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. Author manuscript; available in PMC: 2015 Jan 1.
Published in final edited form as: Subst Abus. 2014;35(1):12–20. doi: 10.1080/08897077.2013.789463

Table 1.

Items included in the screening questionnaire

Item Administered to participants
1. In the past year, how often have you used tobacco? #1–27
2. In the past year, how often have you used alcohol, X or more drinks in a day? (X = 5 for men and = 4 for women) #1–27
3. In the past year, how often have you used any illegal drug? #1–27
4(a). In the past year, how often have you used any prescription drug for non-medical reasons?
4(b). In the past year, how often have you used any prescription drug recreationally?
#1–16 (interviewer administered)
#17–27 (self administered)