Canadian Tobacco, Alcohol and Drugs Survey, 2013

For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

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Table of Contents

Household Smoking (HS)

Household Smoking (HS) - Question identifier:HS_Q10

[Do you/Does anyone in your household] smoke cigarettes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Household Smoking (HS) - Question identifier:HS_Q20

How many people smoke cigarettes inside your home every day or almost every day? Include all family members and visitors.

Min = 0; Max = 15

Smoking inside the home excludes smoking inside the garage, whether attached or detached.

Household Smoking (HS) - Question identifier:HS_Q30

On a typical day, how many cigarettes are smoked inside your home?

  • 1: 1 to 10 cigarettes
  • 2: 11 to 20 cigarettes
  • 3: 21 to 30 cigarettes
  • 4: 31 to 40 cigarettes
  • 5: 41 or more cigarettes
  • 8: RF
  • 9: DK

Household Smoking (HS) - Question identifier:HS_Q40

Is smoking cigarettes allowed inside your home?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Household Smoking (HS) - Question identifier:HS_Q50

Is smoking cigarettes inside your home restricted in any way?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Household Smoking (HS) - Question identifier:HS_Q60

How is smoking cigarettes restricted inside your home?

Read categories to respondent. Mark all that apply. There is no need to read a response that was volunteered by the respondent.

  • 1: Allowed in certain rooms only
  • 2: Restricted in the presence of young children
  • 3: Allowed only if windows are open or with another type of ventilation
  • 4: Other restriction(s)
  • 8: RF
  • 9: DK

Person Age (PA)

Person Age (PA) - Question identifier:PA_Q01

For statistical purposes only, may we confirm your age, as of today?

Min = 0; Max = 130

HC: De-facto marital status with confirmation - MSWC

HC: De-facto marital status with confirmation - MSWC - Question identifier:MSWC_Q01

We recorded [your/FNAME's] marital status as [married/living common-law/widowed/separated/divorced/single, never married]. Is this correct?

  • 1: Yes
  • 2: No
  • 9: Don't know
  • 8: Refusal

HC: De-facto marital status with confirmation - MSWC - Question identifier:MSWC_Q02

What is [your/FNAME's] marital status?
[Are/Is you/he/she]... ?

  • 1: Married
  • 2: Living common-law
  • 3: Widowed
  • 4: Separated
  • 5: Divorced
  • 6: Single, never married
  • 9: Don't know
  • 8: Refusal

General Health (HWB)

General Health (HWB) - Question identifier:HWB_Q01

In general, would you say your health is...?

Read categories to respondent.

  • 1: Excellent
  • 2: Very good
  • 3: Good
  • 4: Fair
  • 5: Poor
  • 8: RF
  • 9: DK

General Health (HWB) - Question identifier:HWB_Q10

In general, would you say your mental health is...?

Read categories to respondent.

  • 1: Excellent
  • 2: Very good
  • 3: Good
  • 4: Fair
  • 5: Poor
  • 8: RF
  • 9: DK

Smoking Status (SS)

Smoking Status (SS) - Question identifier:SS_R10

I am going to start with questions about cigarette smoking. Include cigarettes that are bought ready-made as well as cigarettes that you make yourself.

Press <1> to continue.

Smoking Status (SS) - Question identifier:SS_Q10

At the present time, do you smoke cigarettes every day, occasionally or not at all?

  • 1: Every day
  • 2: Occasionally
  • 3: Not at all
  • 8: RF
  • 9: DK

Smoking Status (SS) - Question identifier:SS_Q20

In the past 30 days, did you smoke any cigarettes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking Status (SS) - Question identifier:SS_Q30

During the past 30 days, did you smoke every day?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking Status (SS) - Question identifier:SS_Q40

Have you smoked at least 100 cigarettes in your life?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Past Smoking (PS)

Past Smoking (PS) - Question identifier:PS_Q10

Have you ever smoked a whole cigarette?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Past Smoking (PS) - Question identifier:PS_Q20

Have you ever smoked cigarettes daily?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Past Smoking (PS) - Question identifier:PS_Q30

At what age did you smoke your first cigarette?

Min = 4; Max = 94

Past Smoking (PS) - Question identifier:PS_Q40

At what age did you begin to smoke cigarettes daily?

Min = 4; Max = 94

Weekly Pattern (WP)

Weekly Pattern (WP) - Question identifier:WP_R10

Some people smoke more or less depending upon the day of the week.
So, thinking back over the past seven days, starting with yesterday, how many cigarettes did you smoke:

Press <1> to continue.

Weekly Pattern (WP) - Question identifier:WP_Q10N

(Some people smoke more or less depending upon the day of the week.
So, thinking back over the past seven days, starting with yesterday, how many cigarettes did you smoke:)

On ^DT_DAYSMOKEDE?

Min = 0; Max = 91

Starting on the second day of the week, if same amount every day, please enter 91.

Smoking Behaviour (SB)

Smoking Behaviour (SB) - Question identifier:SB_Q10

How soon after you wake up do you smoke your first cigarette?

