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Protocol - Cannabis Products, Types, and Modes of Use

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Description

This questionnaire includes up to 135 self-administered items from the International Cannabis Policy Study Survey, Wave 6 (2023). Respondents are first asked to identify which cannabis products they have used in the past 12 months (e.g., dried herb, edibles, concentrates). For each product endorsed, follow-up questions capture frequency of use, usual amount used, and levels of delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD). 

For each of the cannabis products listed below, the questions enable calculation of standard milligrams (mg) of THC and CBD used by the respondent, which can then be used to estimate the number of standard THC units (e.g., 5 mg THC) (see “Specific Instructions” and “General References”). 

Specific Instructions

When there is a specific interest in assessing medical cannabis use, the PhenX Substance Use and Recovery Working Group (WG) recommends replacing “marijuana” with “medical cannabis” to specifically capture use of products for medical use. When there is an interest in capturing a broader range of cannabis products, the WG recommends considering replacing “marijuana” with “cannabis”.

In the International Cannabis Policy Study (ICPS), Wave 6 (2023), respondents are only asked these questions if they answer the USE.RECENT question with a 2 (used marijuana more than 3 months ago but less than 12 months ago), 3 (used marijuana more than 30 days ago, but less than 3 months ago), or 4 (used marijuana within the past 30 days). If investigators wish to include this introductory question, it can be accessed in the General Marijuana Use protocol.

Protocols may include terms and language that could be triggering to respondents. Investigators are encouraged to have resources in place to help respondents cope with triggers as needed.

Terminology related to substances, substance use, and recovery is fluid. Updates in protocol language may be appropriate based on circumstance. Suggestions for revision have been offered to update answer responses or other components of the questionnaires to account for the constantly changing landscape. These suggestions have not been tested or validated in research studies but may be considered by investigators to enhance relevance.

The Substance Use and Recovery WG notes that researchers may want to administer only the subset of questions relevant to a particular substance.

Average Milligrams THC or CBD used per Day.
For each of the Cannabis Products listed below, the questions enable calculation of standard milligrams (mg) of THC and CBD used by the respondent, which can then be used to estimate the number of standard THC units (e.g., 5 mg THC). An example calculation for average milligrams of THC per day for Tinctures is given below.

Example calculations for average milligrams THC used per day for Tinctures

If respondent reports average daily use of tinctures in milliliters (question 122 or 124) and reports THC concentration in mg/mL (question 129):

  • Average number of milliliters (mL) tincture used per day (question 122 or 124) X mg THC /mL (question 129) = average mg THC / day

If respondent reports average daily use of tinctures in milliliters (question 122 or 124) and reports THC concentration in percent (question 129):

  • Average number of milliliters (mL) tincture used per day (question 122 or 124) X 1000 mg/mL X percent THC (question 129) = average mg THC / day

If respondent reports average daily use of tinctures in ounces (question 122 or 124) and reports THC concentration in mg/mL (question 129):

  • Average number of ounces (oz) tincture used per day (question 122 or 124) X 1 mL/0.03 oz (conversion factor) X mg THC/mL (question 129) = average mg THC / day

If respondent reports average daily use of tinctures in ounces (question 122 or 124) and reports THC concentration in percent (question 129):

  • Average number of ounces (oz) tincture used per day (question 122 or 124) X 1 mL/0.03 oz (conversion factor) X 1000 mg/mL X percent THC (question 129) = average mg THC / day

If respondent reports average daily use of tinctures in drops (question 122 or 124) and reports THC concentration in mg/mL (question 129):

  • Average number of drops tincture used per day (question 122 or 124) X 1 mL/20 drops (conversion factor) X mg THC/mL (question 129) = average mg THC / day

If respondent reports average daily use of tinctures in drops (question 122 or 124) and reports THC concentration in percent (question 129):

  • Average number of drops tincture used per day (question 122 or 124) X 1 mL/20 drops (conversion factor) X 1000 mg/mL X percent THC (question 129) = average mg THC / day

Average milligrams of THC and CBD used per day for Smokeable Cannabis Products
The Substance Use and Recovery WG notes that investigators who want to calculate mg THC (and standard THC units) from cannabis products that are smoked (e.g., dried herb, oils for vaping, hash, etc.) should review Budney et al. (2022) and related references (see “General References”) for a discussion of method of administration efficiency constant (MEAC) needed to account for loss (e.g., side smoke, heating method, filtering, etc.) and a constant for amount of product consumed in each “hit.”

Availability

This protocol is freely available; permission not required for use.

Protocol

Cannabis Products, Types, and Modes of Use

1. Have you used marijuana in any of the following ways?


No Yes, but NOT in the past 12 months Yes, in the past 12 months Don’t Know
1 Dried herb (smoked or vaped, including pre-rolled joints) [ ] [ ] [ ] [ ]
2 Cannabis oils or liquids taken orally (e.g., drops, capsules or sprays) [ ] [ ] [ ] [ ]
3 Cannabis oils or liquids for vaping [ ] [ ] [ ] [ ]
4 Edibles / foods [ ] [ ] [ ] [ ]
5 Drinks (e.g., marijuana cola, tea or coffee) [ ] [ ] [ ] [ ]
6 Concentrates (e.g., wax, shatter, budder, resin, rosin, crumble) [ ] [ ] [ ] [ ]
7 Hash or kief [ ] [ ] [ ] [ ]
8 Tinctures (concentrated amounts ingested orally or taken under the tongue) [ ] [ ] [ ] [ ]
9 Topical ointments (e.g., skin lotions or bath products) [ ] [ ] [ ] [ ]
10 Other (please specify): _____ [ ] [ ] [ ] [ ]

CANNABIS PRODUCTS – DRIED FLOWER

(Ask if question 1 = 1 - Past 12-month user)
2. In the past 12 months, how often did you use dried herb?

