This brief questionnaire is about alcohol, tobacco products and other drugs. We
will ask you some questions about your experience of using these substances
across your lifetime and in the past three months.
These substances can be smoked, swallowed, snorted, inhaled, injected or taken
in the form of pills.
Some of the substances listed may be prescribed by a doctor (like amphetamines,
sedatives, or pain medications). If you have only taken such medications as
prescribed by your doctor, say "no" when asked if you have used
However, if you have ever taken such medications for reasons other
than prescription, or taken them more frequently or at higher doses than
prescribed, you should say "yes".
Even though you will be asked about your use of various illicit drugs, rest
assured that your answers are completely
anonymous and confidential.
When you are ready, click "Next Page" to begin.
About the test
This questionnaire is based on the
Alcohol, Smoking and Substance Involvement Screening Test (ASSIST),
developed by the World Health Organization to screen for harmful or hazardous