Questionnaire number (Imported)
Sample wave
Province (code)
LANGUAGE OF THE INTERVIEW
INTERVIEWER - Enter respondent's gender please If needed : (Could you please c
What is your date of birth/ year of birth ?
Would you mind telling me in what group you fall into ?
DERIVED VARIABLE (AGE OF RESPONDANT)
Have you smoked at least 100 cigarettes in your life? - Interviewer : (100 ciga
At what age did you smoke your first cigarette? If 97 or more, please enter 97
At the present time do you smoke daily, occasionally, or not at all?
How soon after you wake up do you smoke your first cigarette?
When did you stop smoking: was it...? *** If respondent gives AGE, ask for how
How often did you drink alcoholic beverages during the past 12 months ?
Have you ever had a drink ?
Not counting small sips, how old were you when you started drinking alcoholic be
During the past 12 months, on those days when you drank, how many drinks did you
How often in the past 12 months have you had 4 or more drinks on one occasion ?
How often in the past 12 months have you had 5 or more drinks on one occasion ?
Now what about the PAST 30 DAYS, on about how many of these days did you drink a
During the past 30 days, on those days when you drank, how many drinks did you u
How often in the past 30 days have you had 4 or more drinks on one occasion ? -
How often in the past 30 days have you had 5 or more drinks on one occasion ?
Now, thinking back over the past week, did you have a drink of beer, wine, liquo
Day minus 1
Day minus 2
Day minus 3
Day minus 4
Day minus 5
Day minus 6
Day minus 7
Starting with yesterday, that is <J1 > and including up to 4 AM this morning, ho
How many drinks did you have <J2>, including up to 4 AM (in the morning of <J1 >
How many drinks did you have <J3>, including up to 4 AM (in the morning of <J2 >
How many drinks did you have <J4 > , including up to 4 AM (in the morning of <J3
How many drinks did you have <J5>, including up to 4 AM (in the morning of <J4 >
How many drinks did you have <J6>, including up to 4 AM (in the morning of <J5 >
How many drinks did you have last <J7>, including up to 4 AM (in the morning of
DAY OF THE WEEK
SUNDAY
MONDAY
THUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
How many regular bottles of beer did you drink YESTERDAY, including up to 4 AM t
How many glasses of wine or bottles of wine coolers did you drink YESTERDAY, inc
How many drinks of cocktails, spirits or hard liquor did you drink YESTERDAY, in
About wine coolers, how many regular bottles of wine cooler did you drink YESTER
And finally about spirit coolers, drinks such as Smirnoff Ice or Bacardi Breezer
How often during the past 12 months have you found that you were not able to sto
How often during the past 12 months have you failed to do what was normally expe
How often during the past 12 months have you needed a first ALCOHOLIC drink in t
How often during the past 12 months have you had a feeling of guilt or remorse a
How often during the past 12 months have you been unable to remember what happen
Have you or someone else EVER been injured as a result of your drinking ? (If R
Has a relative, a friend, a doctor or other health worker EVER been concerned ab
Was there ever a time that you felt your alcohol use had a harmful effect on you
What about on your physical health? If necessary: (Was there ever a time that y
(What about) on your home life or marriage? If necessary : (Was there ever a ti
(What about) on your work, studies, or employment opportunities? If necessary :
DURING THE PAST 12 MONTHS, how many days, if any, were you away from work or sch
(What about) on your financial position? If necessary : (Was there ever a time
(What about) legal problems? If necessary : (Was there ever a time when you had
(What about) housing problems? If necessary : (Was there ever a time when you h
(What about) difficulty learning things? If necessary : (Was there ever a time
IN THE LAST 30 DAYS, have you been involved in an incident in which you or someo
IN THE MOST RECENT INCIDENT, were you, the other person or both drinking at the
In the last 12 months did you feel you needed help for your alcohol use?
In the last 12 months did you use any services or receive help to deal with your
The first series of questions are about your use of various pain relievers. We
In the past 12 months how often, if at all, have you used any such pain reliever
Sometimes people do not take their pills as directed by a physician or pharmacis
DERIVED VARIABLE (Label for PR5, 1st part)
Take your pain relievers more often than you were supposed to?
take any pain relievers for a longer period of time than you were supposed to?
During the past 12 months, did you ever use pain relievers to get high ?
