1
Patient data
Gender
Select
Male
Female
Age between 16 and 45
No
Yes
2
Family history of substance abuse
Alcohol
No
Yes
Illegal drugs
No
Yes
Rx drugs
No
Yes
3
Personal history of substance abuse
Alcohol
No
Yes
Illegal drugs
No
Yes
Rx drugs
No
Yes
4
Sexual abuse and psychological disease
History of preadolescent sexual abuse
No
Yes
ADD, OCD, bipolar, schizophrenia
No
Yes
Depression
No
Yes