have not smoked in the last 12 months; I have
never smoked a joint, hashish or marijuana
Q55 During the last 12 months, on how many days have you
taken cannabis or marijuana? R C: 1-3 days; 4-9 days; 10-19
days; 20-29 days; 30-150 days; 150 days; I have not taken
cannabis or marijuana during the last 12 months; I have never
taken cannabis or marijuana
During the last 30 days, have you taken cannabis? Yes; No; else see M4 see Q56
During the last 30 days, on how many days did you take cannabis?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
M4 During the last 30 days, on how many days did
you smoke a joint, hashish or marijuana? If you are
not sure, state the approximate number of days: On
__ days; I have not smoked a joint, hashish or
marijuana in the last 30 days; I have never smoked a
joint, hashish or marijuana
Q56 R C: 1-3 days; 4-9 days; 10-19 days; 20-29 days; 30 days; I
have not taken cannabis or marijuana in the last 30 days; I have
never taken cannabis or marijuana
Ecstasy questions asked separately
Do you personally know people who take ecstasy? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes; No; else E1 Have you ever tried, even if it was just once,
ecstasy or pills? Yes, I have tried it at some point; No,
never
Q65
At what age did you take ecstasy for the first time? E2 Q66
During the last 12 months, have you taken ecstasy? Yes; No; else E3 On how many days out of the last 12 months have
you taken ecstasy? Every day; 5-6 days a week: 3-4
days a week; 1-2 days a week; 2-4 days a month;
Once a month or less; I have not taken ecstasy in the
last 12 months; I have never taken ecstasy
Q67 During the last 12 months, on how many days have you
taken ecstasy or designer drugs? 1-3 days; 4-9 days; 10-19 days;
20-29 days; 30-150 days; 150 days; I have not taken ecstasy or
designer drugs during the last 12 months; I have never taken
ecstasy or designer drugs
During the last 30 days, have you taken ecstasy? Yes; No; else see E4 see Q68
During the last 30 days, on how many days have you taken ecstasy?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
E4 If you are not sure, state the approximate number
of days: On __ days; I have not taken ecstasy in the
last 30 days; I have never taken ecstasy
Q68 R C: 1-3 days; 4-9 days; 10-19 days; 20-29 days; 30 days; I
have not taken ecstasy or designer drugs in the last 30 days; I
have never taken ecstasy or designer drugs
Amphetamines D. Amphetamines or speed (table) SEE COMMENT
Do you personally know people who take amphetamines? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken amphetamines yourself? Yes; No; else D1 Q69
At what age did you take amphetamines for the first time? D1 Q70
During the last 12 months, have you taken amphetamines? Yes; No;
else
D2 Please indicate the number of days in the last 12
months when you have taken amphetamines or
speed: R C: Daily, 4-6 days a week; 1-3 days a week;
1-3 days a month; 6-11 days a year; 1-5 days a year;
I have not taken amphetamines in the last 12 months;
I have never taken amphetamines
Q71 During the last 12 months, on how many days have you
taken amphetamines or speed? R C: 1-3 days; 4-9 days; 10-19
days; 20-29 days; 30-150 days; 150 days; I have not taken
amphetamines or speed during the last 12 months; I have never
taken amphetamines or speed
During the last 30 days, have you taken amphetamines? Yes; No;
else
see D3 see Q72
During the last 30 days, on how many days did you take
amphetamines? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
D3 Number of days a week that you took this
substance in the last 30 days: Daily; 4-6 days a week;
1-3 days a week; 1-3 days a month; I have not taken
it during the last 30 days; I have never taken it
Q72 R C: R C: 1-3 days; 4-9 days; 10-19 days; 20-29 days; 30
days; I have not taken amphetamines or speed in the last 30
days; I have never taken amphetamines or speed
Cocaine C. Cocaine (table) SEE COMMENT
Do you personally know people who take cocaine? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes; No; else D1 Q61
At what age did you take cocaine for the first time? D1 Q62
During the last 12 months, have you taken cocaine? Yes; No; else D2 Please indicate the number of days in the last 12
months when you have taken cocaine: R C: Daily, 4-6
days a week; 1-3 days a week; 1-3 days a month; 6-
11 days a year; 1-5 days a year; I have not taken
cocaine in the last 12 months; I have never taken
cocaine
Q63 On how many days out of the last 12 months have you
taken cocaine powder? R C: 1-3 days; 4-9 days; 10-19 days; 20-
29 days; 30-150 days; 150 days; I have not taken powder
cocaine in the last 12 months; I have never taken powder
cocaine
During the last 30 days, have you taken cocaine? Yes; No; else see D3 see Q64
During the last 30 days, on how many days did you take cocaine?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
D3 Number of days a week that you took this
substance in the last 30 days: Daily; 4-6 days a week;
1-3 days a week; 1-3 days a month; I have not taken
it during the last 30 days; I have never taken it
Q64 R C: 1-3 days; 4-9 days; 10-19 days; 20-29 days; 30 days; I
have not taken powder cocaine in the last 30 days; I have never
taken powder cocaine
Heroin F. Heroin (table) SEE COMMENT
Do you personally know people who take heroin? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else D1 Q77
At what age did you take heroin for the first time? D1 Q78
During the last 12 months, have you taken heroin? Yes; No; else D2 Please indicate the number of days in the last 12
months when you have taken heroin: Daily, 4-6 days
a week; 1-3 days a week; 1-3 days a month; 6-11
days a year; 1-5 days a year; I have not taken heroin
in the last 12 months; I have never taken heroin
Q79 During the last 12 months, on how many days have you
taken heroin? 1-3 days; 4-9 days; 10-19 days; 20-29 days; 30-
150 days; 150 days; I have not taken heroin during the last 12
months; I have never taken heroin
During the last 30 days, have you taken heroin? Yes; No; else see D3 see Q80
During the last 30 days, on how many days did you take heroin?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
D3 Number of days a week that you took this
substance in the last 30 days: Daily; 4-6 days a week;
1-3 days a week; 1-3 days a month; I have not taken
it during the last 30 days; I have never taken it
Q80 R C: 1-3 days; 4-9 days; 10-19 days; 20-29 days; 30 days; I
have not taken heroin in the last 30 days; I have never taken
heroin
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD E. Hallucinogens (LSD, Acid, Mescaline and
others) table
SEE COMMENT
asked as: Hallucinogens (LSD, acid, magic mushrooms,
ketamine, special-K, ketolar, imalgene)
Do you personally know people who take LSD? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else D1 Q73
At what age did you take LSD for the first time? D1 Q74
During the last 12 months, have you taken LSD? Yes; No; else D2 Please indicate the number of days in the last 12
months when you have taken LSD: Daily, 4-6 days a
week; 1-3 days a week; 1-3 days a month; 6-11 days
a year; 1-5 days a year; I have not taken LSD in the
last 12 months; I have never taken LSD
Q75 On how many days out of the last 12 months have you
taken hallucinogens? 1-3 days; 4-9 days; 10-19 days; 20-29
days; 30-150 days; 150 days; I have not taken hallucinogens in
the last 12 months; I have never taken hallucinogens
During the last 30 days, have you taken LSD? Yes; No; else see D3 see Q76
During the last 30 days, on how many days did you take LSD?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
D3 Number of days a week that you took this
substance in the last 30 days: Daily; 4-6 days a week;
1-3 days a week; 1-3 days a month; I have not taken
it during the last 30 days; I have never taken it
Q76 R C: 1-3 days; 4-9 days; 10-19 days; 20-29 days; 30 days; I
have not taken hallucinogens in the last 30 days; I have never
taken hallucinogens
Inhalants see section 4. Illicit drugs, above Q81-Q84
Hallucinogens (other) all Hallucinogens grouped together, see LSD above all Hallucinogens grouped together, see LSD above
Availability
How difficult would it be for you personally to obtain «drug» within 24
hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
QUESTION NOT ASKED QUESTION NOT ASKED
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice; 3)
3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39 times;
7) 40 times or more
QUESTION NOT ASKED QUESTION NOT ASKED
5. Opinions SECTION NOT ASKED
Opinions about drug addicts
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a patient;
don't know, cannot decide; else
Opinions about drug policies
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
To what extent do you agree or disagree with the following statement:
"People should be permitted to take heroin"? Fully agree, largely
agree, neither agree nor disagree, largely disagree, fully disagree,
else
Opinions about behaviour
INTRO: Individuals differ according to whether or not they disapprove
of people doing certain things. I will mention a few things which some
people may do. Can you tell me if you would not disapprove or
disapprove or strongly disapprove when people do any of these
things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I will
again mention a few things, which some people may do. Please tell
me if you consider it to be no risk, a slight risk, a moderate risk or a
great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female
What is your age?
Which of the following describes the composition of the household to
which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult with
children at home, other situation
Which of the following best applies to you: you are employed or self-
employed, you are a full-time student, you are unemployed, none of
the above
What is the highest level of education you have completed?
What is the <identification code> of your home address? Front page of the questionnaire Front page of the questionnaire
Matching GPS France (Baromètre Santé) to EMQ 2005
Context: Health Interview Survey
Mode: CATI
2010
Context: Health Interview Survey
Mode: CATI (with elaborate skip patterns)European Model Questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe?
Yes; No; else
Q117 Do you smoke, even if it is from time to time? R C:
Yes; No; Don't know
Q255 including shisha
Have you ever smoked in past? Yes; No; else Q120 (If non-smoker) Over the course of your life, have
you ever smoked? Yes; No; Don't know
Q257 (If non-smoker) Over the course of your life, have you
ever smoked? R C: Yes; No; Don't know
2. Alcohol
During the last 12 months have you drunk beer, wine, spirits
or any other alcoholic drink? Yes; No; else
Q153 (question asked to those who said Yes to LTP
Q151) During the last 12 months, have you drunk wine,
beer, spirits, other (cider, champagne, port) R C: Every
day; 4 times a week or more; 2-3 times a week; once a
week; 2-4 times a month; once a month or less; never;
Don't know
Q315 (question asked to those who said Yes to LTP Q313)
During the last 12 months, have you drunk...:
1 Every day; 4 times a week or more; 2-3 times a week; once a
week; 2-4 times a month; once a month or less; never; DK
...the following:
1. wine (white, rosé, red) 2. beer 3. spirits 4 other types of
alcohol (cider, champagne, porto)
How often do you drink alcohol? 4 times a week; 2-3 times
a week; 2-4 times a month; Once a month or less; else
see Q153 above see Q315
How often do you drink 6 glasses or more of an alcoholic drink
on the same occasion? Daily or almost daily; every week;
every month; less than once a month; never; else
Q163, response categories reversed Q317, response categories reversed
During the last 30 days, have you drunk any alcohol? Yes No Q155 During the last 7 days , have you drunk any alcohol? QUESTION NOT ASKED
During the last 30 days, on how many days did you drink
alcohol? On__days, OR 1. 20 days or more; 2. 10-19 days; 3.
4-9 days; 4. 1-3 days
Q156 During the last 7 days , on how many days have you
drunk alcohol? Wine (white, rosé, red), beer, spirits, other
drinks (cider, champagne, port) R C: Every day; 3-6 days
out of 7; 1-2 days out of 7; No; DK
QUESTION NOT ASKED
3. Pharmaceuticals Only to be answered by the persons who have responded
to the Mental Health questionnaire. N.B: Mental Health
section (Cidi-SF questionnaire) answered by 2/3 of the
sample of 15 years of age and over only
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q319 LTP Have you ever taken… R C: Often; Sometimes;
Rarely; Never
Q320 If Yes at Q319 Have you taken any in the last 12
months? R C:
Q326 Yes No (If Yes, which ones?)
Q380 Have you ever taken any medicines for calming the
nerves or sleeping, such as tranquillisers, sleeping pills or anti-
depressants? Yes; No; DK
Q381 If yes, during the last 12 months, which have you taken?
(list of medicines read)
Q384 Do you still take the above mentioned medicine now?
How often do you take sedatives or tranquilizers? 4 times a
week; 2-3 times a week; 2-4 times a month; Once a month or
less; else
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, on how many days did you take
sedatives or tranquilizers? On__days, OR 1.20 days or more;
2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
How did you obtain sedatives or tranquilizers the last time you
took them? I bought them or had them prescribed for me by a
doctor, I got them from somebody else I know; I bought them
without a prescription in a pharmacy or drug store; None of the
above applies: else
QUESTION NOT ASKED
main tranquilisers/sedatives/antidepressant questions are
framed between questions of long term health problems
and questions on therapy/ visits to a physician
QUESTION NOT ASKED
4. Illicit drugs all questions for respondents < 65 years
Cannabis
Do you personally know people who take cannabis? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cannabis yourself? Yes; No; else Q289
Q290 (If No to Q289): Have you ever taken cannabis, even
if it was just to taste it? R C: Yes; No; Don't know; Doesn't
want to say
Q488
Q489 (If No to Q488) Have you even taken cannabis, even if it
was just to taste it? R C: Yes; No; Don't know; Doesn't want to
say
At what age did you take cannabis for the first time? Q294 At what age did you smoke cannabis for the first
time?
Q495 At what age did you smoke cannabis for the first time?
During the last 12 months, have you taken cannabis? Yes;
No; else
Q291
Q292 How often during the last 12 months? 1. Per day, 2.
Per week; 3. Per month; 4. Per year; 5. DK (Interviewer
writes frequency based on chosen respondent's chosen
response category)
Q490
During the last 30 days, have you taken cannabis? Yes; No;
else
Q293 Q494
During the last 30 days, on how many days did you take
cannabis? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
if yes to Q293: Q302 (after main questions on other illicit
substances below) How many times have you consumed
cannabis over the last 30 days? R C: Number of times: __;
Every day; DK
Q510 How many times have you consumed cannabis over the
last 30 days?
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
Q288 (question for those aged < 65 only ) How difficult
would it be for you to obtain cannabis in 24 hours if you
wanted it? Impossible; Very difficult; Rather difficult;
Rather easy; Very easy; DK; Don't wish to say
Q487 How difficult would it be for you to obtain cannabis in 24
hours if you wanted it? Impossible; Very difficult; Rather difficult;
Rather easy; Very easy; DK; Don't wish to say
Availability
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2)
once or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19
times; 6) 20 to 39 times; 7) 40 times or more
Q287 Have you ever been offered cannabis, hashish,
marijuana, grass or a joint? Yes; No;DK; Don't wish to say
Q486 Have you ever been offered cannabis, hashish, marijuana,
grass or a joint? Yes; No;DK; Don't wish to say
INTRO
Interviewer: I would now like to ask you a few brief
questions concerning your consumption of other products.
There are nine products in total, but the questions are
simple and quick. The following set of questions deals
with: SEE COMMENT
INTRO
Interviewer: I would now like to ask you a few brief questions
concerning your consumption of other products. 4 or 12,
depending if the respondent has said Yes to cannabis
consumption (If Yes, then 12) For those aged <65 years
SEE COMMENT
Ecstasy Q295 Have you ever been offered __?
Do you personally know people who take ecstasy? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes; No; else Q296 Have you ever taken __? Q497 Have you ever taken __?
At what age did you take ecstasy for the first time? Q299 Q500
During the last 12 months, have you taken ecstasy? Yes; No;
else
Q297 Q499
During the last 30 days, have you taken ecstasy? Yes; No;
else
Q298 QUESTION NOT ASKED
During the last 30 days, on how many days did you take
ecstasy? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Amphetamines Q295 Have you ever been offered __?
Do you personally know people who take amphetamines?
Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken amphetamines yourself? Yes; No; else Q296 Have you ever taken __? Q497 Have you ever taken __?
At what age did you take amphetamines for the first time? Q299 Q500
During the last 12 months, have you taken amphetamines?
Yes; No; else
Q297 Q499
During the last 30 days, have you taken amphetamines? Yes;
No; else
Q298 QUESTION NOT ASKED
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Cocaine Q295 Have you ever been offered __?
Do you personally know people who take cocaine? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes; No; else Q296 Have you ever taken __? Q497 Have you ever taken __?
At what age did you take cocaine for the first time? Q299 Q500
During the last 12 months, have you taken cocaine? Yes; No;
else
Q297 Q499
During the last 30 days, have you taken cocaine? Yes; No;
else
Q298 QUESTION NOT ASKED
During the last 30 days, on how many days did you take
cocaine? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Heroin Q295 Have you ever been offered __?
Do you personally know people who take heroin? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else Q296 Have you ever taken __? Q497 Have you ever taken __?
At what age did you take heroin for the first time? Q299 Q500
During the last 12 months, have you taken heroin? Yes; No;
else
Q297 Q499
During the last 30 days, have you taken heroin? Yes; No; else Q298 QUESTION NOT ASKED
During the last 30 days, on how many days did you take
heroin? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Relevin QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD Q295 Have you ever been offered __?
Do you personally know people who take LSD? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else Q296 Have you ever taken __? Q497 Have you ever taken __?
At what age did you take LSD for the first time? Q299 Q500
During the last 12 months, have you taken LSD? Yes; No;
else
Q297 Q499
During the last 30 days, have you taken LSD? Yes; No; else Q298 QUESTION NOT ASKED
During the last 30 days, on how many days did you take
LSD? On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Inhalants included, see INTRO to Illicit drugs section above included, see INTRO to Illicit drugs section above
Hallucinogens (other) included, see INTRO to Illicit drugs section above included, see INTRO to Illicit drugs section above
5. Opinions SECTION NOT ASKED SECTION NOT ASKED
Opinions about drug addicts
Do you perceive a drug addict more as a criminal or as a
patient? More as a criminal; more as a patient; neither criminal
nor a patient; don't know, cannot decide; else
Opinions about drug policies
To what extent do you agree with the following statement:
"People should be permitted to take hashish or marihuana"?
Fully agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you
would not disapprove or disapprove or strongly disapprove
when people do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do
certain things. I will again mention a few things, which some
people may do. Please tell me if you consider it to be no risk,
a slight risk, a moderate risk or a great risk, if people do any of
these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female Q1 Q95
Q131 (for women aged 15-50) Are you pregnant?
Q132 (if Yes to above) How long have you known that you are
pregnant?
What is your age? Q2 Q96
Q98 (if 15-18 years old) Month of birth
Q99 (all) Year of birth
Which of the following describes the composition of the
household to which you belong? One person living alone, two
partners without children at home, two partners with children
at home, one adult with children at home, other situation
Q4 How many other people do you live with?
R C: one to twelve; nobody else; DK
Q5 Who are these people?
Q11 Do you live… Alone; With a partner; with your
parents; with others; other situation (please specify);
Doesn't want to say
Q100
Which of the following best applies to you: you are employed
or self-employed, you are a full-time student, you are
unemployed, none of the above
Q12 Q106
SIT1. What is your current situation? (<16 years)
SIT1. What is your current employment status (> = 16 years)
INT: List until someone stops you
INT: If a number of situations, take the activity that takes more
time.
INT: If it is a working student and hesitating between these two
activities, code "student"
SEE COMMENT for R C
What is the highest level of education you have completed? Q399 Q686
What is the <identification code> of your home address?
Matching GPS Italy to EMQ 2005 IPSAD
Context: Italian Population Survey on
Alcohol and other drugs
Mode: Mail
2009 IPSAD
Context: Italian Population Survey on
Alcohol and other drugs
Mode: Mail
2009 ITC Stili de vita e uso di sostanze
Context: Italian Population Survey on
Alcohol and other drugs
Mode: Mail
GPS ITA 2012
Context: Population survey on the consumption of psychotropic
substances
Mode: Mail
European Model Questionnaire 33 questions number of questions hard to determine;
20 sections
34 questions 10 sections; 169 questions
1. Tobacco Section B If you have never used
tobacco go to Section C - Alcohol
Section 13/20, after Alcohol Section C. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a
pipe? Yes; No; else
QUESTION NOT ASKED J3 Yes No (if No, when did you stop, if Yes,
how many a day…)
Q9 Do you smoke at present? No (F to Q10-
alcohol) Yes (Q9.1 How many cigarettes per
day?)
See C3.b
Have you ever smoked in past? Yes; No; else Q07 At what age did you smoke tobacco
for the first time? Q08 Have you
been smoking after the first occasions?
No Yes
J1 yes; no (if No, go to next section) Q8 Have you ever smoked at least 100
cigarettes? No (F to Q10- alcohol) Yes
C1. Have you ever smoked? No (F to Section D - Alcohol) Yes
ADDITIONAL QUESTION C2. At what age did you smoke tobacco for the first
time?
Alternatives: Use of standard prevalence questions
(LTP,LYP,LMP)
Q09 During the last 12 months how many
times have you smoked cigarettes?
Never; Less than one cigarette per week;
Less than one cigarette per day; 1-5
cigarettes per day; 6-10 cigarettes per
J4 LYP LMP no C3.a During the last 12 months how many times have you smoked cigarettes?
Never; Not every month; Every month C3.b During the last 30 days how
many times have you smoked cigarettes? Never; Not every day; Every day If
every day, how many times in a day?
2. Alcohol Section C If you have never used
alcohol go to Section D -
Pharmaceuticals
Section 12/ 20, before Tobacco
During the last 12 months, have you drunk beer, wine,
spirits or any other alcoholic drink? Yes; No; else
Q11 During the last 12 months, how
many times have you drunk beer, wine,
liqueurs or spirits? Never (F to Section
D); 1-2 times; 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
I3 No Yes (If Yes, answer Q I3a) QUESTION NOT ASKED D3.a During the last 12 months, how many times have you drunk alcoholic
drink? Never; Not every month; Every month ADDITIONAL QUESTION
D4.a In the last year you got drunk?
How often do you drink alcohol? 4 times a week; 2-3
times a week; 2-4 times a month; Once a month or less;
else
QUESTION NOT ASKED I3a ; response categories order reversed QUESTION NOT ASKED D1. Have you ever drunk alcohol? No (F to Section E-Energy drink) Yes
How often do you drink 6 glasses or more of an
alcoholic drink on the same occasion? Daily or almost
daily; every week; every month; less than once a month;
never; else
QUESTION NOT ASKED I13 How often did you drink 6 or more
alcoholic drinks on the same occasion? a) in
the last 12 months b) In the last 30 days…
R.C: Never; Less than once a month; Once
a month; Once a week; More than once a
week; Almost every day
Q11 Considering all types of alcoholic drinks,
on how many days of the last month have you
drunk 5 or more alcoholic drinks on the same
occasion (for example, with friends, in an
evening ) Never; Number of days/ week (insert
number); Number of days per month (insert
number)
ADDITIONAL QUESTION D2. At what age did drink alcohol for the first time?
During the last 30 days, have you drunk any alcohol?
Yes; No; else
QUESTION NOT ASKED I4 No; Yes (if yes, answer I4a) QUESTION NOT ASKED
During the last 30 days, on how many days did you drink
alcohol? On__days, OR 1. 20 days or more; 2. 10-19
days; 3.4-9 days; 4. 1-3 days
Q12 During the last 30 days how many
times have you drunk wine, beer, liqueurs
or spirits? Never; 1-2 times; 3-5 times; 6-
9 times; 10-19 times; 20-39 times; 40 or
more times
I4a; response categories order reversed Q10 During the last 30 days, on how many
days have you had at least one alcoholic drink ?
Never (F to Q12); Number of days/week (insert
number); Number of days/month (insert
number)
D3.b During the last 30 days, how many times have you drunk alcoholic drink?
Never; 1-2 times; Every week ADDITIONAL QUESTION D4.b In the last
month you got drunk? ADDITIONAL QUESTION D3.cDuring the last week,
how many times have you drunk alcoholic drink? Never; 1-2 times; Every week
ADDITIONAL QUESTION D4c. In the last week you got drunk? ADDITIONAL
QUESTION D5. Have you ever heard about happy hour? No; Yes.
ADDITIONAL QUESTION D6. If yes, have you attended a Happy Hour in the
last 30 days? No; Yes.
3. Pharmaceuticals Section D If you have never used
pharmaceuticals go to Section E -
Other substances
Section 10/20, before Alcohol Response categories differ slightly from
EMQ
Section F. Pharmaceuticals
During the last 12 months, have you taken any
sedatives or tranquilizers? Yes; No; else
Q20 During the last 12 months, how
many times have you taken sedatives or
tranquilisers? R C: Never; 1-2 times; 3-5
times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
H2.1 Have you ever taken pharmaceuticals
(sleeping pills, tranquilisers,
antidepressants )?Yes No (if No, F to next
section)
NOTE: subsequent questions make
distinction between the three types of
medicines
Q12.2 During the last 12 months have you
taken any sedatives or tranquilisers? No, it's
been __ years since the last time; Yes, but not
every month; Yes, every month
F1. Have you ever taken pharmaceuticals (sleeping pills/tranquilisers,
barbiturates, benzodiazepines, anabolic steroids)? Yes No (if No to all
pharmaceuticals, F to section G - Other substances)
NOTE: subsequent questions make distinction between the four types of
medicines
How often do you take sedatives or tranquilizers? 4
times a week or more; 2-3 times a week; 2-4 times a
month; once a month or less
see Q20 QUESTION NOT ASKED (LMP and LYP
covered)
QUESTION NOT ASKED ADDITIONAL QUESTION F2. At what age did you take pharmaceuticals for
the first time? NOTE: This question make distinction between the four
types of medicines
During the last 30 days, have you taken any sedatives
or tranquilizers? Yes; No; else
see Q21 see H2.3 see Q12.2.1 F3. During the last 12 months, how many times have you taken
pharmaceuticals? Never; 1-2 times; 3-10 times; every month.
NOTE: This question make distinction among the four types of medicines
During the last 30 days, on how many days did you take
sedatives or tranquilizers? On__days, OR 1.20 days or
more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
Q21 During the last 30 days, how many
times have you taken sedatives or
tranquilisers? Never; 1-2 times; 3-5 times;
6-9 times; 10-19 times; 20-39 times; 40 or
more times
H2.3 During the last 30 days, on how many
days have you taken
tranquilisers/anxiolytics? R C: Never; once a
month or less, 2-4 times a month: once a
week; more than once a week; almost every
day
Q12.2.1 During the last 30 days, on how many
days have you taken sedatives or tranquilisers?
Never; Daily or almost daily (20/30 days); about
10-19 days/30; about 4-9 days/30; about 1-4
days/30
F4. During the last 30 days, how many times have you taken
pharmaceuticals? Never; 1-5 times; 6-20 times; every day or almost.
NOTE: This question make distinction among the four types of medicines.
How did you obtain sedatives or tranquilizers the last
time you took them? I bought them or had them
prescribed for me by a doctor, I got them from
somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the
above applies: else
Q22 H2.6 How do you usually obtain
pharmaceuticals? On a prescription; From
someone I know; Without a prescription from
a pharmacy; From an online pharmacy;
Other
Q12.3 F5. During the last 12 months did you obtain pharmaceuticals without a
prescription from a doctor? No; Yes
4. Illicit drugs Section E Section 15/20 Section G. Other substances
Cannabis Section E-1 Hashish and/or marijuana
(joints, grass...)
referred to as Hashish or Marijuana referred to as Hashish or Marijuana
Do you personally know people who take cannabis?
Yes; No; else
Q23a L1 Q13 ADDITIONAL QUESTION G1.b Have you ever heard about Hashish or
Marijuana? No; Yes.
How difficult would it be for you personally to obtain
«drug» within 24 hours if you wanted some? 1.
Impossible 2. Very difficult 3. Fairly difficult 4. Fairly
easy 5. Very easy
Q23h L2
L7 In which places do you think it would be
easy to get cannabis if you wanted it? On
the street; park/ At school/ At a friend's
house/ In a bar or disco/ At a dealer's house/
Via Internet/ Public event (rave, concert)/
Other
G2.b (If G1.b=yes) Do you know people who take cannabis? No/I don't know;
Yes
Have you ever taken cannabis yourself? Yes; No; else Q23d Yes No (F to next section if No) L3 Yes No (F to next section if No) Q14 QUESTION NOT ASKED
At what age did you take cannabis for the first time? Q23e L4 Q14.1 G3.b (If G1.b=yes) Have you ever taken cannabis yourself? No ; Yes
During the last 12 months, have you taken cannabis?
Yes; No; else
Q23f During the last 12 months, how
many times have you taken hashish or
marijuana? R C: Never;1-2 times; 3-5
times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
L5 On how many occasions have you taken
cannabis? a) In the last 12 months: Never; 1-
2 times; 3-5 times; 6-9 times; 10-19 times;
20-39 times; 40 or more times
Q14.2 R.C: No, but it's been __ years since I
last took it; Yes, but not every month; Yes,
every month
G4.b (If G3.b=yes)
During the last 30 days, have you taken cannabis? Yes;
No; else
see Q23g L5
On how many occasions have you taken
cannabis? b) In the last 30 days:
Never; 1-2 times; 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
LMP frequency G5.b (If G3.b=yes) During the last 12 months, how many times have you
taken hashish or marijuana? Never; 1-2 times; 3-10 times; at least 1 time
every month
During the last 30 days, on how many days did you take
cannabis? On__days, OR 1. 20 days or more; 2. 10-19
days; 3. 4-9 days; 4. 1-3 days
Q23g During the last 30 days how many
times have you taken hashish and/or
marijuana? R C: Never; 1-2 times; 3-5
times; 6-9 times; 10-19 times; 20-39
times; 40 or more time
L5 On how many occasions have you taken
cannabis? Never; 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more
times
Q14.2.1 G6.b (If G5.b different from never) During the last 30 days, how many times
have you taken hashish or marijuana? Never; 1-5 times; 6-20 times; every day
or almost
Ecstasy Section E-2 Section 17/20 (Synthetic stimulants)
together with Amphetamines
Ecstasy
Do you personally know people who take ecstasy? Yes;
No; else
Q24a N1 Do you personally know people who take
synthetic stimulants (amphetamines,
ecstasy, MDMA )? No Yes
Q15 G2.d (If G1.d=yes) Do you know people who take ecstasy? No/I don't know;
Yes ADDITIONAL QUESTION G1.d Have you ever heard about Ecstasy? No;
Yes.
How difficult would it be for you personally to obtain
«drug» within 24 hours if you wanted some? 1.
Impossible 2. Very difficult 3. Fairly difficult 4. Fairly
easy 5. Very easy
Q24h N2
N8 In which places do you think it would be
easy to get synthetic stimulants if you
wanted them? On the street; park/ At school/
At a friend's house/ In a bar or disco/ At a
dealer's house/ Via Internet/ Public event
(rave, concert)/ Other
Have you ever taken ecstasy yourself? Yes; No; else Q24d N4 …ecstasy and/or MDMA …? Q16 G3.d (If G1.d=yes) Have you ever taken ecstasy yourself? No ; Yes G4.d (If
G3.d=yes)
At what age did you take ecstasy for the first time? Q24e N5 …when you tried synthetic stimulants for
the first time?
Q16.1
During the last 12 months, have you taken ecstasy?
Yes; No; else
Q24f During the last 12 months how
many times have you taken ecstasy?
Never;1-2 times; 3-5 times; 6-9 times; 10-
19 times; 20-39 times; 40 or more times
N7 How many times have you taken ecstasy
and/or MDMA ? a) in the last 12 months
Never; 1-2 times; 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
Q16.2 R.C: No, but it's been __ years since I
last took it; Yes, but not every month; Yes,
every month
G5.d (If G3.d=yes) During the last 12 months, how many times have you
taken ecstasy? Never; 1-2 times; 3-10 times; at least 1 time every month
During the last 30 days, have you taken ecstasy? Yes;
No; else
see Q24g N7 b) in the last 30 days Never; 1-2 times;
3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
LMP frequency G6.d (If G5.d different from never) During the last 30 days, how many times
have you taken ecstasy? Never; 1-5 times; 6-20 times; every day or almost
During the last 30 days, on how many days did you take
ecstasy? On__days, OR 1.20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
Q24g During the last 30 days how many
times have you taken ecstasy? Never;1-2
times; 3-5 times; 6-9 times; 10-19 times;
20-39 times; 40 or more times
N7 b) in the last 30 days Never; 1-2 times;
3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
Q16.2.1 See G6.d
Amphetamines Section E-3 Section 17/20 (Synthetic Stimulants)
together with Ecstasy
Amphetamines
Do you personally know people who take
amphetamines? Yes; No; else
Q25a N1Do you personally know people who take
synthetic stimulants (amphetamines,
ecstasy, MDMA )? No Yes
Q17 G2.e (If G1.e=yes) Do you know people who take amphetamines? No/I don't
know; Yes ADDITIONAL QUESTION G1.e Have you ever heard about
amphetamines? No; Yes.
How difficult would it be for you personally to obtain
«drug» within 24 hours if you wanted some? 1.
Impossible 2. Very difficult 3. Fairly difficult 4. Fairly
easy 5. Very easy
Q25h N2
N8 In which places do you think it would be
easy to get synthetic stimulants if you
wanted them? On the street; park/ At school/
At a friend's house/ In a bar or disco/ At a
dealer's house/ Via Internet/ Public event
(rave, concert)/ Other
Have you ever taken amphetamines yourself? Yes; No;
else
Q25d N3 …amphetamines ... Q18 G3.e (If G1.e=yes) Have you ever taken amphetamines yourself? No ; Yes
At what age did you take amphetamines for the first
time?
Q25e N5 Q18.1
During the last 12 months, have you taken
amphetamines? Yes; No; else
Q25f During the last 12 months how
many times have you taken
amphetamines? Never; 1-2 times; 3-5
times; 6-9 times; 10-19 times; 20-39
times; 40 times or more
N6 How many times have you taken
amphetamines? a) in the last 12 months
Never; 1-2 times; 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
Q18.2 R.C: No, but it's been __ years since I
last took it; Yes, but not every month; Yes,
every month
G5.e (If G3.e=yes) During the last 12 months, how many times have you
taken amphetamines? Never; 1-2 times; 3-10 times; at least 1 time every
month
During the last 30 days, have you taken
amphetamines? Yes; No; else
see Q25g N6 b) in the last 30 days Never; 1-2 times;
3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
LMP frequency G6.e (If G5.e different from never) During the last 30 days, how many times
have you taken amphetamines? Never; 1-5 times; 6-20 times; every day or
almost
During the last 30 days, on how many days did you take
amphetamines? On__days, OR 1.20 days or more; 2.10-
19 days; 3.4-9 days; 4. 1-3 days
Q25g During the last 30 days how many
times have you taken amphetamines?