1[ ]Less than once a month

2[ ]Monthly

3[ ]Weekly

4[ ]Daily

-77[ ]Don't know

-88[ ]Refuse to answer

(Ask if question 2 = 4)
3. On average, how many times per day do you use dried herb: _____

(Ask if question 2 = 3)
4. On average, how many days per week do you use dried herb: _____

(Ask if question 2 = 2)
5. On average, how many days per month do you use dried herb: _____

(Ask if question 2 = 1)
6. Approximately how many days over the past 12 months did you use dried herb: ______

7. Think about the LAST DAY you used dried herb.
How much dried herb did you use that entire day?
Is it easier for you to tell us the…

1[ ]Number of joints

2[ ]Amount of dried herb (e.g., grams or oz)

Ask if previous question 7 = 1
8. On the last day you used dried herb, how many joints did you smoke over the ENTIRE DAY?
(We’ll ask you about the size of the joint in a minute.)
Only include the amount you personally smoke—don’t include what you share with others.

1[ ]One or two puffs

2[ ]Less than ¼ of a joint

3[ ]¼ joint

4[ ]½ joint

5[ ]¾ joint

6[ ]1 joint

7[ ]2 joints

8[ ]3 joints

9[ ]4 joints

10[ ]5 joints

11[ ]6 joints

12[ ]7 joints

13[ ]8 joints

14[ ]9 joints

15[ ]10 joints

16[ ]More than 10 joints

-77[ ]Don’t know

-88[ ]Refuse to answer

Ask if answer to question 8 = 16

9. How many joints did you smoke over the entire day?

ENTER NUMBER OF JOINTS:________

-77[ ]Don’t know

-88[ ]Refuse to answer

Ask if question 7 = 1
10. Think of the LAST DAY you smoked a joint.
Please choose the joint that is closest to the size you smoked.

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

11. You told us that you smoked [RESPONSE FROM 8 or 9]. Is that your usual amount on days you use dried herb?

1[ ]Yes

2[ ]No

3[ ]Not applicable – I don’t use it regularly


12. Think of the average number of joints you smoke on days you use dried herb.

How many joints do you usually smoke over the ENTIRE DAY?

Only include the amount you personally smoke—don’t include what you share with others.

1[ ]One or two puffs

2[ ]Less than ¼ of a joint

3[ ]¼ joint

4[ ]½ joint

5[ ]¾ joint

6[ ]1 joint

7[ ]2 joints

8[ ]3 joints

9[ ]4 joints

10[ ]5 joints

11[ ]6 joints

12[ ]7 joints

13[ ]8 joints

14[ ]9 joints

15[ ]10 joints

16[ ]More than 10 joints

-77[ ]Don’t know

-88[ ]Refuse to answer

Ask if answer to question 12 = 16
13. How many joints did you smoke over the entire day?

ENTER NUMBER OF JOINTS:________

-77[ ]Don’t know

-88[ ]Refuse to answer

(Ask if question 7 = 1)
14. Please choose the joint that is closest to the size you normally smoke.

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

This is a picture of cannabis

Ask if question 11 = 1
15. Does the joint you usually smoke contain any tobacco?

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer

Ask if question 11 = 1
16. About what percent (%) tobacco does the joint usually contain?

1[ ]10%

2[ ]20%

3[ ]30%

4[ ]40%

5[ ]50%

6[ ]60%

7[ ]70%

8[ ]80%

9[ ]90%

-77[ ]Don’t know

-88[ ]Refuse to answer

Ask if question 7 = 2
17. On the last day you used dried herb, how much did you use over the ENTIRE DAY?
Only include the amount you personally smoke—don’t include what you share with others.

This is a picture of cannabis

This is a picture of cannabis

18. You told us that you use [AMOUNT & UNIT] of dried herb. Is that your usual amount on days you use dried herb?

1[ ]Yes

2[ ]No

3[ ]Not applicable—I don’t use it regularly

19. Think of the average amount you use on days you use dried herb.

How much do you usually use over the ENTIRE DAY?

This is a picture of cannabis

20. Do you use...

This is a picture of cannabis

(Ask if question 1 = 1 - Past 12-month user)

Think of the last time you used dried herb.

21. Which of the following best describes the THC level?

[ ] 1a No THC

[ ] 2a Low THC

[ ] 3a Medium THC

[ ] 4a High THC

[ ] 5A Very high THC

[ ] 6A I don’t know

-88[ ]Refuse to answer

(Ask if question 1 = 1 - Past 12-month user)

22. Which of the following best describes the CBD level?

[ ] 1b No CBD

[ ] 2b Low CBD

[ ] 3b Medium CBD

[ ] 4b High CBD

[ ] 5b Very high CBD

[ ] 6b I don’t know

-88[ ]Refuse to answer

(Ask if question 1 = 1 - Past 12-month user)

23. Do you know the amount of THC or CBD of the dried herb you used last?

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer

What were the THC and CBD levels of the dried herb you used last?

