View Survey Instruments

The following linked PDF files represent all available survey instruments for the substance abuse and mental health studies accessible from the SAMHDA web site. Adobe Acrobat Reader is required for viewing them.

Substance Abuse

Alcohol and Drug Services Study (ADSS)

• Phase I Facility Questionnaire
• Phase II Administrator Interview
• Phase II Client Record Abstract
• Phase III Client Follow-Up Questionnaire

California Drug and Alcohol Treatment Assessment (CALDATA)

• Participant Abstraction Record and Questionnaires

Cooperative Agreement for AIDS Community-Based Outreach/Intervention Research Program

• Risk Behavior Assessment Questionnaire
• Questionnaire on Site-Specific Implementation of the Cooperative Agreement Standard Intervention

(Washington) DC Metropolitan Area Drug Study (DC*MADS)

• (Washington) DC Metropolitan Area Drug Study (DC*MADS), 1991: Homeless and Transient Population Questionnaire
• (Washington) DC Metropolitan Area Drug Study (DC*MADS), 1992: Drug Abuse among DC Women Delivering Live Births in DC Hospitals Pregnancy Study Questionnaire

Drug Abuse Treatment Outcomes Study (DATOS)

• Intake 1 Questionnaire
• Intake 2 Questionnaire
• 1-Month Intreatment Questionnaire
• 3-Month Intreatment Questionnaire
• 6-Month Intreatment Questionnaire
• 12-Month Follow-Up Questionnaire

Drug Abuse Treatment Outcome Study--Adolescent (DATOS-A)

• Intake 1 Questionnaire
• Intake 2 Questionnaire
• 1-Month Intreatment Questionnaire
• 3-Month Intreatment Questionnaire
• 6-Month Intreatment Questionnaire
• Questionnaire: 12-Month FOLLOW-UP DATA FILE

Drug Services Research Survey (DSRS)

• Mail/Telephone Interview Questionnaire
• Administrator Interview
• Client Record Abstract

Health Behavior in School-aged Children (HBSC)

• Survey Booklet

National Survey on Drug Use and Health (NSDUH, formerly the NHSDA)

National Household Survey on Drug Abuse, 1979

• Interview: Form C and Form N

National Household Survey on Drug Abuse, 1982

• Interview: Form N and Interview Core Form

National Household Survey on Drug Abuse, 1985

• Questionnaire

National Household Survey on Drug Abuse, 1992

• Questionnaire

National Household Survey on Drug Abuse, 1993

• Questionnaire

National Household Survey on Drug Abuse, 1994

• 1994-A Questionnaire

National Household Survey on Drug Abuse, 1994

• 1994-B Questionnaire

National Household Survey on Drug Abuse, 1995

• Questionnaire

National Household Survey on Drug Abuse, 1996

• Questionnaire

National Household Survey on Drug Abuse, 1997

• Questionnaire

National Household Survey on Drug Abuse, 1998

• Questionnaire

National Household Survey on Drug Abuse, 1999

• CAI Instrument

National Household Survey on Drug Abuse, 2000

• CAPI/ACASI Instrument

National Household Survey on Drug Abuse, 2001

• CAPI/ACASI Instrument

National Survey on Drug Use and Health, 2002

• CAPI/ACASI Instrument

National Survey on Drug Use and Health, 2003

• CAPI/ACASI Instrument

National Survey on Drug Use and Health, 2004

• Computer-Assisted Interview Specifications

National Survey on Drug Use and Health, 2005

• Computer-Assisted Interview Specifications

National Survey on Drug Use and Health, 2006

• Computer-Assisted Interview Specifications

National Pregnancy and Health Survey (NPHS)

• Interviewer and Self-Administered Questionnaires

National Survey of Substance Abuse Treatment Services (N-SSATS)

National Survey of Substance Abuse Treatment Services (N-SSATS), 2000

• Questionnaire

National Survey of Substance Abuse Treatment Services (N-SSATS), 2002

• Questionnaire

National Survey of Substance Abuse Treatment Services (N-SSATS), 2003

• Questionnaire

National Survey of Substance Abuse Treatment Services (N-SSATS), 2004

• Questionnaire

National Survey of Substance Abuse Treatment Services (N-SSATS), 2005

• Questionnaire

National Survey of Substance Abuse Treatment Services (N-SSATS), 2006

• Questionnaire

Uniform Facility Data Set, 1997

• Questionnaire

Uniform Facility Data Set, 1998

• Questionnaire

Services Research Outcomes Study (SROS)

• Program Director Questionnaire
• Data Abstraction Form
• Client Questionnaire

Mental Health

Gambling Impact and Behavior Study

• Consolidated Questionnaire

National Comorbidity Survey

National Comorbidity Survey: Baseline (NCS-1), 1990-1992

• Questionnaire

National Youth Survey (NYS)

National Youth Survey: Wave I, 1976

• Youth/Parent Interview Schedules

National Youth Survey: Wave II, 1977

• Youth Interview Schedule

National Youth Survey: Wave III, 1978

• Youth Interview Schedule

National Youth Survey: Wave IV, 1979

• Youth Interview Schedule

National Youth Survey: Wave V, 1980

• Youth Interview Schedule

National Youth Survey: Wave VI, 1983

• Interview Schedule

National Youth Survey: Wave VII, 1987

• Interview Schedule