Mixmag Online Questionnaire 2012

Dear reader

Welcome to the Mixmag Drugs Survey 2012 in partnership with the Guardian. This year we hope to produce the biggest - and first truly global - survey of drug use amongst young people, clubbers and the wider drug using population ever conducted. It takes about 10-20 minutes to fill in, is completely anonymous and by being part of it, you could help change the world.

That's because the Mixmag / Guardian Drugs survey is where the world goes to find out real peoples' attitudes to and experience of drugs, and the medical, social and law enforcement consequences of drug use. The survey has been used by doctors, academics, and even governments across the planet to understand drug trends, to influence policy and to inform their decisions.

The analysis is performed by a team of doctors and scientists, using the highest professional research standards, to get to the real truth about drugs.

The results of this survey will be published in the April 2012 issue of Mixmag, at mixmag.net, and in the Guardian's UK [http://www.guardian.co.uk] and US [ http://www.guardiannews.com ] online editions.

For any questions please contact Dr Adam R Winstock at adam.winstock@kcl.ac.uk.

•	Depending on your answers to some questions, certain items may appear greyed out. Please skip any questions that are greyed out.
•	You can use the "Go back" and "Continue" buttons on this page to navigate through the survey but avoid using your browser's back and forward buttons as this may result in loss of your answers.
•	None of the answers you give in this survey are stored anywhere until you reach the final submission button and give your consent at the end of the survey.
•	You can view your progress through the survey by monitoring the bar between the buttons at the bottom which will turn from gray to red as you answer questions, and represents the percentage of questions answered.

You must be 18 years or over to complete this. By ticking this box you are confirming that you are 18 or over.

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	Alcohol	Yes No		Yes No
•	Tobacco (in cigarettes)	Yes No		Yes No
•	Tobacco (in joints)	Yes No		Yes No
•	MDMA pills (ecstasy)	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	MDMA powder	Yes No		Yes No
•	Cannabis - resin	Yes No		Yes No
•	Cannabis - skunk	Yes No		Yes No
•	Cannabis - grass	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	Cocaine	Yes No		Yes No
•	Mephedrone (MMCAT/4-Methylmethcathinone)	Yes No		Yes No
•	Nitrous oxide (balloons)	Yes No		Yes No
•	Ketamine	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	Methoxetamine	Yes No		Yes No
•	Speed / amphetamine	Yes No		Yes No
•	Crack	Yes No		Yes No
•	Heroin	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	LSD	Yes No		Yes No
•	Phenezapam	Yes No		Yes No
•	Magic mushrooms	Yes No		Yes No
•	Benzodiazepines / Temazepam / Valium	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	Amphetamine (base / paste)	Yes No		Yes No
•	Methamphetamine (ice / crystal meth)	Yes No		Yes No
•	GBL	Yes No		Yes No
•	GHB	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	Isopropyl nitrate (poppers)	Yes No		Yes No
•	Anabolic steroids	Yes No		Yes No
•	Viagra	Yes No		Yes No
•	Ritalin	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	2CB	Yes No		Yes No
•	2CI	Yes No		Yes No
•	Synthetic cannabis herbal preparation (eg spice / kronic / black mamba)	Yes No		Yes No
•	BZP party pills	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	MDAI	Yes No		Yes No
•	Benzo fury (6APB)	Yes No		Yes No
•	2AI	Yes No		Yes No
•	2DPMP	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	C1C	Yes No		Yes No
•	5IAI	Yes No		Yes No
•	Methylone	Yes No		Yes No
•	MDPV	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	DMT	Yes No		Yes No
•	MDA	Yes No		Yes No
•	Kratom	Yes No		Yes No
•	Opium	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	Flephedrone 4-FMC	Yes No		Yes No
•	Naphyrone	Yes No		Yes No
•	Dextromethorphan	Yes No		Yes No
•	MDAT	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	Alpha methyl trytamine (AMT)	Yes No		Yes No
•	Dimethocaine	Yes No		Yes No
•	Caffeine tablets	Yes No		Yes No
•	Glue	Yes No		Yes No

		Ever used	Age when first used	Used in the last year	No of days used in last month	Amount spent in the last month

•	Lighter fuel / aerosols	Yes No		Yes No
•	Solvents	Yes No		Yes No
•	Caffeinated energy drinks	Yes No		Yes No

•

Which country do you currently live in?