Never; 1-2 times; 3-5 times; 6-9 times; 10-
19 times; 20-39 times; 40 times or more
N6 b) in the last 30 days Never; 1-2 times;
3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
Q18.2.1 See G6.e
Cocaine Section E-6 as Cocaine and/or crack Section 16/20 as Cocaine and/or crack
(title of section only, as all questions refer
solely to Cocaine)
as Cocaine and/or crack as Cocaine and/or crack
Do you personally know people who take cocaine? Yes;
No; else
Q28a Do you personally know people
who use cocaine and/or crack ?
M1 Q23 …who use cocaine and/or crack … G2.m (If G1.m=yes) Do you know people who take cocaine and/or crack? No/I
don't know; Yes ADDITIONAL QUESTION G1.m Have you ever heard about
cocaine and/or crack? No; Yes.
How difficult would it be for you personally to obtain
«drug» within 24 hours if you wanted some? 1.
Impossible 2. Very difficult 3. Fairly difficult 4. Fairly
easy 5. Very easy
Q28h M2
M6 In which places do you think it would be
easy to get cocaine if you wanted it? On the
street; park; At school; At a friend's house;
In a bar or disco; At a dealer's house; Via
Internet; Public event (rave, concert); Other
Have you ever taken cocaine yourself? Yes; No; else Q28d Have you ever taken cocaine
and/or crack yourself?
M3 if No F to next section Q24 …have you used cocaine and/or crack … G3.m (If G1.m=yes) Have you ever taken cocaine and/or crack yourself? No ;
Yes
At what age did you take cocaine for the first time? Q28e M4 Q24.1 ...cocaine or crack ...
During the last 12 months, have you taken cocaine?
Yes; No; else
Q28f During the last 12 months how
many times have you taken cocaine
and/or crack ? Never;1-2 times; 3-5 times;
6-9 times; 10-19 times; 20-39 times; 40 or
more times
M5 How many times have you taken
cocaine? a) in the last 12 months Never; 1-
2 times; 3-5 times; 6-9 times; 10-19 times;
20-39 times; 40 or more times
Q24.2 …cocaine and/or crack … R.C: No, but
it's been __ years since I last took it; Yes, but
not every month; Yes, every month
G5.m (If G3.m=yes) During the last 12 months, how many times have you
taken cocaine and/or crack? Never; 1-2 times; 3-10 times; at least 1 time
every month
During the last 30 days, have you taken cocaine? Yes;
No; else
see Q28g M5 b) in the last 30 days Never; 1-2 times;
3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
LMP frequency G6.m (If G5.m different from never) During the last 30 days, how many times
have you taken cocaine and/or crack? Never; 1-5 times; 6-20 times; every day
or almost
During the last 30 days, on how many days did you take
cocaine? On__days, OR 1.20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
Q28g During the last 30 days how many
times have you taken cocaine and/or
crack ? Never;1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or
more times
M5 b) in the last 30 days Never; 1-2 times;
3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
Q24.2.1 See G6.m
Heroin Section E-4 Heroin and/or other opiates
(codeine, morphine, methadone...)
Section 18/20 as Heroin and other opiates as Heroin and other opiates as Heroin and other opiates
Do you personally know people who take heroin? Yes;
No; else
Q26a Do you personally know people
who take heroin and/or other opiates? No
Yes
O1 Do you personally know people who take
heroin and/or other opiates (opium,
morphine, methadone,… )? No Yes
Q19 G2.f (If G1.f=yes) Do you know people who take heroin and other opiates?
No/I don't know; Yes ADDITIONAL QUESTION G1.f Have you ever heard
about heroin and other opiates? No; Yes.
How difficult would it be for you personally to obtain
«drug» within 24 hours if you wanted some? 1.
Impossible 2. Very difficult 3. Fairly difficult 4. Fairly
easy 5. Very easy
O2
O8 In which places do you think it would be
easy to get cocaine if you wanted it? On the
street; park; At school; At a friend's house;
In a bar or disco; At a dealer's house; Via
Internet; Public event (rave, concert); Other
QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else Q26d O3 (O4 separate for Other Opiates ) Q20 Have you ever taken any opiates? G3.f (If G1.f=yes) Have you ever taken heroin and other opiates yourself? No
; Yes
At what age did you take heroin for the first time? Q26e O5 Q20.1
During the last 12 months, have you taken heroin? Yes;
No; else
Q26f During the last 12 months how
many times have you taken heroin and/or
other opiates? Never;1-2 times; 3-5
times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
O6 How many times have you taken heroin?
a) in the last 12 months Never; 1-2 times; 3-
5 times; 6-9 times; 10-19 times; 20-39 times;
40 or more times
Q20.2 R.C: No, but it's been __ years since I
last took it; Yes, but not every month; Yes,
every month
G5.f (If G3.f=yes) During the last 12 months, how many times have you taken
heroin and other opiates? Never; 1-2 times; 3-10 times; at least 1 time every
month
During the last 30 days, have you taken heroin? Yes;
No; else
see Q26g O6 b) in the last 30 days Never; 1-2 times;
3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
LMP frequency G6.f (If G5.f different from never) During the last 30 days, how many times
have you taken heroin and other opiates? Never; 1-5 times; 6-20 times; every
day or almost
During the last 30 days, on how many days did you take
heroin? On__days, OR 1. 20 days or more; 2. 10-19
days; 3. 4-9 days; 4. 1-3 days
Q26g During the last 30 days how many
times have you taken heroin and/or other
opiates? Never;1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or
more times
O6 b) in the last 30 days Never; 1-2 times;
3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
Q20.2.1 See G6.f
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD Section E-5 as Hallucinogens (LSD,
magic mushrooms, mescaline,
Ketamine...)
Section 19/20 Other substances as Hallucinogens (LSD, mescaline,
synthetic, Ketamine etc.)
as Hallucinogens (LSD, mescaline, synthetic, Ketamine etc.)
Do you personally know people who take LSD? Yes; No;
else
Q27a Do you personally know people
who take hallucinogens ? No Yes
P1 Do you personally know people who take
LSD, other hallucinogens (ketamine, magic
mushrooms) or solvents/inhalants (glue,
laughing gas, poppers)?
Q21 …people who take hallucinogens ?
How difficult would it be for you personally to obtain
«drug» within 24 hours if you wanted some? 1.
Impossible 2. Very difficult 3. Fairly difficult 4. Fairly
easy 5. Very easy
Q27h P2
P11 In which places do you think it would be
easy to get LSD, other hallucinogens
(ketamine, magic mushrooms) or
solvents/inhalants , if you wanted it? On the
street; park; At school; At a friend's house;
In a bar or disco; At a dealer's house; Via
Internet; Public event (rave, concert); Other
QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else Q27d Have you ever taken hallucinogens
yourself? No Yes
P3 Have you ever taken LSD ? Q22 …ever taken hallucinogens ...
At what age did you take LSD for the first time? Q27e At what age did you take
hallucinogens for the first time?
P6 At what age did you take hallucinogens
(LSD, ketamine, magic mushrooms) for the
first time?
Q22.1 …did you take hallucinogens ...
During the last 12 months, have you taken LSD? Yes;
No; else
Q27f During the last 12 months how
many times have you taken
hallucinogens ? Never;1-2 times; 3-5
times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
P7 How many times have you used LSD? a)
In the last 12 months Never; 1-2 times; 3-5
times; 6-9 times; 10-19 times; 20-39 times;
40 or more times
Q22.2 …have you taken hallucinogens … R.C:
No, but it's been __ years since I last took it;
Yes, but not every month; Yes, every month
During the last 30 days, have you taken LSD? Yes; No;
else
Q27g P8 How many times have you used other
hallucinogens? a) In the last 12 months
Never; 1-2 times; 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
LMP frequency
During the last 30 days, on how many days did you take
LSD? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q27g During the last 30 days how many
times have you taken hallucinogens ?
Never;1-2 times; 3-5 times; 6-9 times; 10-
19 times; 20-39 times; 40 or more times
P8 How many times have you taken LSD? b)
In the last 30 days Never; 1-2 times; 3-5
times; 6-9 times; 10-19 times; 20-39 times;
40 or more times
Q22.2.1
Inhalants Section E-7 P5 F Have you ever taken solvents/inhalants
(glue, laughing gas, poppers)? Yes No
Hallucinogens (other) P4 F Have you ever taken other
hallucinogens (ketamine, magic
mushrooms)? Yes No
Availability
Within the last 12 months, how many times have you
been offered <drug> (either free of charge or to buy)?1)
none; 2) once or twice; 3) 3 to 5 times; 4) 6 to 9
times; 5) 10 to 19 times; 6) 20 to 39 times; 7) 40
times or more
5. Opinions Section F SECTION NOT ASKED SECTION NOT ASKED Section L. Opinions
Opinions about drug addicts (not mandatory)Do you perceive a drug addict more as a criminal or as
a patient? More as a criminal; more as a patient; neither
criminal nor a patient; don't know, cannot decide; else
QUESTION NOT ASKED QUESTION NOT ASKED
Opinions about drug policies (not mandatory)To what extent do you agree with the following
statement: "People should be permitted to take hashish
or marihuana"? Fully agree, largely agree, neither agree
nor disagree, largely disagree, fully disagree, else
QUESTION NOT ASKED QUESTION NOT ASKED
To what extent do you agree or disagree with the
following statement: "People should be permitted to take
heroin"? Fully agree, largely agree, neither agree nor
disagree, largely disagree, fully disagree, else
QUESTION NOT ASKED QUESTION NOT ASKED
Opinions about behaviour R C: do not disapprove; disapprove;
strongly disapprove; don't know
not asked not asked Section L. Opinions
INTRO: Individuals differ according to whether or not
they disapprove of people doing certain things. I will
mention a few things which some people may do. Can
you tell me if you would not disapprove or disapprove or
strongly disapprove when people do any of these
things?
Trying ecstasy once or twice
Q32c INTRO: What do you think of the following behaviors? Do you approve or
disapprove?
L1.d
Trying heroin once or twice Q32d L1.e
Smoking 10 or more cigarettes Q32a L1.a
Have one or two drinks several times a week not asked L1.b Have more than two glasses of wine per meal
Smoking hashish or marijuana occasionally Q32b L1.c ADDITIONAL QUESTION L1.f Trying cocaine once or twice L1.g Trying
hallucinogens or stimulants L1.h Participating in games where you win money
Perception of risk no risk: Section 20/20
R C: I don't know; great risk; moderate
risk; slight risk; no risk
Section L. Opinions
Now I would like to know how much you think people
risk harming themselves, physically or in other ways, if
they do certain things. I will again mention a few things,
which some people may do. Please tell me if you
consider it to be no risk, a slight risk, a moderate risk or
a great risk, if people do any of these things?
INTRO: How much do you think is dangerous to your health to do any of these
things?
Smoke one or more packs of cigarettes a day Q33a Smoking 10 or more cigarettes a
day
R2c Smoke 10 or more cigarettes a day
Having five or more drinks each weekend not asked R2b Getting drunk once a week
Smoke hashish or marijuana regularly Q33b Smoking hashish or marijuana
occasionally
R2d
Try ecstasy once or twice Q33c R2e Trying ecstasy L2.d
Try cocaine once or twice Q33e R2g Trying cocaine L2.f Trying cocaine once or twice ADDITIONAL QUESTION L2.e L2.b Have
more than two glasses of wine per meal L2.g Trying hallucinogens or
stimulants L2.h Participating in games where you win money
6. Respondent attributes Section A Section 1/20 Section A. Respondent attributes
Please indicate if you are a male or female 1. male 2.
female
Q01 A1 Q5 A1.
What is your age? Q02 Q29 A2. What is your age-class? 18-24 yy; 25-34 yy; 35-64 yy
Which of the following describes the composition of the
household to which you belong? One person living
alone, two partners without children at home, two
partners with children at home, one adult with children
at home, other situation
Q04 A6 (in the last 12 months) Q32 A5. How do you live? In what kind of family? One person living alone, one
adult with children at home, two partners without children at home, two
partners with children at home, one adult with parents and/or brothers and / or
sisters at home, two partners with parents and/or brothers and / or sisters at
home, two partners with children and parents and/or brothers and / or sisters
at home, other situation
Which of the following best applies to you: you are
employed or self-employed, you are a full-time student,
you are unemployed, none of the above
Q06 A8 Q33 A7.
What is the highest level of education you have
completed?
Q05 Q31 A6.
What is the <identification code> of your home
address?
Q34 A8. Municipality of home address.
Question 28
Matching GPS Cyprus to EMQ 2006
Context: Health/drugs
Mode: self-completion
2009
Context: Health/drugs
Mode: self-completion
European Model Questionnaire 91 questions 100 questions
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes;
No; else
Q7 How frequently have you smoked during the last 12
months ? 1. not at all 2. less than once a week 3. at least
once a week 4. several times a week 5. every day or
nearly every day.
Q8 How frequently have you smoked during the last 30
days ? 1. not at all 2. less than once a week 3. at least
once a week 4. several times a week 5. every day or
nearly every day
Q7 How frequently have you smoked in the last 12 months ?
1. not at all 2. less than once a week 3. at least once a week
4. several times a week 5. every day or nearly every day
Q8 How frequently have you smoked during the last 30 days ?
1. not at all 2. less than once a week 3. at least once a week
4. several times a week 5. every day or nearly every day
Have you ever smoked in past? Yes; No; else Q5 Have you ever smoked cigarettes, cigars or a pipe?
Yes; No if No, F to Q11 (Alcohol)
Q5 Have you ever smoked cigarettes, cigars, or a pipe? Yes;
No if No, skip to Q11 (Alcohol)
2. Alcohol
During the last 12 months, have you drunk beer, wine, spirits or any
other alcoholic drink? Yes; No; else
Q20 Have you drunk alcohol in the last 12 months? If
so, how frequently? 1. no If no, go to Q 28 2. once a
month, or less often 3. 2-4 times a month 4. 2-3 times a
week 5. 4 or more times a week
Q20 Have you drunk alcohol in the last 12 months? If so,
how frequently? 1. no If no, go to Q 28 2. once a month, or
less often 3. 2-4 times a month 4. 2-3 times a week 5. 4 or
more times a week
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
see Q20 see 20
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every month;
less than once a month; never; else
Q24 RC reversed Q25 RC reversed
During the last 30 days, have you drunk any alcohol? Yes; No; else see Q21 see 21
During the last 30 days, on how many days did you drink alcohol?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
Q21 R C: 1. none 2. on 1-3 days 3.on 4-9 days 4. on 10-
19 days 5. on 20 or more days
Q21 R C: 1. none 2. on 1-3 days 3.on 4-9 days 4. on 10-19
days 5. on 20 or more days
ADDITIONAL QUESTION - CY Q22 Where do you usually drink? At home/at another
house/at a coffee house or a café bar/at a bar,
discotheque or club/at a taverna or restaurant/on the
street, in the park, at the beach or elsewhere
outdoors/other
Q22 Where do you usually drink? At home/at another
house/at a coffee house or a café bar/at a bar, discotheque or
club/at a taverna or restaurant/on the street, in the park, at the
beach or elsewhere outdoors/other
3. Pharmaceuticals Questions refer to tranquilisers or sleeping pills Questions refer to tranquilisers or sleeping pills
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q29 … If so, how frequently? R C: No; Once a month or
less; 2 – 4 times a month; 2 – 3 times a week; 4 or more
times a week
Q28 … If so, how frequently? R C: No; Once a month or less
frequently; 2 – 4 times a month; 2 – 3 times a week; 4 or more
times a week
How often do you take sedatives or tranquilizers? 4 times a week or
more; 2-3 times a week; 2-4 times a month; once a month or less
Q29 in 12 months R C: No; Once a month or less; 2-4
times a month; 2-3 times a week; 4 or more times a week
Q28 in 30 days R C: Never; on 1 – 3 days; on 4 – 9
days; on 10 – 19 days; on 20 or more days
Q28 in 12 months R C: No; Once a month or less frequently;
2 – 4 times a month; 2 – 3 times a week; 4 or more times a
week
Q29 in 30 days R C: Never; on 1 – 3 days; on 4 – 9 days; on
10 – 19 days; on 20 or more days
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
Q28 … If so, how frequently? R C: Never; on 1 – 3 days;
on 4 – 9 days; on 10 – 19 days; on 20 or more days
Q29 … If so, how frequently? R C: Never; on 1 – 3 days; on 4
– 9 days; on 10 – 19 days; on 20 or more days
During the last 30 days, on how many days did you take sedatives or
tranquilizers? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q28 R C: Never; on 1-3 days; on 4-9 days; on 10-19
days; on 20 or more days
Q29 R C: Never; on 1-3 days; on 4-9 days; on 10-19 days; on
20 or more days
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I
got them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above applies:
else
Q30 R C: How did you acquire the tranquilizer or
sleeping pill that you took most recently? 1. I have never
taken any; 2. With a doctor’s prescription; 3. From
someone I know; 4. From a chemist without a
prescription; 5. Another way
Q30 R C: How did you acquire the tranquilizer or sleeping pill
that you took most recently? 1. I have never taken any; 2.
With a doctor’s prescription; 3. From someone I know; 4.
From a chemist without a prescription; 5. Another way
4. Illicit drugs
Cannabis referred to as hashish or marijuana referred to as hashish or marijuana
Do you personally know people who take cannabis? Yes; No; else Q32 Do you personally know people who take hashish or
marijuana? Yes; No;
Q32 Do you personally know people who take hashish or
marijuana? Yes; No;
Have you ever taken cannabis yourself? Yes; No; else Q34 If No, F to Q 39 Q35 if No, F to Q 39
At what age did you take cannabis for the first time? Q35 Q36
During the last 12 months, have you taken cannabis? Yes; No; else Q36 Q37
During the last 30 days, have you taken cannabis? Yes; No; else Q37 … If so, how frequently? R C: Never; on 1 – 3 days;
on 4 – 9 days; on 10 – 19 days; on 20 or more days
Q38 … If so, how frequently? R C: Never; on 1 – 3 days; on 4
– 9 days; on 10 – 19 days; on 20 or more days
During the last 30 days, on how many days did you take cannabis?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
see Q37 see Q38
How difficult would it be for you personally to obtain «drug» within 24
hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
Q33 1. Impossible 2. Very difficult 3. Quite difficult 4.
Quite easy 5. Very easy 6. I don't know
Q33 1. Impossible 2. Very difficult 3. Quite difficult 4. Quite
easy 5. Very easy 6. I don't know
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else Q39 Q39
Have you ever taken ecstasy yourself? Yes; No; else Q41 If No, F to Q45 Q42 If No, F to Q46
At what age did you take ecstasy for the first time? Q42 Q43
During the last 12 months, have you taken ecstasy? Yes; No; else Q43 Q44
During the last 30 days, have you taken ecstasy? Yes; No; else Q44 … If so, how frequently? R C: Never; on 1 – 3 days;
on 4 – 9 days; on 10 – 19 days; on 20 or more days
Q45 … If so, how frequently? R C: Never; on 1 – 3 days; on 4
– 9 days; on 10 – 19 days; on 20 or more days
During the last 30 days, on how many days did you taken ecstasy?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
see Q44 see Q45
How difficult would it be for you personally to obtain «drug» within 24
hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
Q40 1. Impossible 2. Very difficult 3. Quite difficult 4.
Quite easy 5. Very easy 6. I don't know
Q40 1. Impossible 2. Very difficult 3. Quite difficult 4. Quite
easy 5. Very easy 6. I don't know
Amphetamines
Do you personally know people who take amphetamines? Yes; No;
else
Q45 Q46
Have you ever taken amphetamines yourself? Yes; No; else Q47 if No, F to Q51 Q49 If No, F to Q53
At what age did you take amphetamines for the first time? Q48 Q50
During the last 12 months, have you taken amphetamines? Yes;
No; else
Q49 Q51
During the last 30 days, have you taken amphetamines? Yes; No;
else
Q50… If so, how frequently? R C: Never; on 1 – 3 days;
on 4 – 9 days; on 10 – 19 days; on 20 or more days
Q52… If so, how frequently? R C: Never; on 1 – 3 days; on 4
– 9 days; on 10 – 19 days; on 20 or more days
During the last 30 days, on how many days did you take
amphetamines? On__ days OR 1. 20 days or more 2. 10-19 days 3.
4-9 days 4. 1-3 days
see Q50 see Q52
How difficult would it be for you personally to obtain «drug» within 24
hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
Q46 1. Impossible 2. Very difficult 3. Quite difficult 4.
Quite easy 5. Very easy 6. I don't know
Q47 1. Impossible 2. Very difficult 3. Quite difficult 4. Quite
easy 5. Very easy 6. I don't know
Cocaine
Do you personally know people who take cocaine? Yes; No; else Q51 Q53
Have you ever taken cocaine yourself? Yes; No; else Q53 If No, F to Q57 Q56 If No, F to Q60
At what age did you take cocaine for the first time? Q54 Q57
During the last 12 months, have you taken cocaine? Yes; No; else Q55 Q58
During the last 30 days, have you taken cocaine? Yes; No; else Q50… If so, how frequently? R C: Never; on 1 – 3 days;
on 4 – 9 days; on 10 – 19 days; on 20 or more days
Q59… If so, how frequently? R C: Never; on 1 – 3 days; on 4
– 9 days; on 10 – 19 days; on 20 or more days
During the last 30 days, on how many days did you taken cocaine?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
see Q50 see Q59
How difficult would it be for you personally to obtain «drug» within 24
hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
Q52 1. Impossible 2. Very difficult 3. Quite difficult 4.
Quite easy 5. Very easy 6. I don't know
Q54 1. Impossible 2. Very difficult 3. Quite difficult 4. Quite
easy 5. Very easy 6. I don't know
Heroin
Do you personally know people who take heroin? Yes; No; else Q57 Q60
Have you ever taken heroin yourself? Yes; No; else Q59 if No, F to Q69 Q63 If No, F to Q74
At what age did you take heroin for the first time? Q60 Q64
During the last 12 months, have you taken heroin? Yes; No; else Q61 Q65
During the last 30 days, have you taken heroin? Yes; No; else Q62… If so, how frequently? R C: Never; on 1 – 3 days;
on 4 – 9 days; on 10 – 19 days; on 20 or more days
Q66… If so, how frequently? R C: Never; on 1 – 3 days; on 4
– 9 days; on 10 – 19 days; on 20 or more days
During the last 30 days, on how many days did you taken heroin?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
see Q62 see Q66
How difficult would it be for you personally to obtain «drug» within 24
hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
Q58 1. Impossible 2. Very difficult 3. Quite difficult 4.
Quite easy 5. Very easy 6. I don't know
Q61 1. Impossible 2. Very difficult 3. Quite difficult 4. Quite
easy 5. Very easy 6. I don't know
Relevin (not mandatory) included, EMQ covered included, EMQ covered
LSD
Do you personally know people who take LSD? Yes; No; else Q69 Q74
Have you ever taken LSD yourself? Yes; No; else Q71 if No, F to Q75 Q77 if No, F to Q81
At what age did you take LSD for the first time? Q72 Q78
During the last 12 months, have you taken LSD? Yes; No; else Q73 Q79
During the last 30 days, have you taken LSD? Yes; No; else Q74… If so, how frequently? R C: Never; on 1 – 3 days;
on 4 – 9 days; on 10 – 19 days; on 20 or more days
Q80… If so, how frequently? R C: Never; on 1 – 3 days; on 4
– 9 days; on 10 – 19 days; on 20 or more days
During the last 30 days, on how many days did you taken LSD?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
see Q74 see Q80
How difficult would it be for you personally to obtain «drug» within 24
hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
Q70 1. Impossible 2. Very difficult 3. Quite difficult 4.
Quite easy 5. Very easy 6. I don't know
Q75 1. Impossible 2. Very difficult 3. Quite difficult 4. Quite
easy 5. Very easy 6. I don't know
Inhalants not included not included
Hallucinogens (other) not included not included
Availability
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice;
3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39
times; 7) 40 times or more
QUESTION NOT ASKED Q81 In the last 12 months, how many times have you been
approached by people you did not know with the intent to
offer you any of the above drugs?
R C: 1. never ; 1 – 2 times; 3 – 5 times; 6-10 times; more
than 10 times
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a patient;
don't know, cannot decide; else
Q75 Q83
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
Q76 Q84
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
Q77 Q85
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few things
which some people may do. Can you tell me if you would not
disapprove or disapprove or strongly disapprove when people do
any of these things?
Individuals differ according to whether or not they
disapprove (criticize, reject) of people doing certain
things. Do you disapprove or not people who do the
things listed below?
Individuals differ according to whether or not they disapprove
(criticize, reject) of people doing certain things. Do you
disapprove or not people who do the things listed below?
Trying ecstasy once or twice Q78.1 Q86.1
Trying heroin once or twice Q78.2 Q86.2
Smoking 10 or more cigarettes Q78.3 Q86.3
Have one or two drinks several times a week Q78.4 Q86.4
Smoking hashish or marijuana occasionally Q78.5 Q86.5
Perception of risk
INTRO: Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do certain
things. I will again mention a few things, which some people may do.
Please tell me if you consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do any of these things?
We would like you to tell us whether you believe that a
person risks harming himself, physically or in any other
way, when he does certain things. Tell us whether you
consider there is no harm, slight risk, moderate risk, or
great risk when a person….
We would like you to tell us whether you believe that a person
risks harming himself, physically or in any other way, when he
does certain things. Tell us whether you consider there is no
harm, slight risk, moderate risk, or great risk when a
person….
Smoke one or more packs of cigarettes a day Q79.1 Smokes 20 or more cigarettes a day Q87.1 Smokes 20 or more cigarettes a day
Having five or more drinks each weekend Q79.2 Q87.2
Smoke hashish or marijuana regularly Q79.3 Q87.3
Try ecstasy once or twice Q79.4 Q87.4
Try cocaine once or twice Q79.5 Q87.5
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female Q80 Q94
What is your age? Q81 Age categories available: 15-24; 25-34; 35-44; 45-
54; 55-64
Q95 How old were you on your last birthday?
Which of the following describes the composition of the household
to which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult with
children at home, other situation
Q83 with both parents or one parent
with one or more siblings
with a spouse, fiancé(e) or partner
with a child or children
with friends / co-habitants
I live alone
other
Q88 Apart from you, how many other people 15-64 years of
age live with you in the same household?
Which of the following best applies to you: you are employed or self-
employed, you are a full-time student, you are unemployed, none of
the above
Q85 see Q91 (Cyprus 2009) Q91 What is your employment status? R C: SEE COMMENT
What is the highest level of education you have completed? Q84 see Q92 (Cyprus 2009) Q92 R C: SEE COMMENT
What is the <identification code> of your home address?
Matching GPS Latvia to EMQ 2003
Context: Licit and Illicit Substances
Mode: face-to-face interview
2007
Context: Licit and Illicit Substances
Mode: Part I face-to-face
Part II self-completion (it is suggested that it is handed
over to fill in by the respondent - but may be also filled in
by interviewer)
2011
Context: Licit and Illicit Substances
Mode: Part I face-to-face
Part II self-completion (it is suggested that it is handed
over to fill in by the respondent - but may be also filled in
by interviewer) European Model Questionnaire
1. Tobacco Part I: face-to-face Part I: face-to-face
Do you smoke tobacco, such as cigarettes, cigars or a pipe?
Yes; No; else
B2 R C: 1. Yes, smoke regularly, 2 Yes, smoke sometimes 3.
No, do not smoke
C2 R C: 1. Yes, smoke regularly, 2- Yes, smoke sometimes 3.
No, do not smoke.
C2 R C: 1. Yes, smoke regularly, 2- Yes, smoke sometimes 3.
No, do not smoke.
Have you ever smoked in past? Yes; No; else B3 (asked to those who answer "3" in CB)
R C: 1. Yes 2. Tried few times in life but did not continue 3.
No, never
C3 (asked to those who answer "3" in C2)
R C: 1. Yes 2. Tried few times in life but did not continue 3. No,
never
C3 (asked to those who answer "3" in C2)
R C: 1. Yes 2. Tried few times in life but did not continue 3. No,
never
2. Alcohol Part I: face-to-face Part I: face-to-face
During the last 12 months, have you drunk beer, wine, spirits or
any other alcoholic drink? Yes; No; else
C4 B6 How frequently on average during the past 12 months have
you used any alcoholic drink irrespectively of the type - beer,
wine, strong alcoholic drinks, ready made alcoholic cocktails,
cider or other drinks containing alcohol.
R C: 9 - Every day, 8 - three to four times a week, 7 - one or two
times a week, 6 - one or three times a month, 5- seven to
eleven times in past 12 month, 4 - three to six times in past 12
month, 3 - two times in past 12 month, 2 - one time in past 12
month, 1 - none in past 12 month
B6 How frequently on average during the past 12 months have
you used any alcoholic drink irrespectively of the type - beer,
wine, strong alcoholic drinks, ready made alcoholic cocktails,
cider or other drinks containing alcohol.
R C: 1 - Every day, 2 - five to six times a week, 3 - three to four
times a week, 4 - one or two times a week, 5 - two to three
times a month, 6 - one time a month, 7 - six to eleven times in a
year, 8 - two to five times in a year, 9 - one time in a year, 10 -
none but have drunk before, 11 - have not drunk in the lifetime
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
C6 Responses are given by each type (wine, beer, liquor
and other cocktails), instead of category "else" there are two
categories: -I do not drink this type of alcohol,- Difficult to say
B7 - How often on average did you drink wine in the past 12
months? B9 - How often on average did you drink
beer in past 12 months? B11 - How often on average did
you drink ready made alcoholic cocktails or cider in past 12
months? B13- How often on average did you drink
strong alcoholic drinks, such as vodka, whisky, gin, brandy,
cognac, rum etc. in past 12 months?
R C: 9 - Every day or almost every day, 8 - three to four times a
week, 7 - one or two times a week, 6 - one or three times a
month, 5- seven to eleven times in past 12 month, 4 - three to
six times in past 12 month, 3 -two times in past 12 month, 2 -
one time in past 12 month, 1 - none in past 12 month
B7 - How often on average did you drink wine in the past 12
months? B9 - How often on average did you drink
beer in past 12 months? B11 - How often on average did
you drink ready made alcoholic cocktails or cider in past 12
months? B13- How often on average did you drink
strong alcoholic drinks, such as vodka, whisky, gin, brandy,
cognac, rum etc. in past 12 months?
R C: 1 - Every day, 2 - five to six times a week, 3 - three to four
times a week, 4 - one or two times a week, 5 - two to three
times a month, 6 - one time a month, 7 - six to eleven times in a
year, 8 - two to five times in a year, 9 - one time in a year, 10 -
none but have drunk before, 11 - have not drunk in the lifetime
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
C7 - partially; occasion is defined also as "day" (given in
brackets).
Qq. BB1-BB7 refers to How frequently in last 12 months did you
drink XX units of alcohol during a day? XX categories: 20 units
and more, at least 12- less than 20 units, at least 8 to less than
12 units, at least 5- less than 8 units, at least 3- less than 5
units, at least 1- less than 3 units, less than 1 unit. Response
categories are: Response categories: 9 - Every day, 8 - three to
four times a week 7 - one or two times a week 6 - one or three
times a month 5- seven to eleven times in past 12 months, 4 -
three to six times in past 12 months, 3 - two times in past 12
months, 2 - one time in past 12 month, 1 - none in past 12
months
B22 - Independently on the type of beverage, how often during
the last 12 months did you drink five or more units of alcohol on
one occasion? 5 units of alcohol is 1.5 litres of beer, nearly a
bottle of wine (600ml), 180 ml of vodka. Did it happen..
R C: 1 - Every day, 2 - five to six times a week, 3 - three to four
times a week, 4 - one or two times a week, 5 - two to three
times a month, 6 - one time a month, 7 - six to eleven times in a
year, 8 - two to five times in a year, 9 - one time in a year, 10 -
none but have drunk before, 11 - have not drunk in the lifetime
During the last 30 days, have you drunk any alcohol? Yes; no;
else
C8 B17 QUESTION NOT ASKED; similar categories can be calculated
from B6 or B7,B9,B11,B13 categories 1-6
During the last 30 days, on how many days did you drink
alcohol? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
C9 R C: 2-3 times a month; approximately once a month;
difficult to say
B18 R C: 2-3 times a month; approximately once a month;
difficult to say
QUESTION NOT ASKED; similar categories can be calculated
from B6 or B7,B9,B11,B13 categories 1-6
3. Pharmaceuticals The survey separates tranquilizers (D category), sedatives
(E category) and antidepressants (F category questions),
Doping, steroids (G category), I did not include F and G in
analysis
Part II: self-completion
In this survey Tranquilizers, sedatives and antidepressants
are all covered by question group F.
Part II: self-completion
In this survey Tranquilizers, sedatives and antidepressants
are all covered by question group F.
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
D7 for tranquilizers; E7 for sedatives F7 Clarification is given that herbal mixtures and traditional
medicines shall not be reported
F7 Clarification is given that herbal mixtures and traditional
medicines shall not be reported
How often do you take sedatives or tranquilizers?
1. 4 times a week or more; 2. 2-3 times a week; 3.2-4 times a
month; 4.once a month or less
D9 How often did you take tranquilizers during past 12
months?
E9 - how often did you take sedatives during past 12
months?
F9 (for those who responded "yes" to question F7)
How often have you used these medications in the last 12
months?
F9 (for those who responded "yes" to question F7)
How often have you used these medications in the last 12
months?