(Ask if question 23 = 1)

24. Enter number: _____% THC or Don’t Know

-88[ ]Refuse to answer

(Ask if question 23 = 1)

25. Enter number: _____% CBD or Don’t Know

-88[ ]Refuse to answer

CANNABIS PRODUCTS - ORAL LIQUIDS

(Ask if question 1 = 2 - Past 12-month user)

26. In the past 12 months, how often did you use cannabis/marijuana oil or liquid DROPS?

1[ ]Less than once a month

2[ ]Monthly

3[ ]Weekly

4[ ]Daily

-77[ ]Don’t know

-88[ ]Refuse to answer

(Ask if question 26 = 4)


27. On average, how many times per day do you use cannabis/marijuana oil or liquid DROPS: _____

(Ask if question 26 = 3)
28. On average, how many days per week do you use cannabis/marijuana oil or liquid DROPS: _____

(Ask if question 26 = 2)
29. On average, how many days per month do you use cannabis/marijuana oil or liquid DROPS: _____

(Ask if question 26 = 1)
30. Approximately how many days over the past 12 months did you use cannabis/marijuana oil or liquid DROPS: ______

(Ask if question 1 = 2 - Past 12-month user)
31. Think about the LAST DAY you used oil or liquid taken orally (as DROPS).

How much cannabis/marijuana oil or liquid (taken as DROPS) did you use over the entire day?

This is a picture of cannabis

ENTER NUMBER: _______ [drop-down list: mL/fl oz/drop(s)]

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if 31 was answered)

32. You told us that you used [AMOUNT, UNIT] of cannabis/marijuana oil or liquid. Is that your usual amount on days you use oil or liquid DROPS?

1[ ]Yes

2[ ]No—I want to correct my answer

3[ ]Not applicable—I don’t use them regularly


(Ask if 32 = 2)
33. Ok. Think of the average amount you use on days you use cannabis/marijuana oil or liquid DROPS.

How much do you usually use over the entire day?

This is a picture of cannabis

ENTER NUMBER: _______ [drop-down list: mL/fl oz/drop(s)]

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 2 - Past 12-month user)

34. Think of the last time you used oil or liquid DROPS.

Which of the following best describes the THC level?

[ ] 1a No THC

[ ] 2a Low THC

[ ] 3a Medium THC

[ ] 4a High THC

[ ] 5a Very high THC

[ ] 6a I don’t know


(Ask if question 1 = 2 - Past 12-month user)
35. Which of the following best describes the CBD level?

[ ] 1b No CBD

[ ] 2b Low CBD

[ ] 3b Medium CBD

[ ] 4b High CBD

[ ] 5b Very high CBD

[ ] 6b I don’t know


(Ask if question 1 = 2 - Past 12-month user)

36. Do you know the amount of THC or CBD in the oil or liquid DROPS you used last?

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 36 = 1)

37. Would you like to report the THC and CBD levels in…?

[ ] 1 mg per mL

[ ] 2 %

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 36 = 1)

What were the THC and CBD levels in the cannabis/marijuana oil or liquid DROPS you used last?

38. Enter number: _____% THC or Don’t Know

-88[ ]Refuse to answer

39. Enter number: _____% CBD or Don’t Know

-88[ ]Refuse to answer


CANNABIS PRODUCTS – VAPING PRODUCTS


(Ask if question 1 = 3 - Past 12-month user)

40. In the past 12 months, how often did you VAPE cannabis/marijuana oil or liquid?

1[ ]Less than once a month

2[ ]Monthly

3[ ]Weekly

4[ ]Daily

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 40 = 4)

41. On average, how many times per day do you VAPE cannabis/marijuana oil or liquid: _____


(Ask if question 40 = 3)

42. On average, how many days per week do you VAPE cannabis/marijuana oil or liquid: _____


(Ask if question 40 = 2)

43. On average, how many days per month do you VAPE cannabis/marijuana oil or liquid: _____


(Ask if question 40 = 1)

44. Approximately how many days over the past 12 months did you VAPE cannabis/marijuana oil or liquid: ______

45. How many times did you vape oil or liquid over the entire day?

ENTER NUMBER:_____ times

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if 45 was answered)

46. You told us that you vaped oil or liquid [NUMBER] times. Is that how often you usually vape on days you vape oil or liquid?

1[ ]Yes

2[ ]No—I want to correct my answer

3[ ]Not applicable—I don’t use them regularly


(Ask if 46 = 2)
47. Ok. Think of the average amount you use on days you vape oil or liquid.
How many times do you usually vape over the entire day?

ENTER NUMBER: _______ times

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 3 - Past 12-month user)

48. Think about the LAST DAY you vaped cannabis/marijuana oil.
How many times did you vape oil or liquid over the entire day?

ENTER NUMBER:_____ times

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 3 - Past 12-month user)

49. Think of the last time you vaped cannabis/marijuana oil or liquid.

Which of the following best describes the THC level?

[ ] 1a No THC

[ ] 2a Low THC

[ ] 3a Medium THC

[ ] 4a High THC

[ ] 5a Very high THC

[ ] 6a I don’t know


(Ask if question 1 = 3 - Past 12-month user)

50. Which of the following best describes the CBD level?

[ ] 1b No CBD

[ ] 2b Low CBD

[ ] 3b Medium CBD

[ ] 4b High CBD

[ ] 5b Very high CBD

[ ] 6b I don’t know


(Ask if question 1 = 3 - Past 12-month user)

51. Do you know the amount of THC or CBD in the oil or liquid you vaped last?

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 51 = 1)

52. Would you like to report the THC and CBD levels in…?

[ ] 1 mg per mL

[ ] 2 %

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 51 = 1)

What were the THC and CBD levelsin the oil or liquid you vaped last?

