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REPORT-QUESTIONNAIRE FOR RELATIVES OR OTHERS OF DOPING MISUSERS


As a relative, or other relation to a misuser, you can share you experiences with us. The report is absolutely anonymous. If you have a suspicion or feel worried that a person is misusing illicit hormone pharmaceuticals is reason enough to leave a report. The aim with the report is that we want to get a more complete picture of the misuse and its consequences for everybody in our society, and be able to give better support and guidance to the person that contact us. (You can call us for counselling +46 8 58 58 11 90)
 
Sex: Male Female
Related to: Male Female
Country:
I am Partner Child Parent Friend Other relative Other
My age:
Age of misuser:
   
1. If you have knowledge, the misuse includes:
AAS (anabola androgena sterioder) Yes No
Growth hormones Yes No
Ephedrin Yes No
Dietary supplements Yes No
Other substances    
   
2. I am not certain, but suspect
AAS (anabola androgena sterioder) Yes No
Growth hormones Yes No
Ephedrin Yes No
Dietary supplements Yes No
Other substances    
   
I have noticed
Intense training
Obcessed eating
Aggressive behaviour
Jealousy
Weight Gaining
Potency problems
Sexual obsession
Depression
Acts of rage
Assault
Legal measures
Other side-effects
   
EXTENT  
I consider the problems:

Really serious
Fairly serious
Less serious
Not serious at all
   
I, myself have used doping:

No, never
Once
More than once
Comment
   
Tell us how your live has been effected:
   
I would need help and support with:
   
 
NEWS!
Report side-effects


Report side-effects you have experienced, anonymously
Report »

As a relative or other person you can report side-effects that you have noticed. The report is anonymous
Report from relative »


+46 8 58 58 11 90


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