  • 1: Within 5 minutes
  • 2: 6 to 30 minutes
  • 3: 31 to 60 minutes
  • 4: More than 60 minutes
  • 8: RF
  • 9: DK

Cigarette Access (CA)

Cigarette Access (CA) - Question identifier:CA_Q10

Where do you usually get your cigarettes?
(Do you buy them, or does someone usually give them to you? Where do you buy them? Who do you get them from?)

  • 01: I buy them from a vending machine
  • 02: I buy them at a small grocery / corner store
  • 03: I buy them at a supermarket
  • 04: I buy them at a drug store
  • 05: I buy them at a gasoline station
  • 06: I buy them at another kind of store
  • 07: I buy them from a friend or someone else
  • 08: I buy them by mail order
  • 09: I buy them from the internet
  • 10: My brother or sister gives them to me
  • 11: My mother or father gives them to me
  • 12: A friend or someone else gives them to me
  • 13: I take them from my mother, father or siblings
  • 14: I buy them from a First Nations Reserve (i.e. delivery service)
  • 15: I buy them on a First Nations Reserve
  • 16: Other - Specify
  • 98: RF
  • 99: DK

Purchasing Patterns (PP)

Purchasing Patterns (PP) - Question identifier:PP_R010

The next few questions ask about cigarettes you bought in the past six months.

Press <1> to continue.

Purchasing Patterns (PP) - Question identifier:PP_R020

A First Nations Reserve is a tract of land that has been set apart for the use and benefit of a First Nations band.

Press <1> to continue.

Purchasing Patterns (PP) - Question identifier:PP_Q010

In the past six months, did you buy cigarettes on a First Nations Reserve?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Purchasing Patterns (PP) - Question identifier:PP_Q020

In the past six months, did you buy cigarettes that you believe may have been smuggled? Smuggled cigarettes include purchased cigarettes that were not manufactured on a First Nations Reserve, were not manufactured in Canada, do not contain a government of Canada Health Warning message and do not carry a tax stamp. Legally imported cigarettes are not smuggled cigarettes.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Purchasing Patterns (PP) - Question identifier:PP_Q030

In the past six months, did you buy cigarettes from a store or gas station, that was not on a First Nations Reserve?

Examples of stores are: supermarkets, grocery, convenience, and duty-free stores.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Purchasing Patterns (PP) - Question identifier:PP_Q040

In the past six months, did you buy cigarettes from a source other than those just mentioned?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Purchasing Patterns (PP) - Question identifier:PP_Q041

Of these other sources, what was the main source?

Long Answer Length = 80

Specify.

Purchasing Patterns (PP) - Question identifier:PP_Q050

What percentage of all the cigarettes you bought in the past six months were bought on a First Nations Reserve?

Min = 0; Max = 100

Purchasing Patterns (PP) - Question identifier:PP_Q060

What percentage of all the cigarettes you bought in the past six months do you believe may have been smuggled? [Don't count cigarettes that you bought on a First Nations reserve]

Min = 0; Max = 100

Purchasing Patterns (PP) - Question identifier:PP_Q070

What percentage of all the cigarettes you bought in the past six months were bought from a store or gas station? [Don't count cigarettes that you bought on a First Nations Reserve] [Don't count cigarettes that you believe may have been smuggled]

Min = 0; Max = 100

Purchasing Patterns (PP) - Question identifier:PP_Q071

What percentage of all the cigarettes you bought in the past six months were bought from another source? [Don't count cigarettes that were bought on a First Nations Reserve] [Don't count cigarettes that you believe may have been smuggled] [Don't count cigarettes that you bought from a store or gas station]

Min = 0; Max = 100

Purchasing Patterns (PP) - Question identifier:PP_R090

The next questions ask about First Nations Reserve cigarettes.

Press <1> to continue.

Purchasing Patterns (PP) - Question identifier:PP_Q090

The last time you bought cigarettes that came from a First Nations Reserve, how much did you buy? Was it...?

Read categories to respondent.

  • 1: A pack of 20 cigarettes
  • 2: A pack of 25 cigarettes
  • 3: A bag of 200 cigarettes
  • 4: A carton (200 cigarettes)
  • 5: Some other quantity
  • 6: Did not buy First Nations Reserve cigarettes
  • 8: RF
  • 9: DK

Purchasing Patterns (PP) - Question identifier:PP_Q091

What other quantity of First Nation Reserve cigarettes did you last buy?

Long Answer Length = 80

Specify.

Purchasing Patterns (PP) - Question identifier:PP_Q100

How did you first become aware that you could buy these cigarettes? Was it through...?

Read categories to respondent.

  • 1: A co-worker
  • 2: A family member
  • 3: A friend (not a co-worker)
  • 4: Word of mouth
  • 5: A sign on or near a First Nations Reserve
  • 6: Other - Specify
  • 8: RF
  • 9: DK

Purchasing Patterns (PP) - Question identifier:PP_R110

The next question asks about smuggled cigarettes. Again, I would like to remind you that everything you say will remain strictly confidential.

Press <1> to continue.

Purchasing Patterns (PP) - Question identifier:PP_Q110

Where did you buy the cigarettes that you believed may have been smuggled? Was it...?