53. Enter number: _____ [mg per ml or %] THC or Don’t Know

-88[ ]Refuse to answer


(Ask if question 39 = 1)

54. Enter number: _____ [mg per ml or %] CBD or Don’t Know

-88[ ]Refuse to answer


CANNABIS PRODUCTS – EDIBLES


(Ask if question 1 = 4 - Past 12-month user)

55. In the past 12 months, how often did you eat edible marijuana products?

1[ ]Less than once a month

2[ ]Monthly

3[ ]Weekly

4[ ]Daily

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 55 = 4)

56. On average, how many times per day do you have edible marijuana products: _____


(Ask if question 55 = 3)

57. On average, how many days per week do you have edible marijuana products: _____


(Ask if question 55 = 2)

58. On average, how many days per month do you have edible marijuana products: _____


(Ask if question 55 = 1)

59. Approximately how many days over the past 12 months did you have edible marijuana products: ______

60. In the past 12 months, have you had any “HOMEMADE” edibles made by you or someone you know?

Do not include edibles bought from a store or a dealer.

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if 60 = 1)

61. Did you make any of the homemade edibles yourself or did you get them from someone you know?

1[ ]Made them myself

2[ ]From someone else

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if 60 = 1)

62. Of all the edibles you had in the past 12 months, how many of them were homemade by you or someone you know?

Do not include edibles bought from a store or a dealer.

1[ ]Almost none

2[ ]Less than 10%

3[ ]10%

4[ ]20%

5[ ]30%

6[ ]40%

7[ ]50%

8[ ]60%

9[ ]70%

10[ ]80%

11[ ]90%

12[ ]100%

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 4 - Past 12-month user)
63. In the past 12 months, did you eat any of the following edible marijuana products?

(If you used cannabis oil or butter to make food, choose the type of food from the list below.)

SELECT ALL THE APPLY

1[ ]Gummy or jelly candy (e.g., gummy bears, sour or soft candy)

2[ ]Other candy [UK: Other candy/sweets] (e.g., lollipop, hard candy, licorice, caramel, toffee)

3[ ]Cookie [UK: Cookie/biscuits]

4[ ]Chocolate (e.g., chocolate/candy bar, truffle, peanut butter cups)

5[ ]Brownie

6[ ]Other baked good (e.g., muffin, cake, rice krispie treat)

7[ ]Mint or gum

8[ ]Salty or savoury snack (e.g., chocolate-covered pretzels or nuts, crackers)

9[ ]Dried fruit

10[ ]Granola/cereal bar, protein bar or energy bite

11[ ]Butter or oil used on its own

12[ ]Other (please specify):________

-77[ ]Don’t know

-88[ ]Refuse to answer

(Ask if question 1 = 4 - Past 12-month user)

64. The LAST DAY you had an edible, what type was it?

If you used cannabis oil or butter to make food, choose the type of food from the list below.

1[ ]Gummy or jelly candy (e.g., gummy bears, sour or soft candy)

2[ ]Other candy (e.g., lollipop, hard candy, licorice, caramel, toffee)

3[ ]Cookie

4[ ]Chocolate (e.g., chocolate/candy bar, truffle, peanut butter cups)

5[ ]Brownie

6[ ]Other baked good (e.g., muffin, cake, rice krispie treat)

7[ ]Mint or gum

8[ ]Salty or savoury snack (e.g., chocolate-covered pretzels or nuts, crackers)

9[ ]Dried fruit

10[ ]Granola/cereal bar, protein bar or energy bite

11[ ]Butter or oil used on its own

12[ ]Other (please specify):________

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 4 - Past 12-month user except when 64 = 11)
65. Think about the LAST DAY you had an edible.

How much/many of the [INSERT EDIBLE TYPE] did you eat?

1[ ]Less than ¼

2[ ]¼

3[ ]½

4[ ]¾

5[ ]1

6[ ]2

7[ ]3

8[ ]4

9[ ]5

10[ ]More than 5

-77[ ]Don’t know

-88[ ]Refuse to answer

(Ask if 64 = 11)

66. Think about the LAST DAY you had cannabis butter or oil (e.g., cannabutter, coconut oil).

How much of the butter or oil did you EAT?

ENTER AMOUNT: ______ [Dropdown list of units: teaspoon(s), tablespoon(s), cup(s), oz, mL]

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask those who answered 65)


67. You told us that you ate [AMOUNT] of the [INSERT EDIBLE TYPE]. Is that your usual amount on days you eat edibles?

1[ ]Yes

2[ ]No—I want to correct my answer

3[ ]Not applicable—I don’t use them regularly


(Ask if 67 = 2 and 64 = 1-10)

68. Ok. Think of the average amount you use on days you have edibles such as [INSERT EDIBLE TYPE].

How much/many edibles do you usually have over the entire day?

1[ ]Less than ¼

2[ ]¼

3[ ]½

4[ ]¾

5[ ]1

6[ ]2

7[ ]3

8[ ]4

9[ ]5

10[ ]More than 5

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if 67 = 2 and 64 = 11)

69. Ok. Think of a usual day you have edibles such as cannabis butter or oil (e.g., cannabutter, coconut oil).

How much of the butter or oil do you usually have over the entire day?