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
D10- tranquilizers, E10- sedatives F10 F10
During the last 30 days, on how many days did you take
sedatives or tranquilizers? On__days, OR 1.20 days or more;
2.10-19 days; 3.4-9 days; 4. 1-3 days
D11-tranquilisers, E11- sedatives.
R C: every day or almost every day; several days a week; at
least once a week; less frequently than once a week
F11 (for those who responded "yes" to question F1) How often
have you used these medications in last 12 months? R C: 4
times a week and more often; 2-3 times a week; 2-4 times a a
month; once a month or less frequently
F11 (for those who responded "yes" to question F1) How often
have you used these medications in last 12 months? R C: 4
times a week and more often; 2-3 times a week; 2-4 times a a
month; once a month or less frequently
How did you obtain sedatives or tranquilizers the last time you
took them? I bought them or had them prescribed for me by a
doctor, I got them from somebody else I know; I bought them
without a prescription in a pharmacy or drug store; None of the
above applies: else
D13-tranquilisers; E13-sedatives
R C: 1. bought them against doctor's prescription, 2=2, 3=3,
4.Bought from "hands" in a market, 5. Other way
F12 R C: 1. bought against the doctors prescription, 2. got from
the friends, 3. bought in a pharmacy without prescription 5 .
Other way (please specify)…
F12 R C: 1. bought against the doctors prescription, 2. got from
the friends, 3. bought in a pharmacy without prescription 5 .
Other way (please specify)…
4. Illicit drugs Part II: self-completion Part II: self-completion
Cannabis Instead of cannabis in I1 they use "hashish, marihuana or
"grass"", in other questions reference to "marihuana or
hashish"
They define as hashish, marihuana, grass They define as hashish, marihuana, grass
Do you personally know people who take cannabis? Yes; No;
else
I1 I1. How many of your friends/people whom you know use
marijuana or hashish? R C: 1 - none, 2- some, 3- almost half, 4 -
most, 5-all
I1. How many of your friends/people whom you know use
marijuana or hashish? R C: 1 - none, 2- some, 3- almost half, 4 -
most, 5-all
Have you ever taken cannabis yourself? Yes; No; else I3 Have you ever tried/used hashish or marihuana yourself? I6. I6.
At what age did you take cannabis for the first time? I4 R C: Respondent's defined age (in years)
category "98" - difficult to say, I do not know
I7 Respondent's defined age (in years) and category "98" -
difficult to say, I do not know
I7 Respondent's defined age (in years) and category "98" -
difficult to say, I do not know
During the last 12 months, have you taken cannabis? Yes; No;
else
I6 I8 I8
During the last 30 days, have you taken cannabis? Yes; No; else I7 I11 I11
During the last 30 days, on how many days did you take
cannabis? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
I8 R C: 1. every day or almost every day 2. several times a
week 3. at least once a week 4. less frequently than once a
week
I12 R C: 1. every day or almost every day 2. several times a
week 3. at least once a week 4. less frequently than once a
week
I12 R C: 1. every day or almost every day 2. several times a
week 3. at least once a week 4. less frequently than once a
week
Ecstasy Part II: self-completion Part II: self-completion
Do you personally know people who take ecstasy? Yes; No; else J1 J1 How many of your friends/people whom you know use
ecstasy? R C: 1 - none, 2- some, 3- almost half, 4 - most, 5-all
J1 How many of your friends/people whom you know use
ecstasy? R C: 1 - none, 2- some, 3- almost half, 4 - most, 5-all
Have you ever taken ecstasy yourself? Yes; No; else J2 J3 J3
At what age did you take ecstasy for the first time? J3 J4 J4
During the last 12 months, have you taken ecstasy? Yes; No;
else
J5 J5 J5
During the last 30 days, have you taken ecstasy? Yes; No; else J6 J8 J8
During the last 30 days, on how many days did you take ecstasy?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
J7 J9 J9
Amphetamines Part II: self-completion Part II: self-completion
Do you personally know people who take amphetamines? Yes;
No; else
K1 K1 How many of your friends/people whom you know use
amphetamines? R C: 1 - none, 2- some, 3- almost half, 4 -
most, 5-all
K1 How many of your friends/people whom you know use
amphetamines? R C: 1 - none, 2- some, 3- almost half, 4 -
most, 5-all
Have you ever taken amphetamines yourself? Yes; No; else K2 K3 K3
At what age did you take amphetamines for the first time? K3 K4 K4
During the last 12 months, have you taken amphetamines? Yes;
No; else
K5 K5 K5
During the last 30 days, have you taken amphetamines? Yes;
No; else
K6 K8 K8
During the last 30 days, on how many days did you take
amphetamines? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
K7 K9 K9
Cocaine Part II: self-completion Part II: self-completion
Do you personally know people who take cocaine? Yes; No; else L1 L1 How many of your friends/people whom you know use
cocaine? R C: 1 - none, 2- some, 3- almost half, 4 - most, 5-all
L1 How many of your friends/people whom you know use
cocaine? R C: 1 - none, 2- some, 3- almost half, 4 - most, 5-all
Have you ever taken cocaine yourself? Yes; No; else L2 L3 L3
At what age did you take cocaine for the first time? L3 L4 L4
During the last 12 months, have you taken cocaine? Yes; No;
else
L5 L5 L5
During the last 30 days, have you taken cocaine? Yes; No; else L6 L8 L8
During the last 30 days, on how many days did you take
cocaine? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
L7 L9 L9
Heroin Heroin is in section M, Opioids in another section Part II: self-completion
Heroin is in the section M, Opioids is in other section
Part II: self-completion
Heroin is in the section M, Opioids is in other section Do you personally know people who take heroin? Yes; No; else M1 M1 How many of your friends/people whom you know use
heroin? R C: 1 - none, 2- some, 3- almost half, 4 - most, 5-all
M1 How many of your friends/people whom you know use
heroin? R C: 1 - none, 2- some, 3- almost half, 4 - most, 5-all
Have you ever taken heroin yourself? Yes; No; else M2 M3 M3
At what age did you take heroin for the first time? M3 M4 M4
During the last 12 months, have you taken heroin? Yes; No; else M5 M5 M5
During the last 30 days, have you taken heroin? Yes; No; else M6 M6 M6
During the last 30 days, on how many days did you take heroin?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
M7 M7 M7
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD Part II: self-completion Part II: self-completion
Do you personally know people who take LSD? Yes; No; else O1 O1 How many of your friends/people whom you know use
LSD? R C: 1 - none, 2- some, 3- almost half, 4 - most, 5-all
O1 How many of your friends/people whom you know use
LSD? R C: 1 - none, 2- some, 3- almost half, 4 - most, 5-all
Have you ever taken LSD yourself? Yes; No; else O2 O3 O3
At what age did you take LSD for the first time? O3 O4 O4
During the last 12 months, have you taken LSD? Yes; No; else O5 O5 O5
During the last 30 days, have you taken LSD? Yes; No; else O6 O6 O6
During the last 30 days, on how many days did you take LSD?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
O7 O7 O7
5. Opinions Part I: face-to-face Part I: face-to-face
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a
patient; don't know, cannot decide; else
V1 R C: 1. More as a criminal 2.More as a patient 3. neither
a criminal nor a patient 4. Both criminal and patient 8.Dont
know, cannot decide
Z1 Response categories: 1. More as a criminal 2.More as a
patient 3. neither a criminal nor a patient 4. Both criminal and
patient 8.Dont know, cannot decide
Z1 Response categories: 1. More as a criminal 2.More as a
patient 3. neither a criminal nor a patient 4. Both criminal and
patient 8.Dont know, cannot decide
Opinions about drug policies
To what extent do you agree with the following statement:
"People should be permitted to take hashish or marijuana"? Fully
agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
V2. People should be legally permitted to use hashish or
marijuana
Z2. People should be legally permitted to use hashish or
marihuana, "grass""
Z2. People should be legally permitted to use hashish or
marihuana, "grass""
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
V3. People should be legally permitted to use heroin Z3 "People should be legally permitted to use heroin" Z3 "People should be legally permitted to use heroin"
Opinions about behaviour
.INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you would
not disapprove or disapprove or strongly disapprove when
people do any of these things?
INTRO: similar, but refers to alcohol, tobacco and drug use
specifically.
INTRO: similar, but refers to alcohol, tobacco and drug use
specifically.
INTRO: similar, but refers to alcohol, tobacco and drug use
specifically.
Trying ecstasy once or twice V7 Z7 Z7
Trying heroin once or twice V8 Z8 Z8
Smoking 10 or more cigarettes V9 Z9 Z9
Have one or two drinks several times a week V10 Z10 Z10
Smoking hashish or marijuana occasionally V11 Z11 Z11
Perception of risk
INTRO: Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do
certain things. I will again mention a few things, which some
people may do. Please tell me if you consider it to be no risk, a
slight risk, a moderate risk or a great risk, if people do any of
these things?
INTRO : similar, but gives specification in brackets (as example.
Impact their physical and mental health)
INTRO : similar, but gives specification in brackets (as example.
Impact their physical and mental health)
Smoke one or more packs of cigarettes a day V12 Z12 Z12
Having five or more drinks each weekend V13 Z13 Z13
Smoke hashish or marijuana regularly V14 Z14 Z14
Try ecstasy once or twice V15 Z15 Z15
Try cocaine once or twice V16 Z16 Z16
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female Z1 A1 A1
What is your age? Z2 A2 A2
Which of the following describes the composition of the
household to which you belong? One person living alone, two
partners without children at home, two partners with children at
home, one adult with children at home, other situation
Z4 Please tell with whom you live in a family (please circle all
family members named by respondent). Response
categories: 1. Live alone 2. Spouse (also for non-registered
partnerships) 3. Your children (also stepchildren) 4. Your
grandchildren 5. Your parents or one of the parents 6. Your
grandparents or one of grandparents 7. Your brothers,
sisters 8. Other relatives, 9. Others (who are not relatives),
97. Refuse to respond
A7 states (read the answers and circle all that applies);
responses 1-8 are the same as in 2003, but 9 - Your friend
(including romantic)/friends 10 - Others (who are not relatives)
A7 states (read the answers and circle all that applies);
responses 1-8 are the same as in 2003, but 9 - Your
friend/friends 10 - Others (who are not relatives)
Which of the following best applies to you: you are employed or
self-employed, you are a full-time student, you are unemployed,
none of the above
Z6 Do you now ….(Please mark one option which
corresponds to the main income source). 1. Work full time
week (40 and more hours), 2. Work part time (15 to 40
hours) 3. Work less than 15 hours a week/do not work for
short period 4. Help out to other in family (company) 5.
Unemployed (receiving unemployment support) 6. Student,
pupil 7. Retired 8. Houswife/housmen (doing things at home)
9. Disabled permanently (invalidity (getting the invalidity
support) 10. Other unemployed group 97. Refuse to
respond/no response
Aa14 What is your employment? Do you now ….(Please mark
one option which corresponds to the main income source). 1.
Are employed, businessman, self-employed, 2. Are unemployed
(receiving unemployment support) 3. Are unemployed and do
not look for a job 4. I am student, in school) 5. Retired 6.
Houswife/housmen (doing things at home) 7. Disabled
permanently ( invalid (getting the invalidity support) 8. Other
unemployed group (please specify)....
Aa14 What is your employment? Do you now ….(Please mark
one option which corresponds to the main income source). 1 -
Are employed (full or part-time) 2 -businessman, self-employed,
3 - work and study full-time, 4 - help others in family (in firm,
company), 5 - are unemployed (receiving unemployment
benefit), 6 - are long-term unemployed (and do not receive
unemployment benefit), 7 - do not work, study and not looking
for job, 8 - are student, in school, 9 - retired, 10 -
houswife/housmen (doing things at home), 11- Disabled
permanently (invalid (getting the invalidity pension), 12 - Other
unemployed group (please specify)....
What is the highest level of education you have completed? Z5. Your education: 1. unfinished basic school education 2.
Basic education 3. unfinished secondary education/
vocational education without secondary education 4.
secondary education 5. Vocational education combined with
secondary education 6. Secondary special education 7.
Unfinished higher education (at least 2 full years) 8. Higher
education (bachelor, magister or doctoral degrees)
Aa12. Your education: 1. unfinished basic school education 2.
Basic education 3. unfinished secondary education/ vocational
education without secondary education 4. secondary education
5. Vocational education combined with secondary education 6.
Unfinished higher education (at least 2 full years) 7. Higher
education (bachelor, magister or doctoral degrees)
Aa12. Your education: 1. unfinished basic school education 2.
Basic education 3. unfinished secondary education/ vocational
education without secondary education 4. secondary education
5. Vocational education combined with secondary education 6.
Unfinished higher education (at least 2 full years) 7. Higher
education (bachelor, magister or doctoral degrees)
What is the <identification code> of your home address?
Matching GPS Lithuania (Survey on the prevalence of the use
of psychoactive substances) to EMQ
2004
Context: Psychoactive substances
Mode: face-to-face interview
2008
Context: Psychoactive substances
Mode: face-to-face interviewEuropean Model Questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes;
No; else
B1 R.C.: Yes; No; if Yes, go to B3 (Age of first use) A1 R C: Yes No: if Yes, F to A3 (Age of first use)
Have you ever smoked in past? Yes; No; else B2 R.C.: Yes; I tried it several times in my life, but I never
developed a habit( Go to section C); No, I have never smoked
(Go to section C)
A2 R C: Yes; I tried it several times in my life, but I never
developed a habit (Go to section B); No, I have never
smoked (Go to section B)
2. Alcohol
During the last 12 months, have you drunk beer, wine, spirits or
any other alcoholic drink? Yes; No; else
C2 R.C.:Yes; No B1 Yes No; If No, go to Section C
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
C5 How often do you consume alcoholic drinks? Beer/ Wine/
Liqueurs, other alcoholic drinks / Spirits such as vodka,
cognac, etc. R.C.: 4 times a week or more; 2-3 times a week;
2-4 times a month; Once a month at most; I don't drink
alcoholic drinks; Difficult to say
B3 How often do you consume alcoholic drinks? Beer, cider/
Wine/ Liqueurs, other alcoholic drinks / Spirits such as
vodka, cognac, etc. R.C.: 4 times a week or more; 2-3 times
a week; 2-4 times a month; Once a month at most; I don't
drink alcoholic drinks; Difficult to say
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
C6 R.C.: Daily or almost daily; every week; every month; less
than once a month; never
B4 … 6 or more standart alcohol units...
(indicator of unit measure: 40 ml strong drinks; 120-150 g
wine, 330 ml beer or cider) R.C.: Daily or almost daily; every
week; every month; less than once a month; never
During the last 30 days, have you drunk any alcohol? Yes; No;
else
C7 R.C.: Yes; No; if No, go to section D B5 Yes No; if No go to section C
During the last 30 days, on how many days did you drink alcohol?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-
3 days
C8 ...(including beer)... R.C: Daily or almost daily; Several
times a week; Once a week at least; Less than once a week;
Difficult to say
B6 ...(including beer)... R.C: Daily or almost daily; Several
times a week; Once a week at least; Less than once a week;
Difficult to say
3. Pharmaceuticals D4 Have you ever taken sedatives/sleeping pills together with
alcohol? R.C.: No, never; Rarely, just a few times; This
happens quite often; I do it regularly
C3 Have you ever taken sedatives/sleeping pills together
with alcohol? No, never; Rarely, just a few times; This
happens quite often; I do it regularly
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
D5 ...have you taken sedatives/sleeping pills? R.C: Yes; No; if
No, go to section F
C4 ...have you taken sedatives/sleeping pills ? R.C: Yes, but
only with a doctor's prescription; Yes, without a doctor's
prescription; Both with and without a doctor's prescription;
No (Go to section D)
How often do you take sedatives or tranquilizers? 4 times a week
or more; 2-3 times a week; 2-4 times a month; once a month or
less
D7 How often have you taken sedatives/sleeping pills during
the last 12 months? 4 times a week or more; 2-3 times a
week; 2-4 times a month; Once a month at most
C5 How often have you taken sedatives/sleeping pills during
the last 12 months ? R.C.: 4 times a week or more; 2-3 times
a week; 2-4 times a month; Once a month at most
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
D8 ...sedatives/sleeping pills? R.C.:Yes; No; if No, go to
section F
C6 ...sedatives/sleeping pills? R.C.:Yes, but only with a
doctor's prescription; Yes, but without a doctor's
prescription; Both with and without a doctor's prescription;
No (Go to section D)
During the last 30 days, on how many days did you take sedatives
or tranquilizers? On __ days OR 1. 20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
D9 ... how often have you taken sedatives/sleeping pills? R.C:
Daily or almost daily; Several times a week; At least once a
week; Less than once a week; Difficult to say
C7 ... how often taken you used sedatives/sleeping pills?
R.C: Daily or almost daily; Several times a week; At least
once a week; Less than once a week; Difficult to say
How did you obtain sedatives or tranquilizers the last time you
took them? 1 I bought them or had them prescribed for me by a
doctor, 2 I got them from somebody else I know; 3 I bought them
without a prescription in a pharmacy or drug store; 4 None of the
above applies: else
D11 ...sedatives/sleeping pills... R C: 1, 2, 3, 4. I bought it in
the market place from a person; 5. In some other way (please
state)
C9 ...sedatives/sleeping pills... R.C: 1,2,3,4 Bought it in a
market place or from an unknown person, 5. Bought it on the
internet, 6 In some other way (please state)
4. Illicit drugs Everyone: H3 Have you ever been offered a drug to try? Yes
No; if NO, go to section I
Everyone: D3 Have you ever been offered a drug to try? Yes
No
Cannabis as hashish, marijuana or "grass" as hashish, marijuana or "grass"
Do you personally know people who take cannabis? Yes; No; else I1 R.C.: Yes; No (Go to I3) E1 R.C.: Yes; No (Go to E3)
Have you ever taken cannabis yourself? Yes; No; else I6 R.C.: Yes; No (Go to section J) E6 R.C.: Yes; No (Go to section F)
At what age did you take cannabis for the first time? I7 Age __; Difficult to say E7 Age __; Difficult to say, Can't remember
During the last 12 months, have you taken cannabis? Yes; No;
else
I8 R.C.: Yes; No (Go to section J) E8 R.C.: Yes; No (Go to section F)
During the last 30 days, have you taken cannabis? Yes; No; else I9 R.C.: Yes; No (Go to section J) E9 R.C.: Yes; No (Go to section F)
During the last 30 days, on how many days did you take
cannabis? On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
I10 ...how often have you taken hashish, marijuana or "grass"?
R.C: daily or almost daily; several times a week; once a week
at least; less often than once a week; difficult to say
E10 ...how often have you taken hashish, marijuana or
"grass"? R.C.: daily or almost daily; several times a week;
once a week at least; less than once a week; Difficult to say
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
I3 R.C.: 1,2,3,4,5, 6. I do not know, I have no idea E3
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2) once
or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6)
20 to 39 times; 7) 40 times or more
I4 R.C.: 1,2,3,4,5,6. 20 times or more E4 R.C.: 1,2,3,4,5,6. 20 times or more
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else J1 R.C.: Yes; No (Go to J3) F1 R.C.: Yes; No (Go to F3)
Have you ever taken ecstasy yourself? Yes; No; else J6 R.C.: Yes; No (Go to section K) F6 R.C.: Yes; No (Go to section G)
At what age did you take ecstasy for the first time? J7 Age __; Difficult to say, Can't remember F7 Age __; Difficult to say, Can't remember
During the last 12 months, have you taken ecstasy? Yes; No; else J8 R.C.: Yes; No (Go to section K) F8 R.C.: Yes; No (Go to section G)
During the last 30 days, have you taken ecstasy? Yes; No; else J9 R.C.: Yes; No (Go to section K) F9 R.C.: Yes; No (Go to section G)
During the last 30 days, on how many days have you taken
ecstasy? Daily or almost daily; several times a week; at least
once a week; less than once a week; else
J10 ...how often have you taken ecstasy? R.C: daily or almost
daily; several times a week; once a week at least; less often
than once a week; difficult to say
F10 ...how often have you taken ecstasy? R.C: daily or
almost daily; several times a week; once a week at least;
less often than once a week; Difficult to say
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
J3 R.C.: 1,2,3,4,5, 6. I do not know, I have no idea F3
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2) once
or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6)
20 to 39 times; 7) 40 times or more
J4 R.C.: 1,2,3,4,5,6. 20 times or more F4 R.C.: 1,2,3,4,5,6. 20 times or more
Amphetamines Amphetamines (Amphetamines/Metamphetamines)
Do you personally know people who take amphetamines? Yes;
No; else
K1 R.C.: Yes; No (Go to K3) G1 R.C.: Yes; No (Go to G3)
Have you ever taken amphetamines yourself? Yes; No; else K6 R.C.: Yes; No (Go to section L) G6 R.C.: Yes; No (Go to section H)
At what age did you take amphetamines for the first time? K7 Age __; Difficult to say, Can't remember G7 Age __; Difficult to say, Can't remember
During the last 12 months, have you taken amphetamines? Yes;
No; else
K8 R.C.: Yes; No (Go to section L) G8 R.C.: Yes; No (Go to section H)
During the last 30 days, have you taken amphetamines? Yes;
No; else
K9 R.C.: Yes; No (Go to section L) G9 R.C.: Yes; No (Go to section H)
During the last 30 days, on how many days did you take
amphetamines? Daily or almost daily; several times a week; at
least once a week; less than once a week; else
K10 ...how often have you taken amphetamines? R.C: daily or
almost daily; several times a week; once a week at least; less
often than once a week; difficult to say
G10 ...how often have you taken amphetamines? R.C: daily
or almost daily; several times a week; once a week at least;
less than once a week; Difficult to say
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
K3 R.C.: 1,2,3,4,5, 6. I do not know, I have no idea G3
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2) once
or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6)
20 to 39 times; 7) 40 times or more
K4 R.C.: 1,2,3,4,5,6. 20 times or more G4 R.C.: 1,2,3,4,5,6. 20 times or more
Cocaine
Do you personally know people who take cocaine? Yes; No; else L1 R.C.: Yes; No (Go to L3) H1 R.C.: Yes; No (Go to H3)
Have you ever taken cocaine yourself? Yes; No; else L6 R.C.: Yes; No (Go to section M) H6 R.C.: Yes; No (Go to section I)
At what age did you take cocaine for the first time? L7 Age __; Difficult to say, Can't remember H7 Age __; Difficult to say/ Can't remember
During the last 12 months, have you taken cocaine? Yes; No;
else
L8 R.C.: Yes; No (Go to section M) H8 R.C.: Yes; No (Go to section I)
During the last 30 days, have you taken cocaine? Yes; No; else L9 R.C.: Yes; No (Go to section M) H9 R.C.: Yes; No (Go to section I)
During the last 30 days, on how many days did you taken
cocaine? Daily or almost daily; several times a week; at least
once a week; less than once a week; else
L10 ...how often have you taken cocaine? R.C: daily or almost
daily; several times a week; once a week at least; less often
than once a week; difficult to say
H10 ...how often have you taken cocaine? R.C: daily or
almost daily; several times a week; once a week at least;
less than once a week; Difficult to say
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
L3 R.C.: 1,2,3,4,5, 6. I do not know, I have no idea H3
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2) once
or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6)
20 to 39 times; 7) 40 times or more
L4 R.C.: 1,2,3,4,5,6. 20 times or more H4 R.C.: 1,2,3,4,5,6. 20 times or more
Heroin
Do you personally know people who take heroin? Yes; No; else M1 R.C.: Yes; No (Go to M3) I1 R.C.: Yes; No (Go to I3)
Have you ever taken heroin yourself? Yes; No; else M6 R.C.: Yes; No (Go to section O) I6 R.C.: Yes; No (Go to section J)
At what age did you take heroin for the first time? M7 Age __; Difficult to say, Can't remember I7 Age __; Difficult to say, Can't remember
During the last 12 months, have you taken heroin? Yes; No; else M8 R.C.: Yes; No (Go to section O) I8 R.C.: Yes; No (Go to section J)
During the last 30 days, have you taken heroin? Yes; No; else M9 R.C.: Yes; No (Go to section O) I9 R.C.: Yes; No (Go to section J)
During the last 30 days, on how many days did you taken heroin?
Daily or almost daily; several times a week; at least once a week;
less than once a week; else
M10 ...how often have you taken heroin? R.C: daily or almost
daily; several times a week; once a week at least; less often
than once a week; difficult to say
I10 ...how often have you taken heroin? R.C.: daily or almost
daily; several times a week; once a week at least; less than
once a week; Difficult to say
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
M3 R.C.: 1,2,3,4,5, 6. I do not know, I have no idea I3
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2) once
or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6)
20 to 39 times; 7) 40 times or more
M4 R.C.: 1,2,3,4,5,6. 20 times or more I4 R.C.: 1,2,3,4,5,6. 20 times or more
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD
Do you personally know people who take LSD? Yes; No; else O1 R.C.: Yes; No (Go to O3) J1 R.C.: Yes; No (Go to J3)
Have you ever taken LSD yourself? Yes; No; else O6 R.C.: Yes; No (Go to section P) J6 R.C.: Yes; No (Go to section K)
At what age did you take LSD for the first time? O7 Age __; Difficult to say, Can't remember J7 Age __; Difficult to say, Can't remember
During the last 12 months, have you taken LSD? Yes; No; else O8 R.C.: Yes; No (Go to section P) J8 R.C.: Yes; No (Go to section K)
During the last 30 days, have you taken LSD? Yes; No; else O9 R.C.: Yes; No (Go to section P) J9 R.C.: Yes; No (Go to section K)
During the last 30 days, on how many days did you take LSD?
Daily or almost daily; Several times a week; at least once a week;
less than once a week; else
O10 ...how often have you taken LSD? R.C: daily or almost
daily; several times a week; once a week at least; less often
than once a week; difficult to say
J10 ...how often have you taken LSD? R.C: daily or almost
daily; several times a week; once a week at least; less than
once a week; Difficult to say
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
O3 R.C.: 1,2,3,4,5, 6. I do not know, I have no idea J3
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2) once
or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6)
20 to 39 times; 7) 40 times or more
O4 R.C.: 1,2,3,4,5,6. 20 times or more J4 R.C.: 1,2,3,4,5,6. 20 times or more
Inhalants Section R Section L
Hallucinogens (other) Section P (Magic Mushrooms) Section K (Magic Mushrooms)
ADDITIONAL QUESTION - LT
Lifestyle
T1. In what situations or on what occasions did you try or are
using narcotic substances? (select up to 3 answers) 1. I have
not tried/used narcotic substances (Go to T4); 2. In a circle of
friends; 3. When I am in cafés, pubs; 4. At a discotheque; 5.
When I feel sad, lonely; 6. When I face problems in the family;
7. When I face problems at school; 8. When I face problems at
work; 9. When I face problems with friends; 10. When I
haven't got anything better to do; 11. I use narcotics everyday
because I can't get along without them; 12. On other
occasions (what? please state)
N1. In what situations or on what occasions did you try or
are using narcotic substances? (Several answers possible
with prioritary marks e.g. 1, 2, 3...) 1. I have not tried/used
narcotic substances (go to N5); 2. In a circle of friends; 3.
When I am in cafés, pubs; 4. At a discotheque, night club; 5.
When I feel sad, lonely; 6. When I face problems; 7. When I
haven't got anything better to do; 8. I use narcotics everyday
because I can't get along without them; 9. On other
occasions (what? please state)
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a
patient; don't know, cannot decide; else
V1 R.C: More as a criminal; more as a patient; neither criminal
nor a patient; both a criminal and a patient; don't know, cannot
decide
O1 1 answer only R.C: More as a criminal; more as a
patient; neither criminal nor a patient; both a criminal and a
patient; don't know, cannot decide
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
V2 ...should be legally permitted… R.C.: Fully agree, largely
agree, neither agree nor disagree, largely disagree, fully
disagree
O2 1 answer only ...should be legally permitted… R.C.:
Fully agree, largely agree, neither agree nor disagree,
largely disagree, fully disagree
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely disagree,
fully disagree, else
V3 ...should be legally permitted… R.C.: Fully agree, largely
agree, neither agree nor disagree, largely disagree, fully
disagree
O3 1 answer only ...should be legally permitted… R.C.:
Fully agree, largely agree, neither agree nor disagree,
largely disagree, fully disagree
Opinions about behaviour QUESTION NOT ASKED QUESTION NOT ASKED
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you would
not disapprove or disapprove or strongly disapprove when people
do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk QUESTION NOT ASKED QUESTION NOT ASKED
INTRO: Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do certain
things. I will again mention a few things, which some people may
do. Please tell me if you consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female Z1 State without asking P1 State without asking
What is your age Z2 P2
Which of the following describes the composition of the
household to which you belong? One person living alone, two
partners without children at home, two partners with children at
home, one adult with children at home, other situation
Z4 R.C.: living alone; with husband / wife (civil marriage); with
your children (including adoptive); with your grandchildren;
with your parents or one parent; with your grandfather /
grandmother; with your brothers / sisters; with other relatives;
with other persons (not relatives); I refuse to answer
P5 R.C.: living alone; with husband / wife; with your children
(including adoptive); with relatives (parents, grandfather /
grandmothe, brothers / sisters, grandchildren, etc.); with
other persons (not relatives); other (please state)
Which of the following best applies to you: you are employed or
self-employed, you are a full-time student, you are unemployed,
none of the above
Z6 R.C.: full-time job (40 hours or more); half-time job (15-40
hours per week); you work less than 15 hours per week /
temporarily not working; helping other family members (in the
company, in production); unemployed (receiving benefits);
student, pupil; pensioner; housewife / homemaker (doing
household work); permanently incapacitated / disabled
(receiving benefits); another group of unemployed
P7 R.C.: self-employed, the employer; farmer; white-collar
worker; skilled blue-collar worker; unskilled blue-collar
worker; unemployed (receiving benefits); a student / pupil;
pensioner; housewife / homemaker (doing household work);
permanently incapacitated / disabled (receiving benefits);
other (please state)
What is the highest level of education you have completed Z5 R.C.: incomplete primary education; primary education;
incomplete secondary education, vocational education without
secondary education; secondary; vocational education with
secondary; special secondary; incomplete higher education (at
least two full years); higher education (bachelor's, master's or
doctoral degree)
P6 R.C.: basic education; primary; secondary; post -
secondary; higher
What is the <identification code> of your home address? Covered Covered
Matching GPS `Luxembourg to EMQ Context:
Mode:
European Model Questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes
No
Have you ever smoked in past? Yes No
Alternatives: standard prevalence model (LTP,LYP,LMP)
2. Alcohol
During the last 12 months have you drunk beer, wine, spirits or any
other alcoholic drink? Yes No
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
During the last 30 days, have you drunk any alcohol? Yes; No; else
During the last 30 days, on how many days did you drink alcohol?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
Alternatives: Specific types of alcoholic drinks
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes No
How often do you take sedatives or tranquilizers? 4 times a week; 2-
3 times a week; 2-4 times a month; Once a month or less; else
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes No
During the last 30 days, on how many days did you take sedatives
or tranquilizers?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I
got them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above applies:
else
4. Illicit drugs
Cannabis
Do you personally know people who take cannabis? Yes, No, Else
Have you ever taken cannabis yourself? Yes, No, Else
At what age did you take cannabis for the first time?
During the last 12 months, have you taken cannabis? Yes; No; Else
During the last 30 days, have you taken cannabis? Yes; No; Else
During the last 30 days, on how many days did you take cannabis?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Ecstasy
Do you personally know people who take ecstasy? Yes; No; Else
Have you ever taken ecstasy yourself? Yes; No; Else
At what age did you take ecstasy for the first time?
During the last 12 months, have you taken ecstasy?Yes; No; Else
During the last 30 days, have you taken ecstasy? Yes; No; Else
During the last 30 days, on how many days did you take ecstasy?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Amphetamines
Do you personally know people who take amphetamines? Yes; No;
Else
Have you ever taken amphetamines yourself? Yes; No; Else
At what age did you take amphetamines for the first time?
During the last 12 months, have you taken amphetamines? Yes;
No; Else
During the last 30 days, have you taken amphetamines? Yes; No;
Else
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Cocaine
Do you personally know people who take cocaine? Yes; No; Else
Have you ever taken cocaine yourself? Yes; No; Else
At what age did you take cocaine for the first time?
During the last 12 months, have you taken cocaine? Yes; No; Else
During the last 30 days, have you taken cocaine? Yes; No; Else
During the last 30 days, on how many days did you take cocaine?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Heroin
Do you personally know people who take heroin? Yes; No; Else
Have you ever taken heroin yourself? Yes; No; Else
At what age did you take heroin for the first time?
During the last 12 months, have you taken heroin? Yes; No; Else
During the last 30 days, have you taken heroin? Yes; No; Else
During the last 30 days, on how many days did you take heroin?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Relevin (not mandatory)
LSD
Do you personally know people who take LSD? Yes; No; Else
Have you ever taken LSD yourself? Yes; No; Else
At what age did you take LSD for the first time?
During the last 12 months, have you taken LSD? Yes; No; Else
During the last 30 days, have you taken LSD? Yes; No; Else
During the last 30 days, on how many days did you take LSD? On
__ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Inhalants
Hallucinogens (other)
Availability
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice;
3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39
times; 7) 40 times or more
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a patient;
don't know, cannot decide; else
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"?
Opinions about behaviour
Individuals differ according to whether or not they disapprove of
people doing certain things. I will mention a few things which some
people may do. Can you tell me if you would not disapprove or
disapprove or strongly disapprove when people do any of these
things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I
will again mention a few things, which some people may do. Please
tell me if you consider it to be no risk, a slight risk, a moderate risk
or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female
What is your age?
Which of the following describes the composition of the household
to which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult with
children at home, other situation
Which of the following best applies to you: you are employed or self-
employed, you are a full-time student, you are unemployed, none of
the above
What is the highest level of education you have completed
What is the identification code of your home address?
