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PHI stands for "Protected Health Information" (Y = Yes, N = No)
Display Field Phi Field type Condition choices Field note Header
1. How old were you when you first tried any form of tobacco? tmd_1 N text - Age -
2a. Have you ever smoked cigarettes on a daily basis for a month or more? tmd_2a N radio 1, Yes, currently smoking | 2, Yes, smoked in the past | 0, No - -
If yes: Are you currently smoking? tmd_2a_yes N radio 1, Yes | 0, No | 9, Unknown - -
# of packs per day tmd_2a1_perday N text - Field Type: Number (2 decimal places) -
# years tmd_2a1_year N text - Field Type: Number (2 decimal places) -
If yes to question 2.a: Estimate number of "pack-years". tmd_2a1 N text - - -
2b. Over your lifetime, have you smoked a total of 100 cigarettes? If NO, skip to Marijuana tmd_2b N radio 1, Yes | 0, No | 9, Unknown - -
DIAGNOSTIC CRITERIA FOR SUBSTANCE ABUSE A maladaptive pattern of substance use leading to a clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a twelve month period: tmd_diag_2 N checkbox 1, recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home (e.g., repeated absences or poor work performance related to substance use; substance-related absences, suspensions or expulsions from school; neglect of children or household) | 2, recurrent substance use in situations in which it is physically hazardous (e.g., driving an automobile or operating a machine when impaired by substance use) | 3, recurrent substance related legal problems (e.g., arrest for substance related disorderly conduct) | 4, continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance (e.g., arguments with spouse about consequences of intoxication, physical fights) | 5, The symptoms have never met the criteria for Substance Dependence for this class of substance - -
DIAGNOSTIC CRITERIA FOR SUBSTANCE DEPENDENCE A maladaptive pattern of substance use, leading to a clinically significant impairment or distress, as manifested by three (or more) of the following occurring at any time in the same twelve month period tmd_diag_1 N checkbox 1, Tolerance as defined by the need for markedly increased amounts of the substance to achieve intoxication or desired effect | 2, Tolerance as defined by markedly diminished effect with continued use of the same amount of the substance | 3, Withdrawal as manifested by the characteristic Withdrawal syndrome for the substance (refer to criteria A and B of the criteria sets for Withdrawal from the specific substances) | 4, Withdrawal as manifested when the same substance is taken to relieve or avoid withdrawal symptoms | 5, The substance is often taken in larger amounts or over a longer period than was intended | 6, There is a persistent desire or unsuccessful efforts to cut down or control substance use | 7, A great deal of time is spent in activities necessary to obtain the substance (e.g. visiting multiple doctors or driving long distances), use the substance (e.g., chain smoking), or recover from its effects | 8, Important social, occupational, or recreational activities are given up or reduced because of substance use | 9, Continued substance use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance (e.g. current cocaine use despite recognition of cocaine-induced depression, or continued drinking despite recognition that an ulcer was made worse by alcohol consumption) - -
Think about the period lasting a month or more when you were smoking the most. tmd_think N descriptive - - -
3. How many cigarettes per day do you smoke? <h6 style="background-color:#DA70D6">INTERVIEWER</h6> INSTRUCTION: ON AVERAGE.. (If R says Unknown or a range of values, rephrase with "Can you give us your best estimate of the average number of cigarettes you smoke per day?". If R still is unable to provide a number, read response categories ans ask to select. "Would you say..." tmd_3 N radio 0, 0-5 | 1, 6-10 | 2, 11-15 | 3, 16-20 | 4, 21-30 | 5, 31 or more - -
4. During this period when you were smoking the most, about how many minutes after you wake up did you smoke your first cigarette? tmd_4 N radio 1, Within 5 minutes | 2, Within 6-30 minutes | 3, Within 31-60 minutes | 4, More than 1 hour | 9, Unknown - -
5. During the period when you were smoking the most, did you usually smoke more frequently during the first hours after waking than during the rest of the day? tmd_5 N radio 1, Yes | 0, No | 9, Unknown - -
6. During the period when you were smoking the most, did you usually find it difficult to keep from smoking in places where it was forbidden; for example, on airplanes, in movie theaters, in "no smoking" sections of the restaurants or office buildings, or perhaps in situations whre someone asked you not to? tmd_6 N radio 1, Yes | 0, No | 9, Unknown - -
