Laserfiche WebLink
H52. Have you ever tried, used, or experimented with any other illegal drugs besides those <br /> asked above? <br /> a. No <br /> b. Yes <br /> H53. How many times in your life have you driven after using an illegal or controlled drug (such <br /> as marijuana or cocaine)? <br /> a. Never <br /> b. 1-2 times <br /> c. 3-4 times <br /> d. '5 times or more <br /> H54. Have you ever provided any illegal or controlled drugs to friends or others in exchange for <br /> money or in trade for goods? <br /> a. No <br /> b. Yes <br /> H55. When is the last time you ever provided any illegal or controlled drugs to friends or others, <br /> in exchange for money or in trade for goods? <br /> a. Doesn't apply, I have never done this <br /> b. In the last month <br /> c. 1-12 months ago <br /> d. 1-2 years ago <br /> e. 3 or more years ago <br /> H56. When were you last in the presence of other people who were using illegal drugs (e.g., at a <br /> party or social gathering),whether or not you also used drugs? <br /> a. Doesn't apply, I have never done this <br /> b. In the last month <br /> • <br /> c. 1-12 months ago <br /> d. 1-2 years ago <br /> e. 3 more years ago <br /> H57. To the best of your knowledge has your current spouse, romantic partner, or roommate <br /> ever been involved in the use of any illegal or controlled drugs, during the time you have <br /> been living together? <br /> a. Not applicable: I live alone <br /> b. No <br /> c. Yes <br /> H58. Have you ever grown or cultivated marijuana? <br /> a. No <br /> b. Yes <br /> H59. Have you ever been rejected from any employment or military service, due to your use of <br /> alcohol or drugs? <br /> a. No <br /> b. Yes <br /> H60. Have you ever been disciplined or discharged from employment or military service , due to <br /> your use of alcohol or drugs? <br /> a. No <br /> b. Yes <br /> PSS/LEPS PLLC 85 <br />