DERIVED VARIABLE (Label for PR5, 2nd part)
Thinking about ALL the pain relievers you have used <PR3L > or <PR4L > during th
From a pharmacist, without a prescription? If necessary : (Thinking about ALL
From a prescription written for you ? If necessary : (Thinking about ALL the pa
From a prescription written for someone else such as a family member or a friend
Bought from someone else, without a prescription? If necessary : (Thinking abo
Bought from the internet? If necessary : (Thinking about ALL the pain relievers
From any other source? If necessary : (Thinking about ALL the pain relievers y
The next few questions are about your use of various stimulants in the past 12 m
In the past 12 months how often, if at all, have you used any such stimulants?
DERIVED VARIABLE (Label for STI5, 1st part)
Take your STIMULANTS more often than you were supposed to?
Take any STIMULANTS for a longer period of time than you were supposed
During the past 12 months, did you ever use STIMULANTS to get high ?
DERIVED VARIABLE (Label for STI5, 2nd part)
Thinking about ALL the STIMULANTS you have used <STI3L > or <STI4L > during the
From a prescription written for you ? If necessary : (Thinking about ALL the ST
Bought from the internet? If necessary : (Thinking about ALL the STIMULANTS you
From any other source ? If necessary : (Thinking about ALL the STIMULANTS you h
The next few questions are about your use of various sedatives or tranquillizers
In the past 12 months how often, if at all, have you used any such SEDATIVES or
DERIVED VARIABLE (Label for SED5, 1st part)
take your sedatives or tranquillizers more often than you were supposed to?
take any sedatives or tranquillizers for a longer period of time than you were s
During the past 12 months, did you ever use sedatives or tranquillizers to get h
DERIVED VARIABLE (Label for SED5, 2nd part)
Thinking about ALL the sedatives or tranquillizers you have used <SED3L > or <SE
From a pharmacist, without a prescription? If necessary : (Thinking about ALL t
From a prescription written for you ? If necessary : (Thinking about ALL the se
Bought from the internet? If necessary : (Thinking about ALL the sedatives or t
From any other source ? If necessary : (Thinking about ALL the sedatives or tra
The next questions are about cannabis. In this series of questions when we use t
Have you used it in the past 12 months ?
And how about the past 3 months? How often did you use marijuana?
And how about the past 30 days, on how many of these days did you use marijuana?
How old were you when you started using marijuana?
The next few questions are about possible problems you might have had regarding
Have you EVER had a strong desire or urge to use marijuana?
Now about THE PAST 3 MONTHS, how often have you had a strong desire or urge to u
Has your use of marijuana EVER led to health, social, legal or financial problem
Now about THE PAST 3 MONTHS, how often has your use of marijuana led to health,
Have you EVER failed to do what was normally expected of you because of your use
During the past 3 months, how often have you failed to do what was normally expe
Has a friend or relative or anyone else ever expressed concern about your use of
Have you ever tried to control, cut down or stop using marijuana and failed? (I
How many hours were you intoxicated on a typical day when you had been using mar
How often during the PAST 3 MONTHS were you intoxicated for 6 or more hours? Wou
How often during the PAST 3 MONTHS did you need to use marijuana in the morning
How often during the PAST 3 MONTHS have you had a feeling of guilt or remorse af
How often during the PAST 3 MONTHS have you had a problem with your memory or co
Have you or someone else EVER been injured as a result of your marijuana use? (
In the last 12 months did you feel you needed help for your use of marijuana?
Now I am going to ask some questions about other drug use. Again, I would like t
Have you used or tried cocaine or crack during the past 12 months? (Freebase, p
Have you used it in the past 30 days? (cocaine or crack)
Have you used or tried speed (amphetamines) during the past 12 months?
Have you used it in the past 30 days? (speed)
Have you used or tried methamphetamine or crystal meth during the past 12 months
Have you used or tried Ecstacy during the past 12 months? (MDMA, E, Xtc, Adam,
Have you used it in the past 30 days? (Ecstacy (MDMA))
Have you used or tried hallucinogens such as PCP, LSD (acid), salvia(Divinorum)
Have you used it in the past 30 days? (PCP, LSD (acid), salvia or magic mushroo
Have you sniffed glue, gasoline or other solvents during the past 12 months? (H
Have you used or tried heroin during the past 12 months? (H, horse, junk, smac
In the past 12 months, have you used any other substance or drug apart from thos
Derived variable - Drug use past 12 months (not taking into account cannabis)
Derived variable - Drug use past 30 days (not considering cannabis)
Derived variable - Drug use past 30 days (including cannabis)
Have you injected any drug in the past 12 months, apart from any that were presc
DERIVED VARIABLE - DRUG USED
During the past 12 months, how many days, if any, were you away from work or sch
In the past 12 months, have you been a passenger in a motor vehicle driven by so
Including graduated licenses, do you currently have a valid driver's license ?