Matching GPS Hungary National Survey on Addiction Problems
to EMQ
2007
Context: Addiction problems
Mode: Carrier survey: face-to-face interview (36 questions)
self-completion for Alcohol and Illicit Substances (39 questions)
European Model Questionnaire
1. Tobacco face-to-face
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes;
No; else
Q27 Do you smoke regularly or occasionally? Yes, regularly (daily); Yes, occasionally; No
Have you ever smoked in past? Yes; No; else Q29 In the past, have you smoked regularly or occasionally? Yes, regularly (daily); yes,
occasionally; No
2. Alcohol self-completion
During the last 12 months, have you drunk beer, wine, spirits or any
other alcoholic drink? Yes; No; else
Q4 How often did you drink alcohol in the past year? R C: Every day; not every day but at least
4 times a week; 2-3 times a week; once a week; 2-3 times a month; once a month; 7-11 times
in the past year; 3-6 times in the past year; 1-2 times in the past year; I did not drink alcohol in
the past year.
In Hungary Q4 covers last year prevalence and last year frequency related questions,
from this question we calculate for coherence with the EMQ. EMQ: YES=Q4: 1-9; EMQ:
NO=Q4:0 How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
Q14 If you think back on your life, how often do you usually drink alcohol? Every day; 5-6 times
a week; 3-4 times a week; 1-2 times a week; 1-3 times a month; less than once a month; I've
never drunk alcohol
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
Q12 How often did you have 6 or more drinks in the same occasion in the past year ? (one
drink- 2dl of wine or a pint (5dl) of beer or half a decilitre of spirits) R C: Daily or almost daily; 3-
4 times a week; 1-2 times a week; 1-3 times a month; 7-11 times in the past year; 3-6 times in
the past year; 1-2 times in the past year; never
During the last 30 days, have you drunk any alcohol? Yes; No; else see Q1
During the last 30 days, on how many days did you drink alcohol?
On __ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
Q1 How often have you drunk alcohol in the last 30 days? Please, try to recall all kinds of
alcoholic beverages, including wine, beer, spirits, cocktails, champagne etc. R C: Every day;
Not every day, but at least 20 times; 10-19 times; 4-9 times;1-3 times; I did not drink alcohol in
the past month
3. Pharmaceuticals self-completion
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q21 How often have you taken tranquilisers or sedatives during the last 12 months with or
without a doctor's prescription? (mark one answer in each row) Tranquilisers with
prescription/Tranquilisers without prescription/Sedatives with prescription/Sedatives without
prescription ; R C: 1: at least 4 times a month; 2:2-4 times a month; 3:monthly or more rarely; 4:
haven't used for more than a year; 0:never taken any
In Hungary Q21 covers last year prevalence and last year frequency related questions,
from this question we calculate for coherence with the EMQ. EMQ: YES=Q21: 1-4; EMQ:
NO=Q21:0
How often do you take sedatives or tranquilizers? 4 times a week or
more; 2-3 times a week; 2-4 times a month; once a month or less
Q21 How often have you taken tranquilisers or sedatives during the last 12 months with or
without a doctor's prescription? (mark one answer in each row) Tranquilisers with
prescription/Tranquilisers without prescription/Sedatives with prescription/Sedatives without
prescription ;
R C: at least 4 times a month/2-4 times a month/monthly or more rarely/haven't used for more
than a year/never taken any
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
Q20 Have you taken tranquilisers or sedatives in the last 30 days? If so, how often and with or
without a doctor's prescription? (Mark one answer in each row) Tranquilisers with prescription/
Tranquilisers without prescription/ Sedatives with prescription/ Sedatives without prescription;
R C: At least 20 times; 10-19 times; 4-9 times; 1-3 times; never
During the last 30 days, on how many days did you take sedatives
or tranquilizers? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q20 Have you taken tranquilisers or sedatives in the last 30 days? If so, how often and with or
without a doctor's prescription? (Mark one answer in each row) Tranquilisers with prescription/
Tranquilisers without prescription/ Sedatives with prescription/ Sedatives without prescription;
R C: At least 20 times; 10-19 times; 4-9 times; 1-3 times; never
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I
got them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above applies;
else
Q22 The last time you took sedatives or tranquilisers, how did you obtain them? A doctor
prescribed them for me; it was recommended in a pharmacy or drugstore; I got them from
somebody else I know; I don't take sedatives or tranquilisers
4. Illicit drugs self-completion
Main illicit substances questions in table formatCannabis
Do you personally know people who take cannabis? Yes; No; else Q24 Is there anyone among your acquaintances who has ever taken any of the following
substances? SEE COMMENT(mark one answer in each row - yes or no)
Have you ever taken cannabis yourself? Yes; No; else Q25 Have you ever tried any of the following drugs? If yes, on how many occasions? SEE
COMMENT (mark one answer in each row) frequency: At least 40 times/20-39 times/10-19
times/6-9 times/3-5 times/1-2 times/never
At what age did you take cannabis for the first time? Q27 How old were you when you first tried the following drugs? SEE COMMENT (write your
age at the time when you tried it) __ years old / don't know / never
During the last 12 months, have you taken cannabis? Yes; No; else Q29 Have you used any of the following drugs in the last 12 months? SEE COMMENT (mark
one answer in each row) Yes, even in the last 30 days / yes, but more than a month ago / no
During the last 30 days, have you taken cannabis? Yes; No; else See Q29
During the last 30 days, on how many days did you take cannabis?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q31 How often have you used the following drugs in the last 30 days? SEE COMMENT (mark
one answer in each row) At least 20 times/ 10-19 times/ 4-9 times/ 1-3 times/ haven't used it
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else Q24 Is there anyone among your acquaintances who has ever taken any of the following
substances? SEE COMMENT (mark one answer in each row - yes or no)
Have you ever taken ecstasy yourself? Yes; No; else Q25 Have you ever tried any of the following drugs? If yes, on how many occasions? SEE
COMMENT (mark one answer in each row) frequency: At least 40 times/20-39 times/10-19
times/6-9 times/3-5 times/1-2 times/never
At what age did you take ecstasy for the first time? Q27 How old were you when you first tried the following drugs? SEE COMMENT (write your
age at the time when you tried it) __ years old; don't know; never
During the last 12 months, have you taken ecstasy? Yes; No; else Q29 Have you used any of the following drugs in the last 12 months? SEE COMMENT (mark
one answer in each row) Yes, even in the last 30 days / yes, but more than a month ago / no
During the last 30 days, have you taken ecstasy? Yes; No; else See Q29
During the last 30 days, on how many days have you taken
ecstasy? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q31 How often have you used the following drugs in the last 30 days? SEE COMMENT (mark
one answer in each row) At least 20 times/ 10-19 times/ 4-9 times/ 1-3 times/ haven't used it
Amphetamines
Do you personally know people who take amphetamines? Yes; No;
else
Q24 Is there anyone among your acquaintances who has ever taken any of the following
substances? SEE COMMENT (mark one answer in each row - yes or no)
Have you ever taken amphetamines yourself? Yes; No; else Q25 Have you ever tried any of the following drugs? If yes, on how many occasions? SEE
COMMENT (mark one answer in each row) frequency: At least 40 times/20-39 times/10-19
times/6-9 times/3-5 times/1-2 times/never
At what age did you take amphetamines for the first time? Q27 How old were you when you first tried the following drugs? SEE COMMENT (write your
age at the time when you tried it) __ years old / don't know / never
During the last 12 months, have you taken amphetamines? Yes;
No; else
Q29 Have you used any of the following drugs in the last 12 months? SEE COMMENT (mark
one answer in each row) Yes, even in the last 30 days / yes, but more than a month ago / no
During the last 30 days, have you taken amphetamines? Yes; No;
else
see Q29
During the last 30 days, on how many days did you take
amphetamines? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q31 How often have you used the following drugs in the last 30 days? SEE COMMENT (mark
one answer in each row) At least 20 times/ 10-19 times/ 4-9 times/ 1-3 times/ haven't used it
Cocaine
Do you personally know people who take cocaine? Yes; No; else Q24 Is there anyone among your acquaintances who has ever taken any of the following
substances? SEE COMMENT (mark one answer in each row - yes or no)
Have you ever taken cocaine yourself? Yes; No; else Q25 Have you ever tried any of the following drugs? If yes, on how many occasions? SEE
COMMENT (mark one answer in each row) frequency: At least 40 times/20-39 times/10-19
times/6-9 times/3-5 times/1-2 times/never
At what age did you take cocaine for the first time? Q27 How old were you when you first tried the following drugs? SEE COMMENT (write your
age at the time when you tried it) __ years old / don't know / never
During the last 12 months, have you taken cocaine? Yes; No; else Q29 Have you used any of the following drugs in the last 12 months? SEE COMMENT (mark
one answer in each row) Yes, even in the last 30 days / yes, but more than a month ago / no
During the last 30 days, have you taken cocaine? Yes; No; else see Q29
During the last 30 days, on how many days did you take cocaine?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q31 How often have you used the following drugs in the last 30 days? SEE COMMENT (mark
one answer in each row) At least 20 times/ 10-19 times/ 4-9 times/ 1-3 times/ haven't used it
Heroin
Do you personally know people who take heroin? Yes; No; else Q24 Is there anyone among your acquaintances who has ever taken any of the following
substances? SEE COMMENT (mark one answer in each row - yes or no)
Have you ever taken heroin yourself? Yes; No; else Q25 Have you ever tried any of the following drugs? If yes, on how many occasions? SEE
COMMENT (mark one answer in each row) frequency: At least 40 times/20-39 times/10-19
times/6-9 times/3-5 times/1-2 times/never
At what age did you take heroin for the first time? Q27 How old were you when you first tried the following drugs? SEE COMMENT (write your
age at the time when you tried it) __ years old / don't know / never
During the last 12 months, have you taken heroin? Yes; No; else Q29 Have you used any of the following drugs in the last 12 months? SEE COMMENT (mark
one answer in each row) Yes, even in the last 30 days / yes, but more than a month ago / no
During the last 30 days, have you taken heroin? Yes; No; else see Q29
During the last 30 days, on how many days have you taken heroin?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q31 How often have you used the following drugs in the last 30 days? SEE COMMENT (mark
one answer in each row) At least 20 times/ 10-19 times/ 4-9 times/ 1-3 times/ haven't used it
Relevin (not mandatory) Included, EMQ covered
LSD
Do you personally know people who take LSD? Yes; No; else Q24 Is there anyone among your acquaintances who has ever taken any of the following
substances? SEE COMMENT (mark one answer in each row - yes or no)
Have you ever taken LSD yourself? Yes; No; else Q25 Have you ever tried any of the following drugs? If yes, on how many occasions? SEE
COMMENT (mark one answer in each row) frequency: At least 40 times/20-39 times/10-19
times/6-9 times/3-5 times/1-2 times/never
At what age did you take LSD for the first time? Q27 How old were you when you first tried the following drugs? SEE COMMENT (write your
age at the time when you tried it) __ years old / don't know / never
During the last 12 months, have you taken LSD? Yes; No; else Q29 Have you used any of the following drugs in the last 12 months? SEE COMMENT (mark
one answer in each row) Yes, even in the last 30 days / yes, but more than a month ago / no
During the last 30 days, have you taken LSD? Yes; No; else see Q29
During the last 30 days, on how many days did you take LSD?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q31 How often have you used the following drugs in the last 30 days? SEE COMMENT (mark
one answer in each row) At least 20 times/ 10-19 times/ 4-9 times/ 1-3 times/ haven't used it
ADDITIONAL QUESTION - HU Q28 To what extent is the use of different drugs related to recreational activities at weekends in
your life? R C: completely/to a great extent/not much/rather not/not at all/never used it
Inhalants see Q25
Hallucinogens (other) see Q25
Availability
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
QUESTION NOT ASKED
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice;
3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39
times; 7) 40 times or more
QUESTION NOT ASKED
5. Opinions self-completionOpinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a patient;
don't know, cannot decide; else
Q32
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marijuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
Q33 To what extent do you agree with the following statements: "People should be permitted
to take the following drugs: "hashish or marijuana"; "cocaine"; "ecstasy"; "amphetamines"?
Fully agree, largely agree, neither agree nor disagree, largely disagree, fully disagree, else
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
Q33
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few things
which some people may do. Can you tell me if you would not
disapprove or disapprove or strongly disapprove when people do
any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
INTRO: Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do certain
things. I will again mention a few things, which some people may
do. Please tell me if you consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes face-to-face
Please indicate if you are a male or female 1. male 2. female Q1
What is your age Q2 Year of birth? Year: 19……… X-
Which of the following describes the composition of the household
to which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult with
children at home, other situation
Q15 Who are the people you are living with in the same household? How are they related to
you? SEE COMMENT
Q34
Q35
Which of the following best applies to you: you are employed or self-
employed, you are a full-time student, you are unemployed, none of
the above
Q8 Do you work? Do you do any gainful activities? SEE COMMENT
What is the highest level of education you have completed? Q3 SEE COMMENT
What is the <identification code> of your home address? filled in by interviewer: settlement __; county/district __
European Model Questionnaire
1. Tobacco 1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes
No
Q13
Have you ever smoked in past? Yes No Q14
Alternatives: standard prevalence model (LTP,LYP,LMP) Q15 and Q16
2. Alcohol 2. Alcohol
During the last 12 months have you drunk beer, wine, spirits or any
other alcoholic drink? Yes No
Q19 During the last 12 months, have you taken any
alcohol? RC Yes, No
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
Q20
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
Q21
During the last 30 days, have you drunk any alcohol? Yes; No; else Q22
During the last 30 days, on how many days did you drink alcohol?
On__ days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3
days
Q23 RC Daily or almost daily, several times a week, at
least once a week, less than once a week
Alternatives: Specific types of alcoholic drinks
3. Pharmaceuticals 3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes No
Q26
How often do you take sedatives or tranquilizers? 4 times a week; 2-
3 times a week; 2-4 times a month; Once a month or less; else
Q27
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes No
Q28
During the last 30 days, on how many days did you take sedatives
or tranquilizers?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I
got them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above applies:
else
Q30
4. Illicit drugs 4. Illicit drugs
Cannabis Cannabis
Do you personally know people who take cannabis? Yes, No, Else Q33
Have you ever taken cannabis yourself? Yes, No, Else Q32
Context:
Mode:face-to-face interview
Matching GPS Malta to EMQ
Q29 RC Daily or almost daily, several times a week, at
least once a week, less than once a week
At what age did you take cannabis for the first time? Q38
During the last 12 months, have you taken cannabis? Yes; No; Else Q35
During the last 30 days, have you taken cannabis? Yes; No; Else Q36
During the last 30 days, on how many days did you take cannabis?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q37 RC Daily or almost daily, several times a week, at
least once a week, less than once a week
Ecstasy Ecstasy
Do you personally know people who take ecstasy? Yes; No; Else Q42
Have you ever taken ecstasy yourself? Yes; No; Else Q43
At what age did you take ecstasy for the first time? Q47
During the last 12 months, have you taken ecstasy?Yes; No; Else Q44
During the last 30 days, have you taken ecstasy? Yes; No; Else Q45
During the last 30 days, on how many days did you take ecstasy?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q46 RC Daily or almost daily, several times a week, at
least once a week, less than once a week
Amphetamines Amphetamines
Do you personally know people who take amphetamines? Yes; No;
Else
Q56
Have you ever taken amphetamines yourself? Yes; No; Else Q57
At what age did you take amphetamines for the first time? Q61
During the last 12 months, have you taken amphetamines? Yes;
No; Else
Q58
During the last 30 days, have you taken amphetamines? Yes; No;
Else
Q59
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q60 RC Daily or almost daily, several times a week, at
least once a week, less than once a week
Cocaine Cocaine
Do you personally know people who take cocaine? Yes; No; Else Q63
Have you ever taken cocaine yourself? Yes; No; Else Q64
At what age did you take cocaine for the first time? Q68
During the last 12 months, have you taken cocaine? Yes; No; Else Q65
During the last 30 days, have you taken cocaine? Yes; No; Else Q66
During the last 30 days, on how many days did you take cocaine?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q68 RC Daily or almost daily, several times a week, at
least once a week, less than once a week
Heroin Heroin
Do you personally know people who take heroin? Yes; No; Else Q70
Have you ever taken heroin yourself? Yes; No; Else Q71
At what age did you take heroin for the first time? Q75
During the last 12 months, have you taken heroin? Yes; No; Else Q72
During the last 30 days, have you taken heroin? Yes; No; Else Q73
During the last 30 days, on how many days did you take heroin?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Relevin (not mandatory) Q48-54
LSD LSD
Do you personally know people who take LSD? Yes; No; Else Q77
Have you ever taken LSD yourself? Yes; No; Else Q78
At what age did you take LSD for the first time? Q82
During the last 12 months, have you taken LSD? Yes; No; Else Q79
During the last 30 days, have you taken LSD? Yes; No; Else Q80
During the last 30 days, on how many days did you take LSD? On
__ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q81 RC Daily or almost daily, several times a week, at
least once a week, less than once a week
Inhalants
Hallucinogens (other)
Availability
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly
difficult 4. Fairly easy 5. Very easy
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice;
3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39
times; 7) 40 times or more
QUESTION NOT ASKED
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a patient;
don't know, cannot decide; else
Q89
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
Q90 and for ecstasy
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"?
Q90
Opinions about behaviour
Individuals differ according to whether or not they disapprove of
people doing certain things. I will mention a few things which some
people may do. Can you tell me if you would not disapprove or
disapprove or strongly disapprove when people do any of these
things?
Trying ecstasy once or twice Q91
Trying heroin once or twice Q91
Smoking 10 or more cigarettes Q91
Have one or two drinks several times a week Q91
Smoking hashish or marijuana occasionally Q91
Perception of risk
Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I
will again mention a few things, which some people may do. Please
tell me if you consider it to be no risk, a slight risk, a moderate risk
or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day Q92
Having five or more drinks each weekend Q92
Smoke hashish or marijuana regularly Q92
Try ecstasy once or twice Q92
Try cocaine once or twice Q92
6. Respondent attributes
Please indicate if you are a male or female Q93
What is your age? Q99
Q83
Matching GPS Netherlands 2005 to EMQ 2005
Context: Licit and Illicit drugs
Mode: CAPIEuropean Model Questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe?
Yes; No; else
Q1 Do you sometimes smoke? Yes; No (F to Q4)
Q4 Do you smoke every day? Yes; No
Have you ever smoked in past? Yes; No; else Q4 Did you ever smoke cigarettes in the past? Yes (F to Q6); No
Alternatives: Use of standard prevalence questions
(LTP,LYP,LMP)
Q5 How old were you when you stopped smoking?
Q6 How old were you when you started smoking cigarettes?
2. Alcohol
During the last 12 months, have you drunk beer, wine, spirits or
any other alcoholic drink? Yes; No; else
Q7 Did you in the last 12 months, so since (date 12 months ago), drink
alcohol? Yes; No, F to Q19
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
Q13 Do you ever drink alcohol on weekdays? (Monday till Thursday)
Yes; No, go to question 16
Q14 On how many of the four weekdays do you drink most of the time?
R C: 1. 1 day 2. 2 days 3. 3 days 4. 4 days
Q15 How many glasses do you on average drink on one of these
weekdays? R C: 1. 11 or more glasses 2. 7-10 glasses 3. 6 glasses 4. 4-
5 glasses 5. 3 glasses 6. 2 glasses 7. 1 glass
How often do you drink 6 glasses or more of an alcoholic drink
on the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
Q11Did you, in the last half year, drink 6 glasses or more of an alcoholic
drink on one day? Yes; No
Q12 How many times, in the last half year, did you drink 6 glasses or
more of an alcoholic drink on one day? 1. Every day 2. 5-6 times a week
3. 3-4 times a week 4. 1-2 times a week 5. 1-3 times a month 6. 3-5
times per half year 7. 1-2 times per half year
During the last 30 days, have you drunk any alcohol? Yes; No;
else
Q8 Did you also drink alcohol in the last 30 days? Yes; No, F to Q10
During the last 30 days, on how many days did you drink
alcohol? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q9 On how many days out of the last 30 did you drink alcohol? 1. Daily
or almost Daily 2. More times a week 3. At least one time a week 4. Less
than once a week
Alternatives: Specific types of alcoholic drinks Q10 Can you point out which kind of alcoholic drinks you sometimes
drink (may be more than one kind) 1. Beer 2. Wine, Sherry, Port,
Vermouth 3. Liquer, Advocate, Berry Gin, Lemon Gin 4. Gin, Brandy,
Vieux, Cognac, Whisky, Vodka 5. Alcoholic drinks mixed with soda 6.
Light alcoholic drinks 7. I never drink, F to cannabis questions
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q83 Did you in the last 12 months, so since (date), use sedatives or
tranquilizers? Yes; No, F to Q86
How often do you take sedatives or tranquilizers? 4 times a week
or more; 2-3 times a week; 2-4 times a month; once a month or
less
Q85 How often do you use these? Is it: 1. 4 or more times a week 2. 2-3
times a week 3. 2 -4 times a month 4. once a month or less
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
Q89 Did you use any prescribed medication in the last 14 days? Yes; No
F to Q92
Q90 Which medication was that? Answer 8. Sedatives or tranquilizers,
medication against anxiety/nervousness
Q93 Did you in the last 30 days use any medication which was bought
without prescription? (including sedatives and tranquilizes) Yes, No, go
to question 97
During the last 30 days, on how many days did you take
sedatives or tranquilizers? On__days, OR 1.20 days or more;
2.10-19 days; 3.4-9 days; 4. 1-3 days
Q98 You indicated that you used sedatives and tranquilizers in the last
30 days. On how many days did you use these in the last 30 days? Is
this: 1. Daily or almost daily 2. More than one time a week 3. At least
once a week 4. Less than once a week
How did you obtain sedatives or tranquilizers the last time you
took them? I bought them or had them prescribed for me by a
doctor, I got them from somebody else I know; I bought them
without a prescription in a pharmacy or drug store; None of the
above applies: else
Q86 Did someone prescribe you medication in these last 14 days (Birth
control pill and medication during hospitalization don't count) Yes; No
Q87 Did you use any prescribed medication in the last 30 days? Yes;
No, go to question 92
Q88 Which medication was that? Answer 8. Sedatives or tranquilizers,
medication against anxiety/nervousness
4. Illicit drugs
Cannabis referred to as "hashish or marijuana" in all questions
Do you personally know people who take cannabis? Yes; No;
else
Q20
Have you ever taken cannabis yourself? Yes; No; else Q21
At what age did you take cannabis for the first time? Q23
During the last 12 months, have you taken cannabis? Yes; No;
else
Q24
During the last 30 days, have you taken cannabis? Yes; No; else Q25
During the last 30 days, on how many days did you take
cannabis? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
Q26 R C: 1. Daily or almost daily 2. More time a week 3. At least once a
week 4. Less than once a week
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else Q40
Have you ever taken ecstasy yourself? Yes; No; else Q41
At what age did you take ecstasy for the first time? Q43
During the last 12 months, have you taken ecstasy? Yes; No;
else
Q44 During the last 12 months, so since (date) have you taken ecstasy?
During the last 30 days, have you taken ecstasy? Yes; No; else Q45
During the last 30 days, on how many days did you take
ecstasy? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q46
Amphetamines
Do you personally know people who take amphetamines? Yes;
No; else
Q47
Have you ever taken amphetamines yourself? Yes; No; else Q48
At what age did you take amphetamines for the first time? Q50
During the last 12 months, have you taken amphetamines? Yes;
No; else
Q51
During the last 30 days, have you taken amphetamines? Yes;
No; else
Q52
During the last 30 days, on how many days did you take
amphetamines? On__days, OR 1.20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
Q53 R C: 1. Daily or almost daily 2. More time a week 3. At least once a
week 4. Less then once a week
Cocaine
Do you personally know people who take cocaine? Yes; No; else Q54
Have you ever taken cocaine yourself? Yes; No; else Q55
At what age did you take cocaine for the first time? Q57
During the last 12 months, have you taken cocaine? Yes; No;
else
Q58
During the last 30 days, have you taken cocaine? Yes; No; else Q59
During the last 30 days, on how many days did you take
cocaine? Daily or almost daily; several times a week; at least
once a week; less than once a week; else
Q60 R C: 1. Daily or almost daily 2. More time a week 3. At least once a
week 4. Less then once a week
Heroin
Do you personally know people who take heroin? Yes; No; else Q61
Have you ever taken heroin yourself? Yes; No; else Q62
At what age did you take heroin for the first time? Q64
During the last 12 months, have you taken heroin? Yes; No;
else
Q65
During the last 30 days, have you taken heroin? Yes; No; else Q66
During the last 30 days, on how many days did you take heroin?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 dayse
Q67 R C: 1. Daily or almost daily 2. More time a week 3. At least once a
week 4. Less then once a week
Relevin (not mandatory) QUESTIONS NOT ASKED
LSD referred to as "LSD; trips or acid" in all questions
Do you personally know people who take LSD? Yes; No; else Q68 Do you personally know people who take LSD, trips or acid?
Have you ever taken LSD yourself? Yes; No; else Q69 Have you ever taken LSD, trips or acid yourself?
At what age did you take LSD for the first time? Q71 At what age did you take LSD, trips or acid for the first time?
During the last 12 months, have you taken LSD? Yes; No; else Q72 During the last 12 months, so since (date), have you taken LSD,
trips or acid?
During the last 30 days, have you taken LSD? Yes; No; else Q73 During the last 30 days, have you taken LSD, trips or acid?
During the last 30 days, on how many days did you take LSD?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q74 R C: 1. Daily or almost daily 2. More time a week 3. At least once a
week 4. Less then once a week
5. Opinions SECTION NOT ASKED
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a
patient? More as a criminal; more as a patient; neither criminal
nor a patient; don't know, cannot decide; else
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement:
"People should be permitted to take hashish or marihuana"?
Fully agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
Opinions about behaviour ?
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you would
not disapprove or disapprove or strongly disapprove when
people do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk ?
INTRO: Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do
certain things. I will again mention a few things, which some
people may do. Please tell me if you consider it to be no risk, a
slight risk, a moderate risk or a great risk, if people do any of
these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes asked separately by interviewer?
Please indicate if you are a male or female 1. male 2. female
What is your age?
Which of the following describes the composition of the
household to which you belong? One person living alone, two
partners without children at home, two partners with children at
home, one adult with children at home, other situation
Which of the following best applies to you: you are employed or
self-employed, you are a full-time student, you are unemployed,
none of the above
What is the highest level of education you have completed
What is the <identification code> of your home address? A. What are the first four digits of your zip code?
Matching GPS Austria (Austria-wide Representative survey on
substance use) to EMQ
2004
Context: Austria-wide representative survey on substance use
Mode: face-to-face interview
2008
Context: Austria-wide representative survey on substance use
Mode: face-to-face interview
European Model Questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes;
No; else
Q10 Have you smoked cigarettes, cigars or pipes in the last 12
months? R C: Daily; Occasionally; Never
Q10 Have you ever smoked cigarettes, cigars or a pipe in your life?
Would you say - (only one answer possible) I have never smoked a
single cigarette/cigar/pipe in my life (F to Q20 Attitudes towards
smoking) I have smoked one to ten times in my life (F to Q12 Age of first
use) I have smoked more than 10 times
Have you ever smoked in past? Yes; No; else Q11 Have you smoked in the past? R.C Smoked daily for at least 6
months; Smoked occasionally; Tried smoking a few times; No, I have
never smoked
Q13 Have you smoked cigarettes, cigars or a pipe in the last 12
months? R C: Daily; Almost daily; Occasionally; Now and then; Not at
all
Q14 Have you smoked cigarettes, cigars or a pipe in the last 30 days? R
C: Daily; Almost daily; Occasionally; Now and then; Not at all
2. Alcohol
During the last 12 months have you drunk beer, wine, spirits or any
other alcoholic drink? Yes; No; else
Q17 Have you drunk alcohol in the last 12 months? Would you say -
No, not a drop; hardly ever, about 1-4 times; Yes, more than 4 times
Q30 Have you drunk alcohol in the last 12 months? Would you say - No,
not a single drop (I didn't even taste it; Yes, but never a whole glass
(only tasted); Yes, but hardly ever i.e. about 1-4 times; Yes, more often
than five times; Yes, I have had a drink almost every day; Yes, I have
had a drink every day; No answer/refusal
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
Q20 On how many days per week have you consumed alcohol in the
last 12 month? R.C: 7 times per week; 6 times per week; 5 times per
week; 4 times per week; 3 times per week; 2 times per week; Once a
week; Less than once a week
Q21 And per month? R.C 3 times per month; twice a month; Once a
month; less than once a month
Q31 On how many days did you drink alcohol in the last 12 months? On
__ days
How often do you drink 6 glasses or more of an alcoholic drink on
the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
Categorisation by interviewer: Address this question to men only.
Q23 Thinking of the last 12 months: on how many days a week did you
drink 60 grams of pure alcohol or more? This amount of 60 grams of
pure alcohol is found in three large (1/2 litre) beers (Krugerl) or in three
one wquarter litre glasses of wine or in nine small spirit measures (of
2cl each) R.C: 7 x per week; 6 x per week; 5 x per week; 4 x per week;
3 x per week; 2 x per week; 1 x per week; 3 x per month; 2 x per month;
1 x per month; Less often than once a month; Never; NA/refusal
Q24
Categorisation by interviewer: Address this question to women only.
Q25 Thinking of the last 12 months; on how many days a week did you
drink 40 grams of pure alcohol or more? Ths amount of 40 grams of
pure alcohol is found in 2 large (1/2 litre) beers (Krugerl) or in two one
quarter litre glasses of wine or in six small spirit measures (of 2cl each)
R.C: 7 x per week; 6 x per week; 5 x per week; 4 x per week; 3 x per
week; 2 x per week; 1 x per week; 3 x per month; 2 x per month; 1 x per
month; Less often than once a month; Never; NA/refusal
Q26
Categorisation by interviewer: Address this question to men only. Q38
Thinking of last month: on how many days a week did you drink 60
grams of pure alcohol or more? This amount of 60 grams of pure alcohol
is found in three large (1/2 litre) beers (Krugerl) or in three one wuarter
litre glasses of wine or in nine small spirit measures (of 2cl each) R.C: 7
x per week; 6 x per week; 5 x per week; 4 x per week; 3 x per week; 2 x
per week; 1 x per week; 3 x per month; 2 x per month; 1 x per month;
Less often than once a month; Never; NA/refusal
Categorisation by interviewer: Address this question to women only.
Q39 Thinking of last month; on how many days a week did you drink 40
grams of pure alcohol or more? Ths amount of 40 grams of pure alcohol
is found in 2 large (1/2 litre) beers (Krugerl) or in two one quarter litre
glasses of wine or in six small spirit measures (of 2cl each) R.C: 7 x per
week; 6 x per week; 5 x per week; 4 x per week; 3 x per week; 2 x per
week; 1 x per week; 3 x per month; 2 x per month; 1 x per month; Less
often than once a month; Never
During the last 30 days, have you drunk any alcohol? Yes; No; else Q29 Yes No Q33 No (F to Q40) Yes
During the last 30 days, on how many days did you drink alcohol?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q30 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days Q34 on __ days
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q40 Have you taken real sleeping drugs or sedatives in the last 12
months? Yes, I have taken them; No, I have not taken them; unable to
say; no answer/refusal
Q71 Have you taken real sleeping drugs or sedatives in the last 12
months? Yes, I have taken them; No, I have not taken them; unable to
say; no answer/refusal
How often do you take sedatives or tranquilizers? 4 times a week
or more; 2-3 times a week; 2-4 times a month; once a month or
less
Q42 On average, how often have you taken real sleeping drugs or
sedatives in the last 12 months ?
Q72 On average, how often have you taken real sleeping drugs or
sedatives in the last 12 months ?
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
Q43 Q73
During the last 30 days, on how many days did you take sedatives
or tranquilizers? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q44 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days Q74 on __ days
How did you obtain sedatives or tranquilizers the last time you took
them? I bought them or had them prescribed for me by a doctor, I
got them from somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the above
applies: else
Q45 Q75
4. Illicit drugs
Cannabis wording: hashish or marijuana wording: hashish/marijuana
Do you personally know people who take cannabis? Yes; No; else Q46 Q77
Have you ever taken cannabis yourself? Yes; No; else Q47 (if no or refusal, F to ecstasy) Q78 (if no or refusal, F to ecstasy)
At what age did you take cannabis for the first time? Q48 Q79
During the last 12 months, have you taken cannabis? Yes; No; else Q49 Q80
During the last 30 days, have you taken cannabis? Yes; No; else Q50 Q86
During the last 30 days, on how many days did you take cannabis?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q51 R C: 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days Q87 on __ days
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes; No; else Q53 Q88
At what age did you take ecstasy for the first time? Q54 Q89
During the last 12 months, have you taken ecstasy? Yes; No; else Q55 Q90
During the last 30 days, have you taken ecstasy? Yes; No; else Q56 Q91
During the last 30 days, on how many days did you take ecstasy?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q57 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days Q92 on __ days
Amphetamines
Do you personally know people who take amphetamines? Yes; No;
else
Q58 QUESTION NOT ASKED
Have you ever taken amphetamines yourself? Yes; No; else Q59 Q93 … amphetamines, i.e. illegal stimulants, speed or such like ?
