Prescription Painkiller Survey

 
Please note that this is a confidential survey. Please answer honestly as we are trying to get a real idea of how prescription painkillers are possibly affecting the lives of our readers. We will NOT share ANY information with outside sources.
1. Have you ever tried a painkiller not prescribed to you?
2. If yes, why?
3. Do you feel prescription painkiller abuse is common among girls your age?
4. If you’ve ever taken a painkiller not prescribed to you, how old were you when you first tried it? Never taken a painkiller? Please jump to question 21.
5. What painkillers have you tried? Check all that may apply.
6. How often do you take painkillers not prescribed to you?
7. How do you usually get these painkillers? Check all that may apply.
8. What kind of environment do you usually take painkillers not prescribed to you? Check all that may apply.
9. Why do you take painkillers in this type of setting? Please explain.
10. Please describe how prescription painkillers make you feel.
11. Do you have any health concerns about taking painkillers not prescribed to you? Please explain what they are and why.
12. Have you ever been caught with painkillers not prescribed to you?
13. If yes, who caught you? Check all that may apply.
14. How did you feel when you got caught? Please explain.
15. Have you ever been in rehab for prescription painkiller abuse?
16. Have you tried any other drugs besides prescription painkillers? Check all that may apply.
17. Have you ever mixed prescription painkillers with other drugs or alcohol?
18. If yes, what kind of drugs or alcohol did you mix it with? Please explain.
19. Have you ever stolen anything because of painkillers?
20. If yes, what? Please explain.
21. Do you think it’s easy for someone to become addicted to prescription painkillers?
22. Why / why not?
23. Do you think taking a painkiller not prescribed to you is dangerous?
24. Why / why not?
25. Do you think it’s easier to get painkillers than other sorts of drugs?
26. If yes, why?
27. Do you think it’s safer to take painkillers than other types of drugs?
28. Why / why not?
29. Have you ever been prescribed a painkiller by a doctor for a medical reason (ie a broken bone, tooth extraction)?
30. If yes, what did you do with any leftover painkillers?
31. Has anyone ever approached you about selling your prescription painkillers to them?
32. Has anyone ever approached you about buying painkillers from them?
33. If yes, where were you?
34. Do you know someone who is abusing prescription painkillers?
35. If yes, who? Please select all that may apply.
36. If you do know someone who might be abusing prescription painkillers, how does that make you feel? Please explain.
37. Has a friendship or relationship of yours ever been affected by someone who might be abusing prescription painkillers?
38. If yes, please explain how it affected you.
39. Have you ever hung out with someone when they were high off painkillers?
40. If yes, what was that experience like? Please explain.
41. Please tell us why you choose to NOT take painkillers that aren’t prescribed to you. Check all that may apply.
42. How can girls out there help a friend whom they think might be abusing prescription painkillers?
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43. What’s your first name and last initial? Note: We are changing all names for this story, so your answers will remain anonymous.
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44. What's your age?
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