INSTITUTE FOR ALGORITHMIC MEDICINE

Screening for Adolescent Substance Abuse Using the CRAFFT Questionnaire

Purpose: To use the CRAFFT questionnaire to screen for adolescent substance abuse.

Have you ever ridden in a car driven by someone (including yourself) who was high or had been using alcohol or drugs?	Yes No
Do you ever use alcohol or drugs to relax, feel better about yourself, or fit in?	Yes No
Do you ever use alcohol or drugs while you are by yourself (alone)	Yes No
Do you ever forget things you did while you were using alcohol or drugs?	Yes No

Do your family or friends ever tell you that you should cut down on your driking or drug use?

Yes No

Have you ever gotten into trouble while you were using alcohol or drugs?

Yes No