At what age did you take amphetamines for the first time? Q60 Q94
During the last 12 months, have you taken amphetamines? Yes;
No; else
Q61 Q95
During the last 30 days, have you taken amphetamines? Yes; No;
else
Q62 Q96
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q63 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days Q97 on __ days
Cocaine
Do you personally know people who take cocaine? Yes; No; else Q64 QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes; No; else Q65 Q98
At what age did you take cocaine for the first time? Q66 Q99
During the last 12 months, have you taken cocaine? Yes; No; else Q67 Q100
During the last 30 days, have you taken cocaine? Yes; No; else Q68 Q101
During the last 30 days, on how many days did you take cocaine?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q69 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days Q102 on __ days
Heroin
Do you personally know people who take heroin? Yes; No; else Q70 QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else Q71 Q103
At what age did you take heroin for the first time? Q72 Q104
During the last 12 months, have you taken heroin? Yes; No; else Q73 Q105
During the last 30 days, have you taken heroin? Yes; No; else Q74 Q106
During the last 30 days, on how many days did you taken heroin?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q75 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days Q107 on __ days
Relevin (not mandatory) Euphotrem Euphotrem
LSD
Do you personally know people who take LSD? Yes; No; else Q82 QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else Q83 Q113
At what age did you take LSD for the first time? Q84 Q114
During the last 12 months, have you taken LSD? Yes; No; else Q85 Q115
During the last 30 days, have you taken LSD? Yes; No; else Q86 Q116
During the last 30 days, on how many days did you take LSD? On
__ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3
days
Q87 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days Q117 on __ days
Inhalants Q98 Do you know people who take inhalants?
Q99 Have you used inhalants yourself?
Q100 Age of first use
Q101 LYP
Q102 LMP
Q103 LMP Frequency
Q126 Have you yourself ever sniffed inhalants?
Q127 Age of first use
Q128 LYP
Q129 LMP
Q130 LMP Frequency
Magic mushrooms Q88 Do you know people who consume biogenic drugs?
Q89 Which ones?
Q90 Have you ever taken biogenic drugs such as mushrooms, angel's
trumpet, thorn apple or similar?
Q91 Which one?
Q92 Age of first use
Q93 LYP and Q94 Which?
Q95 LMP and Q96 Which?
Q97 LMP Frequency
Q118 Have you ever taken biogenic drugs such as mushrooms, angel's
trumpet, thorn apple or similar?
Q119 Which?
Q120 Age of first use
Q121 LYP & Q122 Which?
Q123 LMP & Q124 Which?
Q125 LMP Frequency
Availability
How difficult would it be for you personally to obtain «drug» within
24 hours if you wanted some? 1. Impossible 2. Very difficult 3.
Fairly difficult 4. Fairly easy 5. Very easy
QUESTION NOT ASKED QUESTION NOT ASKED
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice;
3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39
times; 7) 40 times or more
QUESTION NOT ASKED Q76 I should now like to read out to you four different situations in which
you were unexpectedly offered illegal drugs for free or for sale in the last
12 months. Here I am not thinking of situations in which you actively
visited places and/or acuaintances in order to obtain and/or take illegal
drugs. Have you ever unexpectedly got into the following situations? Let
us start with: (Indicate only one answer in each case) Free offers of
illegal drugs from strangers; Free offers of illegal drugs from
acquaintances; Offers to purchase illegal drugs from strangers; Offers to
purchase illegal drugs from acquaintances R.C: happened/ did not
happen
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient?
More as a criminal; more as a patient; neither criminal nor a
patient; don't know, cannot decide; else
Q107 Q134
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People
should be permitted to take hashish or marihuana"? Fully agree,
largely agree, neither agree nor disagree, largely disagree, fully
disagree, else
Q104_6 Q131_8
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely disagree,
fully disagree, else
Q104_7 Q131_9
Opinions about behaviour CARDS OR DATA SHEETS
Q131 Interviewer hands over blue cards and illustrated data sheet 2: Let
us now move on to something different. There are various statements
on these cards. How far do you personally agree with these statements?
Totally agree; Partially agree; Don't know; Partially disagree; Totally
disagree
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you would not
disapprove or disapprove or strongly disapprove when people do
any of these things?
differing question text used: More efforts should be made on reducing
alcohol/tobacco/pharmaceutics/heroin (Q104_1 to Q104_5)
differing question text used: More efforts should be made on reducing
alcohol/tobacco/pharmaceutics/cocain/ecstacy/heroin (Q131_1 to
Q131_7)
Trying ecstasy once or twice QUESTION NOT ASKED QUESTION NOT ASKED
Trying heroin once or twice QUESTION NOT ASKED QUESTION NOT ASKED
Smoking 10 or more cigarettes QUESTION NOT ASKED QUESTION NOT ASKED
Have one or two drinks several times a week QUESTION NOT ASKED QUESTION NOT ASKED
Smoking hashish or marijuana occasionally QUESTION NOT ASKED QUESTION NOT ASKED
Perception of risk CARDS OR DATA SHEETS
Q132 Interviewer hands over dark green cards and illustrated data sheet
6 These cards show various forms of behaviour; how dangerous do you
regard these forms of behaviour? Harmless; Not really dangerous;
Dangerous; Very dangerous
Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I
will again mention a few things, which some people may do.
Please tell me if you consider it to be no risk, a slight risk, a
moderate risk or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day Q105_9 Q132_9
Having five or more drinks each weekend Q105_13 Q132_13
Smoke hashish or marijuana regularly Q105_11 Q132_11
Try ecstasy once or twice Q105_1 Q132_1
Try cocaine once or twice Q105_3 Q132_3
6. Respondent attributes last page of questionnaire
Please indicate if you are a male or female 1. male 2. female completed by interviewer 1.1 Statistics
What is your age? Q1 Year and month of birth 1.1 Statistics
Which of the following describes the composition of the household
to which you belong? One person living alone, two partners without
children at home, two partners with children at home, one adult
with children at home, other situation
How many people live in your household (please include yourself)
Which of the following best applies to you: you are employed or self-
employed, you are a full-time student, you are unemployed, none of
the above
1.1. Statistics
What is the highest level of education you have completed? Q2 1.1 Statistics
What is the <identification code> of your home address?
Matching GPS Poland to EMQ 2006
Context: Licit and Illicit substance use
Mode: face-to-face interview
2010
Context: Licit and Illicit substance use
Mode: face-to-face interviewEuropean Model Questionnaire Questions on legal highs included in 2010 questionnaire
(after pharmaceuticals) These are Q22 - Q28 on pp. 7-8
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a
pipe? Yes; No; else
Q6 How much have you smoked in the last 30 days?
1. Not smoked in the past 30 days
2. Less than 1 cigarette or other tobacco product per week
3. Less than 1 cigarette or other tobacco product per day
4. 1-5 cigarettes or other tobacco products per day
5. 6-10 cigarettes or other tobacco products per day
6. 11-20 cigarettes or other tobacco products per day
7. More than 20 cigarettes or other tobacco products per day
Q6 How much have you smoked in the last 30 days? 1. Not
smoked in the past 30 days
2. Less than 1 cigarette or other tobacco product per week
3. Less than 1 cigarette or other tobacco product per day
4. 1-5 cigarettes or other tobacco products per day
5. 6-10 cigarettes or other tobacco products per day
6. 11-20 cigarettes or other tobacco products per day
7. More than 20 cigarettes or other tobacco products per day
Have you ever smoked in past? Yes; No; else Q5 R C: 1. Never smoked (move to question P7)
2. I used to smoke but now I do not smoke
3. Yes, now I smoke
Q5 R C: 1. Never smoked (move to question P7)
2. I used to smoke but now I do not smoke
3. Yes, now I smoke
2. Alcohol separate sets of questions for vodka; home-distilled
spirits; wine or champagne; homemade wine; beer
Separate sets of questions for beer, wine/champagne,
vodkaDuring the last 12 months, have you drunk beer, wine,
spirits or any other alcoholic drink? Yes; No; else
Q7 (vodka, spirits), Q10 (home distilled spirits), Q13 (wine,
champagne), Q16 (homemade wine), Q19 (beer)
Q7 How often do you drink alcohol?
R C: 1. Daily or almost daily
2. 5 - 6 times a week
3. 3 - 4 times a week
4. 1 - 2 times per week
5. 2 - 3 times a month
6. Once a month
7. 6 - 11 times a year
8. 2 - 5 times in year
9. Once a year
10. Not in the last 12 months, but I drank before
11. I have never drunk alcohol
How often do you drink alcohol? 4 times a week; 2-3
times a week; 2-4 times a month; Once a month or less;
else
Q22_1; Q23_1; Q24_1 How often have you drunk __ in the
last 12 months? Daily; 3-4 times a week; 1-2 times a week; 2-
3 times a month; once a month; 6-11 times a year; 2-5 times
a year; once a year; not in the last 12 months
Three separate questions for vodka/spirits; wine/champagne;
beer
see Q7
How often do you drink 6 glasses or more of an alcoholic
drink on the same occasion? Daily or almost daily; every
week; every month; less than once a month; never; else
QUESTION NOT ASKED Q12 with different response categories: 5-6 times a week; 3-4
times a week; 1-2 times a week; 2-3 times a month; once a
month; 6-11 times a year; 2-5 times a year; not in the last year;
Never
During the last 30 days, have you drunk any alcohol? Yes;
No; else
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, on how many days did you drink
alcohol? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Alternatives: Specific types of alcoholic drinks Separate sets of questions for vodka; home-distilled spirits;
wine; homemade wine; beer
Separate sets of questions for beer, wine/champagne, vodka
Q8.1, Q9.1; Q10.1: How often have you drunk __ in the last 12
months? R C: Daily or almost daily; 5-6 times a week, 3-4
times a week; 1-2 times a week; 2-3 times a month; Once a
month; 6-11 times in the last 12 months; 2-5 times in the last
12 months; Once; Not at all
3. Pharmaceuticals Distinction between prescribed and non-prescribed
pharmaceuticals done via response categories: respondent
answers the same questions for both
Distinction between prescribed and non-prescribed
pharmaceuticals done via response categories: respondent
answers the same questions for both
During the last 12 months, have you taken any sedatives
or tranquilizers? Yes; No; else
Q32_2 During the last 12 months, how many times have you
taken sedatives or tranquilisers? None; 1-2 times; 3-5 times;
6-9 times; 10-19 times; 20-39 times; 40 or more times
Q20.2 During the last 12 months, how many times have you
taken sedatives or tranquilisers? R C: 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
How often do you take sedatives or tranquilizers? 4 times a
week or more; 2-3 times a week; 2-4 times a month; once
a month or less
see Q32_2, Q32_3 see Q20.2, Q20.3
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
see Q32_3 see Q20.3
During the last 30 days, on how many days did you take
sedatives or tranquilizers? On__days, OR 1.20 days or
more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
Q32_3 During the last 30 days, how many times have you
taken sedatives or tranquilisers? None; 1-2 times; 3-5 times;
6-9 times; 10-19 times; 20-39 times; 40 or more times
Q20.3 R C: 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20-39
times; 20 or more times
How did you obtain sedatives or tranquilizers the last time
you took them? I bought them or had them prescribed for
me by a doctor, I got them from somebody else I know; I
bought them without a prescription in a pharmacy or drug
store; None of the above applies: else
Q32 Have you taken sedatives or tranquilisers 1. with
prescription or 2. without prescription ? R C Never; At least
once; Age of first use (insert); How many times?
Q20 Have you taken sedatives or sleeping pills 1. with or 2.
without prescription ? R C Never; At least once; Age of first use
(insert); How many times?
4. Illicit drugs Interviewer instructed to ask questions for each of the
substances listed below
Separate sets of questions can be asked for each
substance
Q29 is a table, questions on LTP, LYP, LMP
n.b. extra questions for Cannabis consequences of use (for
Yes at LYP) in a separate table
Q 17 is the main question for LTP, LYP and LMP in
psychoactive substances. Q17.1, Q17.2 and Q17.3 use the
same list of substances, forming a table.
Cannabis
Do you personally know people who take cannabis? Yes;
No; else
Q27 How many of your friends take the following
substances? R C: none; some; half; majority; everybody
Q16 How many of your friends take the following substances?
R C: none; some; half; majority; everybody
Have you ever taken cannabis yourself? Yes; No; else Q29_1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
Q17.1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
At what age did you take cannabis for the first time? Q29_1a note the age Q17.1 if yes to above, note the age
During the last 12 months, have you taken cannabis? Yes;
No; else
Q29_2 ...how often? R C None; 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.2 R C 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
During the last 30 days, have you taken cannabis? Yes;
No; else
see Q29_3 see Q17.3
During the last 30 days, on how many days did you take
cannabis? On__days, OR 1.20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
Q29_3 how often? R C: None 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.3 How often? R C: 1-2 times, 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
Ecstasy
Do you personally know people who take ecstasy? Yes;
No; else
Q27 How many of your friends take the following
substances? R C: none; some; half; majority; everybody
Q16 How many of your friends take the following substances?
R C: none; some; half; majority; everybody
Have you ever taken ecstasy yourself? Yes; No; else Q29_1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
Q17.1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
At what age did you take ecstasy for the first time? Q29_1a, note the age Q17.1 if yes to above, note the age
During the last 12 months, have you taken ecstasy? Yes;
No; else
Q29_2 ...how often? R C None; 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.2 R C 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
During the last 30 days, have you taken ecstasy? Yes; No;
else
see Q29_3 see Q17.3
During the last 30 days, on how many days have you taken
ecstasy? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q29_3 …how often? R C: None 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.3 How often ? R C: 1-2 times, 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
Amphetamines
Do you personally know people who take amphetamines?
Yes; No; else
Q27 How many of your friends take the following
substances? R C: none; some; half; majority; everybody
Q16 How many of your friends take the following substances?
R C: none; some; half; majority; everybody
Have you ever taken amphetamines yourself? Yes; No;
else
Q29_1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
Q17.1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
At what age did you take amphetamines for the first time? Q29_1a Q17.1 if yes to above, note the age
During the last 12 months, have you taken amphetamines?
Yes; No; else
Q29_2 ...how often? R C None; 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.2 R C 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
During the last 30 days, have you taken amphetamines?
Yes; No; else
see Q29_3 see Q17.3
During the last 30 days, on how many days did you take
amphetamines? On__days, OR 1.20 days or more; 2.10-
19 days; 3.4-9 days; 4. 1-3 days
Q29_3 …how often? R C: None 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.3 How often? R C: 1-2 times, 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
Cocaine
Do you personally know people who take cocaine? Yes;
No; else
Q27 How many of your friends take the following
substances? R C: none; some; half; majority; everybody
Q16 How many of your friends take the following substances?
R C: none; some; half; majority; everybody
Have you ever taken cocaine yourself? Yes; No; else Q29_1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
Q17.1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
At what age did you take cocaine for the first time? Q29_1a Q17.1 if yes to above, note the age
During the last 12 months, have you taken cocaine? Yes;
No; else
Q29_2 ...how often? R C None; 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.2 R C 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
During the last 30 days, have you taken cocaine? Yes;
No; else
see Q29_3 see Q17.3
During the last 30 days, on how many days did you take
cocaine? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q29_3 …how often? R C: None 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.3 How often? R C: 1-2 times, 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
Heroin
Do you personally know people who take heroin? Yes; No;
else
Q27 How many of your friends take the following
substances? R C: none; some; half; majority; everybody
Q16 How many of your friends take the following substances?
R C: none; some; half; majority; everybody
Have you ever taken heroin yourself? Yes; No; else Q29_1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
Q17.1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
At what age did you take heroin for the first time? Q29_1a Q17.1 if yes to above, note the age
During the last 12 months, have you taken heroin? Yes;
No; else
Q29_2 ...how often? R C None; 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.2 R C 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
During the last 30 days, have you taken heroin? Yes; No;
else
see Q29_3 see Q17.3
During the last 30 days, on how many days have you taken
heroin? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
Q29_3 …how often? R C: None 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.3 How often? R C: 1-2 times, 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
Relevin (not mandatory) Astrolit Astrolit
LSD
Do you personally know people who take LSD? Yes; No;
else
Q27 How many of your friends take the following
substances? R C: none; some; half; majority; everybody
Q16 How many of your friends take the following substances?
R C: none; some; half; majority; everybody
Have you ever taken LSD yourself? Yes; No; else Q29_1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
Q17.1 Have you ever taken any of these substances? SEE
COMMENT R C (for each): Never; Yes, at least once
At what age did you take LSD for the first time? Q29_1a Q17.1 if yes to above, note the age
During the last 12 months, have you taken LSD? Yes; No;
else
Q29_2 ...how often? R C None; 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.2 R C 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20-39
times; 40 or more times
During the last 30 days, have you taken LSD? Yes; No;
else
see Q29_3 see Q17.3
During the last 30 days, on how many days did you take
LSD? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
Q29_3 …how often? R C: None 1-2 times; 3-5 times; 6-9
times; 10-19 times; 20-39 times; 40 or more times
Q17.3 How often? R C: 1-2 times, 3-5 times; 6-9 times; 10-19
times; 20-39 times; 40 or more times
Inhalants Covered Covered
Hallucinogens (other) Covered Covered
Availability
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
Q33 How difficult would it be for you to obtain the following
substances if you wanted them? SEE COMMENT Please
answer using the scale located on the card: R C: Impossible;
Very difficult; Fairly difficult; fairly easy; Very easy; Don't
know
Q38 How long would it take for you to obtain the following
substances? 1. Marijuana or hashish; 2. Amphetamines; 3.
Ecstasy; 4. Heroin R C: One or two hours; a few hours; a
day; a few days; impossible to know
Q29 How difficult would it be for you to obtain the following
substances if you wanted them? SEE COMMENT Please
answer using the scale located on the card: R C: Impossible;
Very difficult; Fairly difficult; fairly easy; Very easy; Don't know
Q34 How long would it take for you to obtain the following
substances? 1. Marijuana or hashish; 2. Amphetamines; 3.
Ecstasy; 4. Heroin R C: One or two hours; a few hours; a day;
a few days; impossible to know
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none;
2) once or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to
19 times; 6) 20 to 39 times; 7) 40 times or more
Q34 How many times in the last 12 months were you offered
the following substances? SEE COMMENT
R C: Never; 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20
or more times
Q30 How many times in the last 12 months were you offered
the following substances? SEE COMMENT
R C: Never; 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20 or
more times
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a
patient? More as a criminal; more as a patient; neither
criminal nor a patient; don't know, cannot decide; else
Q57 Q57
Opinions about drug polices (not mandatory)
To what extent do you agree with the following statement:
"People should be permitted to take hashish or
marijuana"? Fully agree, largely agree, neither agree nor
disagree, largely disagree, fully disagree, else
Q53.1 Q53.1
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"?
Fully agree, largely agree, neither agree nor disagree,
largely disagree, fully disagree, else
Q53.2 Q53.2
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a
few things which some people may do. Can you tell me if
you would not disapprove or disapprove or strongly
disapprove when people do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
INTRO: Now I would like to know how much you think
people risk harming themselves, physically or in other
ways, if they do certain things. I will again mention a few
things, which some people may do. Please tell me if you
consider it to be no risk, a slight risk, a moderate risk or a
great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female 1. male 2.
female
M1 M1
What is your age? M2 M2
Which of the following describes the composition of the
household to which you belong? One person living alone,
two partners without children at home, two partners with
children at home, one adult with children at home, other
situation
M5 M5 How many people (including yourself) live in your
household?
Which of the following best applies to you: you are
employed or self-employed, you are a full-time student, you
are unemployed, none of the above
M8, M9 M9
What is the highest level of education you have
completed?
M3 M3
What is the <identification code> of your home address? Yes beginning of questionnaire
Q58
Q56 Context: used by children ???
???
Matching GPS Portugal to EMQ
"Inquérito Nacional ao consumo (…)" Balsa, C., Vital, C.,
Urbano, C., Pascueiro, L Universidade Nova de Lisboa
CEOS - FCSH
2001
Context: Psychoactive substances
Mode: face-to-face interview (PAPI)
2007
Context: Psychoactive substances
Mode: face-to-face interview (CAPI)
European Model Questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe?
Yes; No; else
T01A T01A Yes No (If No, answer T01B, if Yes to T02)
Have you ever smoked in past? Yes; No; else T01B T01B R.C: Yes, I have tried tobacco; Yes, I have smoked
occassionally; Yes, I smoked for some time; Yes, I smoked regularly;
No, I have never smoked
2. Alcohol B01 Have you ever had an alcoholic drink? Yes (various RC), No (F
to Z01)
During the last 12 months, have you drunk beer, wine, spirits
or any other alcoholic drink? Yes; No; else
B02 B02
How often do you drink alcohol? 4 times a week; 2-3 times
a week; 2-4 times a month; Once a month or less; else
B03 Thinking about the last 12 months, how often do you usually
have the following alcoholic drinks? 1. Beer 2. Alcopops 3. Wine; 4.
Spirits: Response categories: Many times a day; daily; 4 times a week
or more; 2-3 times a week; 2-4 times a month; once a month or less;
rarely; never
How often do you drink 6 glasses or more of an alcoholic drink
on the same occasion? Daily or almost daily; every week;
every month; less than once a month; never; else
B04 B04 R.C: 1. Several times a day 2. Daily 3. 4 times a week or more 4.
2 to 3 times a week 5. 2 to 4 times a month 6. Once a month 7.
Rarely 8. Never 9. Does not know 0. Does not answer
During the last 30 days, have you drunk any alcohol? Yes; No;
else
B05 B06
During the last 30 days, on how many days did you drink
alcohol? On__days, OR 1. 20 days or more; 2. 10-19 days; 3.
4-9 days; 4. 1-3 days
B06A B07 R.C for: 1. Beer 2. Alcopops 3. Wine 4. Spirits; Number of days
__
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Z03 Z03
How often do you take sedatives or tranquilizers? 4 times a
week or more; 2-3 times a week; 2-4 times a month; once a
month or less
Z04 In the past 12 months , how often have you taken
tranquilizers or hypnotics? Several times a day;
Daily; 4 times a week or more; 2-3 times a week; 2-4
times a month; Once a month; Rarely; Doesn’t know;
Doesn’t answer
Z05 for LYP In the last 12 months , how often did you take sedatives
or tranquilizers? Various times a day; Daily; 4 times a week or more;
2-3 times a week; 2-4 times a month; Once a month; Rarely; Never;
Don't know; No Answer
Z08 for LMP In the last 30 days , on how many days did you take
sedatives or tranquilizers? Various times a day; Daily or almost daily;
Various times a week; At least once a week; Less than once a week;
Don't Know; No Answer
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
Z05 Z06
During the last 30 days, on how many days did you take
sedatives or tranquilizers? On__days, OR 1. 20 days or more;
2. 10-19 days; 3. 4-9 days; 4. 1-3 days
Z06A Z07
How did you obtain sedatives or tranquilizers the last time you
took them? I bought them or had them prescribed for me by a
doctor, I got them from somebody else I know; I bought them
without a prescription in a pharmacy or drug store; None of
the above applies: else
QUESTION NOT ASKED Z04; Z04.1
4. Illicit drugs (INTERV.: DELIVER (SHOWCARDS) DON’T READ
THE DESIGNATION OF THE PRODUCT IN
BRACKETS IN ANY OF THE QUESTIONS ASKED
(INTERV.: DELIVER (SHOWCARDS) DON’T READ THE
DESIGNATION OF THE PRODUCT IN BRACKETS IN ANY OF THE
QUESTIONS ASKED
Cannabis
Do you personally know people who take cannabis? Yes; No;
else
SI1 Do you know anyone that uses this type of
product? (Cannabis, grass, weed, liamba, marijuana,
chamon)
SI2
Have you ever taken cannabis yourself? Yes; No; else SI2 SI4
At what age did you take cannabis for the first time? SI8 SI11
During the last 12 months, have you taken cannabis? Yes; No;
else
SI3 SI6
During the last 30 days, have you taken cannabis? Yes; No;
else
SI5 SI8
During the last 30 days, on how many days did you take
cannabis? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
SI6A SI9A
ADDITIONAL QUESTION - PT SI9 How did you get that product (grass), that first
time?; SI10 Where did that first time take place?
SI12/SI13/SI14 How did you obtain this
-the first time you took it
-the last time you took it
-how do you usually obtain it?
SI15/SI16/SI17 Where?
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
SI16 SI22
Ecstasy
Do you personally know people who take ecstasy? Yes; No;
else
SI27 SI34
Have you ever taken ecstasy yourself? Yes; No; else SI28 SI36
At what age did you take ecstasy for the first time? SI34 SI43
During the last 12 months, have you taken ecstasy? Yes; No;
else
SI29 SI38
During the last 30 days, have you taken ecstasy? Yes; No;
else
SI31 SI40
During the last 30 days, on how many days have you taken
ecstasy? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
SI32A SI41AB
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
SI42 SI54
Amphetamines
Do you personally know people who take amphetamines?
Yes; No; else
SI53 SI66
Have you ever taken amphetamines yourself? Yes; No; else SI54 SI68
At what age did you take amphetamines for the first time? SI60 SI75
During the last 12 months, have you taken amphetamines?
Yes; No; else
SI55 SI70
During the last 30 days, have you taken amphetamines? Yes;
No; else
SI57 SI72
During the last 30 days, on how many days did you take
amphetamines? On __ days OR 1. 20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
SI58A SI73AB
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
SI68 SI86
Cocaine
Do you personally know people who take cocaine? Yes; No;
else
SI81 SI100
Have you ever taken cocaine yourself? Yes; No; else SI85 SI102
At what age did you take cocaine for the first time? SI88 SI109
During the last 12 months, have you taken cocaine? Yes; No;
else
SI83 SI104
During the last 30 days, have you taken cocaine? Yes; No;
else
SI85 SI106
During the last 30 days, on how many days did you take
cocaine? On __ days OR 1. 20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
SI86A SI107AB
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
SI96 SI120
Heroin
Do you personally know people who take heroin? Yes; No;
else
SI109 SI134
Have you ever taken heroin yourself? Yes; No; else SI110 SI136
At what age did you take heroin for the first time? SI143
During the last 12 months, have you taken heroin? Yes; No;
else
SI111 SI138
During the last 30 days, have you taken heroin? Yes; No;
else
SI113 SI140
During the last 30 days, on how many days have you taken
heroin? On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
SI114A SI141B
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
SI124 SI154
Relevin (not mandatory) EMQ covered EMQ covered
LSD
Do you personally know people who take LSD? Yes; No; else SI142 SI176
Have you ever taken LSD yourself? Yes; No; else SI143 SI178
At what age did you take LSD for the first time? SI149 SI185
During the last 12 months, have you taken LSD? Yes; No;
else
SI144 SI180
During the last 30 days, have you taken LSD? Yes; No; else SI146 SI182
During the last 30 days, on how many days did you take LSD?
Daily or almost daily; Several times a week; at least once a
week; less than once a week; else
SI147A SI183B
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
SI157 SI196
Inhalants not included Included
Hallucinogens (other) not included Included
Availability
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2)
once or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19
times; 6) 20 to 39 times; 7) 40 times or more
QUESTION NOT ASKED Question asked at the beginning of the set of questions for each Illicit
Drug:
QSI1 How many times have you been offered this product either free
of charge or to buy? R.C: Ever; In the last 12 months; In the last 30
days / 0; 1-2 times; 3-5 times; 6-9 times; 10-19 times; 20 or more
times; Don't know; No Answer
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a
patient? More as a criminal; more as a patient; neither criminal
nor a patient; don't know, cannot decide; else
R01 R01
Opinions about drug polices (not mandatory)
To what extent do you agree with the following statement:
"People should be permitted to take hashish or marijuana"?
Fully agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
R02 R02
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
R03 R03
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you
would not disapprove or disapprove or strongly disapprove
when people do any of these things?
Trying ecstasy once or twice R04 R04
Trying heroin once or twice R05 R05
Smoking 10 or more cigarettes a day R06 R06
Have one or two drinks several times a week R07 R07
Smoking hashish or marijuana occasionally R08 R08
Perception of risk
Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do
certain things. I will again mention a few things, which some
people may do. Please tell me if you consider it to be no risk,
a slight risk, a moderate risk or a great risk, if people do any of
these things?
Smoke one or more packs of cigarettes a day R09 R09
Having five or more drinks each weekend R10 R10
Smoke hashish or marijuana regularly R11 R11
Try ecstasy once or twice R12 R12
Try cocaine once or twice R13 R13
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female CD1 CD1
What is your age? CD2 CD2; CD3 Month of birth
Which of the following describes the composition of the
household to which you belong? One person living alone, two
partners without children at home, two partners with children
at home, one adult with children at home, other situation
CF1 CF1 filled in by interviewer.
Which of the following best applies to you: you are employed
or self-employed, you are a full-time student, you are
unemployed, none of the above
W1 SEE COMMENT
What is the highest level of education you have completed? not available
What is the <identification code> of your home address?
Matching GPS Romania to EMQ 2004
Context: Household survey on licit and illicit substance
use
Mode: face-to-face interview (PAPI)
2007
Context: Household survey on licit and illicit substance
use
Mode: face-to-face interview (PAPI)European Model Questionnaire 214 questions
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe?
Yes; No; else
Q1 Do you smoke baccy products like cigarettes, cigars or
pipes at present ? R C: Yes; No (if Yes F to Q7, Age of first
use)
T3 How long is it since you smoked a cigarette or any type of
tobacco? R C: Less than 30 days; More than a month, but
less than a year; More than a year; Never smoked cigarettes
or any other type of tobacco
Have you ever smoked in past? Yes; No; else Q2 Did you ever try smoking? R C: Yes; No; I don't
remember (If No or I don't remember, F to Q26 Attitudes
about smoking)
T1 Did you ever smoke a cigarette or any other type of
tobacco, even if drawn only 1-2 drags? R C: Yes, I have
smoked a cigarette occasionally, at least 1-2 drags; No,
never in my life have I smoked cigarettes or any type of
tobacco
Alternatives: Use of standard prevalence questions
(LTP,LYP,LMP)
LTP, LYP, LMP covered T4 Last 30 days. On how many days did you smoke
cigarettes or any other type of tobacco? On __ days 77. I
have not smoked in the last 30 days 88. I have never
smoked
T5 How many cigars, cheroots or regular pipes did you
smoke (make an average) in the last 30 days? (Put down the
average). R C: for each type of tobacco
2. Alcohol A1. Have you ever drunk any alcohol, even if it was just
once? Yes No
During the last 12 months, have you drunk beer, wine, spirits or
any other alcoholic drink? Yes; No; else
Q30 A3 On how many days from the last 12 months did you drink
alcohol? R C: 1. Every day 2. 5-6 days per week 3. 3-4 days
per week 4. 1-2 days per week 5. 2-4 days per month 6. once
a month or less 7. I haven't drunk alcohol in the last 12
months 88. I have never drunk alcohol
How often do you drink alcohol? 4 times a week; 2-3 times a
week; 2-4 times a month; Once a month or less; else
Q31 How often did you drink alcohol in the last 12 months?
Daily or almost daily; 2-3 times per week; Weekly; 2-3 times
per month; Monthly; Not monthly; No alcohol
R.C are for Beer, Wine, Strong drinks (vodka,plum
brandy,liqueur, vermouth, whisky, etc)
A12 How often did you have an alcoholic drink in the last 30
days ? 2 TABLES (Weekdays/Weekends)
Types of alcohol: Wine/Champagne; Beer; Drinks before
meals/Vermouth; Cocktails/Mixers; Fruit liqueurs; Strong
drinks - Circle a code for each type of drink:
R.C weekdays : Every day; 3 working days per week; 2
working days per week; 1 working day per week; Less than
one working day per week; Never on working days in the last
30 days; Never drunk this type of alcohol
R.C weekends : Every weekend; on 3 weekends; on 2
weekends; on 1 weekend; I have not had these types of
drinks during weekends in the last 30 days; Never drunk this
type of alcoholHow often do you drink 6 glasses or more of an alcoholic drink
on the same occasion? Daily or almost daily; every week; every
month; less than once a month; never; else
Q35 Thinking of the last 30 days , how often did you have
more than 6 drinks, one after the other? R.C: Several times
per day; Daily or almost daily; 2-3 times per week; Weekly; 2-
3 times per month; Once a month; no alcohol
A7 On how many days from the last 30 did you have 5 or
more alcoholic drinks on the same occasion? On __ days
66. I haven't had 5 or more alcoholic drinks on the same
occasion in the last 30 days 77. I haven´t had alcoholic
drinks in the last 30 days 88. I have never drunk alcohol
During the last 30 days, have you drunk any alcohol? Yes; No;
else
Q32 see A5 below
During the last 30 days, on how many days did you drink
alcohol? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q33 A5 Last 30 days. On how many days did you have one or
more alcoholic drinks? Put the number in the space
provided. 77. I haven't had any alcohol in the last 30 days 88.
I have never drank alcohol
ADDITIONAL QUESTION - RO Q37 Where do you usually drink alcohol? Anywhere; at
home; at someone else's home; on the street/public place;
in a disco; in a restaurant; other
QUESTION NOT ASKED
3. Pharmaceuticals The next questions will be about some medicines that are
sometimes recommended by doctors, to help pacients calm
the pain, sleep or relax.
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
Q66 D6 During the last 12 months, have you taken tranquilisers
or sedatives without medical prescription ? R C: 1. Yes 2. No
3. No, I have never taken tranquilisers without medical
prescription
D2 Number of days when you took substances (SEE
COMMENT) in the last 12 months, Put a code in each
column: 4-6 days per week; 1-3 days per week; 1-3 days per
month; 6-11 days per year; 1-5 days per year; I haven't taken
any in the last 12 months; Never taken
How often do you take sedatives or tranquilizers? 4 times a week
or more; 2-3 times a week; 2-4 times a month; once a month or
less
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
Q69 QUESTION NOT ASKED
During the last 30 days, on how many days did you take
sedatives or tranquilizers? On__days, OR 1.20 days or more;
2.10-19 days; 3.4-9 days; 4. 1-3 days
Q70 D3 Number of days per week in the last 30 days when you
took these substances R C: Daily; 4-6 days/week; 1-3 days
per week; 1-3 days per month; None in the last 30 days;
Never
How did you obtain sedatives or tranquilizers the last time you
took them? I bought them or had them prescribed for me by a
doctor, I got them from somebody else I know; I bought them
without a prescription in a pharmacy or drug store; None of the
above applies: else
Q75
Q77 Did the doctor recommend you to take sedatives,
tranquilizers or antidepressants, the last time you took
them? Yes No
QUESTION NOT ASKED
4. Illicit drugs
Cannabis Q79 Have you ever heard of these names? Showcard (If No,
F to Q86)
questions asked separately
Do you personally know people who take cannabis? Yes; No;
else
Q80 Do you personally know someone who smokes ...