Read categories to respondent. Mark all that apply. If the respondent answers 'from a reserve' or similar words, please probe to find out if the respondent bought the cigarettes on a First Nations Reserve (in which case the response is '2'), or if someone else bought the cigarettes for them from a First Nations Reserve (in which case the response is other than '2').

  • 1: From a store (excluding on a First Nations Reserve)
  • 2: On a First Nations Reserve
  • 3: From a delivery service
  • 4: From a co-worker
  • 5: From a family member
  • 6: From a friend (not a co-worker)
  • 7: Other - Specify
  • 8: RF
  • 9: DK

Purchasing Patterns (PP) - Question identifier:PP_Q120

The last time you bought cigarettes that may have been smuggled, what quantity did you buy? Was it ...?

Read categories to respondent.

  • 1: A pack of 20 cigarettes
  • 2: A pack of 25 cigarettes
  • 3: A bag of 200 cigarettes
  • 4: A carton (200 cigarettes)
  • 5: Some other quantity
  • 8: RF
  • 9: DK

Purchasing Patterns (PP) - Question identifier:PP_Q121

What other quantity of cigarettes that may have been smuggled did you last buy?

Long Answer Length = 80

Specify.

Purchasing Patterns (PP) - Question identifier:PP_Q130

How did you first become aware that you could buy cigarettes that may have been smuggled? Was it through...?

Read categories to respondent.

  • 1: A co-worker
  • 2: A family member
  • 3: A friend (not a co-worker)
  • 4: Word of mouth
  • 5: Other - Specify
  • 8: RF
  • 9: DK

Purchasing Patterns (PP) - Question identifier:PP_Q140

How easy or difficult was it for you to buy these cigarettes? Would you say it was...?

Read categories to respondent.

  • 1: Very easy
  • 2: Easy
  • 3: Difficult
  • 4: Very difficult
  • 8: RF
  • 9: DK

Smoking Cessation (SC)

Smoking Cessation (SC) - Question identifier:SC_Q010

When did you stop smoking?

Read categories to respondent.

  • 1: Less than 1 year ago
  • 2: 1 to 2 years ago
  • 3: 3 to 5 years ago
  • 4: More than 5 years ago
  • 8: RF
  • 9: DK

Smoking Cessation (SC) - Question identifier:SC_Q020

In what month did you stop smoking?

Select the month.

  • 01: January
  • 02: February
  • 03: March
  • 04: April
  • 05: May
  • 06: June
  • 07: July
  • 08: August
  • 09: September
  • 10: October
  • 11: November
  • 12: December
  • 98: RF
  • 99: DK

Smoking Cessation (SC) - Question identifier:SC_Q030

What was your main reason to quit smoking?

Read categories to respondent.

  • 1: Health
  • 2: Pregnancy or a baby in the household
  • 3: Less stress in life
  • 4: Cost of cigarettes
  • 5: Smoking is less socially acceptable
  • 6: Some other reason
  • 8: RF
  • 9: DK

Smoking Cessation (SC) - Question identifier:SC_Q040

Approximately, how many attempts to quit did you make before you quit smoking for good?

Min = 1; Max = 94

Smoking Cessation (SC) - Question identifier:SC_Q050

On average, how many cigarettes were you smoking per day at the time you quit?

Min = 1; Max = 94

Smoking Cessation (SC) - Question identifier:SC_Q060

Are you seriously considering quitting smoking within the next 6 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking Cessation (SC) - Question identifier:SC_Q070

Are you seriously considering quitting smoking within the next 30 days?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking Cessation (SC) - Question identifier:SC_Q080

In the past year, how many times did you stop smoking for at least 24 hours because you were trying to quit?

Min = 0; Max = 94

Smoking Cessation (SC) - Question identifier:SC_Q090

How many of these attempts lasted at least one week?

Min = 0; Max = 52

Smoking Cessation (SC) - Question identifier:SC_Q100

What was the main reason you began to smoke again?

  • 01: To control body weight
  • 02: Stress, need to relax or to calm down
  • 03: Boredom
  • 04: Addiction / habit
  • 05: Lack of support or information
  • 06: Going out more (bars, parties)
  • 07: Increased availability
  • 08: No reason / felt like it
  • 09: Family or friends smoke
  • 10: Other
  • 98: RF
  • 99: DK

Smoking Cessation (SC) - Question identifier:SC_Q110

Have you ever tried to quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Other Cessation Methods (OM)

Other Cessation Methods (OM) - Question identifier:OM_Q099

Are you aware of 1-800 telephone quit-lines or other smoker help lines available to help you quit smoking?

A 1-800 quit-line or a smokers' helpline is a free telephone cessation counselling service offered by each province.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Other Cessation Methods (OM) - Question identifier:OM_Q100

Did you use a 1-800 quitline or a smokers helpline?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP)

Tobacco Products (TP) - Question identifier:TP_R010

Now, I would like to ask you a few questions about tobacco products, other than cigarettes.

Press < 1 > to continue.

