Have you ever thought that your life might be better if you didn't take drugs? Answer yes or no, place your correct answer in the correct column, next to the number three. Have you ever lied to a doctor or faked symptoms to get prescription drugs? Answer yes or no. Please, place the correct answer in the proper column next to the number four. Number five; has your drug use ever caused problems for you with school or with work? Answer yes or no, place into the proper column next to the number five.