ENTER AMOUNT: ______ [Drop-down list of units: teaspoon(s), tablespoon(s), cup(s), oz, mL]

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 64 = 1-10)

70. When you ate [AMOUNT] of the [INSERT EDIBLE TYPE], how many servings of THC was this?

Enter number: ____servings of THC [PROGRAMMER: Max = 100. Allow up to 2 decimal places.]

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 4 - Past 12-month user)
71. Think of the last time you had an edible.

Which of the following best describes the THC level?

[ ] 1a No THC

[ ] 2a Low THC

[ ] 3a Medium THC

[ ] 4a High THC

[ ] 5a Very high THC

[ ] 6a I don’t know


(Ask if question 1 = 4 - Past 12-month user)

72. Which of the following best describes the CBD level?

[ ] 1b No CBD

[ ] 2b Low CBD

[ ] 3b Medium CBD

[ ] 4b High CBD

[ ] 5b Very high CBD

[ ] 6b I don’t know


(Ask if question 1 = 4 - Past 12-month user)

73. Do you know the amount of THC or CBD of the edibles you used last?

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 73 = 1)
What were the THC and CBD levels of the edibles you used last?

73. Enter number: _____ mg THC or Don’t Know
[ ] -88 Refuse to answer


(Ask if question 73 = 1)

74. Enter number: _____ mg CBD or Don’t Know

-88[ ]Refuse to answer

CANNABIS PRODUCTS – DRINKS

(Ask if question 1 = 5 - Past 12-month user)

75. In the past 12 months, how often did you have marijuana drinks (e.g., soda, tea, coffee)?

1[ ]Less than once a month

2[ ]Monthly

3[ ]Weekly

4[ ]Daily

-77[ ]Don’t know

-88[ ]Refuse to answer

(Ask if question 75 = 4)
76. On average, how many times per day do you use marijuana drinks (e.g., soda, tea, coffee): _____

(Ask if question 75 = 3)
77. On average, how many days per week do you use marijuana drinks (e.g., soda, tea, coffee): _____

(Ask if question 75 = 2)
78. On average, how many days per month do you use marijuana drinks (e.g., soda, tea, coffee): _____

(Ask if question 75 = 1)
79. Approximately how many days over the past 12 months did you use marijuana drinks (e.g., soda, tea, coffee): ______


(Ask if question 1 = 5 - Past 12-month user)

80. The last time you had a marijuana drink, what type was it?

1[ ]Soft drink or pop (e.g., cola)

2[ ]Other sparkling drink (e.g., sparkling water, tonic water)

3[ ]Coffee (hot or iced)

4[ ]Tea (hot or iced)

5[ ]Milk or hot chocolate

6[ ]Juice, fruit punch or lemonade

7[ ]Energy drinks or ‘elixir’

8[ ]Liquid cannabis ‘shot’

9[ ]Non-alcoholic beer or wine

10[ ]Alcoholic drink (e.g., beer, wine, cocktail)

11[ ]Other (please specify): ________

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 5 - Past 12-month user)
81. Think about the LAST DAY you had a marijuana drink (e.g., cola, tea, coffee).

How many marijuana drinks did you have over the entire day?

This is a picture of a can

[Check boxes: 0, Less than 1, 1, Enter number greater than 1: ______ ] drinks

-77[ ]Don’t know

-88[ ]Refuse to answer

(Ask if respondent answered 81)

82. You told us that you had [NUMBER] marijuana drinks. Is that your usual amount on days you have marijuana drinks?

1[ ]Yes

2[ ]No—I want to correct my answer

3[ ]Not applicable—I don’t use them regularly

(Ask if 82 = 2)

83. Ok. Think of the average amount you use on days you have marijuana drinks.

How many drinks do you usually have over the entire day?

This is a picture of a can

[Check boxes: 0, Less than 1, 1, Enter number greater than 1: ______ ] drinks

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 5 - Past 12-month user)
Think of the last time you had a marijuana drink.

84. Which of the following best describes the THC level?

[ ] 1a No THC

[ ] 2a Low THC

[ ] 3a Medium THC

[ ] 4a High THC

[ ] 5a Very high THC

[ ] 6a I don’t know

(Ask if question 1 = 5 - Past 12-month user)

85. Which of the following best describes the CBD level?

[ ] 1b No CBD

[ ] 2b Low CBD

[ ] 3b Medium CBD

[ ] 4b High CBD

[ ] 5b Very high CBD

[ ] 6b I don’t know


(Ask if question 1 = 5 - Past 12-month user)

86. Do you know the amount of THC or CBD in the marijuana drink you had last?

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 86 = 1)

What were the THC and CBD levels in the marijuana drink you had last?

