27799668__HEADSSS_Questions__Long_Form___Short_Form
[Subject] Drugs [Long Form] Do you drink coffee, tea or caffeinated colas? Do you smoke cigarettes or chew? Have you ever smoked one? Have you ever tasted alcohol? When? What kind? How often? Do any of your friends smoke, drink or use drugs? What drugs have you tried? Have you ever injected drugs or steroids? When? How often do you use them? How did you pay for the drugs? [Short Form] 
Do any of your friends smoke? Drink alcohol? Do you? Have you tried other drugs?
Adolescent Health Care - Sample HEADSSS Questions (Long Form)
Short Form