Screening Tools

FormDescriptionDownload

Adolescent Screening Card
(PDF, 462 KB)
 adolescent screening card

 

Adult Screening Card
(PDF, 531 KB)
 adult screening card

 

AUDIT 
(PDF, 53 KB) 

Download the AUDIT PDF

  • Given to patients ages 18 and older when positive on the brief alcohol screening questions.
  • A "full screen" that measures severity of alcohol use to indicate if a brief Intervention or referral is needed.
 

USAUDIT
(PDF, 1.7 MB)

Download the USAUDIT PDF

  • Adaptation of the most widely used test in the world. (Ages 18 and older)
  • Adjusted for US drinking sizes and US drinking limits. 

CRAFFT 
(PDF, 79 KB)

Download the CRAFFT screening questions PDF

  • Given to adolescent patients ages 12-17, at any visit.
  • Includes the CRAFFT for alcohol and drug use. 

DAST
(PDF, 154 KB)

Download the DAST PDF

  • Given to patients ages 18 and older when positive on the brief drug screening question.
  • A "full screen" that measures severity of drug use to indicate if a brief intervention or referral is needed.