CRAFFT Questionnaire and Interview for Substance Use
The CRAFFT Questionnaire is a screening tool used to assess substance use in adolescents. It consists of questions regarding alcohol and drug use in the past 12 months. This file includes comprehensive guidelines for clinicians and patients, ensuring confidential and safe assessment.
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How do I fill this out?
To complete the CRAFFT Questionnaire, answer all questions honestly. Each question requires a response reflecting your experiences over the past 12 months. Be sure to discuss your answers with a clinician for accurate guidance.

How to fill out the CRAFFT Questionnaire and Interview for Substance Use?
1
Read through all questions carefully.
2
Provide truthful responses based on your experiences.
3
If necessary, seek help from a clinician to understand the questions better.
4
Make sure to answer all sections of the form.
5
Submit the form with complete answers for accurate assessment.
Who needs the CRAFFT Questionnaire and Interview for Substance Use?
1
Adolescents seeking help for substance use.
2
Clinicians assessing patients for substance use disorders.
3
Parents monitoring their child's substance habits.
4
Educators involved in substance use prevention programs.
5
Counselors planning interventions for at-risk youth.
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What are the instructions for submitting this form?
To submit the CRAFFT Questionnaire, please send completed forms to the designated healthcare provider either via email or fax. For electronic submissions, use the online submission portal. Mail physical copies to the healthcare office address provided during your appointment. For the best outcome, ensure that your information is accurate and complete.
What are the important dates for this form in 2024 and 2025?
The CRAFFT Questionnaire will be in use through 2024 and 2025. Specific dates for updates or revisions will be communicated as needed, ensuring the tool remains relevant and effective.

What is the purpose of this form?
The CRAFFT Questionnaire serves to identify substance use behaviors among adolescents. It offers a structured way to assess potential issues related to alcohol and drug use. The ultimate goal is to engage youth in discussions about their substance use and provide support as needed.

Tell me about this form and its components and fields line-by-line.

- 1. Days of alcohol use: Indicates how many days the patient consumed alcohol in the past year.
- 2. Days of marijuana use: Indicates how many days the patient used marijuana products.
- 3. Days of other drugs use: Indicates the frequency of use of other substances.
- 4. Self-reported issues: Includes responses to questions on personal experiences with substances.
What happens if I fail to submit this form?
Failing to submit the CRAFFT Questionnaire may delay necessary assessments and intervention plans. It is essential for timely identification and support for substance use issues.
- Delay in Diagnosis: Without submission, professionals may not identify potential substance use disorders early.
- Lack of Support: Patients may miss out on critical support and resources available through counseling.
- Inaccurate Assessment: Incomplete information can lead to misunderstandings regarding substance use behaviors.
How do I know when to use this form?

- 1. Routine Checkups: Clinicians can administer this questionnaire during regular health evaluations.
- 2. Signs of Substance Use: Use this form if there are noticeable signs of substance use in an adolescent.
- 3. Request for Help: Encourage individuals seeking assistance to fill out the questionnaire.
Frequently Asked Questions
What is the CRAFFT Questionnaire?
The CRAFFT Questionnaire is a screening tool designed to assess substance use among adolescents.
How do I fill out the questionnaire?
Simply read each question carefully and answer honestly based on your experiences.
Can I edit my responses?
Yes, you can edit your responses using the PrintFriendly PDF editor.
Is my information confidential?
Yes, all your answers are kept confidential as per federal regulations.
How can I share the completed questionnaire?
After editing, you can easily share the PDF version with others.
Can I sign the form electronically?
Yes, PrintFriendly allows you to add your electronic signature to the document.
What do I do if I need help?
Discuss your answers with a clinician for guidance and support.
Are there specific age groups recommended for this questionnaire?
The questionnaire is targeted towards adolescents, typically aged 12 and older.
What if I answer 'yes' to several questions?
A clinician may recommend further assessment if you answer 'yes' to two or more questions.
Where can I find more information about CRAFFT?
Visit www.ceasar.org for more details and resources.
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