Middle Tennessee State University (MTSU) conducted campus-wide surveys on drug and alcohol use in 1977, 1983, 1987, and 1992. This survey was generated during the 1992 Fall semester. Results show that alcohol and drug use at MTSU has changed little in 15 years. The most noticeable change was the reduced use of marijuana by males. Cigarette smoking declined for 10 years and then increased in the last 5 years; males escalated their use of other tobacco products. Alcohol consumption peaked in 1983 and continued to decline. Off-campus students appeared more likely to use alcohol, tobacco, marijuana, and other drugs and to engage in more negative alcohol and drug-related behaviors. These actions may reflect the freedom and opportunity accorded off-campus students as opposed to students who live on campus or at home. Those who live on campus or at home, belong to a Greek organization, or are female continue to show an increased tendency to attend class. Gender differences in behaviors crested in the 1977 survey. Dissimilarities between genders may continue to decline in future studies as standards for male and female behaviors evolve. This report contains a copy of the questionnaire used and four tables which summarize the data for all four surveys. (RJM)