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Substance Use Screening (CAGE-AID)

Asks about have you felt you should cut down, have people annoyed you about your use, and have you felt guilty about your use. Built for primary care annual substance use screening.

Questions
11
Pages
2
Time
about 3 min
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Your practice

Substance Use Screening (CAGE-AID)

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • Primary care annual substance use screening
  • Behavioral health and addiction intake
  • Emergency department SBIRT programs
  • Pre-surgical substance use assessment

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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

  1. Full NameText · Required
  2. Have you felt you should cut down?Multiple Choice · 3 choices
  3. Have people annoyed you about your use?Long Text
  4. Have you felt guilty about your use?Multiple Choice · 3 choices
  5. Have you used first thing in the morning?Multiple Choice · 3 choices

Page 2 · Additional details

  1. Drug Use FrequencyLong Text
  2. Tobacco/Nicotine UseLong Text
  3. Impact on Daily LifeLong Text
  4. Readiness for ChangeLong Text
  5. Confidentiality AcknowledgmentLong Text

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Substance Use Screening (CAGE-AID), and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    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

Responses are encrypted, only your team can see them, and a BAA is included.

Yes. You can add, remove, reorder, or reword any of the 11 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Yes. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Send it before the visit, so patients arrive ready.

Book a short call and we will set up the Substance Use Screening (CAGE-AID) for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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