During the past 12 months, have you driven a motor vehicle ? (Including: cars,
Now I would like to ask you how often did you drive in the past 12 months. Plea
During the past 12 months, how many times, if any, have you driven a motor vehic
In the past 12 months, have you been in a motor vehicle accident or collision wi
Have you been pregnant in the past 12 months?
About alcohol use and pregnancy. Would you say you...
How often did you drink during your pregnancy?
On those days when you drank during your pregnancy, how many drinks did you usua
How did pregnancy change your smoking pattern, would you say it...
Thinking of all the substances you have used in the past 12 months, how did preg
Module 10 - Socio-demographic questions
What is your current marital status ...? INTERVIEWER : Read categories to resp
Including yourself, how many people are currently living in your household?
What is the highest level of education you have completed?
Are you currently attending a university, a college or a school on a full-time b
People living in Canada come from many different cultural and racial backgrounds
You indicated that you are Aboriginal. Are you... Interviewer: read categories
Do you consider yourself to be...
Are you presently working for pay? (Full time = 30h/week and more)
Did you ever work for pay in a full-time or in a part-time job?
The last job you had, was it your main occupation?
STR1.
STR2.
Choice of label for question DEM11
What is your best estimate of your TOTAL PERSONAL INCOME before taxes and other
Thinking about the total income for ALL HOUSEHOLD MEMBERS received in the year e
How many times, if ever, have you moved to a different home in the last 5 years
Weight
Age recoded 9 categories
Age recoded 7 categories
age recoded 3 categories
age recoded 4 categories
age recoded 6 categories
Youth vs. adults
Language usually speak in your home
Highest level of education
Marital status recoded 3 cat
Marital status recoded 4 cat
Employment status (8 categories)
Region
Household size
intermediate var -whether respondent lived alone - derived for income adequ
Personal income before taxes (past year)
Household income before taxes (past year)
Household income recoded into 5 categories
Household income recoded into 6 categories
Income adequacy - 5 categories
income adequacy-4 categories
Smoking status - 4 Cats
Smoking status - 3 cats
Current Smoker
Daily Smoker
Drinker current former abst
Alcohol Use past 12 months (binary)
Lifetime alcohol use
Past month alcohol use
Five or more drinks single setting once month or more - binary - total sample
Five or more drinks single setting once a week or more total sample
Heavy monthly alchol use past 12 months total sample (5+ men/4+women)
Heavy weekly alchol use past 12 months total sample (5+men/4+women)
Frequency of drinking during the past 12 months (categorized) - among total popu
Number of drinks per occassion when alcohol is used - total population
Drinking pattern- 6 categories total sample
Drinking pattern - 6 categories total sample - with Not stated
Heavy drinking past 12 months (3 categories)-total sample
Alcohol volume(Q*F), est. number standard drinks past 12 months(total sample)
Av. number drinks per week (total sample)
Daily drinking past year total sample
Number of drinks on Sunday - total sample
Number of drinks on Monday - total sample
Number of drinks on Tuesday - total sample
Number of drinks on Wednesday - total sample
Number of drinks on Thursday - total sample
Number of drinks on Friday - total sample
Number of drinks on Saturday - total sample
total standard drinks in past 7 days - total population
Total number of drinks /day from past 7 days - total population
Daily alchol intake level (a la English et al.- from wheel)-4 cats
Daily alcohol intake level (a la English et al.- from wheel)-3 cats
Daily alcohol intake level (a la English et al.- from wheel)-2 cats
5+ drinks single setting once a week or more past 30 days - total sample
Heavy alcohol use past 30 days (4+women/5+men)
AUDIT score-total sample
AUDIT score cut-off 8+ - total sample
AUDIT score for consumption/intake - total sample (range0-12)
AUDIT score dependence - total sample (range0-12)
AUDIT score adverse consequences - total sample (range0-16)
AUDIT score for problems (adverse conseq + depend) range 0-28 total sample
Harm to friendships/social life - lifetime - total sample
Harm to physical health - lifetime - total sample
Harm to home life or marriage - lifetime - total sample