(cannabis) ?
QUESTION NOT ASKED
Have you ever taken cannabis yourself? Yes; No; else Q81 Did you ever smoke .....( cannabis)? Yes; No (If No, F to
Ecstasy)
M1 Did you ever smoke hash or marijuana, even if only
once? 1. Yes 2. No (if No, F to Ecstasy)
At what age did you take cannabis for the first time? Q82 At what age did you first smoke .....(cannabis)? Age __ M2 …when you first smoked hash or marijuana? Age__
years (also with option 88. Never)
During the last 12 months, have you taken cannabis? Yes; No;
else
Q83 Did you smoke ...(cannabis) in the last 12 months? Yes
No
M3 Think of the last 12 months. On how many days from the
last 12 months did you smoke hashish or marijuana? Daily; 5-
6 days per week; 3-4 days per week; 1-2 days per week; 2-4
days per month; once a month or rarely; I haven't smoked
hashish or marijuana in the last 12 months; I have never
smoked hashish or marijuana
During the last 30 days, have you taken cannabis? Yes; No; else Q84 Did you smoke ...(cannabis) in the last 30 days? Yes No see M4
During the last 30 days, on how many days did you take
cannabis? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
Q85 How many days from the last 30 did you
smoke ....(cannabis)? R C: on __ days; I don't know
M4 on __ days; I haven't smoked hashish or marijuana in the
last 30 days; I have never smoked hashish or marijuana
Ecstasy Q86 Have you ever heard of these names Showcard (If No,
F to Q93)
questions asked separately
Do you personally know people who take ecstasy? Yes; No; else Q87 QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes; No; else Q88 E1
At what age did you take ecstasy for the first time? Q89 E2
During the last 12 months, have you taken ecstasy? Yes; No;
else
Q90 E3 Think of the last 12 months. On how many days from the
last 12 months did you take ecstasy? Daily; 5-6 days per
week; 3-4 days per week; 1-2 days per week; 2-4 days per
month; once a month or rarely; I haven't taken any in the last
12 months; I have never taken ecstasy
During the last 30 days, have you taken ecstasy? Yes; No; else Q91
During the last 30 days, on how many days did you take
ecstasy? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q92 on __ days; I don't know E4 R C: on__ days; I haven't taken ecstasy in the last 30
days; I have never taken ecstasy
Amphetamines Q93 Have you ever heard of these names? Showcard (If No,
F to Q107)
Table D1 (for LTP and Age of first use)
Do you personally know people who take amphetamines? Yes;
No; else
Q94 QUESTION NOT ASKED
Have you ever taken amphetamines yourself? Yes; No; else Q95 D1 Different substances are enumerated below; read the list
and circle "1" corresponding to each substance that you
have EVER taken. If you have taken the substance, please
note the age when this happened for the first time. If you
have not taken these substances mark with "2" the
corresponding box from the third column. At what age did you take amphetamines for the first time? Q96 see D1
During the last 12 months, have you taken amphetamines? Yes;
No; else
Q97 D2 Number of days when you took substances in the last 12
months, Put a code in each column: 4-6 days per week; 1-3
days per week; 1-3 days per month; 6-11 days per year; 1-5
days per year; I haven't taken any in the last 12 months;
Never taken
During the last 30 days, have you taken amphetamines? Yes;
No; else
Q98 see D3
During the last 30 days, on how many days did you take
amphetamines? On__days, OR 1.20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
Q99 On __ days; I don't know D3 Number of days per week in the last 30 days when you
took these substances. Put a code in each column: 4-6 days
per week, 1-3 days per week; 1-3 days per month; None in
the past 30 days; Never
Cocaine Q107 have you ever heard of ...? Showcard (If No, F to
Q115)
Table D1 (for LTP and Age of first use)
Do you personally know people who take cocaine? Yes; No; else Q108 QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes; No; else Q109 D1 Different substances are enumerated below; read the list
and circle "1" corresponding to each substance that you
have EVER taken. If you have taken the substance, please
note the age when this happened for the first time. If you
have not taken these substances mark with "2" the
corresponding box from the third column.At what age did you take cocaine for the first time? Q110 D1
During the last 12 months, have you taken cocaine? Yes; No;
else
Q111 D2 Number of days when you took substances in the last 12
months, Put a code in each column: 4-6 days per week; 1-3
days per week; 1-3 days per month; 6-11 days per year; 1-5
days per year; I haven't taken any in the last 12 months;
Never taken
During the last 30 days, have you taken cocaine? Yes; No; else Q112 D3
During the last 30 days, on how many days did you take
cocaine? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9
days; 4. 1-3 days
Q113 On __ days; I don't know D3 Number of days per week in the last 30 days when you
took these substances, Put a code in each column; 4-6 days
per week, 1-3 days per week; 1-3 days per month; None in
the past 30 days; Never
Heroin Q115 Have you ever heard of …? Showcard (If No, F to
Q123)
Table D1 (for LTP and Age of first use)
Do you personally know people who take heroin? Yes; No; else Q116 QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else Q117 D1 Different substances are enumerated below; read the list
and circle "1" corresponding to each substance that you
have EVER taken. If you have taken the substance, please
note the age when this happened for the first time. If you
have not taken these substances mark with "2" the
corresponding box from the third column. At what age did you take heroin for the first time? Q118 see D1
During the last 12 months, have you taken heroin? Yes; No;
else
Q119 D2 Number of days when you took substances in the last 12
months, Put a code in each column: 4-6 days per week; 1-3
days per week; 1-3 days per month; 6-11 days per year; 1-5
days per year; I haven't taken any in the last 12 months;
Never taken
During the last 30 days, have you taken heroin? Yes; No; else Q120 see D3
During the last 30 days, on how many days did you take heroin?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q121 On __ days; I don't know D3 Number of days per week in the last 30 days when you
took these substances, Put a code in each column; 4-6 days
per week, 1-3 days per week; 1-3 days per month; None in
the past 30 days; Never
Relevin (not mandatory) Q152-Q159 (last in series of substances questions) QUESTIONS NOT ASKED
LSD Q123 Have you ever heard of …? Showcard (If No, F to
Q130)
Table D1 (for LTP and Age of first use)
Do you personally know people who take LSD? Yes; No; else Q124 QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else Q125 D1 Different substances are enumerated below; read the list
and circle "1" corresponding to each substance that you
have EVER taken. If you have taken the substance, please
note the age when this happened for the first time. If you
have not taken these substances mark with "2" the
corresponding box from the third column. separate sets of questions can be asked for each substance Q126 D1
During the last 12 months, have you taken LSD? Yes; No; else Q127 D2 Number of days when you took substances in the last 12
months, Put a code in each column: 4-6 days per week; 1-3
days per week; 1-3 days per month; 6-11 days per year; 1-5
days per year; I haven't taken any in the last 12 months;
Never taken
During the last 30 days, have you taken LSD? Yes; No; else Q128 D3
During the last 30 days, on how many days did you take LSD?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
Q129 on __ days; I don't know D3 Number of days per week in the last 30 days when you
took these substances, Put a code in each column; 4-6 days
per week, 1-3 days per week; 1-3 days per month; None in
the past 30 days; Never
Inhalants Q130 - Q136 EMQ covered D1, D2
Hallucinogens (other) Q137 - Q143 EMQ covered D1, D2
Availability
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
Question asked if Yes at Q81, Q88, Q109, Q117 (i.e. Yes at
LYP) How easy or difficult is it to obtain -drug- in a time span
of 24 hours? Very easy; Pretty easy; Neither difficult, nor
easy; Pretty hard; Very hard; I don't know
R2 How difficult do you think it is to obtain the following
substances in a 24 hour period? Substances: a.
Hash/Marijuana b. Heroin c. Cocaine d. LSD, acid e. Ecstasy
and other similar drugs R.C: Practically impossible; Difficult;
Relatively easy; Very easy; DK/Refusal
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2) once
or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6)
20 to 39 times; 7) 40 times or more
Q168 Were you ever offered illegal drugs in Romania? Yes
No
QUESTION NOT ASKED
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a
patient? More as a criminal; more as a patient; neither criminal
nor a patient; don't know, cannot decide; else
Q160 QUESTION NOT ASKED
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement:
"People should be permitted to take hashish or marihuana"?
Fully agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
Q165 statement 2/4 "People should be allowed to smoke
cannabis for recreation"
QUESTION NOT ASKED
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"? Fully
agree, largely agree, neither agree nor disagree, largely
disagree, fully disagree, else
Q165 statement 3/4 QUESTION NOT ASKED
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a few
things which some people may do. Can you tell me if you would
not disapprove or disapprove or strongly disapprove when
people do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
INTRO: Now I would like to know how much you think people risk
harming themselves, physically or in other ways, if they do
certain things. I will again mention a few things, which some
people may do. Please tell me if you consider it to be no risk, a
slight risk, a moderate risk or a great risk, if people do any of
these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female P0 C1
What is your age? C2
Which of the following describes the composition of the
household to which you belong? One person living alone, two
partners without children at home, two partners with children at
home, one adult with children at home, other situation
Q198 C5
Which of the following best applies to you: you are employed or
self-employed, you are a full-time student, you are unemployed,
none of the above
P0 C6 see comment for R C
What is the highest level of education you have completed? P0 C3
What is the identification <code> of your home address? Filled in by interviewer Yes
R1Q167
Q166 QUESTION NOT ASKED
2011
Context: Household survey on alcohol, tobacco and drug
Mode: face-face interview survey
European Model Questionnaire 22 pages
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes No BA1 (it is similar but not identical, but from our questionary we
can get this data)
Have you ever smoked in past? Yes No BA1(it is similar but not identical, but from our questionary we
can get this data)
Alternatives: standard prevalence model (LTP,LYP,LMP)
2. Alcohol
During the last 12 months have you drunk beer, wine, spirits or any other
alcoholic drink? Yes No
FB3
How often do you drink alcohol? 4 times a week; 2-3 times a week; 2-
4 times a month; Once a month or less; else
FB4
How often do you drink 6 glasses or more of an alcoholic drink on the
same occasion? Daily or almost daily; every week; every month; less
than once a month; never; else
FB6A (for women, 4 glasses or more) FB6B (for men 6 glasses
or more)
During the last 30 days, have you drunk any alcohol? Yes; No; else FB9
During the last 30 days, on how many days did you drink alcohol? On__
days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3 days
FB10
Alternatives: Specific types of alcoholic drinks FC1 to FG2
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or tranquilizers?
Yes No
CA1
How often do you take sedatives or tranquilizers? 4 times a week; 2-3
times a week; 2-4 times a month; Once a month or less; else
CA2
During the last 30 days, have you taken any sedatives or tranquilizers?
Yes No
CA3
During the last 30 days, on how many days did you take sedatives or
tranquilizers?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
How did you obtain sedatives or tranquilizers the last time you took them?
I bought them or had them prescribed for me by a doctor, I got them from
somebody else I know; I bought them without a prescription in a
pharmacy or drug store; None of the above applies: else
CA5
4. Illicit drugs
Cannabis
Do you personally know people who take cannabis? Yes, No, Else CB1
Have you ever taken cannabis yourself? Yes, No, Else CB2
At what age did you take cannabis for the first time? CB3
Matching GPS Slovenia to EMQ
CA4
During the last 12 months, have you taken cannabis? Yes; No; Else CB4
During the last 30 days, have you taken cannabis? Yes; No; Else CB5
During the last 30 days, on how many days did you take cannabis? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
CB6
Ecstasy
Do you personally know people who take ecstasy? Yes; No; Else CC1
Have you ever taken ecstasy yourself? Yes; No; Else CC2
At what age did you take ecstasy for the first time? CC3
During the last 12 months, have you taken ecstasy?Yes; No; Else CC4
During the last 30 days, have you taken ecstasy? Yes; No; Else CC5
During the last 30 days, on how many days did you take ecstasy? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
CC6
Amphetamines
Do you personally know people who take amphetamines? Yes; No; Else CD1
Have you ever taken amphetamines yourself? Yes; No; Else CD2
At what age did you take amphetamines for the first time? CD3
During the last 12 months, have you taken amphetamines? Yes; No; Else CD4
During the last 30 days, have you taken amphetamines? Yes; No; Else CD5
During the last 30 days, on how many days did you take amphetamines?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
CD6
Cocaine
Do you personally know people who take cocaine? Yes; No; Else CE1
Have you ever taken cocaine yourself? Yes; No; Else CE2
At what age did you take cocaine for the first time? CE3
During the last 12 months, have you taken cocaine? Yes; No; Else CE4
During the last 30 days, have you taken cocaine? Yes; No; Else CE5
During the last 30 days, on how many days did you take cocaine? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
CE6
Heroin
Do you personally know people who take heroin? Yes; No; Else CF1
Have you ever taken heroin yourself? Yes; No; Else CF2
At what age did you take heroin for the first time? CF3
During the last 12 months, have you taken heroin? Yes; No; Else CF4
During the last 30 days, have you taken heroin? Yes; No; Else CF5
During the last 30 days, on how many days did you take heroin? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
CF6
Relevin (not mandatory) CG1-CG6
LSD
Do you personally know people who take LSD? Yes; No; Else CH1
Have you ever taken LSD yourself? Yes; No; Else CH2
At what age did you take LSD for the first time? CH3
During the last 12 months, have you taken LSD? Yes; No; Else CH4
During the last 30 days, have you taken LSD? Yes; No; Else CH5
During the last 30 days, on how many days did you take LSD? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
CH6
Inhalants
Hallucinogens (other) NO QUESTION
Availability
How difficult would it be for you personally to obtain «drug» within 24
hours if you wanted some? 1. Impossible 2. Very difficult 3. Fairly difficult
4. Fairly easy 5. Very easy
Within the last 12 months, how many times have you been offered
<drug> (either free of charge or to buy)?1) none; 2) once or twice; 3) 3
to 5 times; 4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39 times; 7) 40
times or more
NO QUESTION
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient? More
as a criminal; more as a patient; neither criminal nor a patient; don't
know, cannot decide; else
EA1
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People should
be permitted to take hashish or marihuana"? Fully agree, largely agree,
neither agree nor disagree, largely disagree, fully disagree, else
EA2
To what extent do you agree or disagree with the following statement:
"People should be permitted to take heroin"?
EA3
Opinions about behaviour
Individuals differ according to whether or not they disapprove of people
doing certain things. I will mention a few things which some people may
do. Can you tell me if you would not disapprove or disapprove or strongly
disapprove when people do any of these things?
Trying ecstasy once or twice EA4A
Trying heroin once or twice EA4B
Smoking 10 or more cigarettes EA4C
Have one or two drinks several times a week EA4D
Smoking hashish or marijuana occasionally EA4E
Perception of risk
NO QUESTION
Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I will
again mention a few things, which some people may do. Please tell me if
you consider it to be no risk, a slight risk, a moderate risk or a great risk,
if people do any of these things?
Smoke one or more packs of cigarettes a day EB1A
Having five or more drinks each weekend FB2
Smoke hashish or marijuana regularly EB1B
Try ecstasy once or twice EB1C
Try cocaine once or twice EB1D
6. Respondent attributes
Please indicate if you are a male or female From sample
What is your age? From sample
Matching GPS Slovakia to EMQ 2009 (Pilot Survey)
Context: Licit and illicit substance use
Mode: face-to-face interviewEuropean Model Questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes; No; else Q16 Are you or have you ever been a smoker: have you ever smoked (cigarettes,
cigars or a pipe)?
1 no, I have never smoked
2 yes, I smoke every day
3 yes, I have smoked in the last 30 days
4 yes, I have smoked in the last 12 months
5 yes, I have smoked in the more distant past
Have you ever smoked in past? Yes; No; else see Q16
2. Alcohol
During the last 12 months have you drunk beer, wine, spirits or any other
alcoholic drink? Yes; No; else
Q19 Do you drink alcohol: have you ever drunk alcohol (beer, wine or spirits)?
1 no, I have never had an alcoholic drink
2 yes, I drink every day
3 yes, I have had a drink in the last 30 days
4 yes, I have had a drink in the last 12 months
5 yes, I have had a drink in the more distant past
How often do you drink alcohol? 4 times a week; 2-3 times a week; 2-4
times a month; Once a month or less; else
Q21
How often do you drink 6 glasses or more of an alcoholic drink on the same
occasion? Daily or almost daily; every week; every month; less than once a
month; never; else
Q25 How often do you drink five or more alcoholic drinks in a single session?
X I never drink alcohol
1 Every day or nearly every day
2 once a week
3 once a month
4 less often
5 never
During the last 30 days, have you drunk any alcohol? Yes; no; else see Q23
During the last 30 days, on how many days did you drink alcohol? On __
days OR 1. 20 days or more 2. 10-19 days 3. 4-9 days 4. 1-3 days
Q23 How many times have you had alcoholic drinks in the last 30 days?
X I never drink alcohol
1 Every day or nearly every day
2 Several times a week
3 At least once a week
4 less often than once a week
5 I have not drunk alcohol in the last 30 days
3. Pharmaceuticals Q27 Have you ever taken sedatives or tranquillisers under prescription from a
doctor ?
1 no, never
2 yes, I took them for less than three weeks
3 yes, I took them for three or more weeks
During the last 12 months, have you taken any sedatives or tranquilizers?
Yes; No; else
Q28 Have you used sedatives or tranquillisers at any time in the last 12 months?
X does not apply, never uses sedatives
1 yes, I have
2 no, not in the last 12 months
How often do you take sedatives or tranquilizers? 4 times a week or more; 2-
3 times a week; 2-4 times a month; once a month or less
Q29
During the last 30 days, have you taken any sedatives or tranquilizers? Yes;
No; else
Q31
During the last 30 days, on how many days did you take sedatives or
tranquilizers? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days;
4. 1-3 days
Q32 How often have you used sedatives or tranquillisers in the last 30 days?
X does not apply, never uses or never used sedatives
1 Every day or nearly every day
2 Several times a week
3 once a week
4 less often than once a week
How did you obtain sedatives or tranquilizers the last time you took them? I
bought them or had them prescribed for me by a doctor, I got them from
somebody else I know; I bought them without a prescription in a pharmacy
or drug store; None of the above applies: else
Q30
4. Illicit drugs Main illicit drug questions in list format
Cannabis
Do you personally know people who take cannabis? Yes; No; else Q33 Do you know anyone who uses any of these psychoactive substances?
Multiple answers possible. SEE COMMENT
Have you ever taken cannabis yourself? Yes; No; else Q34 And you yourself: have you ever tried any of these psychoactive substances?
Multiple answers possible. SEE COMMENT if Never, F to Q41
At what age did you take cannabis for the first time? Q35 If you have tried any of the psychoactive substances in your life, how old were
you when you tried them for the first time? Write the age.
During the last 12 months, have you taken cannabis? Yes; No; else Q36 Have you used any of these psychoactive substances in the last 12 months?
Multiple answers possible. SEE COMMENT
During the last 30 days, have you taken cannabis? Yes; No; else Q38 Have you used any of these psychoactive substances in the last thirty days?
Multiple answers possible. SEE COMMENT
During the last 30 days, on how many days did you take cannabis? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
Q39 R.C: I did not use this substance; every day or nearly every day; Several times
a week; once a week; less often
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else Q33 Do you know anyone who uses any of these psychoactive substances?
Multiple answers possible. SEE COMMENT.
Have you ever taken ecstasy yourself? Yes; No; else Q34 And you yourself: have you ever tried any of these psychoactive substances?
Multiple answers possible. SEE COMMENT if Never, F to Q41
At what age did you take ecstasy for the first time? Q35 If you have tried any of the psychoactive substances in your life, how old were
you when you tried them for the first time? Write the age.
During the last 12 months, have you taken ecstasy? Yes; No; else Q36 Have you used any of these psychoactive substances in the last 12 months?
Multiple answers possible. SEE COMMENT
During the last 30 days, have you taken ecstasy? Yes; No; else Q38 Have you used any of these psychoactive substances in the last thirty days?
Multiple answers possible. SEE COMMENT
During the last 30 days, on how many days did you take ecstasy? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
Q39 R.C: I did not use this substance; every day or nearly every day; Several times
a week; once a week; less often
Amphetamines
Do you personally know people who take amphetamines? Yes; No; else Q33 Do you know anyone who uses any of these psychoactive substances?
Multiple answers possible. SEE COMMENT
Have you ever taken amphetamines yourself? Yes; No; else Q34 And you yourself: have you ever tried any of these psychoactive substances?
Multiple answers possible. SEE COMMENT if Never, F to Q41
At what age did you take amphetamines for the first time? Q35 If you have tried any of the psychoactive substances in your life, how old were
you when you tried them for the first time? Write the age.
During the last 12 months, have you taken amphetamines? Yes; No; else Q36 Have you used any of these psychoactive substances in the last 12 months?
Multiple answers possible. SEE COMMENT
During the last 30 days, have you taken amphetamines? Yes; No; else Q38 Have you used any of these psychoactive substances in the last thirty days?
Multiple answers possible. SEE COMMENT
During the last 30 days, on how many days did you take amphetamines?
On __ days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
Q39 R.C: I did not use this substance; every day or nearly every day; Several times
a week; once a week; less often
Cocaine
Do you personally know people who take cocaine? Yes; No; else Q33 Do you know anyone who uses any of these psychoactive substances?
Multipple answers possible. SEE COMMENT
Have you ever taken cocaine yourself? Yes; No; else Q34 And you yourself: have you ever tried any of these psychoactive substances?
Multiple answers possible. SEE COMMENT if Never, F to Q41
At what age did you take cocaine for the first time? Q35 If you have tried any of the psychoactive substances in your life, how old were
you when you tried them for the first time? Write the age.
During the last 12 months, have you taken cocaine? Yes; No; else Q36 Have you used any of these psychoactive substances in the last 12 months?
Multiple answers possible. SEE COMMENT
During the last 30 days, have you taken cocaine? Yes; No; else Q38 Have you used any of these psychoactive substances in the last thirty days?
Multiple answers possible. SEE COMMENT
During the last 30 days, on how many days did you take cocaine? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
Q39 R.C: I did not use this substance; every day or nearly every day; Several times
a week; once a week; less often
Heroin
Do you personally know people who take heroin? Yes; No; else Q33 Do you know anyone who uses any of these psychoactive substances?
Multiple answers possible. SEE COMMENT
Have you ever taken heroin yourself? Yes; No; else Q34 And you yourself: have you ever tried any of these psychoactive substances?
Multiple answers possible. SEE COMMENT if Never, F to Q41
At what age did you take heroin for the first time? Q35 If you have tried any of the psychoactive substances in your life, how old were
you when you tried them for the first time? Write the age.
During the last 12 months, have you taken heroin? Yes; No; else Q36 Have you used any of these psychoactive substances in the last 12 months?
Multiple answers possible. SEE COMMENT
During the last 30 days, have you taken heroin? Yes; No; else Q38 Have you used any of these psychoactive substances in the last thirty days?
Multiple answers possible. SEE COMMENT
During the last 30 days, on how many days did you taken heroin? On __
days OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
Q39 R.C: I did not use this substance; every day or nearly every day; Several times
a week; once a week; less often
Relevin (not mandatory) QUESTIONS NOT ASKED
LSD
Do you personally know people who take LSD? Yes; No; else Q33 Do you know anyone who uses any of these psychoactive substances?
Multiple a
Have you ever taken LSD yourself? Yes; No; else Q34 And you yourself: have you ever tried any of these psychoactive substances?
Multiple answers possible. SEE COMMENT if Never, F to Q41
At what age did you take LSD for the first time? Q35 If you have tried any of the psychoactive substances in your life, how old were
you when you tried them for the first time? Write the age.
During the last 12 months, have you taken LSD? Yes; No; else Q36 Have you used any of these psychoactive substances in the last 12 months?
Multiple answers possible. SEE COMMENT
During the last 30 days, have you taken LSD? Yes; No; else Q38 Have you used any of these psychoactive substances in the last thirty days?
Multiple answers possible. SEE COMMENT
During the last 30 days, on how many days did you take LSD? On __ days
OR 1. 20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
Q39 R.C: I did not use this substance; every day or nearly every day; Several times
a week; once a week; less often
Inhalants included
Hallucinogens (other) included
Availability
How difficult would it be for you personally to obtain «drug» within 24 hours
if you wanted some? 1. Impossible 2. Very difficult 3. Fairly difficult 4. Fairly
easy 5. Very easy
Q6 If you wanted to, how difficult would it be for you to obtain drugs such as
marihuana, hashish, cocaine, heroin, LSD, ecstasy or pervitin (methamphetamine)
in 24 hours?
Within the last 12 months, how many times have you been offered <drug>
(either free of charge or to buy)?1) none; 2) once or twice; 3) 3 to 5 times;
4) 6 to 9 times; 5) 10 to 19 times; 6) 20 to 39 times; 7) 40 times or more
Q5 Has anyone ever offered you, either for free or for sale, an illegal drug such as
marihuana, hashish, cocaine, heroin, LSD, ecstasy or pervitin (methamphetamine)?
If so – where, in what sort of environment did it take place?
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient? More as a
criminal; more as a patient; neither criminal nor a patient; don't know,
cannot decide; else
Q10
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People should
be permitted to take hashish or marihuana"? Fully agree, largely agree,
neither agree nor disagree, largely disagree, fully disagree, else
Q8A
To what extent do you agree or disagree with the following statement:
"People should be permitted to take heroin"? Fully agree, largely agree,
neither agree nor disagree, largely disagree, fully disagree, else
Q8B
Opinions about behaviour
INTRO: Individuals differ according to whether or not they disapprove of
people doing certain things. I will mention a few things which some people
may do. Can you tell me if you would not disapprove or disapprove or
strongly disapprove when people do any of these things?
We can approve or disapprove of the behaviour of other people to varying extents. I
will present certain types of behaviour that you might encounter and I would like you
to tell me whether you would object to these types of behaviour or not.
R.C: it doesn’t bother me; I don’t approve of it; I strongly disapprove of it; I don’t
know
Trying ecstasy once or twiceTrying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Q1
A smoking ten or more cigarettes daily
B drinking one or two glasses of alcohol several times a week
C occasionally smoking marijuana or hashish
D trying ecstasy once or twice
E trying pervitin (methamphetamine) once or twice
F trying heroin once or twice
Perception of risk
INTRO: Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I will again
mention a few things, which some people may do. Please tell me if you
consider it to be no risk, a slight risk, a moderate risk or a great risk, if
people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female Q51
What is your age? Q41
Which of the following describes the composition of the household to which
you belong? One person living alone, two partners without children at home,
two partners with children at home, one adult with children at home, other
situation
Q48 What is your current family situation? Single; married; divorced; widowed; other
(describe):
Which of the following best applies to you: you are employed or self-
employed, you are a full-time student, you are unemployed, none of the
above
Q45 R C: SEE COMMENT
What is the highest level of education you have completed? Q43 R C: SEE COMMENT
What is the <identification code> of your home address?
Q2 How much harm do you think people can do to themselves (physically or
otherwise) through the following behaviours: R.C: 1 no risk; a small risk; a medium
risk; a large risk; I don’t know
A trying marihuana/hashish once or twice
B smoking marihuana/hashish regularly
C trying cocaine/crack once or twice
D using cocaine/crack regularly
E trying heroin once or twice
F using heroin regularly
G trying ecstasy once or twice
H using ecstasy regularly
I trying pervitin (methamphetamine) once or twice
J using pervitin (methamphetamine) regularly
K smoking one or more packets of cigarettes a day
L having five or more alcoholic drinks every weekend
Matching GPS Finland to EMQ 2006
Context: Drug use, drug attitudes, drinking patterns
Mode: Mail
2010
Context: Drug use, drug attitudes, drinking patterns
Mode: MailEuropean Model Questionnaire 64 questions 77 questions
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a
pipe? Yes; No; else
Q9 R C: yes, daily or almost daily; yes, occasionally; I used to
but I have given up; I have never smoked
Q9 R.C: yes, daily or almost daily; yes, occasionally; I used to
but I have given up; I have never smoked
Have you ever smoked in past? Yes; No; else see Q9 see Q9
Alternatives: Use of standard prevalence questions
(LTP,LYP,LMP)
Q10 How old were you when you started smoking regularly? I
was __ years old; I have never smoked regularly
Q10 How old were you when you started smoking regularly? I
was __ years old; I have never smoked regularly
2. Alcohol
During the last 12 months have you drunk beer, wine,
spirits or any other alcoholic drink? Yes; No; else
Q12 Have you ever consumed any alcoholic beverages ? Yes,
within the last 12 months; Yes, but not during the last 12
months; Never (if Never, F to Q19)
Q12 Have you consumed alcoholic beverages? Yes, within the
last 30 days; Yes, within the last 12 months; Yes,
occasionally, but not within the last 12 months; NeverHow often do you drink alcohol? 4 times a week; 2-
3 times a week; 2-4 times a month; Once a month or
less; else
Q13 R.C: daily or almost daily; 4-5 times a week; 2-3 times a
week; once a week; 2-3 times a month; about once a month;
about once every two months; 3-4 times a year; once or twice
a year; less than once a year (F to Q18) ; never (F to Q18)
Q13 R.C: daily or almost daily; 4-5 times a week; 2-3 times a
week; once a week; 2-3 times a month; about once a month;
about once every two months; 3-4 times a year; once or twice
a year; less than once a year (F to Q16) ; never (F to Q16)
How often do you drink 6 glasses or more of an
alcoholic drink on the same occasion? Daily or almost
daily; every week; every month; less than once a
month; never; else
Q15 How often, during a single drinking session, do you
consume more than… if you are female : four units or more/if
you are male : six units or more? R C: At least four times a
week; 2-3 times a week; approx. once a week; 1-3 times a
month; 3-10 times a year; 1-2 times a year; never
Q15 How often, during a single drinking session, do you
consume more than… if you are female : four units or more/if
you are male : six units or more? R C: At least four times a
week; 2-3 times a week; approx. once a week; 1-3 times a
month; 3-10 times a year; 1-2 times a year; never
During the last 30 days, have you drunk any alcohol?
Yes; no; else
QUESTION NOT ASKED Q12 Have you consumed alcoholic beverages? Yes, within
the last 30 days; Yes, within the last 12 months; Yes,
occasionally, but not within the last 12 months; Never
During the last 30 days, on how many days did you
drink alcohol? On __ days OR 1. 20 days or more 2.
10-19 days 3. 4-9 days 4. 1-3 days
Q13 How often do you drink alcoholic beverages? R C: daily or
almost daily; 4-5 times a week; 2-3 times a week; once a
week; 2-3 times a month; about once a month; about once
every two months; 3-4 times a year; once or twice a year; less
than once a year (F to Q18) ; never (F to Q18)
Q13 How often do you drink alcoholic beverages? R C: daily or
almost daily; 4-5 times a week; 2-3 times a week; once a
week; 2-3 times a month; about once a month; about once
every two months; 3-4 times a year; once or twice a year; less
than once a year (F to Q16) ; never (F to Q16)
3. Pharmaceuticals In this section; 3 questions (LTP, LYP and LMP) on
pharmaceuticals AND 3 questions (LTP, LYP, LMP) on volatile
substances (see Inhalants below)
During the last 12 months, have you taken any
sedatives or tranquilizers? Yes; No; else
Q20 In the past 12 months, have you tried or used sleeping
pills, sedatives or painkillers for a non medical purpose? Yes
No (if No, go to Q22)
Q40 In the past 12 months, have you tried or used sleeping
pills, sedatives or painkillers for a non medical purpose? Yes
No (if No, F to Q43)
How often do you take sedatives or tranquilizers? 4
times a week; 2-3 times a week; 2-4 times a month;
Once a month or less; else
QUESTION NOT ASKED Q42 How often have you used sleeping pills, sedatives or
painkillers for a non-medical purpose within the last 12
months? R C: Daily; At least once a week; 1-3 times a month;
3-10 times a year; 1-2 times a year; Never
During the last 30 days, have you taken any sedatives
or tranquilizers? Yes; No; else
Q21 In the last 30 days, have you tried or used sleeping pills,
sedatives or painkillers for a non medical purpose? Yes No
Q41 In the last 30 days, have you tried or used sleeping pills,
sedatives or painkillers for a non-medical purpose? Yes No
During the last 30 days, on how many days did you
take sedatives or tranquilizers? On __ days OR 1. 20
days or more 2. 10-19 days 3. 4-9 days 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
How did you obtain sedatives or tranquilizers the last
time you took them? I bought them or had them
prescribed for me by a doctor, I got them from
somebody else I know; I bought them without a
prescription in a pharmacy or drug store; None of the
above applies: else
Q56 (question from section 10/11) Has a doctor prescribed
for you the following pharmaceuticals for treatment of an
illness?
Q72 (question from section 10/11) Has a doctor prescribed
for you the following pharmaceuticals for treatment of an
illness? SEE COMMENT
Q60 Have you ever used a pharmaceutical for weight loss
purposes without a medical prescription? A) diet pills which
contain orlistat (tradename Alli) B) amphetamine derivatives
(e.g.some ADHD medicines) C) Laxatives D) Diuretics (fluid-
eliminating medicines)ADDITIONAL QUESTION Q43 Have you used any of the
abovementioned pharmaceuticals together with alcohol?
4. Illicit drugs
Q25 Do you personally know people who use drugs? Yes No
Q25 Do you personally know people who use drugs? Yes No
Cannabis
Do you personally know people who take cannabis?
