Instructions: Please check 1 box for each question. | |||
In the past 12 months, how many days did you have or use… | 3 or more days | 1 or 2 days | Never |
Tobacco? | |||
4 or more alcoholic drinks* in a day, including wine or beer? | |||
Any illegal drug, including marijuana? | |||
Any prescription medications¶ "recreationally"Δ? |
Do you want to add Medilib to your home screen?