• PHQ-9 and CRAFFT Questionnaires

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    Pick a Date
  • Patient Health Questionnaire (PHQ-9)

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  • CRAFFT Questionnaire

    During the PAST 12 MONTHS, on how many days did you:
  • 1) Drink more than a few sips of beer, wine, or any drink containing alcohol? Put "0" if none.
    * (# of Days)

  • 2) Use any marijuana (weed, oil, or hash by smoking, vaping, or in food) or "synthetic marijuana" (like "K2", "Spice")? Put "0" none.
    * (# of Days)

  • 3) Use anything else to get high (like other illegal drugs, prescription, or over-the-counter medications, and things that you sniff/huff/vape)?
    * (# of Days)

  • Should be Empty: