Canadian Substance Use Survey (CSUS): questionnaire for 2023
Section Age, Sex, Location
AGS_Q01 - What is your age?
__________ years old
AGS_Q02 - What was your sex at birth?
Sex refers to sex assigned at birth.
- 1: Male
- 2: Female
AGS_Q03 - What is your gender?
Refers to the gender that you identify with (which may be different from sex assigned at birth and may be different from what is indicated on legal documents).
- 1: Man
- 2: Woman
- 3: Another gender, please specify: __________________________________________________
AGS_Q04 - In which province or territory do you currently live?
- 1: Alberta (AB)
- 2: British Columbia (BC)
- 3: Manitoba (MB)
- 4: New Brunswick (NB)
- 5: Newfoundland and Labrador (NL)
- 6: Northwest Territories (NT)
- 7: Nova Scotia (NS)
- 8: Nunavut (NU)
- 9: Ontario (ON)
- 10: Prince Edward Island (PE)
- 11: Quebec (QC)
- 12: Saskatchewan (SK)
- 13: Yukon (YT)
AGS_Q05 - Which of the following best describes the size of your city or town?
- 1: Rural area (less than 1,000 people)
- 2: Small population centre (1,000 to 29,999 people)
- 3: Medium population centre (30,000 to 99,999 people)
- 4: Large urban population centre (100,000+ people)
Section General Health
The following questions are about health.
HWB_Q01 - In general, how is your physical health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
- -8: Prefer not to answer
HWB_Q02 - In general, how is your mental health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
- -8: Prefer not to answer
HWB_Q03 - Do you identify as a person with a disability?
A person with a disability is a person who has a functional limitation or impairment that may hinder their full and equal participation in society. The disability may be visible to others or not. The disability may be permanent, temporary, or episodic. This could include a physical (e.g., mobility, flexibility, dexterity, pain), intellectual or cognitive (e.g., learning, developmental, memory), communication (e.g., speech, language), sensory (e.g., seeing, hearing), or a mental health-related impairment.
- 1: Yes
- 2: No
- -8: Prefer not to answer
Section Alcohol General
The following questions are about your alcohol consumption.
When we use the word drink, it means:
A 341 ml (12 oz) bottle of beer, cider or ready-to-drink cooler with 5% alcohol content
A 142 ml (5 oz) glass of wine with 12% alcohol content
A 43 ml (1.5 oz) shot glass of spirits with 40% alcohol content (whiskey, vodka, gin, etc.)
Include light beer, but DO NOT include de-alcoholised beer or coolers (0.5% alcohol) or cocktails such as Virgin Mary or Shirley Temple.
ALC_Q01 - Have you ever had an alcoholic drink?
Drinking does not include having a few sips of wine for religious or other purposes.
- 1: Yes
- 2: No
- -8: Prefer not to answer
ALC_Q02 - Not counting small sips, how old were you when you had your first alcoholic beverage?
- __________ years old
- -8: Prefer not to answer
ALC_Q03 - During the past 12 months, how often did you drink alcoholic beverages?
- 1: Daily or almost daily
- 2: 4 to 5 times a week
- 3: 2 to 3 times a week
- 4: Once a week
- 5: 2 to 3 times a month
- 6: Once a month
- 7: Less than once a month
- 8: No drink in the past 12 months
- -8: Prefer not to answer
ALC_Q04 - During the past 12 months, on those days when you drank alcoholic beverages, how many drinks did you usually have?
Exclude temporary changes in your use over the past 12 months.
- __________ drinks
- -8: Prefer not to answer
ALC_Q05 (asked to those assigned female at birth) - During the past 12 months, how often have you had 4 or more drinks on one occasion?
"On one occasion" means at the same time or within a couple of hours of each other.
- 1: Daily or almost daily
- 2: 4 to 5 times a week
- 3: 2 to 3 times a week
- 4: Once a week
- 5: 2 to 3 times a month
- 6: Once a month
- 7: Less than once a month
- 8: Not in the past 12 months
- -8: Prefer not to answer
ALC_Q06 (asked to those assigned male at birth) - During the past 12 months, how often have you had 5 or more drinks on one occasion?
"On one occasion" means at the same time or within a couple of hours of each other.
- 1: Daily or almost daily
- 2: 4 to 5 times a week
- 3: 2 to 3 times a week
- 4: Once a week
- 5: 2 to 3 times a month
- 6: Once a month
- 7: Less than once a month
- 8: Not in the past 12 months
- -8: Prefer not to answer
ALC_Q07 - During the past 30 days, did you have a drink?
- 1: Yes
- 2: No
- -8: Prefer not to answer
ALC_Q08 - During the past 30 days, on those days when you drank alcoholic beverages, how many drinks did you usually have?
- __________ drinks
- -8: Prefer not to answer
ALC_Q10 (asked to those assigned female at birth) - During the past 30 days, how often have you had 4 or more drinks on one occasion?
"On one occasion" means at the same time or within a couple of hours of each other.
- 1: Daily or almost daily
- 2: 4 to 5 times a week
- 3: 2 to 3 times a week
- 4: Once a week
- 5: 2 to 3 times in the past 30 days
- 6: Once in the past 30 days
- 7: Not in the past 30 days
- -8: Prefer not to answer
ALC_Q11 (asked to those assigned male at birth) - During the past 30 days, how often have you had 5 or more drinks on one occasion?
"On one occasion" means at the same time or within a couple of hours of each other.
- 1: Daily or almost daily
- 2: 4 to 5 times a week
- 3: 2 to 3 times a week
- 4: Once a week
- 5: 2 to 3 times in the past 30 days
- 6: Once in the past 30 days
- 7: Not in the past 30 days
- -8: Prefer not to answer
ALC_Q12 - During the past 7 days, did you have a drink?
- 1: Yes
- 2: No
- -8: Prefer not to answer
ALC_Q13 - Thinking back over the past seven days, from seven days ago to one day ago, how many drinks did you have on...?
For each day, you should be counting up to 4AM in the morning of the following day, e.g. Monday up to 4AM on Tuesday. Enter the actual number of drinks for each day, not an average.
- Seven days ago __________ drinks
- Six days ago __________ drinks
- Five days ago __________ drinks
- Four days ago __________ drinks
- Three days ago __________ drinks
- Two days ago __________ drinks
- One days ago __________ drinks
The following questions are about energy drinks, such as Red Bull, Rock Star or another brand.
ALC_Q14 - During the past 12 months, have you ever had an energy drink?
Energy drinks are beverages usually containing caffeine and/or other stimulant substances, such as guarana, taurine or L-carnitine. These drinks may be marketed as providing mental and physical stimulation.
Exclude coffee, tea, other naturally caffeinated beverages and sports drinks marketed to replace water or electrolytes before or after exercise. e.g., Gatorade or Powerade.
- 1: Yes
- 2: No
- -8: Prefer not to answer
ALC_Q16 - During the past 12 months, how often have you consumed an energy drink mixed with alcohol?
Include energy drinks pre-mixed with alcohol or consumed at the same time as alcohol.
- 1: Daily or almost daily
- 2: 4 to 5 times a week
- 3: 2 to 3 times a week
- 4: Once a week
- 5: 2 to 3 times a month
- 6: Once a month
- 7: Less than once a month
- 8: Never
- -8: Prefer not to answer
- ALC_Q17 - During the past 12 months, when you drank alcoholic beverages, how often did you combine it with the following substances?
