1991 |
79. Please put an "X" in the box next to each of the ways you have used cocaine in the past 12 months.
2[] Swallowing or drinking
3[] Injecting in a vein or muscle with a needle
4[] Smoking or free basing
5[] Some other way -- Specify ____
6[] I did not use cocaine in the past 12 months
8[] I HAVE NEVER used cocaine, not even once