Laserfiche WebLink
H40. Have you ever tried, used, or experimented with amphetamines, such as <br /> methamphetamine,"crank", or"speed" (other than as a prescription drug or treatment <br /> legally prescribed to you)? <br /> a. No <br /> b. Yes <br /> IF YOU ANSWERED"NO",SKIP TO QUESTION H44. <br /> IF YOU ANSWERED"YES",CONTINUE WITH QUESTION H41. <br /> H41. During your entire life, how often have you tried, used, or experimented with <br /> amphetamines (other than as a prescription drug or treatment legally prescribed <br /> to you)? <br /> a. 1-2 times <br /> b. 3-10 times <br /> c. More than 10 times <br /> H42. During the last 12 months, how often have you tried, used, or experimented with <br /> amphetamines (other than as a prescription drug or treatment legally prescribed <br /> to you)? <br /> a. Never <br /> b. 1-2 times <br /> c. 3-10 times <br /> d. More than 10 times • <br /> H43. When was the last time you tried, used, or experimented with amphetamines <br /> (other than as a prescription drug or treatment legally prescribed to you)? <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 /> H44. Have you ever tried, used, or experimented with depressants or tranquilizers, such as <br /> Valium, Prozac,Xanex, or Quaaludes(other than as a prescription drug or treatment legally <br /> prescribed to you) <br /> a. No <br /> b. Yes <br /> IF YOU ANSWERED"NO",SKIP TO QUESTION H48. <br /> IF YOU ANSWERED"YES",CONTINUE WITH QUESTION H45. <br /> H45. During your entire life, how often have you tried, used, or experimented with <br /> depressants or tranquilizers (other than as a prescription drug or treatment legally <br /> prescribed to you)? <br /> a. 1-2 times <br /> b. 3-10 times <br /> c. More than 10 times <br /> PSS/LEPS PLLC 83 <br />