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

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8 Halcion<br />

9 Phenobarbital<br />

10 Placidyl<br />

11 Tuinal<br />

DK/REF<br />

SV05<br />

Have you ever, even once, used any other prescription sedative, besides the ones shown on Card D, when it was not<br />

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 />

SV05a<br />

[IF SV05 = 1] Please type in the name of one of the other prescription sedatives you have used other than the ones on<br />

Card D. If you’re not sure how to spell the name of the sedative 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 sedatives you already reported.<br />

________________<br />

DK/REF<br />

SV05b<br />

[IF SV05a NE (BLANK OR DK/REF)] Please type in the name of any other prescription sedative 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 sedatives, press the [ENTER] key to go to the next question.<br />

________________<br />

DK/REF<br />

SV05c<br />

[IF SV05b NE (BLANK OR DK/REF)] Please type in the name of any other prescription sedative 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 sedatives, press the [ENTER] key to go to the next question.<br />

________________<br />

DK/REF<br />

SV05d<br />

[IF SV05c NE (BLANK OR DK/REF)] Please type in the name of any other prescription sedative 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 sedatives, press the [ENTER] key to go to the next question.<br />

________________<br />

DK/REF<br />

SV05e<br />

[IF SV05d NE (BLANK OR DK/REF)] Please type in the name of any other prescription sedative 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 sedatives, press the [ENTER] key to go to the next question.<br />

________________<br />

DK/REF<br />

SVREF [IF SV01 = REF AND SV02 = REF AND SV03 = REF AND SV04 = REF AND SV05 = REF] The answers that<br />

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

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 />

SV06<br />

[IF SV01 = 1 OR SV02 = 1 OR SV03 = 1 OR SV04 = 1 OR SV05 = 1 OR SVREF = 1] How old were you the first<br />

time you used any prescription sedative that was not prescribed <strong>for</strong> you or that you took only <strong>for</strong> the experience or<br />

feeling it caused?<br />

December 2, 2005 158

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