•

At certain points throughout this survey you may be asked how much you spend on a drug (such as how much you spend on a substance per gram or over time). Please select a currency and answer such questions using the selected currency throughout.

£ (UK Sterling)
€ (Euro)
$ (US Dollars)
$ (Canadian Dollars)
$ (Australian Dollars)

We are interested in your overall well-being. Thinking just about the last 12 months:

Please answer the following questions on a scale of 0 to 10 (with 10 being the best possible). How satisfied are you with....?

•	Your standard of living

•	Your health

•	What you are achieving in life

•	Your personal relationships

•	How safe you feel

•	Feeling part of your community

•	Your future security
	a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a

•	Have you ever bought drugs off the internet? If yes....	Yes No

	When did you first buy drugs off the internet?	(month) (year)

	Have you bought drugs off the internet in the last 12 months?	Yes No

•	Have you purchased any drugs promoted as 'legal highs' or 'research chemicals' or 'bath salts' in the last 12 months? If yes....	Yes No

	Have you purchased these.....	from the internet from a shop from a friend from a dealer Other

	Please specify:

	We are interested in what influences your decision to purchase these drugs. Please rate the following factors on a 7 point scale anchored at 1 (no influence) and 7 (large influence)

	Other drugs were unavailable

	The quality of illegal drugs was poor

	I thought they were not illegal

	I don't know where to get illegal drugs

	Value for money

	Able to buy online / shop

	Think they are safer than illegal pills

	Think they are better quality than illegal pills

	Think they are less easily detected by urine drug screens

	Think they are less likely to be detected by sniffer dogs

	Prefer the effect to illicit drugs

•	Do you think making mephedrone illegal was the right thing to do?	Yes No Unsure

We are interested in whether you had concerns over your mate's drug and/or alcohol use over the last 12 months. So, thinking about the last 12 months only....

•	Have you been worried about the use of drugs/alcohol by any of your mates over the last 12 months? If yes....	Yes No

	How many friends?

	What substance most commonly causes you to be worried about your mates?

	What is the second most common substance that causes you to be worried?

	Thinking only about the drug that caused you most worry, what was it that worried you about their use of that drug? (tick as many as apply)
	Behaviours - acting like an idiot / becoming aggressive / putting themselves at risk Health - damage to their physical health / damage to their mental health Relationships - damage to intimate relationship / damage to relationship with friends, damage to work / study Other worries about money / police trouble The amount they use / how often they use

	Have you discussed your worries with any of the people you are worried about?	Yes No

	Which of the following services would you suggest your friend go to to find out about drugs?	GP Local drug service Government website Drug user forum Mixmag / Global Drug Survey Independent drug information site Talking to another friend / family member Telephone helpline
	a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a

We are interested in how many of your mates use drugs....

•

Please tell us what proportion of your friends have used the following drugs in the last year:

Alcohol

Tobacco

Cannabis

MDMA / ecstasy

Cocaine

Mephedrone

Ketamine

GHB / GBL

Amphetamine

•

Finally, would you be interested in finding out how your use of different substances compares to other people who use them?

