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A&D Quiz

1. Have you been experiencing a decrease in things you used to enjoy due to recent drug or alcohol use?
2. Have you had medical issues due to drug or alcohol use?
3. Do you seem to be having family issues due to recent drug or alcohol use?
4. Do your bills or other financial responsibilities seemed to be piling up since using alcohol or drugs?
5. Have you had any legal issues/concerns due to drug or alcohol use?

MODIFIED MINI SCREEN

Click the PDF icon to download, print, and fill out the Modified Mini Screen to bring with you to your appointment.

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