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Recreational Use of Levodopa (Sinemet) and other dopamine agonists

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* 1. How old are you?

Years

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* 2. Are you male or female?

Male

Female

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* 3. Does anyone in your household (healthy or with Parkinson's disease) currently use Sinemet, Mirapex or Requip?

Yes, someone does

No, no one does

Not sure

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* 4. Do you suffer from Parkinson's Disease or restless leg syndrome?

Yes

No

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* 5. Do you currently use Sinemet, Mirapex or Requip to get high or to change the way you feel?

Yes, I do

No, I do not

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* 6. Which of the following people would you consider to be recreational users of levodopa (Sinemet) or dopamine agonists like pramipexole (Mirapex) or ropinirole (Requip)? (Check all that apply)

A healthy person who uses these drugs as an adjunct to body building.

A healthy person who uses these drugs to enhance sexual function.

A healthy person who uses these drugs to enhance creativity (painting, making music).

A person with Parkinson's Disease who uses it to improve motor function.

A person with Parkinson's Disease who uses it to feel better.

A healthy person who uses these drugs to get "high"

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* 7. At what age did you first start using Sinemet (or Requip or Mirapex)?

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* 8. How many times in a month do you use Sinemet (or other dopamine agonist) as a recreational substance?

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* 9. What effect does Sinemet or the dopamine agonists have on you?