Drug Use Survey

 
1. What age group are you in?
*
2. Which of the following drugs do you use?
*
3. How often do you use drugs?
*
4. We are interested in your overall well-being. Thinking just about the last 12 months:
Not SatisfiedSatisfiedVery SatisfiedN/A
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
Powered by SurveyMonkey
Check out our sample surveys and create your own now!