How are you affected by your sibling's drug/alcohol use?

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1. Sex

Sex   Female Male

2. Age Group

Age Group   Under 15 16-18 19-21 22-24 25-29 30+

3. Sibling's age group

Sibling's age group   Under 15 16-18 19-21 22-24 25-29 30+

4. Sibling's sex

Sibling's sex   Male Female

5. What substances does your sibling use?

What substances does your sibling use?   ecstacy Marijuana Hallucinogenics Prescription drugs heroin Alcohol Amphetamines/speed/ice/cocaine

Other (please specify)

6. Which drug seems to cause the most problems for your sibling?

Which drug seems to cause the most problems for your sibling?   Marijuana Prescription drugs heroin ecstacy Amphetamines/speed/ice/cocaine Alcohol Hallucinogenics

Other (please specify)