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Drug and Alcohol Use Survey Name Date Directions: Please circle one response for each question. 1. How old were you when you had your first drink of alcohol other than a few sips? a. I have never
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To fill out drug and alcohol use, follow these points:
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Begin by providing your personal information such as name, age, and contact information.
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Specify the type of drugs you have used or currently use, including any prescribed medications.
04
Mention the frequency and duration of drug or alcohol use.
05
Describe any specific methods of consumption, such as oral ingestion, inhalation, or injection.
06
Provide details about any adverse effects or side effects experienced due to drug or alcohol use.
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If applicable, mention any treatment programs or rehabilitation efforts undertaken to address substance abuse.
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Conclude by signing and dating the form to indicate your consent and agreement with the information provided.

Who needs drug and alcohol use?

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- Employers to ensure a safe and drug-free work environment.
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- Educational institutions to implement prevention and awareness programs for students.
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Drug and alcohol use refers to the consumption of substances that alter one's mental or physical state.
Certain industries and employers are required to maintain drug and alcohol testing programs and file reports with the appropriate regulatory bodies.
Drug and alcohol use forms typically require information about the individual being tested, the type of test performed, the results of the test, and any actions taken as a result of the test.
The purpose of drug and alcohol use is to ensure a safe working environment and prevent accidents or incidents caused by substance abuse.
Information such as the date of the test, the type of test performed, the results of the test, and any follow-up actions taken must be reported on drug and alcohol use forms.
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