CRAFFT Adolescent Substance Abuse Screening
Asks about age, alcohol use in past 12 months, and cannabis use in past 12 months. Built for pediatric and adolescent annual well visits.
- Questions
- 14
- Pages
- 2
- Time
- about 4 min
Your practice
CRAFFT Adolescent Substance Abuse Screening
Page 1 of 2 · Your information
Live preview. Tap through it like a patient.
Who it is for
- Pediatric and adolescent annual well visits
- School-based health center screenings
- Adolescent medicine clinic intake assessments
- College and university student health screenings
What's inside
Before you publish: Clinical review required: this worksheet does not calculate scores, diagnose, or recommend treatment. Confirm the questions and response options against your approved assessment protocol before use.
Page 1 · Your information
- Patient NameText · Required
- Date of BirthDate
- AgeNumber
- Alcohol Use in Past 12 MonthsLong Text
- Cannabis Use in Past 12 MonthsLong Text
Page 2 · Additional details
- Used substances to Relax?Long Text
- Used substances while Alone?Long Text
- Forget things while using substances?Long Text
- Family or friends told you to cut down?Long Text
- Gotten into Trouble while using?Long Text
From form to a ready patient

01
Make it yours
Reword, reorder, or add to the CRAFFT Adolescent Substance Abuse Screening, and add your logo.

02
Patients finish it at home
A secure link by text or email, filled out on their phone before the visit. No app.

03
Your team sees who is ready
Each visit shows as ready once its forms are in. Answers land on the patient record.
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Questions
Send it before the visit, so patients arrive ready.
Add the CRAFFT Adolescent Substance Abuse Screening to your account and make it yours in a few minutes.
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