1. During the 2 weeks outlined in red on that calendar, did -- take or use any:
i. Tranquilizers or sedatives (such as Valium, Chloral Hydrate, or Secanol and the like)?
Note - Ask 2-5 only for those questions in 1a-k which were answered "Yes."
2. What is the main health problem for which -- took or used the (Medication)?