ADDERALL USE:
Legally = 0
Extralegally = 1

RESULTS:
No problems = 0
Tolerance = 1
Minor addiction = 2

USE PATTERN:
Less than once a month = 0
Once a month - once a week = 1
Once a week -  once a day = 2
Daily or even more = 3

ADDERALL DOSE
10 mg or less = 0
11 - 20 mg = 1
21 - 40 mg = 2
41 - 60 mg = 3
61 - 100 mg = 4
More than 100 mg = 5

PHENIBUT DOSE
500 mg or less = 0
501 mg - 1 g = 1
1g - 2g = 2
2g - 5g = 3
5g - 10g = 4
Greater than 10g = 5

NICOTINE USE
I use/d nicotine less than once a week
I use/d nicotine more than three times a day
I use/d nicotine twice or three times a day
I use/d nicotine daily
2 = Between once a week and once a day

MENTAL HEALTH
I have no issues with anxiety = 0
I have not been diagnosed, but I believe I have a problem with anxiety = 1
I have a professionally diagnosed anxiety disorder = 2

TYPE OF NICOTINE
Normal tobacco cigarettes = 0
Gum = 1
Lozenges = 2
E-cigarettes = 3
Snus = 4