Tobacco Products (TP) - Question identifier:TP_Q017

Have you ever tried smoking a little cigar or cigarillo?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q021

In the past 30 days, did you smoke any little cigars or cigarillos?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q022

Were these (little cigars or cigarillos) plain, flavoured or both?

  • 1: Plain
  • 2: Flavoured
  • 3: Both
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q024

Have you ever tried smoking a cigar not including little cigars or cigarillos?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q027

In the past 30 days, did you smoke any cigars (not including little cigars or cigarillos)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q028

Were these cigars plain, flavoured or both?

  • 1: Plain
  • 2: Flavoured
  • 3: Both
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q040

In the past 30 days, did you smoke a pipe?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q050

Have you ever tried chewing tobacco, pinch or snuff?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q060

In the past 30 days, did you use any chewing tobacco, pinch or snuff?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q061

Was the chewing tobacco, pinch or snuff plain, flavoured or both?

  • 1: Plain
  • 2: Flavoured
  • 3: Both
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q070

Have you ever tried a tobacco water-pipe, also known as a hookah, sheesha, narg-eelay, hubble-bubble, or gouza, to smoke tobacco?

A tobacco water-pipe is a tall container with water at the bottom. People smoke through a long hose that comes out of the container. A water-pipe is often used with flavoured tobacco.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q080

In the past 30 days have you smoked a tobacco water-pipe?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q090

What type of tobacco did you smoke in the water-pipe?

Read categories to respondent. Mark all that apply.

  • 1: Flavoured tobacco
  • 2: Regular tobacco
  • 3: A product other than tobacco
  • 8: RF
  • 9: DK

Tobacco Products (TP) - Question identifier:TP_Q100

Do you believe that smoking tobacco in a water-pipe is ...?

Read categories to respondent.

  • 1: More harmful than smoking cigarettes
  • 2: Less harmful than smoking cigarettes
  • 3: Neither more harmful nor less harmful than smoking cigarettes
  • 8: RF
  • 9: DK

Electronic Cigarette (ELC)

Electronic Cigarette (ELC) - Question identifier:ELC_Q110

Have you ever tried an electronic cigarette, also known as an e-cigarette?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Electronic Cigarette (ELC) - Question identifier:ELC_Q120

In the past 30 days did you use an electronic cigarette, also known as an e-cigarette?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Electronic Cigarette (ELC) - Question identifier:ELC_Q130

The last time you used an e-cigarette, did it contain nicotine?

  • 1: Yes
  • 2: No
  • 3: Uncertain
  • 8: RF

Electronic Cigarette (ELC) - Question identifier:ELC_Q140

In the past two years, did you ever use the e-cigarette as an aid while attempting to quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Electronic Cigarette (ELC) - Question identifier:ELC_Q150

Sometimes smokers use e-cigarettes even when they are not attempting to quit smoking. Have you ever used e-cigarettes when you were not able to smoke or when you wanted to smoke fewer cigarettes? (For example, in a meeting, on a plane, at school?)

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Exposure to Second-hand Smoke (EX)

Exposure to Second-hand Smoke (EX) - Question identifier:EX_R010

The next question is about exposure to second-hand smoke in places other than your own home. Second-hand smoke is what smokers exhale and the smoke from a burning cigarette.

Press < 1 > to continue.

Exposure to Second-hand Smoke (EX) - Question identifier:EX_Q130

Overall, [excluding your own smoking], in the past month how often were you exposed to second-hand smoke?

Read categories to respondent.

  • 1: Every day
  • 2: Almost every day
  • 3: At least once a week
  • 4: At least once in the past month
  • 5: Never
  • 8: RF
  • 9: DK

Alcohol General (ALC)

Alcohol General (ALC) - Question identifier:ALC_R10

The following questions are about your alcohol consumption. When we use the word drink, it means:
- one 341 ml or 12 oz serving of beer whether from a bottle, can, or draft
- one 142 ml or 5 oz glass of wine or bottle of cooler
- one straight or mixed drink with 1.5 oz (43ml) of liquor or spirit
Drinking does not include having a few sips of wine for religious purposes.

Include: light beer, but DO NOT include de-alcoholised beer or coolers (0.5% alcohol) or cocktails such as Virgin Mary or Shirley Temple

Press <1> to continue.

Alcohol General (ALC) - Question identifier:ALC_Q10

How often did you drink alcoholic beverages during the past 12 months?

Read categories to respondent.

  • 01: Daily or almost daily
  • 02: 4 to 5 times a week
  • 03: 2 to 3 times a week
  • 04: Once a week
  • 05: 2 to 3 times a month
  • 06: Once a month
  • 07: Less than once a month
  • 08: Never
  • 98: RF
  • 99: DK

Alcohol General (ALC) - Question identifier:ALC_Q20

Have you ever had a drink?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol General (ALC) - Question identifier:ALC_Q30

Not counting small sips, how old were you when you started drinking alcoholic beverages?

Min = 1; Max = 95

Drinking does not include having a few sips of wine for religious purposes.

Alcohol General (ALC) - Question identifier:ALC_Q40

During the past 12 months, on those days when you drank, how many drinks did you usually have?