Yes
Maybe
No

We'd like to ask you some questions about yourself. The following questions are about how you are most of the time and in most situations. Your answers will help us understand what you are usually like. If the way you have been in recent weeks or months is different from the way you usually are, please look back to when you were just your usual self. Please read them carefully and answer yes or no. Non answers will be treated as no.
•	In general, do you have difficulty in making and keeping friends?	Yes No

•	Would you normally describe yourself as a loner?	Yes No

•	In general, do you trust other people?	Yes No

•	Do you normally lose your temper easily?	Yes No

•	Are you normally an impulsive sort of person? (do you rush into most things without thinking about the consequences)	Yes No

•	Are you normally a worrier?	Yes No

•	In general, do you depend on others a lot?	Yes No

•	In general, are you a perfectionist? (this applies to most tasks in life not just isolated areas)	Yes No

In last year's survey almost 5% of you reported you had sought emergency medical treatment after a night out when using drinks or drugs. This year we want to know what specific problems you have experienced with drugs you have used in the year. For each of the following drugs you have used in the last year, please tell us which of the following things you have experienced. We are interested in the incidence and severity of some common side effects that people can get with stimulant drugs so we can compare the risks associated with each.
•	Thinking about the last 12 months only, please rate the following symptoms as mild / absent, moderate, severe:
		Cocaine	MDMA	Mephedrone

	Extreme sweating:

	Overheating:

	Extreme agitation:

	Chest pain:

	Paranoia:

	Loss of memory:

	Aggressive:

	Severe headache:

	Severe nausea:

	Seeing or hearing things:

	Severe tremor:

	Cold/numb fingers/toes:

	Teeth grinding:

	Feeling really depressed after use:

•	Have you used any of the following medications in the last 12 months, if so which sources did you use?

	Sleeping tablets like temazepam, valium, diazepam, mogadon (these are benzodiazepine drugs)	Yes No
	Sourced from:	Family doctor Emergency room doctor Other doctor Friend Internet Drug dealer
	Have you used these medications in the last 12 months to get high?	Yes No
	Have you used these medications in the last 12 months to self medicate your mood	Yes No
	Have you used these medications in the last 12 months to self medicate pain	Yes No
	Have you used these medications in the last 12 months to self medicate your sleep	Yes No

	Sleeping tablets like zopiclone (stilnox) or zolpidem (ambien)	Yes No
	Sourced from:	Family doctor Emergency room doctor Other doctor Friend Internet Drug dealer
	Have you used these medications in the last 12 months to get high?	Yes No
	Have you used these medications in the last 12 months to self medicate your mood	Yes No
	Have you used these medications in the last 12 months to self medicate pain	Yes No
	Have you used these medications in the last 12 months to self medicate your sleep	Yes No

	Opiate pain killers like oxycontin, codeine, dihydrocodeine, morphine	Yes No
	Sourced from:	Family doctor Emergency room doctor Other doctor Friend Internet Drug dealer
	Have you used these medications in the last 12 months to get high?	Yes No
	Have you used these medications in the last 12 months to self medicate your mood	Yes No
	Have you used these medications in the last 12 months to self medicate pain	Yes No
	Have you used these medications in the last 12 months to self medicate your sleep	Yes No

	Other pain killers like tramadol, gabapentin	Yes No
	Sourced from:	Family doctor Emergency room doctor Other doctor Friend Internet Drug dealer
	Have you used these medications in the last 12 months to get high?	Yes No
	Have you used these medications in the last 12 months to self medicate your mood	Yes No
	Have you used these medications in the last 12 months to self medicate pain	Yes No
	Have you used these medications in the last 12 months to self medicate your sleep	Yes No

	Viagra, other sexual enhancers	Yes No
	Sourced from:	Family doctor Emergency room doctor Other doctor Friend Internet Drug dealer
	Have you used these medications in the last 12 months to get high?	Yes No
	Have you used these medications in the last 12 months to self medicate your mood	Yes No
	Have you used these medications in the last 12 months to self medicate pain	Yes No
	Have you used these medications in the last 12 months to self medicate your sleep	Yes No

