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H22. Have you ever tried, used, or experimented with cocaine? <br /> a. No <br /> b. Yes • <br /> IF YOU ANSWERED"NO",SKIP TO QUESTION H27. <br /> IF YOU ANSWERED''YES",CONTINUE WITH QUESTION H23, <br /> H23. During your entire life, how often have you tried, used, or experimented with <br /> cocaine?(WHEN ESTIMATING YOUR TOTAL COCAINE USE, REMEMBER THAT ONCE A <br /> MONTH FOR A YEAR IS 12 TIMES,AND ONCE A WEEK FOR A YEAR IS ABOUT 50 TIMES.) <br /> a. 1-2 times <br /> b. 3-5 times <br /> c. 6-10 times <br /> d. 11-20 times <br /> e. 21-50 times <br /> f. More than 50 times <br /> H24. How old were you when you first tried, used, or experimented with cocaine? <br /> a. 12 or younger <br /> b. 13-17 <br /> c. 18-20 <br /> d. 21 or older <br /> H25. When was the last time you tried, used, or experimented with cocaine? <br /> a. In the last week <br /> b. Between 2 and 4 weeks ago <br /> c. Between 1 and 3 months ago <br /> d. Between 4 and 12 months ago <br /> e. Between 1 and 2 years ago <br /> f. 3 or more years ago <br /> H26. During the last 12 months, how often have you tried, used, or experimented with <br /> cocaine? <br /> a. Never <br /> b. 1-2 times <br /> c. 3-5 times <br /> d. 6-10 times <br /> e. 11-20 times <br /> f. 21-50 times <br /> g. More than 50 times <br /> H27. Have you ever tried, used, or experimented with crack(rock cocaine)? <br /> a. No <br /> b. Yes <br /> PSS/LEPS PLLC 80 <br />