| Are you ? |
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| When were you born? |
I was born in
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Do you currently smoke cannabis?
Yes,
I smoke cannabis every day = a
Yes, I smoke cannabis occasionally (not every day) = b
No, I have stopped smoking cannabis = c
No, I never was a cannabis smoker = d |
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| Have you smoked at least 100 cannabis joints or pipes in your lifetime? |
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| In the last 30 days, on how many days have you smoked cannabis? |
On
days/30 |
| Did you ever make a serious attempt at stopping using cannabis? |
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| How long is it since you last smoked cannabis? |
I smoked cannabis for the last time
ago |
Questions for CURRENT cannabis smokers:
=> if you are a FORMER cannabis smoker, please click
here. |
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Please rate your addiction
to cannabis on a scale of 0 to 100:
- I am NOT addicted to cannabis
at all = 0
- I am extremely addicted to cannabis = 100 |
Addiction
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| On average, how many cannabis joints or pipes do you smoke per day,
on the days when you smoke cannabis ? |
Joints or pipes / day |
| Usually, how soon after waking up do you smoke your first cannabis
joint or pipe? |
Minutes |
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Questions
for FORMER cannabis smokers: |
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| When did you stop smoking cannabis? |
I stopped smoking on:
Day:
Month:
Year:
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| Since then, have you smoked any cannabis? |
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| Comments:
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