- ALC_Q17_A: Cannabis
- ALC_Q17_C: Prescription opioids (e.g., Oxy (oxycodone), Dilaudid® (hydromorphone), morphine, Tramadol, acetylsalicylic acid with codeine, acetaminophen with codeine)
- ALC_Q17_D: Prescription stimulants (e.g., Ritalin®, Concerta®, Adderall®, Dexedrine®, Modafinil®)
- ALC_Q17_E: Prescription sedatives/tranquilizers (e.g., Valium® (diazepam), Ativan® (lorazepam), Xanax® (alprazolam), Rivotril® (clonazepam))
- ALC_Q17_F: Illegal opioids (e.g., heroin, non-pharmaceutical fentanyl)
- ALC_Q17_G: Cocaine (e.g., crack, rock, coke, freebase, powder, blow, snow or yayo)
- ALC_Q17_H: Illegal amphetamines methamphetamines (e.g., speed, crystal meth, ice) (do not include prescription amphetamines)
- ALC_Q17_J: Ecstasy or similar designer drugs (e.g., MDMA, E, Xtc, Adam, Molly or X)
- ALC_Q17_K: Psychedelics (e.g., LSD (acid), magic mushrooms, psilocybin, mescaline, peyote, 2C's, or NBOMe's)
- ALC_Q17_L: Dissociatives (e.g., as PCP (angel dust), ketamine (Special K))
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
- -8: Prefer not to answer
The next section will ask about possible problems you might have encountered related to drinking.
ALC_Q18 - During the past 12 months, how often have you found that you were unable to stop drinking once you had started?
- 1: Never
- 2: Less than monthly
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
- -8: Prefer not to answer
ALC_Q19 - During the past 12 months, how often have you failed to do what was normally expected from you because of drinking?
- 1: Never
- 2: Less than monthly
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
- -8: Prefer not to answer
ALC_Q20 - During the past 12 months, how often have you needed a first drink in the morning to get yourself going after a heavy drinking session?
- 1: Never
- 2: Less than monthly
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
- -8: Prefer not to answer
ALC_Q21 - During the past 12 months, how often have you been unable to remember what happened the night before because you had been drinking?
- 1: Never
- 2: Less than monthly
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
- -8: Prefer not to answer
ALC_Q22 - During the past 12 months, how often have you had a feeling of guilt or remorse after drinking?
- 1: Never
- 2: Less than monthly
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
- -8: Prefer not to answer
ALC_Q23 - Have you or someone else ever been physically injured as a result of your drinking?
- 1: Yes, in the past year
- 2: Yes, but not in the past year
- 4: No
- -8: Prefer not to answer
ALC_Q24 - Has a relative, friend, doctor or another health worker been concerned about your drinking or suggested you cut down your alcohol intake?
- 1: Yes, in the past year
- 2: Yes, but not in the past year
- 4: No
- -8: Prefer not to answer
The following questions are about alcohol and driving.
ALC_Q25 - In the past 12 months, have you been a passenger in a vehicle driven by someone who had 2 or more drinks of alcohol in the previous 1 hour?
Include car, snowmobile, motor boat or all-terrain vehicle (ATV).
Exclude planes or non-motorized vehicles such as bicycles.
- 1: Yes
- 2: No
- 3: Don't know
- -8: Prefer not to answer
ALC_Q26 - Do you have a driver's license?
- 1: Yes (include learners license, intermediate and full license)
- 2: No
- -8: Prefer not to answer
ALC_Q27 - During the past 12 months, have you driven a vehicle such as a car, motorbike, van or truck?
Include car, snowmobile, motor boat or all-terrain vehicle (ATV).
Exclude planes or non-motorized vehicles such as bicycles.
- 1: Yes
- 2: No
- -8: Prefer not to answer
ALC_Q29A - During the past 12 months, have you driven a vehicle after having 2 or more drinks in the previous 1 hour?
Include car, snowmobile, motor boat or all-terrain vehicle (ATV).
Exclude planes or non-motorized vehicles such as bicycles.
- 1: Yes
- 2: No
- -8: Prefer not to answer
ALC_Q29B - During the past 12 months, how many times have you driven a vehicle after having 2 or more drinks in the previous 1 hour?
Include car, snowmobile, motor boat or all-terrain vehicle (ATV).
Exclude planes or non-motorized vehicles such as bicycles.
- __________ times
- -8: Prefer not to answer
ALC_Q30A - During the past 12 months, have you been in a vehicle accident or collision while you were driving?
- 1: Yes
- 2: No
- -8: Prefer not to answer
ALC_Q30B - During the past 12 months, how many times have you been in a vehicle accident or collision while you were driving?
- __________ times
- -8: Prefer not to answer
Section Prescription Opioids
The next series of questions are about your use of various opioids.
Opioids are medications that can help relieve pain such as codeine, morphine, or related drugs. They can be used to treat sports injuries, dental procedures, short-term acute pain, or long-term chronic pain. Most of these products require a prescription, although some do not.
Exclude drugs such as Regular Tylenol® or Extra Strength Tylenol®, Aspirin®, Advil®, Motrin® or their generic equivalents.
Include prescribed or non-prescribed drugs such as acetylsalicylic acid with codeine, acetaminophen with codeine (such as T3's), Dilaudid® (hydromorphone), Oxy (oxycodone) and Tramadol.
PR_Q01 - Have you ever used any opioid products?
- 1: Yes
- 2: No
- -8: Prefer not to answer
The next questions are about low-dose codeine products that are available without a prescription in most provinces. Low-dose codeine products can provide temporary relief from moderate to severe pain and dry cough. These include drugs such as Robaxacet-8, AC&C, T1's, Mersyndol, Calmylin.
Exclude pain relievers such as Regular Tylenol® or Extra Strength Tylenol®, Aspirin®, Advil®, Motrin®, which do not contain codeine and higher dose codeine products requiring prescriptions.
PR_Q02 - During the past 12 months, have you used low-dose codeine products?
- 1: Yes
- 2: No
- -8: Prefer not to answer
PR_Q03 - Have you ever used any low-dose codeine products for reasons other than pain relief or other medical conditions (e.g., cough)?
For example, to help you sleep, to feel better, to improve mood, to cope with stress, for the experience, for the feeling they caused, to feel numb or for any other reason.
Include drugs such as such as Robaxacet-8, AC&C, T1's, Mersyndol, Calmylin.
Exclude pain relievers such as Regular Tylenol®or Extra Strength Tylenol®, Aspirin®, Advil®, Motrin®, which do not contain codeine and higher dose codeine drugs requiring prescriptions.
- 1: Yes, in the past 12 months
- 2: Yes, but not in the past 12 months
- 3: No
- -8: Prefer not to answer
PR_Q04 - How old were you when you tried or started using low-dose codeine products for reasons other than pain relief or other medical conditions (e.g., cough)?
- __________ years old
- -8: Prefer not to answer
PR_Q05 - During the past 12 months, how often have you used low-dose codeine products for reasons other than pain relief or other medical conditions (e.g., cough)?
For example, to help you sleep, to feel better, to improve mood, to cope with stress, for the experience, for the feeling they caused, to feel numb or for any other reason.
- 1: Daily or almost daily
- 2: 3 or 4 times a week
- 3: About once or twice a week
- 4: 2 or 3 times a month
- 5: About once a month
- 6: 7 to 11 times a year
- 7: 3 to 6 times a year
- 8: Once or twice
- -8: Prefer not to answer
PR_Q06 - Did you ever tamper with a low-dose codeine product before taking it, for example, by crushing tablets to swallow, snort or inject?
Exclude reasons such as for the ease of swallowing or to take a lower dose.
- 1: Yes, in the past 12 months
- 2: Yes, but not in the past 12 months
- 3: No
- -8: Prefer not to answer
The next section applies to pain relievers that are not low-dose codeine products. These products require a prescription. These drugs include acetylsalicylic acid with codeine, acetaminophen with codeine (such as T3's), or generic equivalents.
