This eight-question alcohol and drug evaluation form opens by asking respondents to describe their full substance use history — substances used, how often, and for how long — before checking whether any use is ongoing. It then explores the real-world impact on daily life, relationships, work, and health, and asks whether the respondent has sought treatment before, giving clinicians important context about what has or hasn't been tried. A question on personal and family mental health history sits midway through because co-occurring conditions directly shape treatment options, followed by a 1-to-5 rating of current mental well-being for a quick snapshot. Two closing questions ask about available support networks and the respondent's own treatment goals, ensuring the plan reflects what the person actually wants. After submitting, respondents see a warm confirmation screen letting them know their answers will be used to tailor their care.
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Relies on the history, current use, and prior treatment questions to arrive at a first session already briefed on a client's full substance use picture.
Depends on the mental health history question and the 1-to-5 well-being rating to quickly identify co-occurring conditions that need to be addressed alongside substance use.
Uses the treatment goals and support system questions to match incoming clients with the right programme level and community resources before their first appointment.
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