Addiction Screening & Assessment Quiz
About this free form template

Streamline Addiction Assessment with Paperform

Substance abuse counselors, therapists, and treatment centers need reliable, compassionate screening tools that capture the full picture of a client's relationship with substances. This Addiction Screening & Assessment Quiz template provides a structured, evidence-based approach to initial client evaluation, helping you determine appropriate treatment levels and intervention strategies.

Built specifically for addiction professionals, this template combines clinical assessment frameworks with an accessible, non-judgmental format that encourages honest responses. The quiz evaluates substance use patterns, behavioral indicators, social and occupational impact, and risk factors to generate meaningful insights for treatment planning.

What makes this template valuable:

  • Comprehensive screening covering multiple substance categories and usage patterns
  • Life impact assessment examining relationships, work, health, and legal consequences
  • Risk evaluation identifying withdrawal symptoms, tolerance, and previous treatment history
  • Treatment level recommendations helping counselors determine appropriate care intensity
  • Confidential and secure with SOC 2 Type II compliance for sensitive client data

Whether you're conducting intake assessments at a treatment center, running a private practice, or managing community outreach programs, this template helps you gather critical information efficiently while maintaining a supportive, professional tone.

Paperform's conditional logic adapts questions based on responses, creating a personalized assessment experience. Integration with your CRM, EHR system, or case management tools via Stepper means screening results flow directly into your existing workflows, reducing administrative burden and allowing you to focus on what matters most: helping clients on their recovery journey.

With AI Insights, you can analyze aggregate screening data to identify trends, measure program effectiveness, and improve your assessment protocols over time. This template is designed for professionals in addiction recovery, mental health services, community health centers, and employee assistance programs who need a trusted, streamlined screening solution.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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