87. Enter number: _____ mg THC or Don’t Know

-88[ ]Refuse to answer


(Ask if question 86 = 1)


88. Enter number: _____ mg CBD or Don’t Know

-88[ ]Refuse to answer


CANNABIS PRODUCTS – SOLID CONCENTRATES


(Ask if question 1 = 6 Past – 12-month user)

89. In the past 12 months, how often did you use concentrate (e.g., wax, shatter, budder, etc.)?

1[ ]Less than once a month

2[ ]Monthly

3[ ]Weekly

4[ ]Daily

-77[ ]Don’t know

-88[ ]Refuse to answer

(Ask if question 89 = 4)

90. On average, how many times per day do you use concentrate (e.g., wax, shatter, budder, etc.): _____

(Ask if question 89 = 3)

91. On average, how many days per week do you use concentrate (e.g., wax, shatter, budder, etc.): _____

(Ask if question 89 = 2)
92. On average, how many days per month do you use concentrate (e.g., wax, shatter, budder, etc.): _____

(Ask if question 89 = 1)
93. Approximately how many days over the past 12 months did you use concentrate (e.g., wax, shatter, budder, etc.): ______

(Ask if question 1 = 6 Past – 12-month user)
94. Think about the LAST DAY you used concentrate (e.g., wax, shatter, budder, etc.).
(Do not include tinctures.)
How much concentrate did you use over the entire day?

This is a picture of items measured against a bottle cap

ENTER NUMBER: _______ [drop-down list with 2 unit options: gram(s) or dab(s)/hit(s)]

-77[ ]Don’t know

-88[ ]Refuse to answer

(Answer if respondent answered 94)
95. You told us that you used [AMOUNT INCLUDING UNITS] of concentrate. Is that your usual amount on days you use concentrate?

1[ ]Yes

2[ ]No—I want to correct my answer

3[ ]Not applicable—I don’t use it regularly

(Answer if 95 = 2)
96. Ok. Think of the average amount you use on days you use concentrate.

How much do you usually use over the entire day?

This is a picture of items measured against a bottle cap

ENTER NUMBER: _______ [drop-down list with 2 unit options: gram(s) or dab(s)/hit(s)]

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 6 - Past 12-month user)

97. The last time you used concentrate, what type of concentrate did you use? (Do not include tinctures.)

1[ ]Wax

2[ ]Shatter

3[ ]Budder

4[ ]CO2 oil

5[ ]Butane honey oil

6[ ]Hash oil

7[ ]Crumble

8[ ]Sap

9[ ]Pull-and-snap

10[ ]Resin

11[ ]Rosin

12[ ]Other (please specify):______

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 6 - Past 12-month user)
Think of the last time you used concentrate (e.g., [TYPE]).

98. Which of the following best describes the THC level?

[ ] 1a No THC

[ ] 2a Low THC

[ ] 3a Medium THC

[ ] 4a High THC

[ ] 5a Very high THC

[ ] 6a I don’t know


(Ask if question 1 = 6 - Past 12-month user)

99. Which of the following best describes the CBD level?

[ ] 1b No CBD

[ ] 2b Low CBD

[ ] 3b Medium CBD

[ ] 4b High CBD

[ ] 5b Very high CBD

[ ] 6b I don’t know


(Ask if question 1 = 6 - Past 12-month user)

100. Do you know the amount of THC or CBD in the concentrate (e.g., [TYPE]) you used last?

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 100 = 1)

101. Would you like to report the THC and CBD levels in…?

1[ ]mg

2[ ]%

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 100 = 1)
What were the THC and CBD levels in the concentrate (e.g., [TYPE]) you used last?

102. Enter number: _____ [mg or %] THC or Don’t Know

-88[ ]Refuse to answer


(Ask if question 100 = 1)

103. Enter number: _____ [mg or %] CBD or Don’t Know

-88[ ]Refuse to answer


CANNABIS PRODUCTS – HASH/KIEF


(Ask if question 1 = 7 - Past 12-month user)

104. In the past 12 months, how often did you use hash or kief?

1[ ]Less than once a month

2[ ]Monthly

3[ ]Weekly

4[ ]Daily

[ ] -77 Don’t know

-88[ ]Refuse to answer


(Ask if question 104 = 4)

105. On average, how many times per day do you use hash or kief: _____


(Ask if question 104 = 3)

106. On average, how many days per week do you use hash or kief: _____


(Ask if question 104 = 2)

107. On average, how many days per month do you use hash or kief: _____


(Ask if question 104 = 1)

108. Approximately how many days over the past 12 months did you use hash or kief: ______


(Ask if question 1 = 7 - Past 12-month user)

109. Think about the LAST DAY you used hash or kief.

How much hash or kief did you use over the entire day?

This is a picture of cannabis

ENTER NUMBER:_______ [drop-down list with 2 options: gram(s) or hit(s)/toke(s)]

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if respondent answered 109)

110. You told us that you used [AMOUNT INCLUDING UNITS] of hash or kief. Is that your usual amount on days you use hash or kief?

1[ ]Yes

2[ ]No—I want to correct my answer

3[ ]Not applicable—I don’t use it regularly


(Ask if 110 = 2)

111. Ok. Think of the average amount you use on days you use hash or kief.

How much do you usually use over the entire day?

This is a picture of a bottle cap

ENTER NUMBER:_______ [drop-down list with 2 options: gram(s) or hit(s)/toke(s)]

-77[ ]Don’t know

-88[ ]Refuse to answer

Ask if question 1 = 7 - Past 12-month user)
Think of the last time you used hash or kief.

112. Which of the following best describes the THC level?

[ ] 1a No THC

[ ] 2a Low THC

[ ] 3a Medium THC

[ ] 4a High THC

[ ] 5a Very high THC

[ ] 6a I don’t know


Ask if question 1 = 7 - Past 12-month user)

113. Which of the following best describes the CBD level?

[ ] 1b No CBD

[ ] 2b Low CBD

[ ] 3b Medium CBD

[ ] 4b High CBD

[ ] 5b Very high CBD

[ ] 6b I don’t know


Ask if question 1 = 7 - Past 12-month user)

114. Do you know the amount of THC or CBD of the hash or kief you used last?

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 114 = 1)
What were the THC and CBD levels in the hash or kief you used last?