Min = 1; Max = 61

Alcohol General (ALC) - Question identifier:ALC_Q50

During the past 12 months, how often have you had four or more drinks on one occasion?

Read categories to respondent.

  • 01: Daily or almost daily
  • 02: 4 to 5 times a week
  • 03: 2 to 3 times a week
  • 04: Once a week
  • 05: 2 to 3 times a month
  • 06: Once a month
  • 07: Less than once a month
  • 08: Never
  • 98: RF
  • 99: DK

Alcohol General (ALC) - Question identifier:ALC_Q60

During the past 12 months, how often have you had five or more drinks on one occasion?

Read categories to respondent.

  • 01: Daily or almost daily
  • 02: 4 to 5 times a week
  • 03: 2 to 3 times a week
  • 04: Once a week
  • 05: 2 to 3 times a month
  • 06: Once a month
  • 07: Less than once a month
  • 08: Never
  • 98: RF
  • 99: DK

Alcohol General (ALC) - Question identifier:ALC_Q70

During the past 30 days, on those days when you drank, how many drinks did you usually have?

Min = 0; Max = 61

Alcohol Wheel (AW)

Alcohol Wheel (AW) - Question identifier:AW_Q10

Now, thinking back over the past seven (7) days, did you have a drink of beer, wine, liquor or any other alcoholic beverage?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol Wheel (AW) - Question identifier:AW_R20

Some people drink more or less depending upon the day of the week.

Press <1> to continue.

Alcohol Wheel (AW) - Question identifier:AW_R20N

Thinking back over the past seven days, starting with yesterday, up to 4AM this morning, how many drinks did you have?

Press <1> to continue.

Alcohol Wheel (AW) - Question identifier:AW_Q20N

(Thinking back over the past seven days, starting with yesterday, up to 4AM this morning, how many drinks did you have?)

^DT_DAYDRINKE

Min = 0; Max = 61

For each day, the respondent should be counting up to 4AM in the morning of the following day, e.g. Monday up to 4AM on Tuesday.

Pain Relievers (PR)

Pain Relievers (PR) - Question identifier:PR_R01

The next series of questions are about various medications.

The first series of questions are about your use of various pain relievers. When we use the term pain relievers, we mean products that contain opioids such as codeine or morphine, or related drugs. Most of these products require a prescription, although some codeine products are available from a pharmacist without a prescription, for example, Tylenol #1 or 222s.
We are not interested in pain relievers such as Aspirin, Advil, regular Tylenol, etc., or Celebrex.

Press <1> to continue.

Pain Relievers (PR) - Question identifier:PR_Q010

During the past 12 months, have you used any codeine products like Tylenol #3, Tylenol #1, 292's or 222's?

Tylenol Regular and Extra-strength do not contain codeine and are not counted. Tylenol 1, 2, 3, and 4 contain codeine and are counted.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain Relievers (PR) - Question identifier:PR_Q020

During the past 12 months, have you used any oxycodone products such as Percocet or Percodan?

Include Oxycontin and oxy-neo. Consider pain relievers given to the respondent while he or she was a patient in hospital as prescribed.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain Relievers (PR) - Question identifier:PR_Q030

During the past 12 months, have you used any other opioid products such as hydromorphone, Dilaudid, HydromorphContin, morphine, MS Contin, or Demerol?

Consider pain relievers given to the respondent while he or she was a patient in hospital as prescribed.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain Relievers (PR) - Question identifier:PR_Q040

During the past 12 months, how often have you used any such pain relievers?

Read categories to respondent. Consider pain relievers given to the respondent while he or she was a patient in hospital as prescribed.

  • 01: Once or twice
  • 02: 3 to 11 times a year
  • 03: About once a month
  • 04: 2 or 3 times a month
  • 05: About once or twice a week
  • 06: 3 or 4 times a week
  • 07: Daily or almost daily
  • 08: As needed, or following surgery
  • 98: RF
  • 99: DK

Pain Relievers (PR) - Question identifier:PR_Q050

Thinking about all the pain relievers you have used during the past 12 months, were they prescribed for you?

Read categories to respondent. Consider pain relievers given to the respondent while he or she was a patient in hospital as prescribed.

  • 1: No, none were prescribed
  • 2: Yes, they all were prescribed
  • 3: Some were prescribed and others were not
  • 8: RF
  • 9: DK

Pain Relievers (PR) - Question identifier:PR_Q060

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the pain relievers you have used during the past 12 months, did you ever take more pills, or take them more often than you were supposed to?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain Relievers (PR) - Question identifier:PR_Q070

During the past 12 months, did you ever use pain relievers only for the experience, the feeling they caused, or to get high?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain Relievers (PR) - Question identifier:PR_Q080

During the past 12 months, did you ever use pain relievers for reasons other than pain relief, for example, to feel better (improve mood), to cope with stress or problems, or any other reason?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain Relievers (PR) - Question identifier:PR_Q090

During the past 12 months, did you ever tamper with a pain reliever product before taking it, [ for example, by crushing tablets to swallow, snort or inject, not counting for ease of swallowing or to take a lower dose/ for example, by crushing tablets to swallow, snort or inject]?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain Relievers (PR) - Question identifier:PR_Q100

Thinking about all the pain relievers you have used during the past 12 months, how did you obtain them? Was it ...?