	Ritalin, dexamphetamine, methlyphenidate (Ritalin / concerta)	Yes No
	Sourced from:	Family doctor Emergency room doctor Other doctor Friend Internet Drug dealer
	Have you used these medications in the last 12 months to get high?	Yes No
	Have you used these medications in the last 12 months to self medicate your mood	Yes No
	Have you used these medications in the last 12 months to self medicate pain	Yes No
	Have you used these medications in the last 12 months to self medicate your sleep	Yes No

	Antidepressants	Yes No
	Sourced from:	Family doctor Emergency room doctor Other doctor Friend Internet Drug dealer
	Have you used these medications in the last 12 months to get high?	Yes No
	Have you used these medications in the last 12 months to self medicate your mood	Yes No
	Have you used these medications in the last 12 months to self medicate pain	Yes No
	Have you used these medications in the last 12 months to self medicate your sleep	Yes No

•	Have you had a consultation with your family doctor (GP) for any reason (except routine check ups) in the last 12 months? If yes....	Yes No

	How many times?

	Thinking about your last consultation.......

	Did they ask you about your use of tobacco?	Yes No
	If yes.....how would you best describe your actual behaviour & response?

	Did they ask you about your use of alcohol?	Yes No
	If yes.....how would you best describe your actual behaviour & response?

	Did they ask you about your use of illicit drugs?	Yes No
	If yes.....how would you best describe your actual behaviour & response?

	Did they ask you about your use of legal highs?	Yes No
	If yes.....how would you best describe your actual behaviour & response?

	Finally, do you think your health problem at the time was related to your use of:	Illicit drugs Alcohol Tobacco Legal highs

Thinking about the last 12 months........

•

Ever been found in possession of cannabis by the police? ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...

Yes (more than once)
Yes (just once)
No

If yes, thinking only about your most recent experience....

How much did you get caught with?

1/8th oz or less
¼oz or less
½oz or less
1oz or less
more than 1oz

What happened?

Where were you?

In a pub
In a club
Outside an entertainment venue
In a public area
In a private area
At a festival
Other

If other, please specify:

Did this have an impact on any of the following:

Travel
Employment
Study

Thinking about the last 12 months........

•

Ever been found in possession of cocaine by the police? ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...

Yes (more than once)
Yes (just once)
No

If yes, thinking only about your most recent experience....

How much did you get caught with?

½ gm or less
1gm or less
2 gm or less
½oz or less
1oz or less
more than 1oz

What happened?

Where were you?

In a pub
In a club
Outside an entertainment venue
In a public area
In a private area
At a festival
Other

If other, please specify:

Did this have an impact on any of the following:

Travel
Employment
Study

Thinking about the last 12 months........

•

Ever been found in possession of ecstasy pills or MDMA powder by the police? ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...

Yes (more than once)
Yes (just once)
No

If yes, THINKING ONLY ABOUT YOUR MOST RECENT EXPERIENCE....

How much did you get caught with (if pills)?

(Number of pills)

How much did you get caught with (if MDMA/powder)?

What happened?

Where were you?

In a pub
In a club
Outside an entertainment venue
In a public area
In a private area
At a festival
Other

If other, please specify:

Did this have an impact on any of the following:

Travel
Employment
Study

Thinking about the last 12 months........

•

Ever been found in possession of mephedrone by the police? ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...

Yes (more than once)
Yes (just once)
No

If yes, THINKING ONLY ABOUT YOUR MOST RECENT EXPERIENCE....

How much did you get caught with?

½ gm or less
1gm or less
2 gm or less
½oz or less
1oz or less
more than 1oz

What happened?

Where were you?

In a pub
In a club
Outside an entertainment venue
In a public area
In a private area
At a festival
Other

If other, please specify:

Did this have an impact on any of the following:

Travel
Employment
Study

Thinking about the last 12 months........

•

Ever been found in possession of amphetamine / methamphetamine by the police? ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...

Yes (more than once)
Yes (just once)
No

If yes, THINKING ONLY ABOUT YOUR MOST RECENT EXPERIENCE....

How much did you get caught with?

