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

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

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9 Limbitrol<br />

10 Meprobamate<br />

11 Miltown<br />

12 Rohypnol<br />

13 Serax<br />

14 Soma<br />

15 Tranxene<br />

16 Vistaril<br />

DK/REF<br />

TR05<br />

Have you ever, even once, used any other prescription tranquilizer, besides the ones shown on Card B, 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 />

TR05a<br />

[IF TR05 = 1] Please type in the name of one of the other prescription tranquilizers you have used other than the ones<br />

on Card B. If you’re not sure how to spell the name of the tranquilizer 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 tranquilizers you already reported.<br />

______________<br />

DK/REF<br />

TR05b<br />

[IF TR05a NE (BLANK OR DK/REF)] Please type in the name of any other prescription tranquilizer you have used<br />

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 used<br />

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

______________<br />

DK/REF<br />

TR05c<br />

[IF TR05b NE (BLANK OR DK/REF)] Please type in the name of any other prescription tranquilizer 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 tranquilizers, press the [ENTER] key to go to the next question.<br />

______________<br />

DK/REF<br />

TR05d<br />

[IF TR05c NE (BLANK OR DK/REF)] Please type in the name of any other prescription tranquilizer 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 tranquilizers, press the [ENTER] key to go to the next question.<br />

______________<br />

DK/REF<br />

TR05e<br />

[IF TR05d NE (BLANK OR DK/REF)] Please type in the name of any other prescription tranquilizer 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 tranquilizers, press the [ENTER] key to go to the next question.<br />

______________<br />

DK/REF<br />

TRREF [IF TR01 = REF AND TR02 = REF AND TR03 = REF AND TR04 = REF AND TR05 = REF] The answers that<br />

people give us about their use of prescription tranquilizers 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<br />

tranquilizer that was 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 />

December 2, 2005 138

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