115. Enter number: _____ % THC or Don’t Know

-88[ ]Refuse to answer


(Ask if question 114 = 1)

116. Enter number: _____ % CBD or Don’t Know

-88[ ]Refuse to answer


CANNABIS PRODUCTS – TINCTURES


(Ask if question 1 = 8 - Past 12-month user)

117. In the past 12 months, how often did you use tinctures (e.g., concentrated amounts ingested orally or taken under the tongue)?

1[ ]Less than once a month

2[ ]Monthly

3[ ]Weekly

4[ ]Daily

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 117 = 4)

118. On average, how many times per day do you use tinctures: _____


(Ask if question 117 = 3)
119. On average, how many days per week do you use tinctures: _____


(Ask if question 117 = 2)

120. On average, how many days per month do you use tinctures: _____

(Ask if question 117 = 1)

121. Approximately how many days over the past 12 months did you use tinctures: ______


(Ask if question 1 = 8 - Past 12-month user)

122. Think about the LAST DAY you used tinctures.

How much did you use over the entire day?

This is a picture of tincture

ENTER NUMBER: _______ [drop-down list: mL/oz/drop(s)]

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if respondent answered 122)

123. You told us that you used [AMOUNT INCLUDING UNITS] of tinctures. Is that your usual amount on days you use tinctures?

1[ ]Yes

2[ ]No—I want to correct my answer

3[ ]Not applicable—I don’t use them regularly

(Ask if 123 = 2)

124. Ok. Think of the average amount you use on days you use tinctures.

How much tincture do you usually use over the entire day?

This is a picture of tincture

ENTER NUMBER: _______ [drop-down list: mL/oz/drop(s)]

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 1 = 8 - Past 12-month user)

125. Think of the last time you used a tincture.

Which of the following best describes the THC level?

[ ] 1a No THC

[ ] 2a Low THC

[ ] 3a Medium THC

[ ] 4a High THC

[ ] 5a Very high THC

[ ] 6a I don’t know


(Ask if question 1 = 8 - Past 12-month user)

126. Which of the following best describes the CBD level?

[ ] 1b No CBD

[ ] 2b Low CBD

[ ] 3b Medium CBD

[ ] 4b High CBD

[ ] 5b Very high CBD

[ ] 6b I don’t know


(Ask if question 1 = 8 - Past 12-month user)

127. Do you know the amount of THC or CBD in the tincture you used last?

1[ ]Yes

2[ ]No

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 127 = 1)

128. Would you like to report the THC and CBD levels in…?

1[ ]mg per mL

2[ ]%

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 127 = 1)

What were the THC and CBD levels in the tincture you used last?

129. Enter number: _____ [mg per mL or %] THC or Don’t Know

-88[ ]Refuse to answer


(Ask if question 127 = 1)

130. Enter number: _____ [mg per mL or %] CBD or Don’t Know

-88[ ]Refuse to answer


CANNABIS PRODUCTS – TOPICALS



(Ask if question 1 = 9 - Past 12-month user)

131. In the past 12 months, how often did you use marijuana topical ointment (e.g., creams, lotions, balms, salves)?

1[ ]Less than once a month

2[ ]Monthly

3[ ]Weekly

4[ ]Daily

-77[ ]Don’t know

-88[ ]Refuse to answer


(Ask if question 131 = 4)

132. On average, how many times per day do you use marijuana topical ointment: _____


(Ask if question 131 = 3)

133. On average, how many days per week do you use marijuana topical ointment: _____


(Ask if question 131 = 2)

134. On average, how many days per month do you use marijuana topical ointment: _____


(Ask if question 131 = 1)
135. Approximately how many days over the past 12 months did you use marijuana topical ointment: ______

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Lifestage

Adolescent, Adult, Senior, Pregnancy

Participants

Adolescents and adults ages 16–65

Selection Rationale

The International Cannabis Policy Study Survey (ICPS) is a well-established international survey that has been administered since 2018 to monitor marijuana use in Canada, United States, Australia, and New Zealand. Additionally, ICPS questions are based on questions from other well-established surveys (e.g., National Survey on Drug Use and Health [NSDUH]). 

Language

English, Other languages available at source

Standards
StandardNameIDSource
Derived Variables

None

Process and Review

Not Applicable

Protocol Name from Source

International Cannabis Policy Study Survey, Wave 6 (2023)

Source

Hammond, D., Goodman, S., Burkhalter, R., Corsetti, D., International Cannabis Policy Study Survey 2023 (Wave 6). September 2023. 