Exclude: pain relievers such as Regular Tylenol® or Extra Strength Tylenol®, Aspirin®, Advil®, Motrin®, which do not contain codeine and low dose codeine drugs such as Robaxacet-8, AC&C, T1's, Mersyndol, Calmylin.
PR_Q07 - During the past 12 months, have you used any other codeine products?
- 1: Yes
- 2: No
- -8: Prefer not to answer
PR_Q08 - During the past 12 months, have you used any oxycodone products?
Include products such as Percocet®, OxyNeo®, Oxycontin®
- 1: Yes
- 2: No
- -8: Prefer not to answer
PR_Q09 - During the past 12 months, have you used fentanyl that was prescribed to you?
Include fentanyl taken in the form of tablets, injections, or skin patches. Include fentanyl used for medical purposes as prescribed or given to you while you were admitted in hospital.
- 1: Yes
- 2: No
- -8: Prefer not to answer
PR_Q10 - During the past 12 months, have you used any other opioid pain-relieving products?
Include products such as hydromorphone, Dilaudid®, Hydromorph Contin®, morphine, MS Contin®, or Tramadol®
- 1: Yes
- 2: No
- -8: Prefer not to answer
PR_Q11 - During the past 12 months, did you take a higher dose of opioids than the recommended dose?
- 1: Yes
- 2: No
- -8: Prefer not to answer
PR_Q12 - During the past 12 months, did you take opioids more often than recommended?
- 1: Yes
- 2: No
- -8: Prefer not to answer
PR_Q13 - During the past 12 months, how often have you used opioids?
- 1: Daily or almost daily
- 2: 3 or 4 times a week
- 3: About once or twice a week
- 4: 2 or 3 times a month
- 5: About once a month
- 6: 7 to 11 times a year
- 7: 3 to 6 times a year
- 8: Once or twice
- -8: Prefer not to answer
PR_Q15 - Have you ever used opioids for reasons other than pain relief or other medical conditions (e.g., cough)?
For example, to help you sleep, to feel better, to improve mood, to cope with stress, for the experience, for the feeling they caused, to feel numb or for any other reason.
- 1: Yes, in the past 12 months
- 2: Yes, but not in the past 12 months
- 3: No
- -8: Prefer not to answer
PR_Q14 - How long have you been using opioids for reasons other than pain relief or other medical conditions (e.g., cough)?
- Years _________________
- Months _________________
- -8: Prefer not to answer
PR_Q16 - How old were you when you tried or started using opioids for reasons other than pain relief or other medical conditions (e.g., cough)?
- __________ years
- -8: Prefer not to answer
PR_Q17 - During the past 12 months, how often have you used opioids for reasons other than pain relief or other medical conditions (e.g., cough)?
For example, to help you sleep, to feel better, to improve mood, to cope with stress, for the experience, for the feeling they caused, to feel numb or for any other reason.
- 1: Daily or almost daily
- 2: 3 or 4 times a week
- 3: About once or twice a week
- 4: 2 or 3 times a month
- 5: About once a month
- 6: 7 to 11 times a year
- 7: 3 to 6 times a year
- 8: Once or twice
- -8: Prefer not to answer
PR_Q18 - During the past 12 months, were all the opioids you have used prescribed to you?
Consider pain relievers given to you while you were admitted in hospital as prescribed.
- 1: Yes, they all were prescribed
- 2: Some were prescribed and others were not
- 3: No, none were prescribed
- -8: Prefer not to answer
PR_Q19 - Did you ever tamper with an opioid product before taking it, for example, by crushing tablets to swallow, snort or inject?
Exclude reasons such as for the ease of swallowing or to take a lower dose.
- 1: Yes, in the past 12 months
- 2: Yes, but not in the past 12 months
- 3: No
- -8: Prefer not to answer
PR_Q20 - During the past 12 months, did you give away opioids that were prescribed to you?
Exclude returning medication to the pharmacy or drug store.
- 1: Yes
- 2: No
- -8: Prefer not to answer
PR_Q21 - During the past 12 months, did you sell opioids that were prescribed to you?
- 1: Yes
- 2: No
- -8: Prefer not to answer
PR_Q22 - Where did you usually obtain opioids that were not prescribed for you?
- 1: From a friend or relative
- 2: From a drug dealer or stranger in person
- 3: From the Internet
- 4: Stolen
- 5: From another country
- 6: Other, please specify: __________________________________________________
- -8: Prefer not to answer
PR_Q23 - During the past 12 months, did you do any of the following to obtain a prescription for opioids?
Select all that apply
- 1: Persuade a doctor to obtain a prescription by exaggerating or lying about your health conditions
- 2: Forge a prescription
- 3: Go to more than one doctor for repeated prescriptions (double doctoring or doctor shopping)
- 4: None of the above
- -8: Prefer not to answer
Section Prescription Stimulants
The next few questions are about your use of various prescription stimulants.
Stimulants are products that require a prescription, such as Ritalin, Concerta, Adderall, Dexedrine, or Modafinil. These products help people who have attention or concentration problems such as ADHD or sleep disorders.
STI_Q01 - Have you ever used any such stimulants?
- 1: Yes, in the past 12 months
- 2: Yes, but not in the past 12 months
- 3: No
- -8: Prefer not to answer
STI_Q02 - During the past 12 months, how often have you used any such stimulants?
- 1: Daily or almost daily
- 2: 3 or 4 times a week
- 3: About once or twice a week
- 4: 2 or 3 times a month
- 5: About once a month
- 6: 7 to 11 times a year
- 7: 3 to 6 times a year
- 8: Once or twice
- -8: Prefer not to answer
STI_Q03 - During the past 12 months, have you taken a higher dose of stimulants than the dose indicated?
- 1: Yes
- 2: No
- -8: Prefer not to answer
STI_Q04 - During the past 12 months, did you take stimulants more often than recommended?
- 1: Yes
- 2: No
- -8: Prefer not to answer
STI_Q05- During the past 12 months, did you use stimulants for reasons other than why they are recommended?
For example, to cram for exams, to stay up all night to finish a project, to decrease your appetite, for the experience, to get high, to party with friends, or for any other reason. <<StimulantInfo2>>
- 1: Yes, in the past 30 days
- 2: Yes, but not in the past 30 days
- 3: No
- -8: Prefer not to answer
STI_Q06 - During the past 12 months, were all the stimulants you have used prescribed to you?
- 1: Yes, they all were prescribed
- 2: Some were prescribed and others were not
- 3: No, none were prescribed
- -8: Prefer not to answer
STI_Q07 - During the past 12 months, did you give away any stimulants that were prescribed to you?
- 1: Yes
- 2: No
- -8: Prefer not to answer
STI_Q08 - During the past 12 months, did you sell any stimulants that were prescribed to you?
- 1: Yes
- 2: No
- -8: Prefer not to answer
STI_Q09 - Where did you usually obtain stimulants that were not prescribed to you?
- 1: From a friend or relative
- 2: From a drug dealer or stranger in person
- 3: From the Internet
- 4: Stolen
- 5: From another country
- 6: Other, please specify: __________________________________________________
- -8: Prefer not to answer
STI_Q10 - During the past 12 months, did you do any of the following to obtain a prescription for stimulants?
Select all that apply
- 1: Persuade a doctor to obtain a prescription by exaggerating or lying about your health conditions
- 2: Forge a prescription
- 3: Go to more than one doctor for repeated prescriptions (double doctoring or doctor shopping)
- 4: None of the above
- -8: Prefer not to answer
Section Prescription Sedatives or Anti-Anxiety Medications
The next few questions are about your use of various prescription sedatives or anti-anxiety medications.
Sedatives or anti-anxiety are medications that require a prescription, such as diazepam (Valium®), lorazepam (Ativan®), alprazolam (Xanax®), clonazepam, (Rivotril®), Zolpiem (Ambien®), Zopiclone (Lunesta®) or others.
