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Addiction Severity Index - 5th Edition
0 - No 1 - Yes ___ Valid license; not suspended/revoked. E5. Do you have an automobile available for use? 0 - No 1 - Yes ___ If answer to E4 is No, then E5 must be No. Does not require ownership, only requires availability on a regular basis. E7. * Usual (or last) occupation ___ Specify Use Hollingshead Categories Reference Sheet E11.
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Addiction Severity Index - 5th Edition
adai.washington.eduMEDICAL STATUS M1. * (Include the question number with your notes) How many times in your life have you been hospitalized for medical problems?
DRUG USE QUESTIONNAIRE (DAST-20) Name: Date: The …
adai.washington.eduDRUG USE QUESTIONNAIRE (DAST-20) Name: _____ Date: _____ The following questions concern information about your potential involvement with drugs
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