Harm to work,studies,employ - lifetime - total sample
Legal problems due to alcohol - lifetime - total sample
Housing problems due to alcohol use - lifetime - total sample
Difficulty learning things due to alcohol use - lifetime - total sample
One or more types of harm from ones alchol use, lifetime -total sample
Harm to friendships/social life - past 12months - total sample
Harm to physical health - past 12months - total sample
Harm to home life or marriage - past 12months - total sample
Harm to work, studies, employment - past 12months - total sample
Harm to financial position - past 12months - total sample
Legal problems- past 12months - total sample
Housing problems - past 12months - total sample
Difficulty learning things - past 12months - total sample
one or more types of harm from ones alchol use - past 12 months - total sample
Past 12 month use of pain relievers - total population
Past 12 month use of pain relievers to get high - total population
Past 12 month use of stimulants - total population
Past 12 month use of stimulants to get high - total population
Past 12 month use of sedatives - total population
Past 12 month use of sedatives to get high - total population
Past 12 month use of any pharmaceutical
Past 12 month use of pharmaceuticals to get high
Lifetime cannabis use
Lifetime cannabis use excluding one time use
Past 12 month cannabis use
Frequency cannabis use past 3 months -total population
Past 3 month cannabis use - total population
Past 30 days cannabis use - total population
Type of cannabis user - 3 categories
how often use past 3 months - total sample
Past 3 months strong desier urge to use - totaal sample
health, social, legal, financial probs past 3 months - total sample
failed to do what expected past 3 months - total sample
Past 3 months relatives expressed concern -total sample
Past 3 months failed to control - total sample
Cannabis ASSIST score - total population
risk level for cannabis- 3 categories -total pop
risk level for cannabis - 2 categories - total pop
Used/tried Cocaine/crack past 12 months
Used/tried cocaine/crack in past 30 days? - total population
Used/tried speed (amph) in past 12 months?
Used/tried speed (amph) in past 30 days? - total population
Used/tried meth in the past 12 months?
Used/tried ecstasy in past 12 months?
Used/tried ecstasy in past 30 days?
used/tried hallucinogens in past 12 months
Used/tried Hallucinogens in past 30 days? - total population
sniffed glue, gasoline or other solvents past 12 months
used or tried heroin during past 12 months?
injected any drug in the past 12 months
Past 12 month use any 5(coc,ecst,hall,sped,her)
Past 12 month use any 6(can,coc,xtc,hall,sped,her)
Past 12 months LSD, Speed, Heroin
Lifetime harm to friendships/social -drug use- TOTAL sample
Past 12 month harm to friendships/social-drug use-TOTAL sample
Lifetime harm to physical health -drug use- TOTAL sample
Past 12 month harm to physical health-drug use-TOTAL sample
Lifetime harm to homelife/marriage -drug use- TOTAL sample
Past 12 month harm to homelife/marriage-drug use-TOTAL sample
Lifetime harm to work,studies,employment -drug use- TOTAL sample
Past 12 month harm to work,studies,employ-drug use-TOTAL sample
Lifetime harm to financial position -drug use- TOTAL sample
Past 12 month harm to financial position-drug use-TOTAL sample
Legal problems in lifetime due to drug use- TOTAL sample
Legal problems past 12 months-drug use-TOTAL sample
Housing problems in lifetime -drug use- TOTAL sample
Housing problems in past 12 month- drug use-TOTAL sample
Difficulty learning things in life -drug use- TOTAL sample
Difficulty learning things in life-drug use-TOTAL sample
At least one harm in life due to drug use - TOTAL sample
At least one harm in past 12 months due to drug use - Total sample
Passenger in motor vehicle driven by someone who had 2+ drinks in previous hour
Passenger motor vehicle driven by someone who had used cannabis in previous 2 hr
Driver (valid licence past 12 m)
Drinking and Driving - Valid Drivers Licence
Cannabis Use and Driving - Valid Drivers Licence
dummy var for syvtab proc
Av. number drinks per day (from Q*F)
Daily alchol intake level from QFVOLDAY - 4 cats
Daily alcohol intake level from QFVOLDAY - 3 cats
Daily alcohol intake level from QFVOLDAY - 2 cats
Passenger motor vehicle driven by someone who had used alcohol AND cannabis in p
Used any other drugs
any drug past 12 months stdlc - incl pharhigh, cannabis, othe, total sample