Print form AODA QUESTIONNAIRE Name Date Date of Birth *The questionnaire you are about to complete is confidential. All certified AODA clinics in Wisconsin are required to obtain this information.
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How to fill out the AODA QUESTIONNAIRE - Marinette County Wisconsin online
Completing the AODA questionnaire is a crucial step in accessing support for substance use concerns. This guide will provide you with a clear and comprehensive set of instructions for filling out the form online, ensuring that the process is straightforward and user-friendly.
Follow the steps to complete the AODA questionnaire online.
- Click the ‘Get Form’ button to obtain the AODA questionnaire and open it in the online editor.
- Begin by entering your name in the designated space provided on the form.
- Next, fill in the date of completion. This helps in tracking and verification purposes.
- Provide your date of birth accurately to ensure proper identification.
- Answer the questions regarding your substance use, starting with when you last drank alcohol or used a mood-altering chemical. Be precise in your responses.
- Indicate the specific substances you ingested in the following field, ensuring clarity in your answers.
- Record the quantity of each substance you ingested. If unsure, provide your best estimate.
- Continue answering the subsequent questions regarding your substance history, treatment experiences, and current health conditions.
- For questions requiring additional information, such as your household members, provide the name, age, and relationship of each member as requested.
- Ensure that you indicate support from family, peers, and coworkers as per the questions presented on the form.
- Once all questions are answered, review your responses for accuracy and completeness.
- Finally, save the changes to the form, and choose to download, print, or share the completed AODA questionnaire as needed.
Ready to take the next step? Complete your AODA questionnaire online today.
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