These medications are sometimes prescribed to manage anxiety or to help people sleep.
Exclude over-the-counter medications.
SED_Q01 - Have you ever used any sedatives or anti-anxiety medications?
- 1: Yes, in the past 12 months
- 2: Yes, but not in the past 12 months
- 3: No
- -8: Prefer not to answer
SED_Q02 - During the past 12 months, how often have you used any sedative or anti-anxiety medications?
- 1: Daily or almost daily
- 2: 3 or 4 times a week
- 3: About once or twice a week
- 4: 2 or 3 times a month
- 5: About once a month
- 6: 7 to 11 times a year
- 7: 3 to 6 times a year
- 8: Once or twice
- -8: Prefer not to answer
SED_Q03 - During the past 12 months, have you taken a higher dose of sedatives or anti-anxiety medications than the dose indicated?
- 1: Yes
- 2: No
- -8: Prefer not to answer
SED_Q04 - During the past 12 months, did you take sedatives or anti-anxiety medications more often than recommended?
- 1: Yes
- 2: No
- -8: Prefer not to answer
SED_Q05 - During the past 12 months, did you use sedatives or anti-anxiety medications for reasons other than why they are recommended?
For example, for the experience, for the feeling they caused, to feel numb or for any other reason.
- 1: Yes, in the past 30 days
- 2: Yes, but not in the past 30 days
- 3: No
- -8: Prefer not to answer
SED_Q06 - During the past 12 months, were all the sedatives or anti-anxiety medications you have used prescribed to you?
- 1: Yes, they all were prescribed
- 2: Some were prescribed and others were not
- 3: No, none were prescribed
- -8: Prefer not to answer
SED_Q07A - During the past 12 months, did you give away any sedatives or anti-anxiety medications that were prescribed to you?
- 1: Yes
- 2: No
- -8: Prefer not to answer
SED_Q07B - During the past 12 months, did you sell sedatives or anti-anxiety medications that were prescribed to you?
- 1: Yes
- 2: No
- -8: Prefer not to answer
SED_Q08 - Where do/did you usually obtain sedatives or anti-anxiety medications that were not prescribed to you?
- 1: From a friend or relative
- 2: From a drug dealer or stranger in person
- 3: From the Internet
- 4: Stolen
- 5: From another country
- 6: Other, please specify: __________________________________________________
- -8: Prefer not to answer
SED_Q09 - During the past 12 months, did you do any of the following to obtain a prescription for sedatives or anti-anxiety medications?
Select all that apply
- 1: Persuade a doctor to obtain a prescription by exaggerating or lying about your health conditions
- 2: Forge a prescription
- 3: Go to more than one doctor for repeated prescriptions (double doctoring or doctor shopping)
- 4: None of the above
- -8: Prefer not to answer
Section Over the Counter Medications
The next few questions are about over-the-counter medications. Over-the-counter medications are products can be sold directly to people without a prescription, such as:
OTC_Q01 - Have you ever used or tried over-the-counter products for reasons other than health or medical?
For example, for the experience, the feeling they caused or to get "high" or numb.
- 1: Yes
- 2: No
- -8: Prefer not to answer
OTC_Q02 - How old were you when you first used or tried over-the-counter products for reasons other than health or medical?
For example, for the experience, the feeling they caused or to get "high" or numb.
- __________ years old
- -8: Prefer not to answer
OTC_Q03 - During the past 12 months, have you used or tried over-the-counter products for reasons other than health or medical?
For example, for the experience, the feeling they caused or to get "high" or numb.
- 1: Yes, in the past 30 days
- 2: Yes, but not in the past 30 days
- 3: No
- -8: Prefer not to answer
Section Cannabis
The next questions are about cannabis.
For the purpose of this survey, 'cannabis' refers to marijuana (e.g., weed, pot), hashish, hash oil or any other products made from the cannabis plant.
Include products containing THC, CBD or any other cannabinoids (e.g., CBN, CBG, delta 8 THC).
Exclude synthetic cannabinoids like Spice or K2.
Unless specified when we ask about cannabis use this includes use for both non-medical and medical purposes.
By "non-medical purposes" we mean recreational (e.g., for enjoyment, pleasure, amusement), socially, for spiritual, lifestyle and other similar non-medical uses.
By "medical purposes" we mean to treat a condition or to reduce symptoms.
CAN_Q01 - Have you ever used or tried cannabis?
- 1: Yes, just once
- 2: Yes, more than once
- 3: No
- -8: Prefer not to answer
CAN_Q02 - How old were you when you first tried or started using cannabis?
- __________ years old
- -8: Prefer not to answer
CAN_Q03 - During the past 12 months, have you used or tried cannabis?
By "non-medical purposes" we mean recreational (e.g., for enjoyment, pleasure, amusement), socially, for spiritual, lifestyle and other similar non-medical uses.
By "medical purposes" we mean to treat a condition or to reduce symptoms.
- 1: Yes, for non-medical purposes
- 2: Yes, for medical purposes (with or without a medical document)
- 3: Yes, for both non-medical and medical purposes
- 4: No
- -8: Prefer not to answer
CAN_Q04 - Do you use cannabis for medical purposes with or without a medical document from a healthcare professional?
A medical document authorizing the use of cannabis for medical purposes typically contains information about the healthcare provider and you, the daily quantity (grams) of dried cannabis that you are authorized to use for medical purposes, and the length of time you are authorized to do so. They are similar to prescriptions.
- 1: With a medical document authorizing the use of cannabis for medical purposes from a healthcare professional
- 2: Without a medical document authorizing the use of cannabis for medical purposes from a healthcare professional
- 3: Prefer not to answer
CAN_Q05 - During the past 12 months, how often did you use cannabis?
- 1: Daily
- 2: 5 or 6 days per week
- 3: 3 or 4 days per week
- 4: 1 or 2 day(s) per week
- 5: 2 or 3 days per month
- 6: 1 day per month
- 7: Less than once per month
- -8: Prefer not to answer
CAN_Q06 - For which of the following symptoms, diseases, or disorders do you use cannabis for medical purposes for?
Select all that apply
- 1: Problems sleeping or insomnia
- 2: Anxiety
- 3: Depression
- 4: Arthritis
- 5: Headaches or migraines
- 6: Acute pain (severe or sudden pain that resolves within a certain amount of time)
- 7: Chronic pain (persistent pain that lasts for several months or longer)
- 8: Post-Traumatic Stress Disorder (PTSD)
- 9: Gastrointestinal issues (including irritable bowel syndrome, inflammatory bowel disease, Crohn's, colitis)
- 10: Attention Deficit Hyperactivity Disorder/Attention Deficit Disorder (ADHD/ADD)
- 11: Muscle spasms
- 12: Nausea or vomiting
- 13: Lack of appetite, wasting/weight loss or eating disorder
- 14: Seizures or epilepsy
- 15: Diabetes
- 16: Multiple sclerosis, Amyotrophic Sclerosis (ALS) or spinal cord injury
- 17: To treat cancer/tumours
- 18: Opioid withdrawal symptoms
- 19: Schizophrenia or psychosis
- 20: Bipolar disorder, mania, or a personality disorder
- 21: Other, please specify: ________________________________________________
- -8: Prefer not to answer
- -9: Don't know
For the remaining questions on cannabis, unless specified when we ask about cannabis use this includes use for both non-medical and medical purposes.
CAN_Q07A - During the past 12 months, which of the following cannabis products have you used?
