Drugs (not alcohol and tobacco)
Form: ___
Girl 
Boy 
													   

1. Have you ever used drugs?
	Yes  (if yes, don’t answer question number 7) 
	No  (if no, go to question number 7)

2. If yes, which drugs have you tried?______________________

3. Why?
	a) Because I wanted it myself
	b) Because my friends wanted to. 
	c) Because I was drunk and didn’t know what I was doing.
	d) Other:

4. How did you get the drugs?
	a) I bought it directly from a drug peddler.
	b) Through a friend.
	c) It was offered to me by an unknown person.
	d) Other:

5. How often do you use drugs?
	a) Every day.
	b) Sometimes a week.
	c) Only at parties.
	d) I have only tried some times.

6. Do you regret having done it?
	Yes  
	No 

7. If you had the chance, would you like to try drugs?
	a) Yes, 
	b) Yes, if all my friends tried.
	c) Maybe.
	d) No, absolutely not.


8. Have you ever seen someone who has used drugs or seemed to be suspiciously high?
	a) Yes, several times.
	b) Yes, once or twice.
	c) No, never.

9. Do you know someone who uses drugs?
	a) Yes, someone I know well.
	b) Yes, someone I only know who it is. 
	c) No.

10. Do you know or have you heard about someone who peddles/ has peddled drugs?
	a) Yes, someone I know well.
	b) Yes, someone I only know who it is. 
	c) No.