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Alcohol or Substance Use Test

CAGE-AID Questionnaire

When thinking about drug use, include illegal drug use and the use of prescription drug use other than prescribed

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Survey Questions
Before you get to your results, please take a moment to answer the following optional questions. If you aren’t comfortable sharing any or all of the information, you can click “submit” right away. Otherwise, your answers will help us better understand how we can achieve our mission. Don’t worry; we won’t be able to identify you based on this information.
Check all that apply.
Check all that apply.
Check all that apply.
Please note that we cannot respond if you entered “other.” If you are in crisis, please call 911 or the National Suicide Prevention Hotline at 1-800-273-TALK or go immediately to the nearest emergency room.

500 Montgomery Street, Suite 820
 Alexandria, VA 22314

Phone (703) 684.7722

Toll Free (800) 969.6642

Fax (703) 684.5968

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