Which drugs or intoxicants, if any, have you ever tried? Inhalants

Which drugs or intoxicants, if any, have you ever tried? Cocaine

Have you ever driven (an automobile or some other vehicle) while you were drunk?

Have you ever become violent after consuming alcohol?

Have you had work, family or health problems due to drinking alcohol?

How often do you have 5 or more drinks on one occasion?

How often do you have a drink containing alcohol?

How often do you drink alcohol?

The last time you had sex, who was it with?

When was the last time you had sexual relations?