| Sedatives (e.g., sleeping pills, barbiturates, Seconal, Quaaludes, or Chloral Hydrate) |
Sedatives (e.g., sleeping pills, barbiturates, Seconal, Quaaludes, or Chloral Hydrate) |
|
|
Sedatives (e.g., sleeping pills, barbiturates, Seconal, Quaaludes, or Chloral Hydrate) |
| Tranquilizers or anti-anxiety drugs (e.g., Valium, Librium, muscle relaxants, or Xanax) |
Tranquilizers or anti-anxiety drugs (e.g., Valium, Librium, muscle relaxants, or Xanax) |
|
|
Tranquilizers or anti-anxiety drugs (e.g., Valium, Librium, muscle relaxants, or Xanax) |
| Painkillers (e.g., Codeine, Darvon, Percodan, Dilaudid, or Demerol) |
Painkillers (e.g., Codeine, Darvon, Percodan, Dilaudid, or Demerol) |
|
|
Painkillers (e.g., Codeine, Darvon, Percodan, Dilaudid, or Demerol) |
| Stimulants (e.g., Preludin, Benzedrine, Methadrine, uppers, or speed) |
Stimulants (e.g., Preludin, Benzedrine, Methadrine, uppers, or speed) |
|
|
Stimulants (e.g., Preludin, Benzedrine, Methadrine, uppers, or speed) |
| Marijuana, hash, THC, or grass |
Marijuana, hash, THC, or grass |
|
|
Marijuana, hash, THC, or grass |
| Cocaine or crack |
Cocaine or crack |
|
|
Cocaine or crack |
| Hallucinogens (e.g., Ecstasy, LSD, mescaline, psilocybin, PCP, angel dust, or peyote) |
Hallucinogens (e.g., Ecstasy, LSD, mescaline, psilocybin, PCP, angel dust, or peyote) |
|
|
Hallucinogens (e.g., Ecstasy, LSD, mescaline, psilocybin, PCP, angel dust, or peyote) |
| Inhalants or Solvents (e.g., amyl nitrate, nitrous oxide, glue, toluene, or gasoline |
Inhalants or Solvents (e.g., amyl nitrate, nitrous oxide, glue, toluene, or gasoline |
|
|
Inhalants or Solvents (e.g., amyl nitrate, nitrous oxide, glue, toluene, or gasoline |
| Heroin |
Heroin |
|
|
Heroin |
| Other, specify (e.g., Methadone, Elavil, steroids, Thorazine, or Haldol) |
Other, specify (e.g., Methadone, Elavil, steroids, Thorazine, or Haldol) |
|
|
Other, specify (e.g., Methadone, Elavil, steroids, Thorazine, or Haldol) |