Mark all that apply. Read categories to respondent. Consider pain relievers given to the respondent while he or she was a patient in hospital as response option 2 "from a prescription written for you".

  • 01: From a pharmacist, without a prescription
  • 02: From a prescription written for you for pain
  • 03: From a friend or relative
  • 04: From a drug dealer or other stranger
  • 05: From the internet
  • 06: From deceiving a doctor to obtain a prescription
  • 07: From forging a prescription
  • 08: From purposely going to more than one doctor for prescriptions
  • 98: RF
  • 99: DK

Pain Relievers (PR) - Question identifier:PR_Q110

During the past 12 months, did you ever give away or sell pain reliever medication that was prescribed for you?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Stimulants (STI)

Stimulants (STI) - Question identifier:STI_R10

The next few questions are about your use of various stimulants.

In these questions, when we use the term stimulants, we mean products that can be obtained from a doctor such as Ritalin, Concerta, Adderall, Dexedrine or others.

Stimulants are prescribed by doctors to help people who have attention or concentration problems (such as ADHD).

Press <1> to continue.

Stimulants (STI) - Question identifier:STI_Q10

During the past 12 months have you used any stimulants?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Stimulants (STI) - Question identifier:STI_Q15

During the past 12 months how often have you used any stimulants?

Read categories to respondent. Consider stimulants given to the respondent while he or she was a patient in hospital as prescribed.

  • 01: Once or twice
  • 02: 3 to 11 times a year
  • 03: About once a month
  • 04: 2 or 3 times a month
  • 05: About once or twice a week
  • 06: 3 or 4 times a week
  • 07: Daily or almost daily
  • 08: As needed, or following surgery
  • 98: RF
  • 99: DK

Stimulants (STI) - Question identifier:STI_Q20

Thinking about all the stimulants you used during the past 12 months, were they prescribed for you?

Read categories to respondent. Consider stimulants given to the respondent while he or she was a patient in hospital as prescribed.

  • 1: No, none were prescribed
  • 2: Yes, they all were prescribed
  • 3: Some were prescribed and others were not
  • 8: RF
  • 9: DK

Stimulants (STI) - Question identifier:STI_Q30

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the stimulants you have used during the past 12 months, did you ever take more pills or take them more often than you were supposed to?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Stimulants (STI) - Question identifier:STI_Q40

During the past 12 months, did you ever use stimulants only for the experience, the feeling they caused or to get high?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Stimulants (STI) - Question identifier:STI_Q50

During the past 12 months, did you ever use stimulants for reasons other than why they were prescribed, for example, to study, to stay alert, to decrease your appetite or for any other reason?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Stimulants (STI) - Question identifier:STI_Q60

Thinking about all the stimulants you used during the past 12 months, how did you obtain them? Was it...?

Mark all that apply. Read categories to respondent. Consider stimulants given to the respondent while he or she was a patient in hospital as response option 2 "from a prescription written for you".

  • 01: From a pharmacist, without a prescription
  • 02: From a prescription written for you
  • 03: From a friend or relative
  • 04: From a drug dealer or other stranger
  • 05: From the internet
  • 06: From deceiving a doctor to obtain a prescription
  • 07: From forging a prescription
  • 08: From purposely going to more than one doctor for prescriptions
  • 98: RF
  • 99: DK

Stimulants (STI) - Question identifier:STI_Q70

During the past 12 months, did you ever give away or sell stimulant medication that was prescribed for you?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Sedatives (SED)

Sedatives (SED) - Question identifier:SED_R10

The next few questions are about your use of various sedatives or anti-anxiety medications.

In these questions, when we use the term sedatives we mean products that can be obtained from a doctor such as diazepam, Valium, lorazepam, Ativan, alprazolam, Xanax, clonazepam, Rivotril or others.

Sedatives are sometimes prescribed to help people sleep, calm down, or to relax their muscles.

Press <1> to continue.

Sedatives (SED) - Question identifier:SED_Q05

During the past 12 months have you used any sedatives?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Sedatives (SED) - Question identifier:SED_Q10

During the past 12 months how often have you used any sedatives?

Read categories to respondent. Consider sedatives given to the respondent while he or she was a patient in hospital as prescribed.

  • 01: Once or twice
  • 02: 3 to 11 times a year
  • 03: About once a month
  • 04: 2 or 3 times a month
  • 05: About once or twice a week
  • 06: 3 or 4 times a week
  • 07: Daily or almost daily
  • 08: As needed, or following surgery
  • 98: RF
  • 99: DK

Sedatives (SED) - Question identifier:SED_Q20

Thinking about all the sedatives you have used during the past 12 months, were they prescribed for you?

Read categories to respondent. Consider sedatives given to the respondent while he or she was a patient in hospital as prescribed.

