Survey Text

1991
top
1991
Survey form view entire document:  text  image


The next set of questions are about cocaine. This includes powder cocaine, crack cocaine, free base, and coca paste. Again, please answer every question -- even if you've never used cocaine. Please put an "X" in the box next to the answer that fits you best or write in your answer on the line.


75. When was the most recent time that you used cocaine?

1[] Within the past week (7 days)
2[] More than 1 week but less than 1 month (30 days) ago
3[] 1 or more months ago but less than 1 year ago
4[] 1 or more years ago
8[] I HAVE NEVER used cocaine, not even once