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2006 NSDUH CAI Specs for Programming - Substance Abuse and ...

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9 Hydrocodone<br />

10 Methadone<br />

11 Morphine<br />

12 Oxycontin OxyContin<br />

13 Phenaphen with Codeine<br />

14 Propoxyphene<br />

15 SK-65<br />

16 Stadol<br />

17 Talacen<br />

18 Talwin<br />

19 Talwin NX<br />

20 Tramadol<br />

21 Ultram<br />

DK/REF<br />

PR05<br />

Have you ever, even once, used any other prescription pain reliever, besides the ones shown on Card A, when it was<br />

not prescribed <strong>for</strong> you or that you took only <strong>for</strong> the experience or feeling it caused?<br />

1 Yes<br />

2 No<br />

DK/REF<br />

PR05a<br />

[IF PR05 = 1] Please type in the name of one of the other prescription pain relievers you have used other than the<br />

ones on Card A. If you’re not sure how to spell the name of the pain reliever you used, just make your best guess.<br />

When you have finished, press the [ENTER] key to go to the next question. Remember, you do not need to type in the<br />

names of any prescription pain relievers you already reported.<br />

______________<br />

DK/REF<br />

PR05b<br />

[IF PR05a NE (BLANK OR DK/REF)] Please type in the name of any other prescription pain reliever you have<br />

used when it was not prescribed <strong>for</strong> you or that you took only <strong>for</strong> the experience or feeling it caused. If you have not<br />

used any other prescription pain relievers, press the [ENTER] key to go to the next question.<br />

______________<br />

DK/REF<br />

PR05c<br />

[IF PR05b NE (BLANK OR DK/REF)] Please type in the name of any other prescription pain reliever you have<br />

used when it was not prescribed <strong>for</strong> you or that you took only <strong>for</strong> the experience or feeling it caused. If you have not<br />

used any other prescription pain relievers, press the [ENTER] key to go to the next question.<br />

______________<br />

DK/REF<br />

PR05d<br />

[IF PR05c NE (BLANK OR DK/REF)] Please type in the name of any other prescription pain reliever you have<br />

used when it was not prescribed <strong>for</strong> you or that you took only <strong>for</strong> the experience or feeling it caused. If you have not<br />

used any other prescription pain relievers, press the [ENTER] key to go to the next question.<br />

______________<br />

DK/REF<br />

PR05e<br />

[IF PR05d NE (BLANK OR DK/REF)] Please type in the name of any other prescription pain reliever you have<br />

used when it was not prescribed <strong>for</strong> you or that you took only <strong>for</strong> the experience or feeling it caused. If you have not<br />

used any other prescription pain relievers, press the [ENTER] key to go to the next question.<br />

______________<br />

DK/REF<br />

PRREF [IF PR01 = REF AND PR02 = REF AND PR03 = REF AND PR04 = REF AND PR05 = REF] The answers that<br />

people give us about their use of prescription pain relievers are important to this study’s success. We know that this<br />

in<strong>for</strong>mation is personal, but remember your answers will be kept confidential.<br />

Please think again about answering this question: Have you ever, even once, used any type of prescription pain<br />

reliever that was not prescribed <strong>for</strong> you or that you took only <strong>for</strong> the experience or feeling it caused?<br />

December 2, 2005 126

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