Select all that apply
- 1: Dried flower/leaf
- 2: Hashish/kief
- 3: Cannabis oil for oral use (e.g., in dropper/syringe, softgel/capsules, spray bottle, tinctures)
- 4: Cannabis vape pens/cartridges
- 5: Cannabis concentrate/extracts (e.g., shatter/wax/budder/butane honey oil/rosin)
- 6: Cannabis edible food products (e.g., chocolate, baked goods, soft chews)
- 7: Cannabis beverages (e.g., sparkling water, tea, soft drinks, dissolvable powder)
- 8: Topicals (e.g., lotion/cream, ointment, bath products, patches)
- 9: Other, please specify: __________________________________________________
- -8: Prefer not to answer
CAN_Q07B - During the past 12 months, how often have you used any of the following cannabis products?
Provide an estimate of your usual usage pattern;
Exclude temporary changes in your use over the past 12 months.
- CAN_Q07B_A: Dried flower/leaf
- CAN_Q07B_B: Hashish/kief
- CAN_Q07B_C: Cannabis oil for oral use(e.g., in dropper/syringe, softgel/capsules, spray bottle, tinctures)
- CAN_Q07B_D: Cannabis vape pens/cartridges
- CAN_Q07B_E: Cannabis concentrate/extracts (e.g., shatter/wax/budder/butane honey oil/rosin)
- CAN_Q07B_F: Cannabis edible food products (e.g., chocolate, baked goods, soft chews)
- CAN_Q07B_G: Cannabis beverages (e.g., sparkling water, tea, soft drinks, dissolvable powder)
- CAN_Q07B_H: Topicals (e.g., lotion/cream, ointment, bath products, patches)
- CAN_Q07B_I: Other product specified in CAN_Q07A
- 1: Daily
- 2: 5 or 6 days per week
- 3: 3 or 4 days per week
- 4: 1 or 2 day(s) per week
- 5: 2 or 3 days per month
- 6: 1 day per month
- 7: Less than once per month
- -8: Prefer not to answer
CAN_Q08 - In the past 12 months, which of the following methods did you use to consume cannabis?
Select all that apply
- 1: Smoked (e.g., a joint, bong, pipe or blunt)
- 2: Eaten it in food (e.g., chocolate, baked goods, soft chews)
- 3: Drank it (e.g., sparkling water, tea, soft drinks, dissolvable powder)
- 4: Vaped it (vape pen or vaporizer)
- 5: Cannabis oil for oral use (e.g., in a dropper/syringe, softgel/capsules, spray bottle, tinctures)
- 6: Dabbing (e.g., Including hot knife/nail, dab rig)
- 7: Applied to skin (e.g., topicals)
- 8: Used it some other way, please specify: ___________
- -8: Prefer not to answer
CAN_Q09 During the past 12 months, where did you usually buy or receive the cannabis you used?
- 1: I grew my own
- 2: It was specifically grown for me
- 3: From a legal storefront/provincially authorized retailer
- 4: From a legal online source (provincially authorized retailer)
- 5: From a storefront in a First Nations community
- 6: From an illegal storefront
- 7: From an illegal online source
- 8: It was shared around a group of friends
- 8: From a family member
- 10: From a friend
- 11: From an acquaintance
- 12: From a dealer
- 13: Other, please specify: _________________________
- -8: Prefer not to answer
CAN_Q10 During the past 12 months, when you used cannabis, how often did you combine it with any of the following substances?
"Combine" means mixed or consumed at the same time or on the same occasion (e.g., at the same party, in the same evening).
- CAN_Q10 _A: Alcohol
- CAN_Q10 _C: Prescription opioids (e.g., Oxy (oxycodone), Dilaudid® (hydromorphone), morphine, Tramadol, acetylsalicylic acid with codeine, acetaminophen with codeine)
- CAN_Q10 _D: Prescription stimulants (e.g., Ritalin®, Concerta®, Adderall®, Dexedrine®, Modafinil®)
- CAN_Q10 _E: Prescription sedatives/tranquilizers (e.g., Valium® (diazepam), Ativan® (lorazepam), Xanax® (alprazolam), Rivotril® (clonazepam))
- CAN_Q10 _F: Illegal opioids (e.g., heroin, non-pharmaceutical fentanyl)
- CAN_Q10 _G: Cocaine (e.g., crack, rock, coke, freebase, powder, blow, snow or yayo)
- CAN_Q10 _H: Illegal amphetamines/methamphetamines (e.g., speed, crystal meth, ice) (do not include prescription amphetamines)
- CAN_Q10 _J: Ecstasy or similar designer drugs (e.g., MDMA, E, Xtc, Adam, Molly or X)
- CAN_Q10 _K: Psychedelics (e.g., LSD (acid), magic mushrooms, psilocybin, mescaline, peyote, 2C's, or NBOMe's)
- CAN_Q10 _L: Dissociatives (e.g., as PCP (angel dust), ketamine (Special K)
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
- -8: Prefer not to answer
CAN_Q11 - During the past 12 months, have you consumed more, less or the same quantity of cannabis compared to the year before?
- 1: More
- 2: Less
- 3: The same
- -8: Prefer not to answer
CAN_Q12 - During the past 30 days, have you used cannabis?
- 1: Yes
- 2: No
- -8: Prefer not to answer
CAN_Q13 - In the past 30 days, on how many days did you use cannabis?
- __________ days
- -8: Prefer not to answer
The next few questions are about possible problems you might have experienced regarding your use of cannabis.
ASSIST01 - During the past 3 months, how often did you use cannabis?
- 1: Never
- 2: Once or twice
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
- -8: Prefer not to answer
ASSIST02 - During the past 3 months, how often have you had a strong desire or urge to use cannabis?
- 1: Never
- 2: Once or twice
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
- -8: Prefer not to answer
ASSIST03 - During the past 3 months, how often has your use of cannabis led to health, social, legal or financial problems?
- 1: Never
- 2: Once or twice
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
- -8: Prefer not to answer
ASSIST04 - During the past 3 months, how often have you found you failed to do what was normally expected of you because of your use of cannabis?
- 1: Never
- 2: Once or twice
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
- -8: Prefer not to answer
ASSIST05 - Has a friend or relative or anyone else ever expressed concern about your use of cannabis?
- 1: No
- 2: Yes, in the past 3 months
- 3: Yes, but not in the past 3 months
- -8: Prefer not to answer
ASSIST06 - Have you ever tried to control, cut down or stop using cannabis but discovered that you were not able to do so?
- 1: No
- 2: Yes, in the past 3 months
- 3: Yes, but not in the past 3 months
- -8: Prefer not to answer
CAN_Q19 - During the past 12 months, have you been a passenger in a motor vehicle driven by someone who had used cannabis within 2 hours before driving?
- 1: No
- 2: Yes, once
- 3: Yes, more than once
- 4: Don't know
- -8: Prefer not to answer
CAN_Q21 - During the past 12 months, have you been a passenger in a motor vehicle driven by someone who had used both alcohol and cannabis within 2 hours before driving?
- 1: No
- 2: Yes, once
- 3: Yes, more than once
- 4: Don't know
- -8: Prefer not to answer
CAN_Q22 - During the past 12 months, have you driven a motor vehicle within 2 hours of smoking or vapourizing cannabis?
- 1: Yes
- 2: No
- -8: Prefer not to answer
CAN_Q23 - During the past 30 days, how many times have you driven a motor vehicle within 2 hours of smoking or vapourizing cannabis?
- __________ times
- -8: Prefer not to answer
CAN_Q24 - During the past 12 months, have you driven a motor vehicle within 4 hours of ingesting a cannabis product (e.g., cannabis food/beverages, capsules)?
- 1: Yes
- 2: No
- -8: Prefer not to answer
CAN_Q25 - During the past 30 days, how many times have you driven a motor vehicle within 4 hours of ingesting a cannabis product (e.g., cannabis food/beverages, capsules)?
