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.