| N˚ | Questions | Responses |
|
| Q1 | How old are you? | |__||__| |
|
| Q2 | Gender | 1. Male | ☐ |
| 2. Female | ☐ | ||
| Q3 | What is your current marital status? | 1. Married or living in a couple | ☐ |
| 2. Single or living alone | ☐ | ||
| Q4 | What was your level of education? | 1. No formal education | ☐ |
| 2. Alphabet | ☐ | ||
| 3. Primary | ☐ | ||
| 4. Secondary | ☐ | ||
| 5. University | ☐ | ||
| Q5 | When did you start working as a motorcycle taxi driver? | |__||__| |__||__||__||__| |
|
| Month Year |
| ||
| Q6 | Are you an occasional or regular motorcycle taxi driver? | 1. Occasional | ☐ |
| 2. Regular | ☐ | ||
| Q7 | How much do you earn on average per day? | |__||__||__| USD |
|
| Q8 | In your life, which of the following substances have you ever used? | 1. Alcohol | ☐ |
| 2. Tobacco | ☐ | ||
| 3. Tramadol | ☐ | ||
|
|
| 4. None | ☐ |
| Q9 | How often have you used the substances you mentioned (in the last 30 days)? |
|
|
| Q9a | Alcohol | 1. Never | ☐ |
| 2. Once or twice | ☐ | ||
| 3. Weekly (1 - 2 times a week) | ☐ | ||
| 4. Monthly | ☐ | ||
| 5. Daily or almost daily (>3 times a week) | ☐ | ||
| Q9b | Tobacco | 1. Never | ☐ |
| 2. Once or twice | ☐ | ||
| 3. Weekly (1-2 times a week) | ☐ | ||
| 4. Monthly | ☐ | ||
| 5. Daily or almost daily (>3 times a week) | ☐ |