132. had an alcoholic drink?
YES NO
133. been intoxicated?
YES NO
134. thrown up from having drunk too much alcohol?
YES NO
135. passed out due to having drunk too much alcohol?
YES NO
136. forgotten events that occurred while you were drunk?
YES NO
137. smoked tobacco? (cigarette, pipe, cigar, hookah)
YES NO
138. chewed tobacco? (snuff)
YES NO
139. bought controlled/illicit drugs, or any compound scheduled by the DEA, in violation of the law?
YES NO
140. sold or re-sold controlled/illicit substances, or any compound scheduled by the DEA, in violation of the law?
YES NO
141. taken stimulants?
YES NO
142. taken depressants excluding alcohol?
YES NO
143. inhaled nitrous oxide while not visiting a dentist?
YES NO
144. inhaled anything containing butyl nitrate?
YES NO
145. used a commercial aphrodisiac? (Spanish Fly, Magic Love Drops, powdered rhino horn, etc.)
YES NO
146. taken valium?
YES NO
147. smoked marijuana/sensemilia?
YES NO
148. smoked marijuana/sensemilia more than four times?
YES NO
149. eaten marijuana/sensemilia?
YES NO
150. eaten marijuana or sensemilia more than four times?
YES NO
151. taken opiate in any form?
YES NO
152. taken opiate in any form more than twice?
YES NO
153. used cocaine?
YES NO
154. used cocaine more than four times?
YES NO
155. injected any drugs into your body for any other purpose other than medical?
YES NO
156. injected any one drug into your body for any purpose other than medical more than twice?
YES NO
157. taken Ecstasy/X?
YES NO
158. taken PCP?
YES NO
159. taken PCP more than twice?
YES NO
160. taken d-lysergic acid diethylamide (LSD-25), peyote, or psilocybin?
YES NO
161. taken LSD, peyote, or psilocybin more than twice?
YES NO
162. taken LSD more than six times?
YES NO
163. deliberately injured yourself so as to obtain medication?
YES NO
164. played any games in which there was a mystery as to who would be getting drugs and who wouldn't, yet everybody plays in it? (e.g. "Who's got the pill", where half the cups (of soda) have LSD in them and the other half don't, and everybody picks a cup and drinks it and wonders who gets lucky.)
YES NO
165. gone to class or work while under the influence of drugs? (alcohol counts)
YES NO
166. mixed drugs? (alcohol counts. Mixed meaning being under the influence of two or more drugs at once.)
YES NO
167. sold possessions in order to obtain drugs?
YES NO
168. had sex while under the influence of nitrous?
YES NO
169. had an orgasm while under the influence of nitrous? (difficult because of timing)
YES NO
170. had sex while under the influence of cocaine?
YES NO
171. had sex while under the influence of marijuana/sensemilia?
YES NO
172. had sex while under the influence of Ecstasy/X?
YES NO
173. had sex while under the influence of LSD, peyote, or psilocybin?
YES NO
174. had sex while under the influence of drugs with a partner who did not realize you were on them?
YES NO