Getting accurate information about individual drug abuse is a difficult proposition. It's even harder when people don't understand terms on a survey or, worse yet, don't even read the question. A researcher shares some of the pitfalls of tracking the misuse of opioids in the U.S. Drug surveys are reseachers’ main method of collecting data on opioid misuse. I’ve been in drug survey research for almost two decades, but in recent years I’ve learned that collecting accurate data on opioid misuse in particular is difficult. Why? Because many people underreport misuse, while others unintentionally overreport misuse.Colleagues have been asking me how to ask about opioid misuse on surveys. I’m finding that there’s no easy answer. But one thing I’ve learned in my research is that many people may misunderstand the basics about opioids, preventing researchers like myself from understanding the full scope of the epidemic.