  • 1: No, none were prescribed
  • 2: Yes, they all were prescribed
  • 3: Some were prescribed and others were not
  • 8: RF
  • 9: DK

Sedatives (SED) - Question identifier:SED_Q30

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the sedatives you have used during the past 12 months, did you ever take more pills or take them more often than you were supposed to?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Sedatives (SED) - Question identifier:SED_Q40

During the past 12 months, did you ever use sedatives only for the experience, the feeling they caused or to get high?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Sedatives (SED) - Question identifier:SED_Q50

Thinking about all the sedatives you have used during the past 12 months, how did you obtain them? Was it...?

Read categories to respondent. Mark all that apply. Consider sedatives given to the respondent while he or she was a patient in hospital as response option 2 "from a prescription written for you".

  • 01: From a pharmacist, without a prescription
  • 02: From a prescription written for you
  • 03: From a friend or relative
  • 04: From a drug dealer or other stranger
  • 05: From the internet
  • 06: From deceiving a doctor to obtain a prescription
  • 07: From forging a prescription
  • 08: From purposely going to more than one doctor for prescriptions
  • 98: RF
  • 99: DK

Sedatives (SED) - Question identifier:SED_Q60

During the past 12 months, did you ever give away or sell sedative medication that was prescribed for you?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN)

Cannabis (CAN) - Question identifier:CAN_R010

The next questions are about cannabis. In this series of questions when we use the term marijuana, we refer to the use of marijuana, hashish, hash oil or other cannabis derivatives.

Press <1> to continue.

Cannabis (CAN) - Question identifier:CAN_Q010

During your lifetime, have you ever used or tried marijuana?

This includes the medical use of marijuana, cannabis or hashish.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q020

Have you used marijuana just once or more than once?

  • 1: Just once
  • 2: More than once
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q030

During the past 12 months have you used marijuana?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q040

During the past three months have you used marijuana?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q050

During the past three months how often did you use marijuana?

Read categories to respondent.

  • 1: Once or twice
  • 2: Monthly
  • 3: Weekly
  • 4: Daily or almost daily
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q060

How old were you when you tried or started using marijuana?

Min = 5; Max = 95

Cannabis (CAN) - Question identifier:CAN_R070

The next few questions are about possible problems you might have had regarding the use of marijuana.

Press <1> to continue.

Cannabis (CAN) - Question identifier:CAN_Q070

Have you ever had a strong desire or urge to use marijuana?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q080

During the past three months how often have you had a strong desire or urge to use marijuana?

Read categories to respondent.

  • 1: Once or twice
  • 2: Monthly
  • 3: Weekly
  • 4: Daily or almost daily
  • 5: Never
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q090

Has your use of marijuana ever led to health, social, legal or financial problems?

Social problems could include: a break up, conflicts with friends or family.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q100

During the past three months, how often has your use of marijuana led to health, social, legal or financial problems?

Read categories to respondent.

  • 1: Once or twice
  • 2: Monthly
  • 3: Weekly
  • 4: Daily or almost daily
  • 5: Never
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q110

Have you ever found you could not do what was normally expected of you because of your use of marijuana?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q120

During the past three months, how often have you found you could not do what was normally expected of you because of your use of marijuana?

Read categories to respondent.

  • 1: Once or twice
  • 2: Monthly
  • 3: Weekly
  • 4: Daily or almost daily
  • 5: Never
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q130

Has a friend or relative or anyone else ever expressed concern about your use of marijuana?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q140

Was this concern expressed during the past three months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q150

Have you ever tried to control, cut down or stop using marijuana but discovered that you were not able to do so?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cannabis (CAN) - Question identifier:CAN_Q160

Have you tried to do this during the past three months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cocaine (COC)

Cocaine (COC) - Question identifier:COC_R01

Now I am going to ask some questions about other drug use. Again, I would like to remind you that everything you say will remain strictly confidential.

Press <1> to continue.

Cocaine (COC) - Question identifier:COC_Q10

Have you ever used or tried cocaine (crack, freebase, powder or snow)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Cocaine (COC) - Question identifier:COC_Q20

How old were you when you tried or started using cocaine or crack?

Min = 5; Max = 95

Cocaine (COC) - Question identifier:COC_Q30

Have you used or tried cocaine or crack during the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Methamphetamines (MET)

Methamphetamines (MET) - Question identifier:MET_Q10

Have you ever used or tried amphetamines, speed, methamphetamine or crystal meth?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Methamphetamines (MET) - Question identifier:MET_Q20

How old were you when you tried or started using speed or meth?

Min = 5; Max = 95

Methamphetamines (MET) - Question identifier:MET_Q30

Have you used or tried speed or meth during the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Ecstasy (XTC)

Ecstasy (XTC) - Question identifier:XTC_Q10

Have you ever used or tried Ecstasy (MDMA, E, Xtc, Adam, X)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Ecstasy (XTC) - Question identifier:XTC_Q20

How old were you when you tried or started using Ecstasy?

Min = 5; Max = 95

Ecstasy (XTC) - Question identifier:XTC_Q30

Have you used or tried Ecstasy during the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Hallucinogens (HAL)

Hallucinogens (HAL) - Question identifier:HAL_Q10

Have you ever used or tried hallucinogens such as PCP, LSD, acid, magic mushrooms, mescaline or angel dust?