- __________ times
- -8: Prefer not to answer
CAN_Q26 - During the past 12 months, have you been in a motor vehicle accident or collision with you as a driver after having used cannabis within 2 hours before driving?
- 1: Yes
- 2: No
Section Maternal Experience with Cannabis and Alcohol
The next questions are about your maternal experiences.
MEX_Q01 - Have you given birth during the past 5 years?
Include live and still births.
- 1: Yes
- 2: No
- -8: Prefer not to answer
The next questions are about your maternal experiences related to your last pregnancy.
MEX_Q02 - After you learned that you were pregnant with your last child, did you use cannabis during the pregnancy?
- 1: Yes
- 2: No
- -8: Prefer not to answer
MEX_Q03 - Was your last child breastfed or given your breast milk even for a short time?
Include: through breastfeeding and through pumped or extracted breast milk.
- 1: Yes
- 2: No
- -8: Prefer not to answer
MEX_Q04 - While you were breastfeeding your last child, did you use cannabis?
- 1: Yes
- 2: No
- -8: Prefer not to answer
MEX_Q05 - After you learned that you were pregnant with your last child, how often did you drink alcohol during the pregnancy?
- 9: Every day
- 8: 4 to 6 times a week
- 7: 2 to 3 times a week
- 6: Once a week
- 5: 2 to 3 times a month
- 4: Once a month
- 3: Less than once a month
- 2: Once or twice only
- 1: Never
- -8: Prefer not to answer
MEX_Q06 - During your last pregnancy, on the days when you drank alcoholic beverages, how many drinks did you usually have?
- 1: Less than a drink
- 2: One drink or more, please specify __________________________________________________
- -8: Prefer not to answer
Section Other Drugs or Substances
The following questions are about other drug use. Remember that all the information you provide is strictly confidential.
ODS_Q01 Have you ever used or tried:
Select all that apply
- 1: Cocaine or crack (rock) (Also known as coke, freebase, powder, blow, snow or yayo)
- 2: Illegal amphetamines/methamphetamines (e.g., speed, crystal meth, ice) (do not include prescription amphetamines)
- 4: Ecstasy or similar designer drugs (Also known as MDMA, E, Xtc, Adam, Molly or X)
- 5: Psychedelics (Also know as LSD (acid), magic mushrooms, psilocybin, mescaline, peyote, 2C's, or NBOMe's)
- 6: Dissociatives (Also known as PCP (angel dust), ketamine (Special K))
- 7: Inhalants (Also known as sniffing or huffing glue, gasoline or other solvents)
- 8: Heroin (Also known as junk, horse or smack)
- 9: Salvia (Also known as Salvia Divinorum, Ska pastora, Herb of the Shepherdess, Hierba de María, diviner's sage, magic mint or Sally-D)
- 10: Fentanyl (do not include prescription fentanyl)
- 11: Kratom
- 12: Nitrous Oxide (Also known as whippets, balloons, laughing gas, hippy crack)
- 13: None of the above
- -8: Prefer not to answer
ODS_Q02 - How old were you when you first tried...
- ODS_Q02_A: Cocaine or crack (rock) (Also known as coke, freebase, powder, blow, snow or yayo.)
- ODS_Q02_B: Illegal amphetamines/methamphetamines (Also known as speed, crystal meth, ice) (do not include prescription amphetamines)
- ODS_Q02_D: Ecstasy or similar designer drugs (Also known as MDMA, E, Xtc, Adam, Molly or X.)
- ODS_Q02_E: Psychedelics (Also know as LSD (acid), magic mushrooms, psilocybin, mescaline, peyote, 2C's, or NBOMe's.)
- ODS_Q02_F: Dissociatives (Also known as PCP (angel dust), ketamine (Special K).)
- ODS_Q02_G: Inhalants (Also known as sniffing or huffing glue, gasoline or other solvents.)
- ODS_Q02_H: Heroin (Also known as junk, horse or smack.)
- ODS_Q02_I: Salvia (Also known as Salvia Divinorum, Ska pastora, Herb of the Shepherdess, Hierba de María, diviner's sage, magic mint or Sally-D.)
- ODS_Q02_J: Fentanyl (do not include prescription fentanyl)
- ODS_Q02_K: Kratom
- ODS_Q02_L: Nitrous Oxide (Also known as whippets, balloons, laughing gas, hippy crack.)
- __________ years old
- -8: Prefer not to answer
ODS_Q03 During the past 12 months, have you used or tried...
- ODS_Q03_A: Cocaine or crack (rock) (Also known as coke, freebase, powder, blow, snow or yayo.)
- ODS_Q03_B: Illegal amphetamines/methamphetamines (Also known as speed, crystal meth, ice) (do not include prescription amphetamines)
- ODS_Q03_D: Ecstasy or similar designer drugs (Also known as MDMA, E, Xtc, Adam, Molly or X.)
- ODS_Q03_E: Psychedelics (Also know as LSD (acid), magic mushrooms, psilocybin, mescaline, peyote, 2C's, or NBOMe's.)
- ODS_Q03_F: Dissociatives (Also known as PCP (angel dust), ketamine (Special K).)
- ODS_Q03_G: Inhalants (Also known as sniffing or huffing glue, gasoline or other solvents.)
- ODS_Q03_H: Heroin (Also known as junk, horse or smack.)
- ODS_Q03_I: Salvia (Also known as Salvia Divinorum, Ska pastora, Herb of the Shepherdess, Hierba de María, diviner's sage, magic mint or Sally-D.)
- ODS_Q03_J: Fentanyl (do not include prescription fentanyl)
- ODS_Q03_K: Kratom
- ODS_Q03_L: Nitrous Oxide (Also known as whippets, balloons, laughing gas, hippy crack.)
- 1: Yes, in the past 30 days
- 2: Yes, but not in the past 30 days
- 3: No
- -8: Prefer not to answer
ODS_Q04 - How easy would it be for you to get heroin if you wanted some today?
- 1: Very easy
- 2: Easy
- 3: Difficult
- 4: Very difficult
- 5: Impossible
- -8: Prefer not to answer
ODS_Q05A - During the past 12 months, have you combined two or more substances (including prescription medications) for the experience or to get high?
"Combine" means mixed or consumed at the same time or on the same occasion (e.g., at the same party, in the same evening).
Exclude alcohol, cannabis, and tobacco.
- 1: Yes, in the past 30 days
- 2: Yes, but not in the past 30 days
- 3: No
- -8: Prefer not to answer
ODS_Q05B - During the past 12 months, when you used prescription opioids, how often did you combine it with the following substances?
Include acetylsalicylic acid with codeine, acetaminophen with codeine (such as T3's, Oxy (oxycodone), Dilaudid®(hydromorphone), morphine, and Tramadol.
"Combine" means mixed or consumed at the same time or on the same occasion (e.g., at the same party, in the same evening).
- ODS_Q05b_A: Cocaine (e.g., crack, rock, coke, freebase, powder, blow, snow or yayo)
- ODS_Q05b_B: Prescription stimulants (e.g., Ritalin®, Concerta®, Adderall®, Dexedrine®, Modafinil®)
- ODS_Q05b_C: Prescription sedatives/tranquilizers (e.g., Valium®(diazepam), Ativan®(lorazepam), Xanax®(alprazolam), Rivotril®(clonazepam))
- ODS_Q05b_D: Heroin (e.g., junk, horse or smack)
- ODS_Q05b_E: Fentanyl (do not include prescription fentanyl)
- ODS_Q05b_F: Illegal amphetamines/methamphetamines (e.g., speed, crystal meth, ice) (do not include prescription amphetamines)
- ODS_Q05b_H: Ecstasy or similar designer drugs (e.g., MDMA, E, Xtc, Adam, Molly or X)
- ODS_Q05b_I: Psychedelics (e.g., LSD (acid), magic mushrooms, psilocybin, mescaline, peyote, 2C's, or NBOMe's)
- ODS_Q05b_J: Dissociatives (e.g., as PCP (angel dust), ketamine (Special K)
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
- -8: Prefer not to answer
The following are about any drugs or substances that you have used in the past 12 months.
