Screening Tool Domain - DUDIT: 0 1 2 3 4 Score
Screening Tool Domain - DUDIT: 0 1 2 3 4 Score
Screening Tool Domain - DUDIT: 0 1 2 3 4 Score
Client Because drug use can affect your health and can interfere with certain medications
and treatments, it is important that we ask some questions about your use of drugs. Your
answers will remain confidential within the Substance Misuse Service, so please be honest. In
event that these results need to be shared as part of your care plan, we will discuss with you
why sharing is necessary, seek your consent to share and ask you to sign a Release of
Information Form. You may refuse at any time to have these results shared.
For each question in the chart below, please X in one box that best describes your answers
Feel free to show the form to the person you are interviewing and fill it out together.