AI
Marketing
Print
Document
Templates
Business
Categories
Marketing
Document
Free Alcohol And Drug Evaluation Form

Alcohol And Drug Evaluation Form
Please provide accurate and complete information below.
Date
Name
Date of Birth
Do you currently use alcohol?
If yes, how often do you consume alcohol?
Do you currently use any drugs?
If yes, which substances do you use?
Marijuana
Cocaine
Methamphetamine
Prescription Drugs (Non-Medical Use)
How often do you use drugs?
Have you ever received treatment for alcohol or drug use?
If yes, please specify
Have you experienced legal issues due to substance use?
If yes, please specify
Additional Information
Evaluation Form Templates @ Template.net
Thank you for your cooperation!
We appreciate you taking the time to submit.
Create free forms at Template.net
- 100% Customizable, free editor
- Access 1 Million+ Templates, photo’s & graphics
- Download or share as a template
- Click and replace photos, graphics, text, backgrounds
- Resize, crop, AI write & more
- Access advanced editor
AI Form Builder Generator
Generate my free Form BuilderText or voice to generate a free Form Builder
Support workplace safety with the customizable Alcohol and Drug Evaluation Form Template! Template.net ensures a professional layout to document evaluations accurately. Its editable fields allow organizations to align the form with compliance and safety protocols. Using the AI Editor Tool, companies can make modifications easily, ensuring precise evaluations that contribute to a secure and productive work environment!