Get Chestnut Health Systems Gain-short Screener (gain-ss) 2008-2025

This guide provides step-by-step instructions on how to accurately complete the Chestnut Health Systems GAIN-Short Screener (GAIN-SS) online. By following these instructions, you will ensure that your responses are clear and helpful for assessment.

Follow the steps to complete the GAIN-Short Screener online.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Begin filling out the form by entering your full name in the designated fields: first name, middle initial, and last name.
3. Input today's date using the format MM/DD/YYYY in the provided field.
4. Answer the questions about common psychological, behavioral, and personal problems. For each question, select how recently you experienced the issue by choosing from the provided options: past month, 2 to 12 months ago, 1+ years ago, or never.
5. For each specific question listed, select the number corresponding to your answer: 3 for the past month, 2 for 2 to 12 months ago, 1 for 1 or more years ago, and 0 for never.
6. Continue to follow the formatting for sections 3 through 4, selecting the appropriate responses for the questions regarding alcohol or drug use and other significant problems.
7. Complete demographic information including your gender and age.
8. For staff use, fill out the site ID, site name, staff name, staff ID, and client ID as applicable.
9. After filling out all the necessary fields, review your answers for accuracy.
10. Once you are satisfied with the information you provided, save the document, and choose to download, print, or share it as needed.

Complete the GAIN-Short Screener online to contribute to an accurate assessment and support plan.