Include peyote or psilocybin. Do not include epival or salvia.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Hallucinogens (HAL) - Question identifier:HAL_Q20

How old were you when you tried or started using hallucinogens?

Min = 5; Max = 95

Hallucinogens (HAL) - Question identifier:HAL_Q30

Have you used or tried hallucinogens during the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Inhalants (GLU)

Inhalants (GLU) - Question identifier:GLU_Q10

Have you ever sniffed glue, gasoline or other solvents?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Inhalants (GLU) - Question identifier:GLU_Q20

How old were you when you first tried sniffing glue, gasoline or other solvents?

Min = 5; Max = 95

Inhalants (GLU) - Question identifier:GLU_Q30

Have you sniffed glue, gasoline or other solvents during the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Heroin (HER)

Heroin (HER) - Question identifier:HER_Q10

Have you ever used or tried heroin (horse, junk, smack)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Heroin (HER) - Question identifier:HER_Q20

How old were you when you tried or started using heroin?

Min = 5; Max = 95

Heroin (HER) - Question identifier:HER_Q30

Have you used or tried heroin during the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

SALVIA (SAL)

SALVIA (SAL) - Question identifier:SAL_Q10

Have you ever used or tried Salvia (Salvia Divinorum, Divine Sage, Magic Mint, Sally D)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

SALVIA (SAL) - Question identifier:SAL_Q20

How old were you when you tried or started using Salvia?

Min = 5; Max = 95

SALVIA (SAL) - Question identifier:SAL_Q30

Have you used or tried Salvia during the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug Harms (DHA)

Drug Harms (DHA) - Question identifier:DHA_R01

The next few questions ask about experiences you may have had as a result of your drug use, including cannabis but not alcohol.

Press <1> to continue.

Drug Harms (DHA) - Question identifier:DHA_Q10

During the past 12 months, was there ever a time that you felt your drug use had a harmful effect:

on your friendships or social life?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug Harms (DHA) - Question identifier:DHA_Q20

(During the past 12 months, was there ever a time that you felt your drug use had a harmful effect:)

on your physical health?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug Harms (DHA) - Question identifier:DHA_Q30

(During the past 12 months, was there ever a time that you felt your drug use had a harmful effect:)

on your home life or marriage?

Home life refers to people with whom one lives, or whom one lived with at the time of the harmful effects.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug Harms (DHA) - Question identifier:DHA_Q40

(During the past 12 months, was there ever a time that you felt your drug use had a harmful effect:)

on your work, studies, or employment opportunities?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug Harms (DHA) - Question identifier:DHA_Q50

(During the past 12 months, was there ever a time that you felt your drug use had a harmful effect:)

on your financial position?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug Harms (DHA) - Question identifier:DHA_Q60

During the past 12 months, was there ever a time when you had legal problems because of your drug use?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug Harms (DHA) - Question identifier:DHA_Q70

(During the past 12 months,) was there ever a time when you had housing problems because of your drug use?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug Harms (DHA) - Question identifier:DHA_Q80

(During the past 12 months,) was there ever a time when you had difficulty learning things because of your drug use?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Labour Market Activities Minimal (LMAM)

Labour Market Activities Minimal (LMAM) - Question identifier:LMAM_Q01

The following questions concern ^RESPNAME + 's activities last week. By
last week, I mean the week beginning on ^REFBEGE, and ending ^REFENDE.

Last week, did ^FNAME work at a job or business?
(regardless of the number of hours)

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Labour Market Activities Minimal (LMAM) - Question identifier:LMAM_Q02

Last week, did ^FNAME have a job or business from which he was absent?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Labour Market Activities Minimal (LMAM) - Question identifier:LMAM_Q03

What was the main reason ^FNAME was absent from work last week?

  • 01: Own illness or disability
  • 02: Caring for own children
  • 03: Caring for elder relative (60 years of age or older)
  • 04: Maternity or parental leave
  • 05: Other personal or family responsibilities
  • 06: Vacation
  • 07: Labour dispute (strike or lockout) (Employees only)
  • 08: Temporary layoff due to business conditions (Employees only)
  • 09: Seasonal layoff (Employees only)
  • 10: Casual job, no work available (Employees only)
  • 11: Work schedule (e.g., shift work) (Employees only)
  • 12: Self-employed, no work available (Self-employed only)
  • 13: Seasonal business (Excluding employees)
  • 14: Other - Specify
  • 98: RF
  • 99: DK

HC: Labour market activity Sublock Class of worker - LMA3

HC: Labour market activity Sublock Class of worker - LMA3 - Question identifier:LMA3_Q10

Were you an employee or self-employed?

  • 1: Employee
  • 2: Self-employed
  • 3: Working in a family business without pay
  • 9: Don't know
  • 8: Refusal

Postal Code (PC)

Postal Code (PC) - Question identifier:PC_Q10

To determine which geographic region you live in, could you tell me your postal code?

Long Answer Length = 6

Postal Code (PC) - Question identifier:PC_Q20

What are the first 3 digits of your postal code?

Long Answer Length = 3

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