New Psychoactive Substances (NPS) are substances formulated to contain chemicals that mimic the effects of controlled substances, and are often referred to as alternatives to controlled substances.
NPS may include: "legal highs", "herbal highs", synthetic cannabinoids (e.g., Spice or K2), "research chemicals", fentanyl-like substances, cathinone-like substances (e.g., mephedrone/4mmc), alkyl nitrites (i.e., poppers), and other designer drugs.
Exclude cannabis, cocaine, speed, ecstasy, heroin.
ODS_Q06 - According to this definition, have you ever used an NPS to get high?
- 1: Yes, in the past 12 months (please specify the name of the substance(s)): ____________________
- 2: Yes, but not in the past 12 months (please specify the name of the substance(s)): ________________
- 3: No
- -8: Prefer not to answer
ODS_Q07 - In the past 12 months, have you used a New Psychoactive Substance (NPS) for self-medication purposes?
Self-medication may include use of an NPS for therapeutic or healing purposes such as for pain relief, to help you sleep, to feel better, to improve mood, to cope with stress, for the feeling they caused, to feel numb for any other reason.
- 1: Yes (please specify): _________
- 2: No
- -8: Prefer not to answer
ODS_Q08 - In the past 12 months have you used or tried any other substance or illegal drug for the experience or to get high?
Exclude those prescribed by a health care professional and any other drugs already mentioned in this survey.
- 1: Yes (please specify): _________
- 2: No
- -8: Prefer not to answer
The next questions are about use of any drug or substance.
ODS_Q09 - During the past 12 months, have you used a drug or substance to get high without asking or knowing what it was?
- 1: Yes
- 2: No
- -8: Prefer not to answer
ODS_Q10 - During the past 12 months, have you used a drug or substance to get high that was not what you thought it was?
- 1: Yes
- 2: No
- -8: Prefer not to answer
ODS_Q11 - Have you ever used the internet to purchase an illegal drug or substance?
Select all that apply
- 1: Yes, social media platforms (e.g., Facebook, Instagram, Tiktok)
- 2: Yes, mobile apps (e.g., WhatsApp)
- 3: Yes, websites
- 4: Yes, email
- 5: No
- -8: Prefer not to answer
Section Injectable Drug Use
The following questions are about injectable drug use.
Include being injected by someone else.
Exclude: Instances where you have injected someone else with a drug or any drug that was prescribed for you to inject or received at the hospital
IDU_Q01 - Have you ever injected any drug?
- 1: Yes, just once
- 2: Yes, more than once
- 3: No
- -8: Prefer not to answer
IDU_Q02 - How old were you when you first started injecting drugs?
- __________ years old
- -8: Prefer not to answer
IDU_Q03 - During the past 12 months, have you injected any drug?
- 1: Yes, in the past 30 days
- 2: Yes, but not in the past 30 days
- 3: No
- -8: Prefer not to answer
Section Drug Harms
The following questions are about experiences you may have had as a result of your drug use.
DHA_Q01 - During the past 12 months, was there a time that you felt your drug use had a harmful effect on any of the following.
Exclude alcohol and cannabis.
Select all that apply
- 1: Your friendships or social life
- 2: Your physical health
- 3: Your mental health
- 4: Your home life, family or relationship
- 5: Your work, studies, or employment opportunities
- 6: Your financial position
- 7: None of the above
- -8: Prefer not to answer
DHA_Q02 - During the past 12 months, was there a time when you had any of the following problems because of your drug use?
Exclude alcohol and cannabis.
Select all that apply
- 1: Legal problems
- 2: Housing problems
- 3: Learning difficulties
- 4: None of the above
- -8: Prefer not to answer
Section Overdose
The following questions are about overdose.
For the purpose of this survey, "overdose" means that someone who collapses, has blue skin color, convulsions, difficulty breathing, loses consciousness, cannot be woken up, has a heart attack or dies while using drugs.
Exclude alcohol poisoning or excess drinking.
OD_Q01A - Have you ever overdosed?
- 1: Yes
- 2: No
- -8: Prefer not to answer
OD_Q01B - The last time it happened, did someone take any of the following actions to assist you?
Select all that apply
- 1: Call for an ambulance or bring you to the hospital
- 2: Place you in rescue position (i.e place you on your side to avoid choking)
- 3: Perform rescue breathing, heart massage or cardiopulmonary resuscitation (CPR) on you
- 4: Administer naloxone to you (i.e. a drug used to reverse opioid overdose)
- 5: Provide you with another kind of assistance not already mentioned
- 6: You did not receive assistance
- 7: Don't know
- -8: Prefer not to answer
OD_Q02 - In the past 12 months, have you obtained a naloxone kit?
Naloxone or Narcan®is a medication used to reverse the effects of opioids.
- 1: Yes
- 2: No
- -8: Prefer not to answer
OD_Q03 - What is the main reason you obtained a naloxone kit?
- 1: In case I need it for myself
- 2: In case someone in your family needs it
- 3: In case a friend needs it
- 4: In case someone on the street or at a venue needs it
- 5: Other, please specify: ___________
- -8: Prefer not to answer
Section Treatment
The following questions are about professional help, such as treatment or counselling, that you might have received for reasons related to your alcohol, cannabis, or drug use.
TT_Q01 - Have you ever felt that you needed professional help for your alcohol, cannabis, or drug use?
Select all that apply
- 1: Yes, for alcohol
- 2: Yes, for cannabis
- 3: Yes, for drugs (please specify the type of drugs): _________
- 4: No
- -8: Prefer not to answer
TT_Q02 - Have your ever been offered professional help for your alcohol, cannabis, or drug use?
Include any treatment or counselling given by doctors, counsellors, social workers or other health professionals. Include Indigenous focused services, such as Elder-led and land-based care.
Exclude appointments with a health care professional to obtain a referral to a professional treatment or counselling plan and self-help support groups such as Alcoholics Anonymous (AA).
Select all that apply
- 1: Yes, for alcohol
- 2: Yes, for cannabis
- 3: Yes, for drugs (please specify the type of drugs): _________
- 4: No
- -8: Prefer not to answer
TT_Q03 - Have you ever sought professional help for your alcohol, cannabis, or drug use?
"Sought professional help" means looking for a professional treatment or counselling plan (even if you did not end up accessing help).
- 1: Yes, in the past 12 months
- 2: Yes, but not in the past 12 months
- 3: No
- -8: Prefer not to answer
TT_Q04 - During the past 12 months, did you receive professional help?
"Received professional help" means stating a professional treatment or counselling plan, no matter the length of the plan or how many sessions you actually attended.
Select all that apply
- 1: Yes, for alcohol
- 2: Yes, for cannabis
- 3: Yes, for drugs (please specify the type of drugs): _________
- 4: I did not receive professional help in the past 12 months
- -8: Prefer not to answer
TT_Q05 - During the past 12 months, when you received professional help for your alcohol, cannabis, or drug use, was it as an inpatient, an outpatient or both?
"Received professional help" means stating a professional treatment or counselling plan, no matter the length of the plan or how many sessions you actually attended.
- 1: An inpatient (stayed overnight)
- 2: Outpatient (did not stay overnight)
- 3: Both
- -8: Prefer not to answer
TT_Q06 - During the past 12 months, were you able to access professional help for your alcohol, cannabis, or drug use in a timely manner?
