Q.1
Are you currently prescribed to a stimulant drug?
Yes
No
Q.2
Have you ever taken a stimulant drug without having a prescription?
Yes, often
Yes, occasionally
Yes, once
No, never
I have a prescription
Q.3
Do you find that prescription stimulants help you to concentrate?
Yes, they help me a lot
Yes, they help me somewhat
No, they do not help me
Yes, I am perscribed to them
I have never taken perscription stimulants
Q.4
Have you experienced any negative side effects of perscription stimulants?
Yes, to an extreme degree
Yes, to some degree
No, I have never experienced any negative side effects
I have never taken perscription stimulants
Create your own free
online surveys
now!
Powered by
Surveydaddy