This form is only accepting one response per person.
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Purpose Statement for Participants
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We are looking for womxn
who manage(d) their drug
use privately and do not necessarily
engage with services.
_________________________
This survey aims to
gain insight into this
population's relationship
with meth, functional
dependence, treatment
and recovery to
inform future research.
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Eligibility:
To participate in this survey,
individuals must meet all
of the following criteria:
⩺ Must identify as female/femme
⩺ Must have used meth
regularly (at least 3 days per
week on average) for a
minimum of 6 months, without
a break of 14 consecutive days
or longer during that period.
⩺ Residing in middle- to high-
income settings during that time.
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Participation is voluntary
and anonymous.
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Your responses are saved
locally, so you may step
away and return later.
This survey starts with an eligibility screening that consists of four basic questions to determine whether you meet the inclusion criteria.
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Questions and sections are guided by your responses, and you will only be shown sections that are relevant to your experience, influencing the length and duration of the survey as a whole.
If you meet the criteria for all sections, you will be required to answer a total of 60 multiple choice questions.
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If you experience any difficulty or require any assistance or clarity, please don't hesitate to reach out via email to:
[email protected]
female, cisgender, trans, femme - you get the idea
≥ 3 days per week on average for 6 months or longer without a break of 14 consecutive days or longer during that period.
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A middle- or high-income setting means you live in a household where basic needs are reliably met, and where you or your household has some disposable income. This includes suburban areas, residential complexes, gated communities, town houses, or any area where most residents are formally employed or financially stable.
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In your neighbourhood:
- Most people have stable housing and can meet basic needs like food and school fees without constant crisis.
- The area is mostly populated by people with steady jobs or small businesses rather than day labourers or subsistence farmers.
- There is consistent service delivery: reliable electricity, clean running water, and regular waste collection.
- The roads are paved with access to public transport.
- Most people live in permanent structures (brick/stone) with legal access to utilities.
If you are not currently using methamphetamine, please answer the following questions based on the time when you were using most regularly.
Biological/Legal
(Optional)
Select all that apply
These questions are related to the children in your household that are not biologically or legally yours
Not biologically or legally yours
(Optional)
Why did you start using meth?
Select up to three.
Please select all that apply
Please select all the substances that you use at least 6 times a year.
Please select all that apply
Select all that apply
Please select all the ways you have ever consumed meth
Please select only one
Select all that apply
Rate on a scale of 1 (Very Easy) to 5 (Near Impossible)
Have you noticed changes in:
- the amount (dose) you use in one sitting (line size, amount of consecutive hits smoked, amount injected or swallowed at once)
- are you having a line, smoking, injecting etc more frequently than before?
- do find yourself questioning the purity or your supplier's integrity more with every new transaction?
Have you found that your tolerance decreased, despite consistent ongoing use, with lower than usual doses causing increased motor activity, anxiety, or psychosis?
IMPORTANT: THIS DOES NOT APPLY TO THE TAIL-END OF A BINGE OR OTHER TIMES WHEN YOU ARE SLEEP DEPRIVED, OR WHEN YOU HAVE CONSUMED ANY OTHER DRUGS.
On mobile, scroll to the left for options
| Not at all | Mild | Moderate | Severe | Very Severe | |
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Exhaustion & Fatigue |
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Brain Zaps |
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Insatiable appetite |
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Insomnia |
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Nightmares |
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Aggression or hostility |
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Anxiety or panic attacks |
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Depression |
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Impaired concentration |
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No motivation |
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Mood swings |
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Brain Fog |
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Cravings |
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Suicide ideation |
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Anhedonia |
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Dysphoria |
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Psychosis |
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Easily overwhelmed |
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Migraine |
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Paranoia |
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Heart Palpitations |
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Debilitated |
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If you are currently in recovery - was it difficult to stop using at all?
You may select all that apply
Rate on a scale from 1 (not at all) to 10 (completely trapped by the withdrawal effects and other consequences of stopping)
Select all that apply
Please select all the ways you have ever consumed meth
Please choose only one.
Select all that apply
1 - Very Easy
5- Near Impossible
Did you notice changes in:
- the amount (dose) you used in one sitting (line size, amount of consecutive hits smoked, amount injected or swallowed at once)
- did you dose more frequently?
- did find yourself questioning the purity or your supplier's integrity more with every new transaction?
Did you ever note that your tolerance decreased, despite consistent ongoing use, with lower-than-usual doses causing increased motor activity, anxiety, or psychosis?
IMPORTANT: THIS DOES NOT APPLY TO THE TAIL-END OF A BINGE OR OTHER TIMES WHEN YOU WERE SLEEP DEPRIVED, OR WHEN YOU CONSUMED ANY OTHER DRUGS.
On mobile, scroll to the left for options
| Not at all | Mild | Moderate | Severe | Very Severe | |
|---|---|---|---|---|---|
|
Exhaustion & Fatigue |
|||||
|
Brain Zaps |
|||||
|
Insatiable appetite |
|||||
|
Insomnia |
|||||
|
Nightmares |
|||||
|
Aggression or hostility |
|||||
|
Anxiety or panic attacks |
|||||
|
Depression |
|||||
|
Impaired concentration |
|||||
|
No motivation |
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|
Mood swings |
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|
Brain Fog |
|||||
|
Cravings |
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|
Suicide ideation |
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|
Anhedonia |
|||||
|
Dysphoria |
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|
Psychosis |
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|
Easily overwhelmed |
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|
Migraine |
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|
Paranoia |
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Heart Palpitations |
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Debilitated |
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If you are in recovery, please indicate what made stopping difficult for you.
You may select all that apply
Rate on a scale from 1 (not at all) to 10 (completely trapped by the withdrawal effects and other consequences of stopping)
Select all that apply
(Optional)
Please make use of this space to share any thoughts or experiences.
Is there anything you want us to know about meth, the people who use it, dependence or recovery? Do you have any tips or tricks, or have you tried unconventional or off-label treatments? Are there things in your experience that you don't understand? Unique circumstances that make it easier or more difficult for you to maintain functionality or avoid dependence?
Anything, anything at all.
There is no right or wrong answer here, no good, bad or dumb responses. All experiences and opinions are valid and all input is valued.
There is no character limit, please feel free to share to your heart's content.
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Thank you for taking the time to complete this survey.
Your lived experience is recognised and valued. Your responses and perspectives make a meaningful contribution to this research.
All responses are anonymous and will be used for research purposes only.
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Thank you again for sharing your experience.
That's all.
You may now close this window.
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Unfortunately, you do not meet the eligibility criteria for this survey.
If you feel this is a mistake, please reach out via email:
This form was created for FREE using Youform.