l'm going to read you a list of questions concerning information about your potential involvement with
drugs, excluding alcohol and tobacco, during the past 12 months.
When the words "drug abuse" are used, they mean the use of prescribed or over-the-counter
medications/drugs in excess of the directions and any non-medical use of drugs. The various classes of
drugs may include: cannabis (e.g., marijuana, hash), solvents, tranquilizers (e.g., Valium), barbiturates,
cocaine, stimulants (e.g., speed), hallucinogens (e.g., LSD) or narcotics (e.g., heroin). Rememberthat the
questions do not include alcohol or tobacco.
lf you have difficulty with a statement, then choose the response that is mostly right.
You may choose to answer or not answer any of the questions in this section.