Yes; No; else
see Q25 above see Q25 above
Have you ever taken cannabis yourself? Yes; No; else Q34 Have you ever tried or used any intoxicating substances
(eg hashish, marijuana, amphetamines, heroin or other similar
substances)? Yes No (if No, F to Q40)
Q27 Have you ever tried or used any intoxicating substances
(such as hashish, marihuana, amphetamines, heroin or
similar)? Yes No (if No, F to Q35)
At what age did you take cannabis for the first time? Q35 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided SEE
COMMENT
Q28 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided SEE
COMMENT
During the last 12 months, have you taken cannabis?
Yes; No; else
Q36 Have you tried or taken any intoxicating substances in the
past 12 months? Yes No If No, F to Q 40
Q37 If Yes, which ones? SEE COMMENT
Q29 Have you tried or used any intoxicating substances within
the last 12 months? Yes No (if No, F to Q34)
Q30 What substances have you tried or used within the last 12
months? Please mark with an X if the answer is yes
During the last 30 days, have you taken cannabis?
Yes; No; else
Q38 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q40)
Q31 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q33)
During the last 30 days, on how many days did you
take cannabis? On__days OR 1. 20 days or more;
2.10-19 days; 3.4-9 days; 4. 1-3 days
Q39 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Q32 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Ecstasy
Do you personally know people who take ecstasy?
Yes; No; else
Q25 Do you personally know people who use drugs? see Q25 above
Have you ever taken ecstasy yourself? Yes; No; else Q34 Have you ever tried or used any intoxicating substances
(eg hashish, marijuana, amphetamines, heroin or other similar
substances)? Yes No (if No, F to Q40)
Q27 Have you ever tried or used any intoxicating substances
(such as hashish, marihuana, amphetamines, heroin or
similar)? Yes No (if No, F to Q35)
At what age did you take ecstasy for the first time? Q35 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided
Q28 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided SEE
COMMENT
During the last 12 months, have you taken ecstasy?
Yes; No; else
Q36 Have you tried or taken any illicit drugs in the past 12
months? Yes No (if No, F to Q 40)
Q37 If Yes, which ones? SEE COMMENT
Q29 Have you tried or used any intoxicating substances within
the last 12 months? Yes No (if No, F to Q34)
Q30 What substances have you tried or used within the last 12
months? Please mark with an X if the answer is yes
During the last 30 days, have you taken ecstasy? Yes;
No; else
Q38 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q40)
Q31 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q33)
During the last 30 days, on how many days did you
take ecstasy?
Q39 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Q32 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Amphetamines
Do you personally know people who take
amphetamines? Yes; No; else
Q25 Do you personally know people who use drugs? see Q25 above
Have you ever taken amphetamines yourself? Yes;
No; else
Q34 Have you ever tried or used any intoxicating substances
(eg hashish, marijuana, amphetamines, heroin or other similar
substances)? Yes No (if No, F to Q40)
Q27 Have you ever tried or used any intoxicating substances
(such as hashish, marihuana, amphetamines, heroin or
similar)? Yes No (if No, F to Q35)
At what age did you take amphetamines for the first
time?
Q35 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided
SEE COMMENT
Q28 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided
SEE COMMENT
During the last 12 months, have you taken
amphetamines? Yes; No; else
Q36 Have you tried or taken any illicit drugs in the past 12
months? Yes No (if No, F to Q 40)
Q37 If Yes, which ones? SEE COMMENT
Q29 Have you tried or used any intoxicating substances within
the last 12 months? Yes No (if No, F to Q34)
Q30 What substances have you tried or used within the last 12
months? Please mark with an X if the answer is yes
During the last 30 days, have you taken
amphetamines? Yes; No; else
Q38 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q40)
Q31 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q33)
During the last 30 days, on how many days did you
take amphetamines? On----days OR 1. 20 days or
more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
Q39 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Q32 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Cocaine as Cocaine or crack as Cocaine or crack
Do you personally know people who take cocaine?
Yes; No; else
Q25 Do you personally know people who use drugs? see Q25 above
Have you ever taken cocaine yourself? Yes; No; else Q34 Have you ever tried or used any intoxicating substances
(eg hashish, marijuana, amphetamines, heroin or other similar
substances)? Yes No (if No, F to Q40)
Q27 Have you ever tried or used any intoxicating substances
(such as hashish, marihuana, amphetamines, heroin or
similar)? Yes No (if No, F to Q35)
At what age did you take cocaine for the first time? Q35 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided
SEE COMMENT
Q28 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided SEE
COMMENT
During the last 12 months, have you taken cocaine?
Yes; No; else
Q36 Have you tried or taken any illicit drugs in the past 12
months? Yes No (if No, F to Q 40)
Q37 If Yes, which ones? SEE COMMENT
Q29 Have you tried or used any intoxicating substances within
the last 12 months? Yes No (if No, F to Q34)
Q30 What substances have you tried or used within the last 12
months? Please mark with an X if the answer is yes
During the last 30 days, have you taken cocaine? Yes;
No; else
Q38 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q40)
Q31 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q33)
During the last 30 days, on how many days did you
take cocaine? On----days OR 1. 20 days or more; 2.10-
19 days; 3.4-9 days; 4. 1-3 days
Q39 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Q32 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Heroin
Do you personally know people who take heroin? Yes;
No; else
Q25 Do you personally know people who use drugs? see Q25 above
Have you ever taken heroin yourself? Yes; No; else Q34 Have you ever tried or used any intoxicating substances
(eg hashish, marijuana, amphetamines, heroin or other similar
substances)? Yes No (if No, F to Q40)
Q27 Have you ever tried or used any intoxicating substances
(such as hashish, marihuana, amphetamines, heroin or
similar)? Yes No (if No, F to Q35)
At what age did you take heroin for the first time? Q35 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided
SEE COMMENT
Q28 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided
SEE COMMENT
During the last 12 months, have you taken heroin?
Yes; No; else
Q36 Have you tried or taken any illicit drugs in the past 12
months? Yes No (if No, F to Q 40)
Q37 If Yes, which ones? SEE COMMENT
Q29 Have you tried or used any intoxicating substances within
the last 12 months? Yes No (if No, F to Q34)
Q30 What substances have you tried or used within the last 12
months? Please mark with an X if the answer is yes
During the last 30 days, have you taken heroin? Yes;
No; else
Q38 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q40)
Q31 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q33)
During the last 30 days, on how many days did you
take heroin? On----days OR 1. 20 days or more; 2.10-
19 days; 3.4-9 days; 4. 1-3 days
Q39 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Q32 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Relevin (not mandatory) EMQ COVERED EMQ COVERED
LSD
Do you personally know people who take LSD? Yes;
No; else
Q25 Do you personally know people who use drugs? see Q25 above
Have you ever taken LSD yourself? Yes; No; else Q34 Have you ever tried or used any intoxicating substances
(eg hashish, marijuana, amphetamines, heroin or other similar
substances)? Yes No (if No, F to Q40)
Q27 Have you ever tried or used any intoxicating substances
(such as hashish, marihuana, amphetamines, heroin or
similar)? Yes No (if No, F to Q35)
At what age did you take LSD for the first time? Q35 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided SEE
COMMENT
Q28 Have you ever used or tried any of the following, and if
yes, how old were you when you first tried it and when you last
used it? Please mark with an X if the answer is yes, and write
your corresponding age(s) in the space provided
SEE COMMENT
During the last 12 months, have you taken LSD? Yes;
No; else
Q36 Have you tried or taken any illicit drugs in the past 12
months? Yes No (if No, F to Q 40)
Q37 If Yes, which ones? SEE COMMENT
Q29 Have you tried or used any intoxicating substances within
the last 12 months? Yes No (if No, F to Q34)
Q30 What substances have you tried or used within the last 12
months? Please mark with an X if the answer is yes
During the last 30 days, have you taken LSD? Yes;
No; else
Q38 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q40)
Q31 Have you tried or used any intoxicating substances within
the last 30 days? Yes No (if No, F to Q33)
During the last 30 days, on how many days did you
take LSD? On----days OR 1. 20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
Q39 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Q32 What substances have you used or tried within the last 30
days and on how many days? Please mark with an X if the
answer is yes and write the number of days in the space
provided SEE COMMENT
Inhalants Q22 Have you ever used or tried glues, thinners, solvents or
similar for intoxicating purposes? Yes No (If Yes then Q23
LYP, if Yes at Q23 then Q24 LMP)
Q46 Have you ever used or tried glues, thinners, solvents or
similar for intoxicating purposes? Yes No (If Yes then Q47
LYP, if Yes at Q47 then Q48 LMP)
Hallucinogens (other) Magic mushrooms, covered Magic mushrooms, covered
Availability
Within the last 12 months, how many times have you
been offered <drug> (either free of charge or to
buy)?1) none; 2) once or twice; 3) 3 to 5 times; 4) 6
to 9 times; 5) 10 to 19 times; 6) 20 to 39 times; 7) 40
times or more
Q26 Have you ever been offered any intoxicating substances,
for free or to buy? A) Ever, in your lifetime? R.C: Yes, for free;
Yes, to buy; Yes, both for free and to buy; No B) Within the last
12 months? R.C: Yes, for free; Yes, to buy; Yes, both for free
Q26 Have you ever been offered any intoxicating substances,
for free or to buy? A) Ever, in your lifetime? R.C: Yes, for free;
Yes, to buy; Yes, both for free and to buy; No B) Within the last
12 months? R.C: Yes, for free; Yes, to buy; Yes, both for free
5. Opinions
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as
a patient? More as a criminal; more as a patient;
neither criminal nor a patient; don't know, cannot
decide; else
QUESTION NOT ASKED QUESTION NOT ASKED
Opinions about drug policies (not mandatory)
To what extent do you agree with the following
statement: "People should be permitted to take
hashish or marihuana"? Fully agree, largely agree,
neither agree nor disagree, largely disagree, fully
disagree, else
QUESTION NOT ASKED Q61 What is your opinion on the following statements?
To what extent do you agree or disagree with the
following statement: "People should be permitted to
take heroin"? Fully agree, largely agree, neither agree
nor disagree, largely disagree, fully disagree, else
QUESTION NOT ASKED QUESTION NOT ASKED
Opinions about behaviour
INTRO: Individuals differ according to whether or not
they disapprove of people doing certain things. I will
mention a few things which some people may do. Can
you tell me if you would not disapprove or disapprove
or strongly disapprove when people do any of these
things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
INTRO: Now I would like to know how much you think
people risk harming themselves, physically or in other
ways, if they do certain things. I will again mention a
few things, which some people may do. Please tell me
if you consider it to be no risk, a slight risk, a moderate
risk or a great risk, if people do any of these things?
Smoke one or more packs of cigarettes a day Q29a Q19a
Having five or more drinks each weekend Q29b Q19b Drinking enough to become intoxicated at least once a
week
Smoke hashish or marijuana regularly Q29d Q19d
Try ecstasy once or twice Q29e Q19e
Try cocaine once or twice QUESTION NOT ASKED QUESTION NOT ASKED
6. Respondent attributes
Please indicate if you are a male or female 1. male 2.
female
Q1 Q1
What is your age? Q2 What year were you born in? Q2 What year were you born in?
Which of the following describes the composition of
the household to which you belong? One person living
alone, two partners without children at home, two
partners with children at home, one adult with children
at home, other situation
Q5 Who lives in the same household as you? R C:
I live alone
I live with my family
I live with another person(s)
Q5 Who lives in the same household as you? R C:
I live alone
I live with my family
I live with another person(s)
Which of the following best applies to you: you are
employed or self-employed, you are a full-time student,
you are unemployed, none of the above
Q62 Q75 (Section 11)
What is the highest level of education you have
completed?
Q7 (basic education), Q8 (vocational training) Q7 (basic education), Q8 (vocational training)
What is the <identification code> of your home
address?
Q20 In your opinion, which of the following should be
punishable by law? R C: Not Punishable/Punishable
SEE COMMENT
Q30 Q20 In your opinion, which of the following should be
punishable by law? R C: Not Punishable/Punishable
SEE COMMENT
Matching GPS Sweden Health Information Survey to EMQ 2007
Context: Health Information Survey
Mode: self-completion (by mail and/or internet)
76 questions
2010
Context: Health Information Survey
Mode: self-completion (by mail and/or internet)
82 questions
European Model Questionnaire
1. Tobacco
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes; No; else Q41 Do you smoke daily? Yes No
Q42 Do you ever smoke ocasionally? No Yes
Q43 Do you smoke daily?
Have you ever smoked in past? Yes; No; else Q43 Have you smoked before for at least 6 months?
No Yes
Q45 Have you previously smoked daily for at least 6 months?
No Yes
Alternatives: Use of standard prevalence questions (LTP,LYP,LMP) n.b. Q42 and Q43 asked only if answer is No for
Q41
2. Alcohol
During the last 12 months, have you drunk beer, wine, spirits or any other
alcoholic drink? Yes; No; else
Q52 How often have you drunk alcohol during the
past 12 months? 4 times a week or more; 2-3 times
a week; 2-4 times a month; Once a month or more
seldom; Never
QUESTION NOT ASKED
How often do you drink alcohol? 4 times a week; 2-3 times a week; 2-4
times a month; Once a month or less; else
see Q52 Q56 How often have you drunk alcohol during the past 12
months?
How often do you drink 6 glasses or more of an alcoholic drink on the same
occasion? Daily or almost daily; every week; every month; less than once
a month; never; else
Q54 Q58
During the last 30 days, have you drunk any alcohol? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, on how many days did you drink alcohol?
On__days, OR 1. 20 days or more; 2. 10-19 days; 3. 4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or tranquilizers?
Yes; No; else
Q31 Have you during the past three months used
one or more of the following medical preparations?
Put a cross on every line SEE COMMENT
Q30 Have you during the past three months used one of the
following medical preparations?
How often do you take sedatives or tranquilizers? 4 times a week or more;
2-3 times a week; 2-4 times a month; once a month or less
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, have you taken any sedatives or tranquilizers?
Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, on how many days did you take sedatives or
tranquilizers? On__days, OR 1. 20 days or more; 2. 10-19 days; 3. 4-9
days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
How did you obtain sedatives or tranquilizers the last time you took them? I
bought them or had them prescribed for me by a doctor, I got them from
somebody else I know; I bought them without a prescription in a pharmacy
or drug store; None of the above applies: else
QUESTION NOT ASKED QUESTION NOT ASKED
4. Illicit drugs
Cannabis
Do you personally know people who take cannabis? Yes; No; else QUESTION NOT ASKED
Have you ever taken cannabis yourself? Yes; No; else Q48 Have you ever used Hash or Marijuana? R C:
No; Yes, more than one year ago; Yes, in the past
year; Yes, in the past few months
At what age did you take cannabis for the first time? QUESTION NOT ASKED
During the last 12 month, have you taken cannabis? Yes; No; else QUESTION NOT ASKED
During the last 30 days, have you taken cannabis? Yes; No; else QUESTION NOT ASKED
During the last 30 days, on how many days did you take cannabis? Daily or
almost daily; Several times a week; at least once a week; less than once a
week; else
QUESTION NOT ASKED
Ecstasy SECTION NOT ASKED
Do you personally know people who take ecstasy? Yes; No; else
Have you ever taken ecstasy yourself? Yes; No; else
At what age did you take ecstasy for the first time?
During the last 12 months, have you taken ecstasy? Yes; No; else
During the last 30 days, have you taken ecstasy? Yes; No; else
During the last 30 days, on how many days did you taken ecstasy? Daily or
almost daily; several times a week; at least once a week; less than once a
week; else
Amphetamines SECTION NOT ASKED
Do you personally know people who take amphetamines? Yes; No; else
Have you ever taken amphetamines yourself? Yes; No; else
At what age did you take amphetamines for the first time?
During the last 12 months, have you taken amphetamines? Yes; No; else
During the last 30 days, have you taken amphetamines? Yes; No; else
During the last 30 days, on how many days did you taken amphetamines?
Daily or almost daily; several times a week; at least once a week; less than
once a week; else
Cocaine SECTION NOT ASKED
Do you personally know people who take cocaine? Yes; No; else
Have you ever taken cocaine yourself? Yes; No; else
At what age did you take cocaine for the first time?
During the last 12 months, have you taken cocaine? Yes; No; else
During the last 30 days, have you taken cocaine? Yes; No; else
During the last 30 days, on how many days did you taken cocaine? Daily
or almost daily; several times a week; at least once a week; less than once
a week; else
Heroin SECTION NOT ASKED
Do you personally know people who take heroin? Yes; No; else
Have you ever taken heroin yourself? Yes; No; else
At what age did you take heroin for the first time?
During the last 12 months, have you taken heroin? Yes; No; else
During the last 30 days, have you taken heroin? Yes; No; else
During the last 30 days, on how many days did you taken heroin? Daily or
almost daily; several times a week; at least once a week; less than once a
week; else
Relevin (not mandatory) QUESTION NOT ASKED
LSD SECTION NOT ASKED
Do you personally know people who take LSD? Yes; No; else
Have you ever taken LSD yourself? Yes; No; else
At what age did you take LSD for the first time?
During the last 12 months, have you taken LSD? Yes; No; else
During the last 30 days, have you taken LSD? Yes; No; else
During the last 30 days, on how many days did you taken LSD? Daily or
almost daily; Several times a week; at least once a week; less than once a
week; else
5. Opinions SECTION NOT ASKED
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient? More as
a criminal; more as a patient; neither criminal nor a patient; don't know,
cannot decide; else
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People should
be permitted to take hashish or marihuana"? Fully agree, largely agree,
neither agree nor disagree, largely disagree, fully disagree, else
To what extent do you agree or disagree with the following statement:
"People should be permitted to take heroin"? Fully agree, largely agree,
neither agree nor disagree, largely disagree, fully disagree, else
Opinions about behaviour
INTRO: Individuals differ according to whether or not they disapprove of
people doing certain things. I will mention a few things which some people
may do. Can you tell me if you would not disapprove or disapprove or
strongly disapprove when people do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
INTRO: Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I will again
mention a few things, which some people may do. Please tell me if you
consider it to be no risk, a slight risk, a moderate risk or a great risk, if
people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or female 1. male 2. female Q74 Q79 Are you man or a woman?
What is your age? Q73 Year of birth Q78 What year were you born?
Which of the following describes the composition of the household to which
you belong? One person living alone, two partners without children at
home, two partners with children at home, one adult with children at home,
other situation
Q76 Q82 With whom do you share your home? How old are the
children you live with/who live with you?
Which of the following best applies to you: you are employed or self-
employed, you are a full-time student, you are unemployed, none of the
above
Q58 Q 63 What is your present occupation?
What is the highest level of education you have completed? Statistics education from SCB and not from the questionnaire
http://www.scb.se/default____2154.aspx
What is the <identification code> of your home address?
Matching GPS United Kingdom (British Crime Survey)
to EMQ
2007/2008
Context: Victimisation survey
Mode: CAPI
2008/2009
Context: Victimisation survey
Mode: CAPI
2010/2011 DRAFT
Context: Victimisation survey
Mode: CAPI
Questions on Currently legal highs (khat and
mephedrone) included
European Model Questionnaire
Mode implications: NONRESP [ASK ALL 16-59]
INTERVIEWER: HAS THE RESPONDENT ACCEPTED
THE SELF-COMPLETION?
1. Self-completion accepted
2. Self-completion refused
3. Completed by interviewer
NONRESP [ASK ALL AGE 16-69] INTERVIEWER:
HAS THE RESPONDENT ACCEPTED THE SELF-
COMPLETION?
1. Self-completion accepted 2. Self-completion
refused 3. Completed by interviewer
self-completion:
NONRESP [ASK ALL AGE 16-59]
INTERVIEWER: HAS THE RESPONDENT
ACCEPTED THE SELF-COMPLETION? 1. Self-
completion accepted 2. Self-completion refused
3. Completed by interviewer
1. Tobacco SECTION NOT ASKED SECTION NOT ASKED SECTION NOT ASKED
Do you smoke tobacco, such as cigarettes, cigars or a
pipe? Yes; No; else
Have you ever smoked in past? Yes; No; else
2. Alcohol
During the last 12 months have you drunk beer, wine,
spirits or any other alcoholic drink? Yes; No; else
ALCOFT [ASK ALL 16-30 IF NONRESP=1 OR 3]
First, thinking about ALL kinds of alcoholic drink, how often
have you had an alcoholic
drink of any kind during the last 12 months?
1. Almost every day
2. 5 or 6 days a week
3. 3 or 4 days a week
4. Once or twice a week
5. Once or twice a month
6. Once every couple of months
7. Once or twice a year
8. Not at all in last 12 months
9. Do not drink alcohol at all
10. Don't want to answer
ALCOFT [ASK ALL 16-30 IF NONRESP=1 OR 3]
First, thinking about ALL kinds of alcoholic drink,
how often have you had an alcoholic drink of any
kind during the last 12 months?
1. Almost every day
2. 5 or 6 days a week
3. 3 or 4 days a week
4. Once or twice a week
5. Once or twice a month
6. Once every couple of months
7. Once or twice a year
8. Not at all in last 12 months
9. Do not drink alcohol at all
10. Don't want to answer
ALCOFT [ASK ALL 16-59 IF NONRESP=1 OR 3]
First, thinking about ALL kinds of alcoholic drink,
how often have you had an alcoholic drink of any
kind during the last 12 months ?
1. Almost every day
2. 5 or 6 days a week
3. 3 or 4 days a week
4. Once or twice a week
5. Once or twice a month
6. Once every couple of months
7. Once or twice a year
8. Not at all in last 12 months
9. Do not drink alcohol at all
10. Don't want to answer
How often do you drink alcohol? 4 times a week; 2-3
times a week; 2-4 times a month; Once a month or less;
else
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
How often do you drink 6 glasses or more of an alcoholic
drink on the same occasion? Daily or almost daily; every
week; every month; less than once a month; never; else
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, have you drunk any alcohol? Yes;
No; else
see below see below see below
During the last 30 days, on how many days did you drink
alcohol? On__days, OR 1. 20 days or more; 2. 10-19 days;
3. 4-9 days; 4. 1-3 days
ANYALCOF [ASK IF ALCOFT IN (1..5)]
You've told us about what you have drunk over the last 12
months. However, what people drink can vary a lot over a
year, so the next few questions are about just the LAST
MONTH.
How often have you had an alcoholic drink of any kind
during the LAST MONTH?
1. Almost every day
2. 5 or 6 days a week
3. 3 or 4 days a week
4. Once or twice a week
5. Once or twice a month
6. Not at all in the last month
7. Don't want to answer
ANYALCOF [ASK IF ALCOFT IN (1..5)] You've told
us about what you have drunk over the last 12
months. However, what people drink can vary a lot
over a year, so the next few questions are about
just the LAST MONTH. How often have you had
an alcoholic drink of any kind during the LAST
MONTH?
1. Almost every day
2. 5 or 6 days a week
3. 3 or 4 days a week
4. Once or twice a week
5. Once or twice a month
6. Not at all in the last month
7. Don't want to answer
ANYALCOF [ASK IF ALCOFT IN (1..5)]
You've told us about what you have drunk over the
last 12 months. However, what people drink can
vary a lot over a year, so the next few questions are
about just the LAST MONTH.
How often have you had an alcoholic drink of any
kind during the LAST MONTH?
1. Almost every day
2. 5 or 6 days a week
3. 3 or 4 days a week
4. Once or twice a week
5. Once or twice a month
6. Not at all in the last month
7. Don't want to answer
3. Pharmaceuticals
During the last 12 months, have you taken any sedatives or
tranquilizers? Yes; No; else
DRQ11A
DRQ11B [ASK IF DRQ11A=1]
In the last 12 MONTHS have you taken TRANQUILIZERS
(TEMAZEPAM, VALIUM)
(not prescribed by a doctor)?
1. Yes 2. No 3. Don't want to answer
see DRQ11A
DRQ11B [ASK IF DRQ11A=1] In the last 12
MONTHS have you taken TRANQUILIZERS
(TEMAZEPAM, VALIUM) (not prescribed by a
doctor)?
1. Yes 2. No 3. Don't want to answer
DRQ11B [ASK IF DRQ11A=1]
In the last 12 MONTHS have you taken
TRANQUILIZERS (TEMAZEPAM, VALIUM,
ROOFIES, JELLIES) (not prescribed by a doctor)?
1. Yes 2. No 3. Don't want to answer
UK - Additional Question for ages 16-24 DRQ11G [ASK IF DRQ11B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you taken
TRANQUILIZERS (TEMAZEPAM, VALIUM)?
1. Every day 2. 3 to 5 days a week 3. Once or twice a week
4. 2 or 3 times a month 5. Once a month 6. Once every
couple of months 7. Once or twice this year 8. Don't Know
9. Don't want to answer
DRQ11G [ASK IF DRQ11B=YES AND AGE = 16-
24] How often during the last 12 MONTHS have
you taken TRANQUILIZERS (TEMAZEPAM,
VALIUM)? 1. Every day 2. 3 to 5 days a week 3.
Once or twice a week 4. 2 or 3 times a month 5.
Once a month 6. Once every couple of months 7.
Once or twice this year 8. Don't Know 9. Don't want
to answer
QUESTION NOT ASKED
How often do you take sedatives or tranquilizers? 4 times a
week; 2-3 times a week; 2-4 times a month; Once a month
or less; else
see above see above
During the last 30 days, have you taken any sedatives or
tranquilizers? Yes; No; else
DRQ11C [ASK IF DRQ11B=1]
In the LAST MONTH have you taken TRANQUILIZERS
(TEMAZEPAM, VALIUM) (not
prescribed by a doctor)?
1. Yes 2. No 3. Don't want to answer
DRQ11C [ASK IF DRQ11B=1]
In the LAST MONTH have you taken
TRANQUILIZERS (TEMAZEPAM, VALIUM) (not
prescribed by a doctor)?
1. Yes 2. No 3. Don't want to answer
DRQ11C [ASK IF DRQ11B=1]
In the LAST MONTH have you taken
TRANQUILIZERS (TEMAZEPAM, VALIUM,
ROOFIES, JELLIES) (not prescribed by a doctor)?
1. Yes 2. No 3. Don't want to answer
During the last 30 days, on how many days did you take
sedatives or tranquilizers? On__days, OR 1.20 days or
more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
How did you obtain sedatives or tranquilizers the last time
you took them? I bought them or had them prescribed for
me by a doctor, I got them from somebody else I know; I
bought them without a prescription in a pharmacy or drug
store; None of the above applies: else
DRQ11A [ASK ALL AGE 16-59 IF NONRESP=1 OR 3]
Have you EVER taken TRANQUILIZERS (TEMAZEPAM,
VALIUM, ROOFIES, JELLIES) (not prescribed by a doctor),
even if it was a long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to answer
DRQ11A [ASK ALL AGE 16-59 IF NONRESP=1
OR 3]
Have you EVER taken TRANQUILIZERS
(TEMAZEPAM, VALIUM, ROOFIES, JELLIES)
(not prescribed by a doctor), even if it was a long
time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
DRQ11A [ASK ALL AGE 16-59 IF NONRESP=1 OR
3]
Have you EVER taken TRANQUILIZERS
(TEMAZEPAM, VALIUM, ROOFIES, JELLIES) (not
prescribed by a doctor), even if it was a long time
ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
4. Illicit drugs
Cannabis Questions on amphetamines and metamphetamines
precede the cannabis question
Do you personally know people who take cannabis? Yes;
No; else
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cannabis yourself? Yes; No; else DRQ2A [ASK ALL AGE 16-59 IF NONRESP=1 OR 3]
Have you EVER taken CANNABIS (MARIJUANA, GRASS,
HASH, GANJA, BLOW,
DRAW, SKUNK, WEED, SPLIFF), even if it was a long
time ago?
1. Yes
2. No
3. Never heard of it
4. Don't want to answer
DRQ2A [ASK ALL AGE 16-69 IF NONRESP=1 OR
3]
Have you EVER taken CANNABIS (MARIJUANA,
GRASS, HASH, GANJA, BLOW, DRAW, SKUNK,
WEED, SPLIFF), even if it was a long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
DRQ2A [ASK ALL AGE 16-59 IF NONRESP=1 OR
3]
Have you EVER taken CANNABIS (MARIJUANA,
GRASS, HASH, GANJA, BLOW, DRAW, SKUNK,
WEED, SPLIFF, DOPE), even if it was a long time
ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
At what age did you take cannabis for the first time? QUESTION NOT ASKED QUESTION NOT ASKED DRQ2D [ASK IF DRQ2A=1 AND AGE=16-59]
Around what age did you FIRST take CANNABIS
(MARIJUANA, GRASS, HASH, GANJA, BLOW,
DRAW, SKUNK, WEED, SPLIFF, DOPE)?
0..59
99 = Don't want to answer
During the last 12 months, have you taken cannabis? Yes;
No; else
DRQ2B [ASK IF DRQ2A=1]
In the last 12 MONTHS have you taken CANNABIS
(MARIJUANA, GRASS, HASH, GANJA, BLOW, DRAW,
SKUNK, WEED, SPLIFF)?
1. Yes
2. No
3. Don't want to answer
DRQ2B [ASK IF DRQ2A=1]
In the last 12 MONTHS have you taken
CANNABIS (MARIJUANA, GRASS, HASH,
GANJA, BLOW, DRAW, SKUNK, WEED,
SPLIFF)?
1. Yes 2. No 3. Don't want to answer
DRQ2B [ASK IF DRQ2A=1]
In the last 12 MONTHS have you taken CANNABIS
(MARIJUANA, GRASS, HASH, GANJA, BLOW,
DRAW, SKUNK, WEED, SPLIFF, DOPE)?
1. Yes 2. No 3. Don't want to answer
UK - Additional Question for ages 16-24 DRQ2G [ASK IF DRQ2B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you taken
CANNABIS (MARIJUANA,
GRASS, HASH, GANJA, BLOW, DRAW, SKUNK, WEED,
SPLIFF)?
1. Every day 2. 3 to 5 days a week 3. Once or twice a week
4. 2 or 3 times a month 5. Once a month 6. Once every
couple of months 7. Once or twice this year 8. Don't Know
9. Don't want to answer
DRQ2G [ASK IF DRQ2B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you
taken CANNABIS (MARIJUANA, GRASS, HASH,
GANJA, BLOW, DRAW, SKUNK, WEED,
SPLIFF)?
1. Every day 2. 3 to 5 days a week 3. Once or twice
a week 4. 2 or 3 times a month 5. Once a month 6.
Once every couple of months 7. Once or twice this
year 8. Don't Know 9. Don't want to answer
QUESTION NOT ASKED
During the last 30 days, have you taken cannabis? Yes;
No; else
DRQ2C [ASK IF DRQ2B=1]
In the LAST MONTH have you taken CANNABIS
(MARIJUANA, GRASS, HASH,
GANJA, BLOW, DRAW, SKUNK, WEED, SPLIFF)?
1. Yes
2. No
3. Don't want to answer
DRQ2C [ASK IF DRQ2B=1]
In the LAST MONTH have you taken CANNABIS
(MARIJUANA, GRASS, HASH, GANJA, BLOW,
DRAW, SKUNK, WEED, SPLIFF)?
1. Yes 2. No 3. Don't want to answer
DRQ2C [ASK IF DRQ2B=1]
In the LAST MONTH have you taken CANNABIS
(MARIJUANA, GRASS, HASH, GANJA, BLOW,
DRAW, SKUNK, WEED, SPLIFF, DOPE)?
1. Yes 2. No 3. Don't want to answer
During the last 30 days, on how many days did you take
cannabis? On__days, OR 1.20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED DRQ2H [ASK IF DRQ2C=YES AND AGE = 16-59]
How often during the last MONTH have you taken
CANNABIS (MARIJUANA, GRASS, HASH, GANJA,
BLOW, DRAW, SKUNK, WEED, SPLIFF, DOPE)?
1. Daily or almost daily
2. Several times a week
3. At least once a week
4. Less than once a week
5. Don't Know
6. Don't want to answer
Ecstasy
Do you personally know people who take ecstasy? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes; No; else DRQ5A [ASK ALL AGE 16-59 IF NONRESP=1 OR 3]
Have you EVER taken ECSTASY ('E'), even if it was a long
time ago?
1. Yes
2. No
3 Never heard of it
4. Don't want to answer
DRQ5A [ASK ALL AGE 16-69 IF NONRESP=1 OR
3]
Have you EVER taken ECSTASY ('E'), even if it
was a long time ago?
1. Yes 2. No 3 Never heard of it 4. Don't want to
answer
DRQ5A [ASK ALL AGE 16-59 IF NONRESP=1 OR
3]
Have you EVER taken ECSTASY ('E', MDMA), even
if it was a long time ago?
1. Yes 2. No 3 Never heard of it 4. Don't want to
answer
At what age did you take ecstasy for the first time? QUESTION NOT ASKED QUESTION NOT ASKED DRQ5D [ASK IF DRQ5A=1 AND AGE=16-59]
Around what age did you FIRST take ECSTASY ('E',
MDMA)?
0..59
99 = Don't want to answer
During the last 12 months, have you taken ecstasy? Yes;
No; else
DRQ5B [ASK IF DRQ5A=1]
In the last 12 MONTHS have you taken ECSTASY ('E')?
1. Yes
2. No
3. Don't want to answer
DRQ5B [ASK IF DRQ5A=1]
In the last 12 MONTHS have you taken ECSTASY
('E')?
1. Yes 2. No 3. Don't want to answer
DRQ5B [ASK IF DRQ5A=1]
In the last 12 MONTHS have you taken ECSTASY
('E', MDMA)?
1. Yes 2. No 3. Don't want to answer
UK - Additional Question for ages 16-24 DRQ5G [ASK IF DRQ5B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you taken
ECSTASY ('E')?
1. Every day 2. 3 to 5 days a week 3. Once or twice a week
4. 2 or 3 times a month 5. Once a month 6. Once every
couple of months 7. Once or twice this year 8. Don't Know
9. Don't want to answer
DRQ5G [ASK IF DRQ5B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you
taken ECSTASY ('E')?