½ gm or less
1gm or less
2 gm or less
½oz or less
1oz or less
more than 1oz

What happened?

Where were you?

In a pub
In a club
Outside an entertainment venue
In a public area
In a private area
At a festival
Other

If other, please specify:

Did this have an impact on any of the following:

Travel
Employment
Study

Thinking about the last 12 months........

•

Ever been found in possession of ketamine by the police? ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...

Yes (more than once)
Yes (just once)
No

If yes, THINKING ONLY ABOUT YOUR MOST RECENT EXPERIENCE....

How much did you get caught with?

½ gm or less
1gm or less
2 gm or less
½oz or less
1oz or less
>1oz

What happened?

Where were you?

In a pub
In a club
Outside an entertainment venue
In a public area
In a private area
At a festival
Other

If other, please specify:

Did this have an impact on any of the following:

Travel
Employment
Study

Thinking about the last 12 months........

•	Have you been stopped and searched by the police for drugs in the last 12 months? If yes....	Yes No
	How many times?

	Did you have drugs on you on any of these occasions?	Yes No
	How many times?

	On any of the occasions you were searched whilst in possession of drugs, did the police ever fail to find them?	Yes No
	How many times?

•	What do you think would happen to you if you got caught with......
	A spliff of cannabis
	2 gram of cannabis
	14 gm of cannabis

	A line of cocaine
	1gm of cocaine
	5gm of cocaine

	1 pill
	5 pills
	20 pills

Thinking about drugs you recently tried for the first time........

•	When was the last time you experimented with a drug that was new to you? (ie one that you had never taken before)	(month) (year)

•	What was it?
	If other, please specifiy:

•	How did you take it?
	If other, please specify:

•	Where or who did you get it from on that first occasion?
	If other, please specify:

•	Do you plan on taking it again?

Please rate it (on a scale of 0-10): (may be auto-filled for you if you have already answered these for this drug)

•	The pleasurable high: (where 10 = best ever had)

•	Strength of effect: (where 10 = extremely strong)

•	Negative effects when high: (where 10 = extremely strong)

•	Comedown after use: (where 10 = extremely strong)

•	Urge to use more of the drugs when using: (where 10 = extremely strong)

•	Value-for-money: (where 10 = best experienced)

•	Risk of harm following a session of use': (where 10 = extremely high risk)

•	How would you describe the effect of this drug?
	a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a

Thinking about your use over the last 12 months....

•	Of all the drugs you have used, are there any that you would like to use less of?


•	Of all the drugs you have used, are there any that you would like help with to cut down or stop?

	a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a

•	What drugs do you most commonly use together in a session? (you can nominate up to 6)



•	What 2 drugs (excluding tobacco) do you most commonly take together?

•	In your personal experience, what drug/alcohol combination is the worst (unpleasant / dangerous)? (you can nominate up to 3)

		Psychologically	Socially	Physically

•	What drug has the most benefits in the short term

•	What drug has the most benefit in the long term

•	What drug has the most harm in the short term

•	What drug has the most harm in long term

•	If you got pulled over by the police within 2 hours of smoking a joint (but no alcohol) do you think the police could tell you were intoxicated?	Definitely yes Probably yes Not sure Probably not Definitely not

•	If you got pulled over by the police within 2 hours of using an E (but no alcohol) do you think the police could tell you were intoxicated?	Definitely yes Probably yes Not sure Probably not Definitely not

•	If you got pulled over by the police within 2 hours of using cocaine (but no alcohol) do you think the police could tell you were intoxicated?	Definitely yes Probably yes Not sure Probably not Definitely not

Thinking about your use of alcohol over the last 12 months....

•	How often do you have a drink containing alcohol ?

•	How many standard drinks do you have on a day when you drink?

•	How often do you have 6 or more drinks on one occasion?

•	How often during the last year have you found that you were not able to stop drinking once you had started?

•	How often during the last year have you failed to do what was normally expected of you because of your drinking?

