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?

* 43. What’s your first name and last initial? Note: We are changing all names for this story, so your answers will remain anonymous.

* 44. What's your age?

T