1. Every day 2. 3 to 5 days a week 3. Once or twice
a week 4. 2 or 3 times a month 5. Once a month 6.
Once every couple of months 7. Once or twice this
year 8. Don't Know 9. Don't want to answer
QUESTION NOT ASKED
During the last 30 days, have you taken ecstasy? Yes; No;
else
DRQ5C [ASK IF DRQ5B=1]
In the LAST MONTH have you taken ECSTASY ('E')?
1. Yes
2. No
3. Don't want to answer
DRQ5C [ASK IF DRQ5B=1]
In the LAST MONTH have you taken ECSTASY
('E')?
1. Yes 2. No 3. Don't want to answer
DRQ5C [ASK IF DRQ5B=1]
In the LAST MONTH have you taken ECSTASY ('E',
MDMA)?
1. Yes,2. No 3. Don't want to answer
During the last 30 days, on how many days did you take
ecstasy? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED DRQ5H [ASK IF DRQ5C=YES AND AGE = 16-59]
How often during the LAST MONTH have you taken
ECSTASY ('E', MDMA)?
1. Daily or almost daily
2. Several times a week
3. At least once a week
4. Less than once a week
5. Don't Know
6. Don't want to answer
Amphetamines
Do you personally know people who take amphetamines?
Yes; No; else
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken amphetamines yourself? Yes; No;
else
DRQ1A [ASK ALL AGE 16-59 IF NONRESP=1 OR 3]
Have you EVER taken AMPHETAMINES (SPEED, WHIZZ,
UPPERS, BILLY), even if it was a long time ago?
1. Yes
2. No
3. Never heard of it
4. Don't want to answer
DRQ1A [ASK ALL AGE 16-69 IF NONRESP=1 OR
3] Have you EVER taken AMPHETAMINES
(SPEED, WHIZZ, UPPERS, BILLY), even if it was
a long time ago? 1. Yes 2. No 3. Never heard of it
4. Don't want to answer
DRQ1A [ASK ALL AGE 16-59 IF NONRESP=1 OR
3]
Have you EVER taken AMPHETAMINES (SPEED,
WHIZZ, UPPERS, BILLY, SULPHATE, CRANK,
PASTE), even if it was a long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
At what age did you take amphetamines for the first time? QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
During the last 12 months, have you taken amphetamines?
Yes; No; else
DRQ1B [ASK IF DRQ1A=1]
In the last 12 MONTHS have you taken AMPHETAMINES
(SPEED, WHIZZ, UPPERS, BILLY)?
1. Yes
2. No
3. Don't want to answer
DRQ1B [ASK IF DRQ1A=1]
In the last 12 MONTHS have you taken
AMPHETAMINES (SPEED, WHIZZ, UPPERS,
BILLY)?
1. Yes 2. No 3. Don't want to answer
DRQ1B [ASK IF DRQ1A=1]
In the last 12 MONTHS have you taken
AMPHETAMINES (SPEED, WHIZZ, UPPERS,
BILLY, SULPHATE, CRANK, PASTE)?
1. Yes 2. No 3. Don't want to answer
UK - Additional Question for ages 16-24 DRQ1G [ASK IF DRQ1B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you taken
AMPHETAMINES (SPEED, WHIZZ, UPPERS, BILLY)?
1. Every day 2. 3 to 5 days a week 3. Once or twice a week
4. 2 or 3 times a month 5. Once a month 6. Once every
couple of months 7. Once or twice this year 8. Don't Know
9. Don't want to answer
DRQ1G [ASK IF DRQ1B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you
taken AMPHETAMINES (SPEED, WHIZZ,
UPPERS, BILLY)?
1. Every day 2. 3 to 5 days a week 3. Once or twice
a week 4. 2 or 3 times a month 5. Once a month 6.
Once every couple of months 7. Once or twice this
year 8. Don't Know 9. Don't want to answer
QUESTION NOT ASKED
During the last 30 days, have you taken amphetamines?
Yes; No; else
DRQ1C [ASK IF DRQ1B=1]
In the LAST MONTH have you taken AMPHETAMINES
(SPEED, WHIZZ, UPPERS,
BILLY)?
1. Yes 2. No 3. Don't want to answer
DRQ1C [ASK IF DRQ1B=1]
In the LAST MONTH have you taken
AMPHETAMINES (SPEED, WHIZZ, UPPERS,
BILLY)?
1. Yes 2. No 3. Don't want to answer
DRQ1C [ASK IF DRQ1B=1]
In the LAST MONTH have you taken
AMPHETAMINES (SPEED, WHIZZ, UPPERS,
BILLY, SULPHATE, CRANK, PASTE)?
1. Yes 2. No 3. Don't want to answer
During the last 30 days, on how many days did you take
amphetamines? On__days, OR 1.20 days or more; 2.10-19
days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
Cocaine
Do you personally know people who take cocaine? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes; No; else DRQ3A [ASK ALL AGE 16-59 IF NONRESP=1 OR 3]
Have you EVER taken COCAINE/COKE, even if it was a
long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to answer
DRQ3A [ASK ALL AGE 16-69 IF NONRESP=1 OR
3]
Have you EVER taken COCAINE/COKE, even if it
was a long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
DRQ3A [ASK ALL AGE 16-59 IF NONRESP=1 OR
3]
Have you EVER taken COCAINE POWDER (COKE,
CHARLIE) even if it was a long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
At what age did you take cocaine for the first time? QUESTION NOT ASKED QUESTION NOT ASKED DRQ3D [ASK IF DRQ3A=1 AND AGE=16-59]
Around what age did you FIRST take COCAINE
POWDER (COKE, CHARLIE)?
0..59
99 = Don't want to answer
During the last 12 months, have you taken cocaine? Yes;
No; else
DRQ3B [ASK IF DRQ3A=1]
In the last 12 MONTHS have you taken COCAINE/COKE?
1. Yes
2. No
3. Don't want to answer
DRQ3B [ASK IF DRQ3A=1]
In the last 12 MONTHS have you taken
COCAINE/COKE?
1. Yes 2. No 3. Don't want to answer
DRQ3B [ASK IF DRQ3A=1]
In the last 12 MONTHS have you taken COCAINE
POWDER (COKE, CHARLIE)?
1.Yes 2. No 3. Don't want to answer
UK - Additional Question for ages 16-24 DRQ3G [ASK IF DRQ3B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you taken
COCAINE/COKE?
1. Every day 2. 3 to 5 days a week 3. Once or twice a week
4. 2 or 3 times a month 5. Once a month 6. Once every
couple of months 7. Once or twice this year 8. Don't Know
9. Don't want to answer
DRQ3G [ASK IF DRQ3B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you
taken COCAINE/COKE? 1. Every day 2. 3 to 5
days a week 3. Once or twice a week 4. 2 or 3
times a month 5. Once a month 6. Once every
couple of months 7. Once or twice this year 8.
Don't Know 9. Don't want to answer
QUESTION NOT ASKED
During the last 30 days, have you taken cocaine? Yes; No;
else
DRQ3C [ASK IF DRQ3B=1]
In the LAST MONTH have you taken COCAINE/COKE?
1. Yes
2. No
3. Don't want to answer
DRQ3C [ASK IF DRQ3B=1]
In the LAST MONTH have you taken
COCAINE/COKE?
1. Yes 2. No 3. Don't want to answer
DRQ3C [ASK IF DRQ3B=1]
In the LAST MONTH have you taken COCAINE
POWDER (COKE, CHARLIE)?
1. Yes 2. No 3. Don't want to answer
During the last 30 days, on how many days did you take
cocaine? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED DRQ3H [ASK IF DRQ3C=YES AND AGE = 16-59]
How often during the LAST MONTH have you taken
COCAINE POWDER (COKE, CHARLIE)?
1. Daily or almost daily
2. Several times a week
3. At least once a week
4. Less than once a week
5. Don't Know
6. Don't want to answer
Heroin
Do you personally know people who take heroin? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else DRQ6A [ASK ALL AGE 16-59 IF NONRESP=1 OR 3]
Have you EVER taken HEROIN (SMACK, 'H', BROWN),
even if it was a long time ago?
1. Yes
2. No
3. Never heard of it
4. Don't want to answer
DRQ6A [ASK ALL AGE 16-69 IF NONRESP=1 OR
3]
Have you EVER taken HEROIN (SMACK, 'H',
BROWN), even if it was a long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
DRQ6A [ASK ALL AGE 16-59 IF NONRESP=1 OR
3]
Have you EVER taken HEROIN (SMACK, 'H',
BROWN), even if it was a long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
At what age did you take heroin for the first time? QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
During the last 12 months, have you taken heroin? Yes;
No; else
DRQ6B [ASK IF DRQ6A=1]
In the last 12 MONTHS have you taken HEROIN
(SMACK,'H', BROWN)?
1. Yes 2. No 3. Don't want to answer
DRQ6B [ASK IF DRQ6A=1]
In the last 12 MONTHS have you taken HEROIN
(SMACK,'H', BROWN)?
1. Yes 2. No 3. Don't want to answer
DRQ6B [ASK IF DRQ6A=1]
In the last 12 MONTHS have you taken HEROIN
(SMACK,'H', BROWN)?
1. Yes 2. No 3. Don't want to answer
UK - Additional Question for ages 16-24 DRQ6G [ASK IF DRQ6B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you taken
HEROIN (SMACK,'H', BROWN)?
1. Every day 2. 3 to 5 days a week 3. Once or twice a week
4. 2 or 3 times a month 5. Once a month 6. Once every
couple of months 7. Once or twice this year 8. Don't Know
9. Don't want to answer
DRQ6G [ASK IF DRQ6B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you
taken HEROIN (SMACK,'H', BROWN)? 1. Every
day 2. 3 to 5 days a week 3. Once or twice a week
4. 2 or 3 times a month 5. Once a month 6. Once
every couple of months 7. Once or twice this year
8. Don't Know 9. Don't want to answer
QUESTION NOT ASKED
During the last 30 days, have you taken heroin? Yes; No;
else
DRQ6C [ASK IF DRQ6B=1]
In the LAST MONTH have you taken HEROIN (SMACK,'H',
BROWN)?
1. Yes 2. No 3. Don't want to answer
DRQ6C [ASK IF DRQ6B=1] In the LAST MONTH
have you taken HEROIN (SMACK,'H', BROWN)?
1. Yes 2. No 3. Don't want to answer
DRQ6C [ASK IF DRQ6B=1]
In the LAST MONTH have you taken HEROIN
(SMACK,'H', BROWN)?
1. Yes 2. No 3. Don't want to answer
During the last 30 days, on how many days did you take
heroin? On__days, OR 1.20 days or more; 2.10-19 days;
3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
Relevin Semeron Semeron Semeron
LSD
Do you personally know people who take LSD? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else DRQ7A [ASK ALL AGE 16-59 IF NONRESP=1 OR 3]
Have you EVER taken LSD/ACID, even if it was a long time
ago?
1. Yes
2. No
3. Never heard of it
4. Don't want to answer
DRQ7A [ASK ALL AGE 16-69 IF NONRESP=1 OR
3]
Have you EVER taken LSD/ACID, even if it was a
long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
DRQ7A [ASK ALL AGE 16-59 IF NONRESP=1 OR
3]
Have you EVER taken LSD/ACID (TRIPS), even if it
was a long time ago?
1. Yes 2. No 3. Never heard of it 4. Don't want to
answer
At what age did you take LSD for the first time? QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
During the last 12 months, have you taken LSD? Yes; No;
else
DRQ7B [ASK IF DRQ7A=1]
In the last 12 MONTHS have you taken LSD/ACID?
1. Yes
2. No
3. Don't want to answer
DRQ7B [ASK IF DRQ7A=1]
In the last 12 MONTHS have you taken
LSD/ACID?
1. Yes 2. No 3. Don't want to answer
DRQ7B [ASK IF DRQ7A=1]
In the last 12 MONTHS have you taken LSD/ACID
(TRIPS)?
1. Yes 2. No 3. Don't want to answer
UK - Additional Question for ages 16-24 DRQ7G [ASK IF DRQ7B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you taken
LSD/ACID?
1. Every day 2. 3 to 5 days a week 3. Once or twice a week
4. 2 or 3 times a month 5. Once a month 6. Once every
couple of months 7. Once or twice this year 8. Don't Know
9. Don't want to answer
DRQ7G [ASK IF DRQ7B=YES AND AGE = 16-24]
How often during the last 12 MONTHS have you
taken LSD/ACID? 1. Every day 2. 3 to 5 days a
week 3. Once or twice a week 4. 2 or 3 times a
month 5. Once a month 6. Once every couple of
months 7. Once or twice this year 8. Don't Know 9.
Don't want to answer
QUESTION NOT ASKED
During the last 30 days, have you taken LSD? Yes; No;
else
DRQ7C [ASK IF DRQ7B=1]
In the LAST MONTH have you taken LSD/ACID?
1. Yes 2. No 3. Don't want to answer
DRQ7C [ASK IF DRQ7B=1]
In the LAST MONTH have you taken LSD/ACID?
1. Yes 2. No 3. Don't want to answer
DRQ7C [ASK IF DRQ7B=1]
In the LAST MONTH have you taken LSD/ACID
(TRIPS)?
1. Yes 2. No 3. Don't want to answer
During the last 30 days, on how many days did you take
LSD? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-
9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED QUESTION NOT ASKED
Inhalants
Hallucinogens (other)
Availability
How difficult would it be for you personally to obtain «drug»
within 24 hours if you wanted some? 1. Impossible 2. Very
difficult 3. Fairly difficult 4. Fairly easy 5. Very easy
Within the last 12 months, how many times have you been
offered <drug> (either free of charge or to buy)?1) none; 2)
once or twice; 3) 3 to 5 times; 4) 6 to 9 times; 5) 10 to
19 times; 6) 20 to 39 times; 7) 40 times or more
5. Opinions SECTION NOT ASKED
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a
patient? More as a criminal; more as a patient; neither
criminal nor a patient; don't know, cannot decide; else
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement:
"People should be permitted to take hashish or
marihuana"? Fully agree, largely agree, neither agree nor
disagree, largely disagree, fully disagree, else
To what extent do you agree or disagree with the following
statement: "People should be permitted to take heroin"?
Fully agree, largely agree, neither agree nor disagree,
largely disagree, fully disagree, else
Opinions about behaviour
INTRO: Individuals differ according to whether or not they
disapprove of people doing certain things. I will mention a
few things which some people may do. Can you tell me if
you would not disapprove or disapprove or strongly
disapprove when people do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
INTRO: Now I would like to know how much you think
people risk harming themselves, physically or in other ways,
if they do certain things. I will again mention a few things,
which some people may do. Please tell me if you consider it
to be no risk, a slight risk, a moderate risk or a great risk, if
people do any of these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or a female 1. male 2.
female
What is your age?
Which of the following describes the composition of the
household to which you belong? One person living alone,
two partners without children at home, two partners with
children at home, one adult with children at home, other
situation
Which of the following best applies to you: you are
employed or self-employed, you are a full-time student, you
are unemployed, none of the above
What is the highest level of education you have completed?
What is the <identification code> of your home address?
Matching GPS Norway Alcohol and Drug Survey 2005 to EMQ 2005
Context: Alcohol and drugs
Mode: face-to-face interview with self-completion for illicit
drugs
68 questions (56 on alcohol)
2009
Context: Alcohol and drugs
Mode: face-to-face interview with self-completion for illicit
drugs
68 questions (56 on alcohol)
European Model Questionnaire
1. Tobacco face-to-face face-to-face
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes; No; else Q58 Have you in the last 12 months smoked cigarettes? R C: Daily;
Occasionally; Rarely; Never
Q58 Have you in the last 12 months smoked cigarettes? R C: Daily;
Occasionally; Rarely; Never
Have you ever smoked in past? Yes; No; else Q57 Have you ever smoked daily? Yes No
If No, F to Snuff
Q57 Have you ever smoked daily? Yes No
If No, F to Snuff
2. Alcohol wine, homemade wine, spirits, home-distilled spirits (the illegal to
make, but legal to consume "hjemmebrent"), alcopops, alcoholic
cider
wine, homemade wine, spirits, home-distilled spirits (the illegal to
make, but legal to consume "hjemmebrent"), alcopops, alcoholic
cider
During the last 12 months, have you drunk beer, wine, spirits or any other
alcoholic drink? Yes; No; else
Q1 During the last 12 months, have you had any alcoholic beer?
Yes No
Q4 During the last 12 months, have you had any wine? Yes No
Q8 During the last 12 months, have you had any spirits? Yes No
Q1 During the last 12 months, have you had any alcoholic beer?
Yes No
Q4 During the last 12 months, have you had any wine? Yes No
Q8 During the last 12 months, have you had any spirits? Yes No
How often do you drink alcohol? 4 times a week; 2-3 times a week; 2-4 times
a month; Once a month or less; else
Q2 How often did you drink beer? R.C choice: A per week/ per
month/ per year (choose one, then B write the number of times)
Q5 How often did you drink wine? R.C choices: A per week/per
month/per year (choose one, then B write number of times)
Q9 How often do you drink spirits? R.C choices: A per week/per
month/per year (choose one, then B write number of times)
Q2 How often did you drink beer? R.C choice: A per week/ per
month/ per year (choose one, then B write the number of times)
Q5 How often did you drink wine? R.C choices: A per week/per
month/per year (choose one, then B write number of times)
Q9 How often do you drink spirits? R.C choices: A per week/per
month/per year (choose one, then B write number of times)
How often do you drink 6 glasses or more of an alcoholic drink on the same
occasion? Daily or almost daily; every week; every month; less than once a
month; never; else
Q3 When you drink beer, how much do you usually have?
Q6 When you drink wine, how much do you usually have?
Q10 When you have spirits, how much do you usually have?
Q3 When you drink beer, how much do you usually have?
Q6 When you drink wine, how much do you usually have?
Q10 When you have spirits, how much do you usually have?
During the last 30 days, have you drunk any alcohol? Yes; No; else
During the last 30 days, on how many days did you drink alcohol? On__days,
OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
see Q2, Q5, Q9 above see Q2, Q5, Q9 above
ADDITIONAL QUESTION - NO Q25 The last time you drank alcohol, was it during: a big event; a
birthday party; another type of party; social drink after work with
colleagues; after a weekend walk; on a business trip; on holiday;
following a cultural outing (theatre, concert); no special occasion;
something else
Q25 The last time you drank alcohol, was it during: a big event; a
birthday party; another type of party; social drink after work with
colleagues; after a weekend walk; on a business trip; on holiday;
following a cultural outing (theatre, concert); no special occasion;
something else
3. Pharmaceuticals face-to-face face-to-face
During the last 12 months, have you taken any sedatives or tranquilizers? Yes;
No; else
Q63 If you think about your consumption of medicines over a longer
period, have you taken any medication because you felt troubled,
anxious or down? Yes No
Q63 If you think about your consumption of medicines over a longer
period, have you taken any medication because you felt troubled,
anxious or down? Yes No
How often do you take sedatives or tranquilizers? 4 times a week or more; 2-3
times a week; 2-4 times a month; once a month or less
If Yes to Q63
Q64 How often have you taken such medication… Per week/ per
month/ per year
Write number of times for each
If Yes to Q63
Q64 How often have you taken such medication… Per week/ per
month/ per year
Write number of times for each
During the last 30 days, have you taken any sedatives or tranquilizers? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, on how many days did you take sedatives or
tranquilizers? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
QUESTION NOT ASKED QUESTION NOT ASKED
How did you obtain sedatives or tranquilizers the last time you took them? I
bought them or had them prescribed for me by a doctor, I got them from
somebody else I know; I bought them without a prescription in a pharmacy or
drug store; None of the above applies: else
QUESTION NOT ASKED, although Q61 states:
Q61 If you think about your consumption of medicines over a longer
period, have you taken any sleeping tablets - not in a hospital
context? Yes; No
QUESTION NOT ASKED, although Q61 states:
Q61 If you think about your consumption of medicines over a longer
period, have you taken any sleeping tablets - not in a hospital
context? Yes; No
4. Illicit drugs self-completion self-completion
Availability
How difficult would it be for you personally to obtain «drug» within 24 hours if
you wanted some? 1. Impossible 2. Very difficult 3. Fairly difficult 4. Fairly easy
5. Very easy
Q1 Do you think you would manage to get hold of any of the
following substances within 24 hours? SEE COMMENT
R C: Yes; No; Don't know
Q1 Do you think you would manage to get hold of any of the
following substances within 24 hours? SEE COMMENT
R C: Yes; No; Don't know
Cannabis
Do you personally know people who take cannabis? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cannabis yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take cannabis for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken cannabis? Yes; No; else 2B During the last 12 months, have you taken this substance? Tick
column
2B During the last 12 months, have you taken this substance? Tick
column
During the last 30 days, have you taken cannabis? Yes; No; else 2C During the last 30 days, have you taken this substance? Tick
column
2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take cannabis? On__days,
OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take ecstasy for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken ecstasy? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken ecstasy? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take ecstasy? On__days,
OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Amphetamines
Do you personally know people who take amphetamines? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken amphetamines yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take amphetamines for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken amphetamines? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken amphetamines? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take amphetamines?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Cocaine
Do you personally know people who take cocaine? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take cocaine for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken cocaine? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken cocaine? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take cocaine? On__days,
OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Heroin
Do you personally know people who take heroin? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take heroin for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken heroin? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken heroin? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take heroin? On__days, OR
1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD
Do you personally know people who take LSD? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take LSD for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use? 6/7 LSD
(insert ages)
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use? 6/7 LSD
(insert ages)
During the last 12 months, have you taken LSD? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken LSD? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take LSD? On__days, OR
1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Inhalants not included not included
Hallucinogens (other) not included not included
Availability
Within the last 12 months, how many times have you been offered <drug>
(either free of charge or to buy)?1) none; 2) once or twice; 3) 3 to 5 times; 4)
6 to 9 times; 5) 10 to 19 times; 6) 20 to 39 times; 7) 40 times or more
QUESTION NOT ASKED QUESTION NOT ASKED
5. Opinions SECTION NOT ASKED SECTION NOT ASKED
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient? More as a
criminal; more as a patient; neither criminal nor a patient; don't know, cannot
decide; else
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People should be
permitted to take hashish or marihuana"? Fully agree, largely agree, neither
agree nor disagree, largely disagree, fully disagree, else
To what extent do you agree or disagree with the following statement: "People
should be permitted to take heroin"? Fully agree, largely agree, neither agree
nor disagree, largely disagree, fully disagree, else
Opinions about behaviour
INTRO: Individuals differ according to whether or not they disapprove of people
doing certain things. I will mention a few things which some people may do. Can
you tell me if you would not disapprove or disapprove or strongly disapprove
when people do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
INTRO: Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I will again
mention a few things, which some people may do. Please tell me if you consider
it to be no risk, a slight risk, a moderate risk or a great risk, if people do any of
these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or a female 1. male 2. female completed by interviewer completed by interviewer
What is your age? Age (in years) Attributes - A Age (in years) Attributes - A
Which of the following describes the composition of the household to which you
belong? One person living alone, two partners without children at home, two
partners with children at home, one adult with children at home, other situation
Attributes - G Attributes - G
Which of the following best applies to you: you are employed or self-employed,
you are a full-time student, you are unemployed, none of the above
Attributes - K Attributes - K
What is the highest level of education you have completed? Attributes - N Attributes - N
What is the <identification code> of your home address? completed by interviewer completed by interviewer
Matching GPS Norway Alcohol and Drug Survey 2005 to EMQ 2005
Context: Alcohol and drugs
Mode: face-to-face interview with self-completion for illicit
drugs
68 questions (56 on alcohol)
2009
Context: Alcohol and drugs
Mode: face-to-face interview with self-completion for illicit
drugs
68 questions (56 on alcohol)
European Model Questionnaire
1. Tobacco face-to-face face-to-face
Do you smoke tobacco, such as cigarettes, cigars or a pipe? Yes; No; else Q58 Have you in the last 12 months smoked cigarettes? R C: Daily;
Occasionally; Rarely; Never
Q58 Have you in the last 12 months smoked cigarettes? R C: Daily;
Occasionally; Rarely; Never
Have you ever smoked in past? Yes; No; else Q57 Have you ever smoked daily? Yes No
If No, F to Snuff
Q57 Have you ever smoked daily? Yes No
If No, F to Snuff
2. Alcohol wine, homemade wine, spirits, home-distilled spirits (the illegal to
make, but legal to consume "hjemmebrent"), alcopops, alcoholic
cider
wine, homemade wine, spirits, home-distilled spirits (the illegal to
make, but legal to consume "hjemmebrent"), alcopops, alcoholic
cider
During the last 12 months, have you drunk beer, wine, spirits or any other
alcoholic drink? Yes; No; else
Q1 During the last 12 months, have you had any alcoholic beer?
Yes No
Q4 During the last 12 months, have you had any wine? Yes No
Q8 During the last 12 months, have you had any spirits? Yes No
Q1 During the last 12 months, have you had any alcoholic beer?
Yes No
Q4 During the last 12 months, have you had any wine? Yes No
Q8 During the last 12 months, have you had any spirits? Yes No
How often do you drink alcohol? 4 times a week; 2-3 times a week; 2-4 times
a month; Once a month or less; else
Q2 How often did you drink beer? R.C choice: A per week/ per
month/ per year (choose one, then B write the number of times)
Q5 How often did you drink wine? R.C choices: A per week/per
month/per year (choose one, then B write number of times)
Q9 How often do you drink spirits? R.C choices: A per week/per
month/per year (choose one, then B write number of times)
Q2 How often did you drink beer? R.C choice: A per week/ per
month/ per year (choose one, then B write the number of times)
Q5 How often did you drink wine? R.C choices: A per week/per
month/per year (choose one, then B write number of times)
Q9 How often do you drink spirits? R.C choices: A per week/per
month/per year (choose one, then B write number of times)
How often do you drink 6 glasses or more of an alcoholic drink on the same
occasion? Daily or almost daily; every week; every month; less than once a
month; never; else
Q3 When you drink beer, how much do you usually have?
Q6 When you drink wine, how much do you usually have?
Q10 When you have spirits, how much do you usually have?
Q3 When you drink beer, how much do you usually have?
Q6 When you drink wine, how much do you usually have?
Q10 When you have spirits, how much do you usually have?
During the last 30 days, have you drunk any alcohol? Yes; No; else
During the last 30 days, on how many days did you drink alcohol? On__days,
OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
see Q2, Q5, Q9 above see Q2, Q5, Q9 above
ADDITIONAL QUESTION - NO Q25 The last time you drank alcohol, was it during: a big event; a
birthday party; another type of party; social drink after work with
colleagues; after a weekend walk; on a business trip; on holiday;
following a cultural outing (theatre, concert); no special occasion;
something else
Q25 The last time you drank alcohol, was it during: a big event; a
birthday party; another type of party; social drink after work with
colleagues; after a weekend walk; on a business trip; on holiday;
following a cultural outing (theatre, concert); no special occasion;
something else
3. Pharmaceuticals face-to-face face-to-face
During the last 12 months, have you taken any sedatives or tranquilizers? Yes;
No; else
Q63 If you think about your consumption of medicines over a longer
period, have you taken any medication because you felt troubled,
anxious or down? Yes No
Q63 If you think about your consumption of medicines over a longer
period, have you taken any medication because you felt troubled,
anxious or down? Yes No
How often do you take sedatives or tranquilizers? 4 times a week or more; 2-3
times a week; 2-4 times a month; once a month or less
If Yes to Q63
Q64 How often have you taken such medication… Per week/ per
month/ per year
Write number of times for each
If Yes to Q63
Q64 How often have you taken such medication… Per week/ per
month/ per year
Write number of times for each
During the last 30 days, have you taken any sedatives or tranquilizers? Yes; No;
else
QUESTION NOT ASKED QUESTION NOT ASKED
During the last 30 days, on how many days did you take sedatives or
tranquilizers? On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-
3 days
QUESTION NOT ASKED QUESTION NOT ASKED
How did you obtain sedatives or tranquilizers the last time you took them? I
bought them or had them prescribed for me by a doctor, I got them from
somebody else I know; I bought them without a prescription in a pharmacy or
drug store; None of the above applies: else
QUESTION NOT ASKED, although Q61 states:
Q61 If you think about your consumption of medicines over a longer
period, have you taken any sleeping tablets - not in a hospital
context? Yes; No
QUESTION NOT ASKED, although Q61 states:
Q61 If you think about your consumption of medicines over a longer
period, have you taken any sleeping tablets - not in a hospital
context? Yes; No
4. Illicit drugs self-completion self-completion
Availability
How difficult would it be for you personally to obtain «drug» within 24 hours if
you wanted some? 1. Impossible 2. Very difficult 3. Fairly difficult 4. Fairly easy
5. Very easy
Q1 Do you think you would manage to get hold of any of the
following substances within 24 hours? SEE COMMENT
R C: Yes; No; Don't know
Q1 Do you think you would manage to get hold of any of the
following substances within 24 hours? SEE COMMENT
R C: Yes; No; Don't know
Cannabis
Do you personally know people who take cannabis? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cannabis yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take cannabis for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken cannabis? Yes; No; else 2B During the last 12 months, have you taken this substance? Tick
column
2B During the last 12 months, have you taken this substance? Tick
column
During the last 30 days, have you taken cannabis? Yes; No; else 2C During the last 30 days, have you taken this substance? Tick
column
2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take cannabis? On__days,
OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Ecstasy
Do you personally know people who take ecstasy? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken ecstasy yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take ecstasy for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken ecstasy? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken ecstasy? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take ecstasy? On__days,
OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Amphetamines
Do you personally know people who take amphetamines? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken amphetamines yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take amphetamines for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken amphetamines? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken amphetamines? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take amphetamines?
On__days, OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Cocaine
Do you personally know people who take cocaine? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken cocaine yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take cocaine for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken cocaine? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken cocaine? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take cocaine? On__days,
OR 1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Heroin
Do you personally know people who take heroin? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken heroin yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take heroin for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use?
During the last 12 months, have you taken heroin? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken heroin? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take heroin? On__days, OR
1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Relevin (not mandatory) QUESTIONS NOT ASKED QUESTIONS NOT ASKED
LSD
Do you personally know people who take LSD? Yes; No; else QUESTION NOT ASKED QUESTION NOT ASKED
Have you ever taken LSD yourself? Yes; No; else Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
Q2A Have you used any of the following substances and if so, how
long has it been since the last time you used them? SEE
COMMENT
R C: Never used; Over a year ago/ 1-12 months ago; 0-30 days
ago
At what age did you take LSD for the first time? Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use? 6/7 LSD
(insert ages)
Q3 If you used any of these substances, what was your age when
you first tried them and what was your age of last use? 6/7 LSD
(insert ages)
During the last 12 months, have you taken LSD? Yes; No; else Q2B During the last 12 months, have you taken this substance?
Tick column
Q2B During the last 12 months, have you taken this substance?
Tick column
During the last 30 days, have you taken LSD? Yes; No; else Q2C During the last 30 days, have you taken this substance? Tick
column
Q2C During the last 30 days, have you taken this substance? Tick
column
During the last 30 days, on how many days did you take LSD? On__days, OR
1.20 days or more; 2.10-19 days; 3.4-9 days; 4. 1-3 days
QUESTION NOT ASKED QUESTION NOT ASKED
Inhalants not included not included
Hallucinogens (other) not included not included
Availability
Within the last 12 months, how many times have you been offered <drug>
(either free of charge or to buy)?1) none; 2) once or twice; 3) 3 to 5 times; 4)
6 to 9 times; 5) 10 to 19 times; 6) 20 to 39 times; 7) 40 times or more
QUESTION NOT ASKED QUESTION NOT ASKED
5. Opinions SECTION NOT ASKED SECTION NOT ASKED
Opinions about drug addicts (not mandatory)
Do you perceive a drug addict more as a criminal or as a patient? More as a
criminal; more as a patient; neither criminal nor a patient; don't know, cannot
decide; else
Opinions about drug policies (not mandatory)
To what extent do you agree with the following statement: "People should be
permitted to take hashish or marihuana"? Fully agree, largely agree, neither
agree nor disagree, largely disagree, fully disagree, else
To what extent do you agree or disagree with the following statement: "People
should be permitted to take heroin"? Fully agree, largely agree, neither agree
nor disagree, largely disagree, fully disagree, else
Opinions about behaviour
INTRO: Individuals differ according to whether or not they disapprove of people
doing certain things. I will mention a few things which some people may do. Can
you tell me if you would not disapprove or disapprove or strongly disapprove
when people do any of these things?
Trying ecstasy once or twice
Trying heroin once or twice
Smoking 10 or more cigarettes
Have one or two drinks several times a week
Smoking hashish or marijuana occasionally
Perception of risk
INTRO: Now I would like to know how much you think people risk harming
themselves, physically or in other ways, if they do certain things. I will again
mention a few things, which some people may do. Please tell me if you consider
it to be no risk, a slight risk, a moderate risk or a great risk, if people do any of
these things?
Smoke one or more packs of cigarettes a day
Having five or more drinks each weekend
Smoke hashish or marijuana regularly
Try ecstasy once or twice
Try cocaine once or twice
6. Respondent attributes
Please indicate if you are a male or a female 1. male 2. female completed by interviewer completed by interviewer
What is your age? Age (in years) Attributes - A Age (in years) Attributes - A
Which of the following describes the composition of the household to which you
belong? One person living alone, two partners without children at home, two
partners with children at home, one adult with children at home, other situation
Attributes - G Attributes - G
Which of the following best applies to you: you are employed or self-employed,
you are a full-time student, you are unemployed, none of the above
Attributes - K Attributes - K
What is the highest level of education you have completed? Attributes - N Attributes - N
What is the <identification code> of your home address? completed by interviewer completed by interviewer