- 1: Yes
- 2: No
- -8: Prefer not to answer
TT_Q07 - During the past 12 months, were you able to access professional help for your alcohol, cannabis, or drug use in the official language of your choice (either English or French)?
- 1: Yes, in English
- 2: Yes, in French
- 3: No
- -8: Prefer not to answer
TT_Q08 - During the past 12 months, what were the obstacles that prevented you from receiving professional help for your alcohol, cannabis, or drug use?
Select all that apply
- 1: The waiting list was too long
- 2: The type of treatment desired was not available
- 3: The treatment was not covered by insurance
- 4: Transportation was difficult
- 5: You had personal or family responsibilities
- 6: You were too busy
- 7: You felt you did not need treatment
- 8: The treatment was not available in your preferred language
- 9: The treatment available was not culturally competent/culturally appropriate
- 10: Other (please specify): _____________
- -8: Prefer not to answer
Section Tobacco
The following questions are about your cigarette smoking.
Include cigarettes that are bought ready-made as well as cigarettes that you make yourself
Exclude e-cigarettes, vaping devices and other tobacco products
SS_Q01 - Have you ever smoked a whole cigarette?
- 1: Yes
- 2: No
- -8: Prefer not to answer
SS_Q02 - Have you smoked at least 100 cigarettes (about 4 packs) in your life?
- 1: Yes
- 2: No
- -8: Prefer not to answer
SS_Q03 - At the present time, do you smoke cigarettes daily, occasionally, or not at all?
- 1: Daily
- 2: Occasionally
- 3: Not at all
- -8: Prefer not to answer
SS_Q04 - During the past 30 days, how often did you smoke cigarettes?
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
- -8: Prefer not to answer
The following questions are about vaping or using e-cigarettes.
"Vaping" involves using devices that heat liquid into vapour that you inhale.
Include vaping e-liquid with or without nicotine (i.e., just flavouring) and all e-cigarettes, vape mods, vaporizers and vape pens.
Exclude vaping cannabis (dried cannabis and cannabis extracts).
SS_Q05 - Have you ever used or tried an e-cigarette or vaping device?
- 1: Yes
- 2: No
- -8: Prefer not to answer
SS_Q06 - In the past 30 days, how often did you use an e-cigarette or vaping device?
Exclude devices containing cannabis.
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
- -8: Prefer not to answer
SS_Q07 - What is (was) your primary reason for using an e-cigarette or vaping device?
- 1: To quit smoking cigarettes
- 2: To cut down on smoking cigarettes
- 3: To use when I cannot or am not allowed to smoke
- 4: To avoid returning to smoking
- 5: Because I enjoy(ed) it
- 6: Curiosity, just wanted to try them
- 7: To reduce stress or calm down
- 8: For the flavours
- 9: Social/peer pressure
- 10: Other, please specify: __________
- -8: Prefer not to answer
Section Demography
The following questions ask for general information about you and your household that will be used to better understand the survey results.
DEM_Q01 - What is your marital status?
- 1: Married
- 2: Living common-law (Two people who live together as a couple who are not legally married to each other)
- 3: Never married (not living common law)
- 4: Separated (not living common law)
- 5: Divorced (not living common law)
- 6: Widowed (not living common law)
- -8: Prefer not to answer
DEM_Q02 - If you are comfortable disclosing, what term best describes your sexual orientation?
- 1: Heterosexual
- 2: Gay or lesbian
- 3: Bisexual
- 4: Two spirited
- 5: Another (please specify):____________
- -8: Prefer not to answer
DEM_Q03 - In our society, people are often described by their race or racial background. These are not based in science, but our race may influence the way we are treated by individuals and institutions, and this may affect our health.
Which race/ethnicity category best describes you?
- 1: Black (African, African Canadian, Afro-Caribbean descent)
- 2: East Asian (Chinese, Japanese, Korean, Taiwanese descent)
- 3: Indigenous (First Nations, Inuk/Inuit, Métis descent)
- 4: Latin American (Hispanic or Latin American descent)
- 5: Middle Eastern (Arab, Persian, West Asian descent (e.g., Afghan, Egyptian, Iranian, Kurdish, Lebanese, Turkish)
- 6: South Asian (South Asian descent (e.g., Bangladeshi, Indian, Indo-Caribbean, Pakistani, Sri Lankan)
- 7: Southeast Asian (Cambodian, Filipino, Indonesian, Thai, Vietnamese, or other Southeast Asian descent)
- 8: White (European descent)
- 9: Other
- -8: Prefer not to answer
DEM_Q04 - Which Indigenous group(s) do you identify as?
Select all that apply
- 1: First Nations
- 2: Métis
- 3: Inuk Inuit
- -8: Prefer not to answer
The following questions ask for information about your first official language.
DEM_Q05 - Can you speak English or French well enough to conduct a conversation?
- 1: English only
- 2: French only
- 3: Both English and French
- 4: Neither English nor French
- -8: Prefer not to answer
DEM_Q06 - What language do you speak most often at home?
Select all that apply
- 1: English
- 2: French
- 3: Other
- -8: Prefer not to answer
DEM_Q07 - What is the language that you first learned at home in childhood and still understand?
Select all that apply
- 1: English
- 2: French
- 3: Other
- -8: Prefer not to answer
The following questions ask for information about your past living experiences.
DEM_Q08 - Have you ever had to temporarily live with someone else (family, friends, or anyone else) because you had nowhere else to live?
- 1: Yes, in the past 12 months
- 2: Yes, but not in the past 12 months
- 3: No
- -8: Prefer not to answer
DEM_Q09 - Have you ever experienced homelessness, that is, having to live in a shelter, on the street or in parks, in a makeshift shelter or in a vehicle or an abandoned building?
- 1: Yes, in the past 12 months
- 2: Yes, but not in the past 12 months
- 3: No
- -8: Prefer not to answer
DEM_Q10 - What is the highest certificate, diploma or degree that you have completed?
- 1: Less than high school diploma or its equivalent
- 2: High school diploma or a high school equivalency certificate
- 3: Trade certificate or diploma
- 4: College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
- 5: University certificate or diploma below the bachelor's level
- 6: Bachelor's degree (e.g., B.A., B.Sc., LL.B.)
- 7: University certificate, diploma, degree above the bachelor's level
- -8: Prefer not to answer
DEM_Q11 - Are you currently attending a school, college, CEGEP or university?
- 1: Yes
- 2: No
- -8: Prefer not to answer
DEM_Q12 - What type of educational institution are you attending?
- 1: Elementary, junior high school or high school
- 2: Trade school, college, CEGEP or other non-university institution
- 3: University
- -8: Prefer not to answer
The following question concerns your activities last week.
Last week is from Sunday to Saturday.
DEM_Q13 - Last week, was your main activity...?
- 1: Working at a paid job or business (working onsite or working from home)
- 3: Vacation (from paid work)
- 4: Looking for paid work
- 5: Going to school
- 6: Caring for children
- 7: Household work
- 8: Retired
- 9: Maternity/paternity or parental leave
- 10: Long-term illness
- 11: Volunteering or care-giving other than for children
- 12: Other
- -8: Prefer not to answer
DEM_Q14 - In which of the following groups did your total household income fall for the year ending December 31, 2022?
- 1: Less than $5,000
- 2: $5,000 to $9,999
- 3: $10,000 to $14,999
- 4: $15,000 to $19,999
- 5: $20,000 to $29,999
- 6: $30,000 to $39,999
- 7: $40,000 to $49,999
- 8: $50,000 to $59,999
- 9: $60,000 to $69,999
- 10: $70,000 to $79,999
- 11: $80,000 to $89,999
- 12: $90,000 to $99,999
- 13: $100,000 to $149,999
- 14: $150,000 and over
- -8: Prefer not to answer
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