W8C471 M1 On how many occasions have you had alcoholic beverages to drink in your lifetime?
1 None
2 1‑2 times
3 3‑5 times
4 6‑9 times
5 10‑19 times
6 20‑39 times
7 40 or more times
-9 Missing
W8C472 M2 How many times have you had alcoholic beverages to drink during the past 30 days?
1 None
2 1‑2 times
3 3‑5 times
4 6‑9 times
5 10‑19 times
6 20‑39 times
7 40 or more times
-9 Missing
W8C473 M3 When you drink alcoholic beverages, how often do you drink enough to feel pretty high?
1 Never
2 Occasionally
3 About half the time
4 Most times
5 Nearly all the time
-9 Missing
W8C474 M4 Think back over the last two weeks. How many times have you had five or more drinks in a row? (A "drink" is a glass of wine, a bottle of beer, a shot glass of liquor, or a mixed drink.)
1 None
2 Once
3 Twice
4 Three to five times
5 Six to nine times
6 Ten or more times
-9 Missing
W8C475 M5 Have you ever smoked cigarettes (tobacco)?
1 No
2 Yes
-9 Missing
W8C476 M6 Have you smoked at least 100 cigarettes in your lifetime?
1 Yes
2 No
-9 Missing
W8C477 M7 How often have you smoked cigarettes during the past 30 days?
1 None at all
2 Less than 1 cigarette each day
3 1 to 5 cigarettes each day
4 About a half pack each day
5 About 1 pack each day
6 About one and a half packs each day
7 About 2 packs or more each day
-9 Missing
M8 On the average, when you were smoking, about how many cigarettes a day did you smoke?
W8C478 number per day LOW (low=1, high=50)
W8C479 number per day HIGH (low=1, high=50)
W8C480 _____ check here if you smoked less than one cigarette per day.
1 Checked
2 Not checked
-9 Missing
M9 About how long has it been since you last smoked cigarettes? (Please specify whether this is months or years.)
W8C481 Months LOW (low=1, high=10)
W8C482 Months HIGH (low=1, high=10)
W8C483 Years LOW (low=1, high=14)
W8C484 Years HIGH (low=1, high=14)
W8C485 N1 What is your birth date?
________ Month
________ Day
________ Year
(entered as a six digit number, eg. 041972)
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