1. What is your main opiate of use?

2. What is your main route of administration?

3. If you inject do you use clean equipment?

4. Is clean gear available to you free? (Is there a needle exchange available)

5. Is a medically supervised shooting center available to you?

6. Do you use for pain, recreation, or both?

7. Are you addicted to your medacine / opiate of choice?

8. Are you in opiate replacement treatment?

9. Ever had trouble with law enforcement because of opiates?

10. Do you use benzodiazapines also?