* 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 Satisfied Satisfied Very Satisfied N/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