• In the past 12 months, have often have you used prescription drugs just for the feeling, more than prescribed, or that were not prescribed for you?
• In the past 12 months, have you used any of the following drugs: cocaine or crack, heroin, crystal meth (methamphetamine), hallucinogens (like LSD, psilocybin, PCP, ketamine), ecstasy?
• Cocaine or crack
• Heroin
• Crystal meth (methamphetamine)
• Hallucinogens (like LSD, psilocybin, PCP, ketamine)
• Ecstasy
• Date of Disability Collection
• Are you deaf, or do you have serious difficulty hearing?
• Are you blind, or do you have serious difficulty seeing, even when wearing glasses?
• Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? (5 years of age or older)
• Do you have serious difficulty walking or climbing stairs? (5 years of age or older)
• Do you have difficulty dressing or bathing? (5 years of age or older)
• Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? (15 years of age or older)
• The first statement is, "The food that (I/we) bought just didn't last, and (I/we) didn't have money to get more." Was that often, sometimes, or never true for (you/your household) in the last 12 months?
• The second statement is, "(I/we) couldn't afford to eat balanced meals." Was that often, sometimes, or never true for (you/your household) in the last 12 months?
• In the last 12 months, since (date 12 months ago) did (you/you or other adults in your household) ever cut the size of your meals or skip meals because there wasn't enough money for food?
• How often did this happen - almost every month, some months but not every month, or in only 1 or 2 months?
• In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money to buy food?
• In the last 12 months, were you ever hungry but didn't eat because you couldn't afford enough food?