Alcohol assessment template
This survey template is designed to assess a person's alcohol consumption, examining its effects on work, relationships, and physical health, while also documenting any attempts to minimize alcohol intake.
Additionally, the questionnaire covers the person's mental health status and support network, delivering valuable insights for professionals specializing in substance abuse, aiding them in delivering suitable care and support.
Template tags
Alcohol assessment survey
Example questions
Demographic Information:
Alcohol Use
Impact on Life
Attempts to quit or reduce drinking
Mental Health
Support System
Goals
Contact Information:
Alcohol Assessment Template Builder
LimeSurvey's alcohol assessment survey builder allows healthcare professionals to easily gather information on patients' alcohol consumption habits, assess the impact on their lives, and create effective treatment plans tailored to their specific needs.
- Easy and simple to use
- Statistics
- Questionnaire templates
- GDPR compliance
- So much more…
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