| C | Have you ever ridden in a CAR driven by someone (including yourself) who was “high” or who had been using alcohol or drugs? |
| R | Do you ever use alcohol or drugs to RELAX, feel better about yourself, or fit in? |
| A | Do you ever use alcohol or drugs while you are by yourself, ALONE? |
| F | Do you ever FORGET things you did while using alcohol or drugs? |
| F | Do your family or FRIENDS ever tell you that you should cut down on your drinking or drug use? |
| T | Have you ever gotten into TROUBLE while you were using alcohol or drugs? |