7. During the period when you were smoking the most, which cigarette would you have hated most to give up: tmd_7 N radio 0, the first one in the morning | 1, after eating, while watching television, or some other one? - -
8. During the period when you were smoking the most, were there times you smoked even when you were so ill that you had to be in bed most of the day? tmd_8 N radio 1, Yes | 0, No | 9, Unknown - -
The Following section on tobacco dependence is site optional.Will you continue? tmd_the_following N radio 1, Yes | 0, No | 9, Unknown - -
Now I'd like you to think about your cigarette smoking throughout your life as I ask you more questions about experiences people sometimes have when they smoke cigarettes.(Since you don't smoke now, I'd like to ask youa bout the times when you used to smoke cigarettes.) tmd_now_id_like N descriptive - - -
9. Did you ever chain smoke; that is where you have smoked several cigarettes, one right after another? tmd_9 N radio 1, Yes | 0, No | 9, Unknown - -
10. Have you often given up or spent much less time in activities important to you such as work, sports, going to movies, or seeing friends or relatives because you were not able to smoke? tmd_10 N radio 1, Yes | 0, No | 9, Unknown - -
11. Have you often smoked a lot more than you intended or for more days in a row than you intended? For example, smoking half a pack or more when trying to liit yourself to only 1 or 2 cigarettes tmd_11 N radio 1, Yes | 0, No | 9, Unknown - -
12. Have you often wanted to quit or tried to cut down on smoking? tmd_12 N radio 1, Yes | 0, No | 9, Unknown - -
13. Did you ever have times when you stopped or cut down on smoking and had withdrawal problems such as irritability, depression, anxiety, and difficulty concentrating? tmd_13 N radio 1, Yes | 0, No | 9, Unknown - -
14. Have you continued to smoke when you had any health problem such as a problem with your heart, a problem with your blood pressure, lung trouble, a cough that wouldn't go away; or another serious illness that you knew was made worse by smoking for example : asthma or bronchitis? tmd_14 N radio 1, Yes | 0, No | 9, Unknown - -
15. After you had been smoking for some time, did you find that cigarettes had less effect on you than before? tmd_15 N radio 1, Yes | 0, No | 9, Unknown - -
16. I'd like to review the experiences you've told me had with smoking cigarettes.You've said that: (Read positive symptoms from boxes above), Did you ever have 3 or more of these experiences in the same year? tmd_16 N radio 1, Yes | 0, No | 9, Unknown - -
16a. How old were you the first time? tmd_16a N text - - -
16b. How old were you the last time? tmd_16b N text - - -
17. Have you ever used marijuana? tmd_17 N radio 1, Yes | 0, No | 9, Unknown - -
17a. If yes: Have you used marijuana at least 21 times in a single year? tmd_17a N radio 1, Yes | 0, No | 9, Unknown - -
17b. How old were you when you used marijuana for the first time? tmd_17b N text - - -
18. Have you often been high on marijuana or suffering its after-effects while in school, working or taking care of household responsibilities? tmd_18 N radio 1, Yes | 0, No | 9, Unknown - -
19. Have you often been under the effects of marijuana in a situation where it increased your chances of getting hurt-for instance, when driving, using kives or machinery or guns, or duringg sports? tmd_19 N radio 1, Yes | 0, No | 9, Unknown - -
20. Did your marijuana use more than once cause you to have legal problems, such as arrests for disorderly conduct, possession or selling? tmd_20 N radio 1, Yes | 0, No | 9, Unknown - -
21. Did your marijuana use often cause you to have problems at work, school or at home? tmd_21 N radio 1, Yes | 0, No | 9, Unknown - -
22. How old were you the first time any of these things happened? tmd_22 N text - - -
If questionns 18-21 are all NO 23. <h6 style="background-color:#DA70D6">INTERVIEWER</h6>: Do you have any suspicion of marijuana abuse or dependence (based on all available history and data gathered so far) IF NO, SKIP TO OTHER DRUGS, question 34 tmd_23 N radio 1, Yes | 0, No | 9, Unknown - -
24. Have you often used marijuana over a longer period in larger amounts than you intended to? tmd_24 N radio 1, Yes | 0, No | 9, Unknown - -
25. Have you often wanted to or tried to cut down on marijuana? tmd_25 N radio 1, Yes | 0, No | 9, Unknown - -
26. Did you ever try to stop or cut down on marijuana and find you could not? tmd_26 N radio 1, Yes | 0, No | 9, Unknown - -
27. Has there ever been a period of a month or more when a great deal of your time was spent using marijuana, getting marijuana, or getting over its effects? tmd_27 N radio 1, Yes | 0, No | 9, Unknown - -
