Follow the steps to complete your wellness assessment with ease.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering your personal information, including your client name, date of birth, authorization number, and subscriber ID. Ensure all entries are accurate to help clinicians provide the best support.
3. Complete the clinician information fields, including the clinician's name and identification numbers. This information will help maintain accurate records.
4. For questions 1-16, reflect on your experiences over the past week. Use the scale provided to indicate how much each problem has bothered you. Shade the circles as instructed on the form.
5. In questions 12-16, assess your agreement with the statements regarding your emotional well-being and social support. Rate your responses clearly.
6. If this is your first time completing the assessment, answer questions 17-24 regarding your overall health, medical conditions, doctor visits, and feelings about alcohol or drug use. Provide accurate information to help clinicians understand your situation.
7. Once all questions have been answered, review your responses for any errors or omissions.
8. After completing the form, you can save your changes, download the document for your records, print it out, or share it with your clinician.

Begin filling out the ALERT Wellness Assessment - Adult online today to enhance your well-being.