•	How often during the last year have you needed a drink in the morning to get you going after a heavy drinking session?

•	How often during the past year have you had a feeling of regret or guilt after drinking?

•	How often during the last year have you been unable to remember what happened the night before because you had been drinking?

•	Have you or someone else been injured as a result of your drinking?

•	Has a friend, relative, doctor, or other health worker been concerned about your drinking or suggested you cut down?

	a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a

We are interested in what you do with your leisure time. Thinking about the last 12 months...

•	How often do you go clubbing?

•	Where do you most commonly go clubbing?
	If other, please specify:

•	Which would you say is your main musical preference?
	If other, please specify:

•	Over the last year, what would you say is the main reason you went out to clubs?	Don't go to clubs Catch up with / socialise with friends To get off my head To pull To dance To listen to music Other
	If other, please specify:

•	How often in the last year did you go to the pub/wine bar?

•	How often in the last year did you eat out?

•	How often in the last year did you go to the cinema?

•	How often in the last year did you exercise (ie play sport,run, gym, yoga etc)?

•	How often in the last year did you go abroad?
	a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a

•	Have you ever filled in the Mixmag / Global Drug Survey / Guardian Drugs Survey before?	Yes No

•	On average, how many times per month would you say you visit the Don't Stay In website?

•	On average, how many times per month would you say you visit the the Guardian website?

•	How old are you?

•	Are you (gender):	Male Female

•	Annual income:	Less than 9,999 10k - 14,999 15k - 19,999 20k - 24,999 25k - 29,999 30k - 39,999 40k - 49,999 50k - 59,999 60k+

•	Are you:	White Black/Black British Asian/Asian-British Chinese Mixed Other Prefer not to answer

•	Highest academic qualification attained:

•	Are you studying?	Yes No
•	Are you unemployed?	Yes No
•	Are you working?	Yes No

•	Are you:	Bisexual Heterosexual Homosexual Prefer not to answer

•	Do you live with:	Partner Friends Alone Parent(s) Other

•	Finally, where did you hear about / access this survey from?	Don't Stay in Mixmag the Guardian Word of mouth Web based search engine Global Drug Survey Other
	Please specify:

•	Would you be happy to talk to a researcher about areas covered by this questionnaire?	Yes No
	if so please give us some contact details so we can contact you in confidence [these details are stored seperately]

	My contact number/email is:

	What name should we ask for?:
	a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a

We are interested in how drugs and alcohol impact on your night out. Please tell us how strongly you agree or disagree with the following statements:

•	Drugs make a good night out better

•	Drugs can make a bad night out good

•	I need drugs for a really good night out
	a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a

We are interested to see if Mixmag reader's drug use changes each year. By answering the questions below we will be able to generate a unique number that will allow us to identify you if you fill in the questionnaire again. Please be assured that this information is confidential and will be safely stored by the research team. If you do not want to answer these questions please leave them blank.

Your sex	Male Female
The day of your birthday (1-31)
The first letter of your first name (A-Z)
The year of your birth (00-99)
The first letter of your mother's maiden name (A-Z)

This is the end of the Global Drugs Survey

When ready, please read and tick the consent statement below and click the Submit Answers button to complete the survey

I consent to take part and am happy for my data to be used in this survey. I confirm I am over 18.

Please tick here if you do not wish for a subset of your data to be added to the anonymous drug use database called Drugsmeter which is launching next year.

•	In the last twelve months, have you snorted or ingested any powder without knowing what it was, or what it was originally sold as?	Yes No

	How often?

	Thinking back to the last time....

	What do you think it was?
	Please specify:

	Were you already intoxicated at the time you took it?	Yes No

	Were you given it by someone you trusted?	Yes No

	Where did you ingest it?	At a party At a club At home Other
	Please specify:

	Overall would you say you got a good buzz, felt sick, no effect?	Good buzz Felt sick No effect
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