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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

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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

Belgium

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: __

Bulgaria

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?

Czech Republic

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

Denmark

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?

Germany

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?

__ __

Estonia

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?

Ireland

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

Greece

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

Spain

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

France

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?

Italy

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

Cyprus

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?

Latvia

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?

Lithuania

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

Luxembourg

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?

Hungary

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 __

Malta

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

Netherlands

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?

Austria

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?

Poland

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 ???

???

Portugal

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?

Romania

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

Slovenia

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

Slovakia

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

Finland

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

Sweden

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?

United Kingdom

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?

Norway

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