Cannabis Products – Product Types & Modes of Use section, items USE.MODES, MODE.FREQ.HERB, HERB.FREQ, IMAGE.CHOICE, HERB.JOINT2, HERB.JOINT3, HERB.JOINT1, HERB.JOINT.CONF, HERB.JOINT2.REDO, HERB.JOINT3.REDO, HERB.JOINT1.REDO, HERB.JOINT.TOBACCO, HERB.JOINT.TOBACCO2, HERB.AMOUNT1, HERB.AMOUNT2, HERB.AMOUNT.CONF, HERB.AMOUNT1.REDO, HERB.AMOUNT2.REDO, HERB.THCRATIO, HERB.THC1, HERB.THC2, MODE.FREQ.DROP, DROP.FREQ, LIQUID.DROP.AMOUNT, LIQUID.DROP.AMOUNT.CONF, LIQUID.DROP.AMOUNT.REDO, LIQUIDDROP.THCRATIO, LIQUIDDROP.THC1, LIQUIDDROP.THC.UNIT, LIQUIDDROP.THC2, MODE.FREQ.LIQUIDVAPE, LIQUIDVAPE.FREQ, LIQUIDVAPE.AMOUNT, LIQUIDVAPE.AMOUNT.CONF, LIQUIDVAPE.AMOUNT.REDO, LIQUIDVAPE.THCRATIO, LIQUIDVAPE.THC1, LIQUIDVAPE.THC.UNIT, LIQUIDVAPE.THC2, MODE.FREQ.EDIBLE, EDIBLE.FREQ, HOMEMADE.EDIBLES.TRIED, HOMEMADE.EDIBLESOURCE, HOMEMADE.EDIBLES.AMOUNT, EDIBLE.12.MONTH.TYPE, EDIBLE.TYPE, EDIBLE.AMOUNT, EDIBLE.AMOUNT2, EDIBLE.AMOUNT.CONF, EDIBLE.AMOUNT.REDO, EDIBLE.AMOUNT2.REDO, EDIBLE.SERVING, EDIBLE.THCRATIO, EDIBLE.THC1, EDIBLE.THC2, MODE.FREQ.DRINK, DRINK.FREQ, DRINK.TYPE, DRINKS.AMOUNT, DRINK.AMOUNT.CONF, DRINK.AMOUNT.REDO, DRINKS.THCRATIO, DRINKS.THC1, DRINKS.THC2, MODE.FREQ.CONCEN, CONCEN.FREQ, CONCEN.AMOUNT, CONCEN.AMOUNT.CONF, CONCEN.AMOUNT.REDO, CONCEN.TYPE, CONCEN.THCRATIO, CONCEN.THC1, CONCEN.THC.UNIT, CONCEN.THC2,  MODE.FREQ.HASH, HASH.FREQ, HASH.THCRATIO, HASH.THC1, HASH.THC2,  MODE.FREQ.TINCT, TINCT.FREQ, HASH.AMOUNT, HASH.AMOUNT.CONF, HASH.AMOUNT.REDO, TINCT.THCRATIO, TINCT.THC1, TINCT.THC.UNIT, TINCT.THC2, MODE.FREQ.TOPICAL, TOPICAL.FREQ

General References

Borodovsky, J. T., Hasin, D. S., Shmulewitz, D., Walsh, C., Livne, O., Aharonovich, E., Struble, C. A., Habib, M. I., & Budney, A. J. (2024). Typical hits, grams, or joints: Evaluating cannabis survey measurement strategies for quantifying consumption. Cannabis and Cannabinoid Research, 9(2), 646-658.
https://doi.org/10.1089/can.2022.0237 

Borodovsky, J. T., Struble, C. A., Habib, M. I., Hasin, D. S., Shmulewitz, D., Walsh, C., Livne, O., Aharonovich, E., & Budney, A. J. (2023). Exploring survey methods for measuring consumption quantities of cannabis flower and concentrate products. American Journal of Drug and Alcohol Abuse, 49(6), 733-745.
https://doi.org/10.1080/00952990.2023.2246635

Budney, A. J., Borodovsky, J. T., Struble, C. A., Habib, M. I., Shmulewitz, D., Livne, O., Aharonovich, E., Walsh, C., Cuttler, C., & Hasin, D. S. (2024). Estimating THC consumption from smoked and vaped cannabis products in an online survey of adults who use cannabis. Cannabis and Cannabinoid Research, 9(2), 688–698.
https://doi.org/10.1089/can.2022.0238 

Corsetti, D., Fataar, F., Burkalter, R., & Hammond, D. (2023). International Cannabis Policy Study Technical Report – Wave 5 (2022). University of Waterloo; Waterloo, Ontario, Canada. 

Hammond, D., Goodman, S., Wadsworth, E., Rynard, V., Boudreau, C., & Hall, W. (2020). Evaluating the impacts of cannabis legalization: The International Cannabis Policy Study. International Journal on Drug Policy, 77, 102698.
https://doi.org/10.1016/j.drugpo.2020.102698

Protocol ID

510308

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
Assessment of Substance Use and Substance Use Disorders
Measure Name

Patterns of Substance Use

Release Date

January 30, 2025

Definition

Instruments used separately to assess patterns of substance use in adolescents and adults.

Purpose

The purpose of this measure is to determine patterns of tobacco, binge drinking, and other drug use in adolescents and adults.

Keywords

marijuana, cannabis, substance use, substance use disorder, addiction, tetrahydrocannabinol, THC, cannabidiol, CBD, quantity, frequency

Measure Protocols
Protocol ID Protocol Name
510303 Patterns of Substance Use - Adolescents
510304 Patterns of Substance Use - Adults - Binge-Drinking
510305 Patterns of Substance Use – Calendar Based Method for Detailed Cannabis Use
510306 Patterns of Substance Use - Alcohol and/or Drug Use
510307 General Cannabis Use
510308 Cannabis Products, Types, and Modes of Use
510310 Assessment of Cannabis Use Disorder