28. Have you often given up or greatly reduced important activities with friends or relatives or at work while using marijuana? tmd_28 N radio 1, Yes | 0, No | 9, Unknown - -
29. Did you ever need larger amounts of marijuana to get an effect, or did you ever find that you could no longer get high on the amount you used to use? tmd_29 N radio 1, Yes | 0, No | 9, Unknown - -
30. While using marijuana, did you more than once have a psychological problem start or get worse such as feeling depressed, feeling paranoid, trouble thinking clearly, hearing, smelling or seeing things, or feeling jumpy? Or any physical problems (e.g. asthma) become worse using marijuana? tmd_30 N radio 1, Yes | 0, No | 9, Unknown - -
If yes: Did you continue to use marijuana after you knew it caused you any of these problems? tmd_30b N radio 1, Yes | 0, No | 9, Unknown - -
31. Did stopping or cutting down ever cause you to feel bad physically? (Co-occurrence of symptoms such as nervousness, insomnia, sweating, nausea, diarrhea.) tmd_31 N radio 1, Yes | 0, No | 9, Unknown - -
32. If yes: Did you use marijuana to prevent these symptoms? tmd_32 N radio 1, Yes | 0, No | 9, Unknown - -
<h6 style="background-color:#DA70D6">INTERVIEWER</h6>: If questions 24-32 are all NO or if there are less than 3 positive boxed symptoms, skip to Other Drugs(question 34) tmd_80 N descriptive - - -
33. You told me you had these experiences such as (Review positive symptoms in questions 24-32).While you were using marijuana, did you ever have at least three of these experiences occur at any time in the same 12 month period? tmd_33 N radio 1, Yes | 0, No | 9, Unknown - -
33a. How old were you the first time at least three of these experiences occurred within the same 12 months? tmd_33a N text - - -
33b. How old were you the last time at least one of these experiences occurred within the same 12 months? tmd_33b N text - - -
33c. What was the longest period that you used marijuana almost every day? tmd_33c N text - (Days) -
33d. How old were you at time? tmd_33d N text - - -
34. Have you ever used any of these drugs to feel good or high, or to feel more active or alert, or when they were not prescribed for you? Or have you ever used a prescribed drug in larger quantities or for longer than prescribed? tmd_34 N radio 1, Yes | 0, No | 9, Unknown - -
34a. If yes: Which ones? IF NO TO ALL, SKIP TO PSYCHOSIS tmd_34a N checkbox 1, Cocaine | 2, Stimulant | 3, Sedatives | 4, Opiates | 5, PCP | 6, Hallucinogens | 7, Solvents | 8, Others | 9, Combination - -
How old were you tmd_93 N text - - -
How many times have you use (Drug) in your life? tmd_94 N text - - -
How old were you tmd_96 N text - - -
How many times have you use (Drug) in your life? tmd_97 N text - - -
How old were you tmd_99 N text - - -
How many times have you use (Drug) in your life? tmd_100 N text - - -
How old were you tmd_102 N text - - -
How many times have you use (Drug) in your life? tmd_103 N text - - -
How old were you tmd_105 N text - - -
How many times have you use (Drug) in your life? tmd_106 N text - - -
How old were you tmd_108 N text - - -
How many times have you use (Drug) in your life? tmd_109 N text - - -
How old were you tmd_111 N text - - -
How many times have you use (Drug) in your life? tmd_112 N text - - -
How old were you tmd_114 N text - - -
How many times have you use (Drug) in your life? tmd_115 N text - - -
How old were you tmd_117 N text - - -
How many times have you use (Drug) in your life? tmd_118 N text - - -
35. Have you often been high on (Drugs) or suffering its after-effects while in school, working or taking care of household responsibilitie have_you_often_been_high_o N checkbox 1, Cocaine | 2, Stimulants | 3, Sedatives | 4, Opiates | 5, Others - -
36. Have you often been under the effects of (Drugs) in a situation where it increased your chances of getting hurt-for instance, when driving, using hives or machinery or guns, or during sports? have_you_often_been_under N checkbox 1, Cocaine | 2, Stimulants | 3, Sedatives | 4, Opiates | 5, Others - -
37. Did your use of (Drug) more than once cause you to have legal problems such as arrests for disorderly conduct, possession or selling? did_your_use_of_drug_more N checkbox 1, Cocaine | 2, Stimulants | 3, Sedatives | 4, Opiates | 5, Others - -
35. If Others, Specify: drug_abuse_other_specify N text - - -
Cocaine coc N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op N radio 1, Yes | 0, No | 9, Unknown - -
Others oth N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_1 N text - - -
Stimulants stim_1 N text - - -
Sedatives sed_1 N text - - -
Opiates op_1 N text - - -
Others oth_1 N text - - -
If questions 35-38 are all NO: tmd_128 N descriptive - - -
