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Personal Experience Inventory (PEI)

This document appears to be a partial personal experience inventory questionnaire that asks questions about a person's use of alcohol and other drugs, experiences getting high, experiences obtaining drugs, and experiences with family issues and abuse. It includes questions about frequency of drug and alcohol use, experiences feeling physical effects of use, going without necessities to obtain substances, times using various chemicals to get high, and experiences with upsetting family situations and sexual abuse. The questionnaire also asks the person to rate how much they agree with statements about themselves.

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shane
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262 views

Personal Experience Inventory (PEI)

This document appears to be a partial personal experience inventory questionnaire that asks questions about a person's use of alcohol and other drugs, experiences getting high, experiences obtaining drugs, and experiences with family issues and abuse. It includes questions about frequency of drug and alcohol use, experiences feeling physical effects of use, going without necessities to obtain substances, times using various chemicals to get high, and experiences with upsetting family situations and sexual abuse. The questionnaire also asks the person to rate how much they agree with statements about themselves.

Uploaded by

shane
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Personal Experience Inventory (PEI)

(Sample Items - Incomplete questionnaire).

PART I.
How often have you used alcohol or other drugs:

1. At home.
2. ....
3. ....
4. .....

34.

How often have you:


35. Used something to get high without knowing what it is.
..

48.

When using alcohol or other drug, how often have you:


49. Felt holt and sweaty (feverish) or cold and clammy (chills)

64.

In order to get or pay for alcohol or other drugs, how often have you:
65. Gone without things you wanted or needed

72.

How many times have you:


73.

80.

Please answer the following questions about your experiences:


81.

96.

How often have you used each of these chemicals in order to get high:
97.

110.

123.

How old were you when:


124.
PART II.
In the next section, please decide how much you agree with each
statement about you, and mark one of the answers:
1. I enjoy seeing a movie
2. Some kids I hang around with had trouble at school due to using alcohol or
other drugs

75.

How often do these things happen:


76. I get upset when people make me wait.
77. Things happen in my family that nobody wants to talk about

102.

147. I have been sexually abused by someone outside my family.

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