Cocaine coc_2 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_2 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_2 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_2 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_2 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_3 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_3 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_3 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_3 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_3 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_4 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_4 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_4 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_4 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_4 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_5 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_5 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_5 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_5 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_5 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_6 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_6 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_6 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_6 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_6 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_7 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_7 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_7 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_7 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_7 N radio 1, Yes | 0, No | 9, Unknown - -
Tolerance tmd_137 N descriptive - - -
Cocaine coc_8 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_8 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_8 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_8 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_8 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_9 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_9 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_9 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_9 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_9 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_10 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_10 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_10 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_10 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_10 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_11 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_11 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_11 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_11 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_11 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_12 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_12 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_12 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_12 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_12 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_13 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_13 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_13 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_13 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_13 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_14 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_14 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_14 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_14 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_14 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_15 N radio 1, Yes | 0, No | 9, Unknown - -
Stimulants stim_15 N radio 1, Yes | 0, No | 9, Unknown - -
Sedatives sed_15 N radio 1, Yes | 0, No | 9, Unknown - -
Opiates op_15 N radio 1, Yes | 0, No | 9, Unknown - -
Others oth_15 N radio 1, Yes | 0, No | 9, Unknown - -
Cocaine coc_16 N text - - -
Stimulants stim_16 N text - - -
Sedatives sed_16 N text - - -
Opiates op_16 N text - - -
Others oth_16 N text - - -
Cocaine coc_17 N text - - -
Stimulants stim_17 N text - - -
Sedatives sed_17 N text - - -
Opiates op_17 N text - - -
Others oth_17 N text - - -
52. Have you ever been treated for a drug problem? tmd_151 N yesno - - -
If yes: Was this treatment: tmd_152 N checkbox 1, discussion with a professional | 2, NA or other self-help | 3, outpatient drug-free program | 4, inpatient drug-free program | 5, other - -
If yes: Specify: tmd_158 N text - - -
53a. cocaine tmd_160 N text - - -
53b. stimulants tmd_161 N text - - -
53c. sedatives, hypnotics, or tranquilizers? tmd_162 N text - - -
53d. opiates tmd_163 N text - - -
53e. other drugs? tmd_164 N text - - -
Notes tobacco_marijuana_and_other_drug_abuse_and_dependencecsv_notes Y notes - - -

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