Validated mental health questionnaires
Free clinical questionnaires on alcohol, drugs and mental health. Fill them in here and get a result right away that you can transfer to the patient record. Your entries are not stored permanently and never leave this browser session.
Disclaimer
These questionnaires are intended for use by clinicians only and should not be used without consulting a clinician. A result is a screening aid and does not replace a diagnosis.
11 scales
- AASE
Alcohol Abstinence Self-Efficacy Scale
A questionnaire on how confident a patient is that they can stay away from alcohol in 20 situations that can lead to drinking.
Alcohol & drugsSelf-report20 itemsOpen scale - AUDIT
Alcohol Use Disorders Identification Test
The World Health Organization's questionnaire on drinking: it shows whether a patient's alcohol use carries a risk for their health and wellbeing.
Alcohol & drugsSelf-report10 itemsOpen scale - AUDIT-C
Alcohol Use Disorders Identification Test – Consumption
A three-question quick check on how much and how often a patient drinks – the short version of the WHO's AUDIT.
Alcohol & drugsSelf-report3 itemsOpen scale - CAGE
CAGE Questionnaire (Cut down, Annoyed, Guilty, Eye-opener)
Four quick questions that help assess whether alcohol has ever become a problem for a patient.
Alcohol & drugsSelf-report4 itemsOpen scale - CIWA-ArFor clinicians
Clinical Institute Withdrawal Assessment for Alcohol Scale, Revised
A rating scale clinicians use to measure how severe alcohol withdrawal is and to guide treatment during detox.
Alcohol & drugsClinician-rated10 itemsOpen scale - CUDIT-R
Cannabis Use Disorders Identification Test – Revised
Eight questions on cannabis use and its effects over the past six months.
Alcohol & drugsSelf-report8 itemsOpen scale - DUDIT
Drug Use Disorders Identification Test
A questionnaire on drug use and drug-related problems – the drug counterpart to the AUDIT for alcohol.
Alcohol & drugsSelf-report11 itemsOpen scale - GAD-7
Generalized Anxiety Disorder-7
A short questionnaire that measures how strongly anxiety symptoms have affected the patient over the last two weeks.
AnxietySelf-report7 itemsOpen scale - PHQ-9
Patient Health Questionnaire-9
A short questionnaire that measures how strongly symptoms of depression have affected the patient over the last two weeks.
DepressionSelf-report9 itemsOpen scale - PCL-5
PTSD Checklist for DSM-5
A questionnaire on how much typical reactions to a very stressful experience have bothered the patient over the past month.
Trauma & PTSDSelf-report20 itemsOpen scale - PC-PTSD-5
Primary Care PTSD Screen for DSM-5
A very short screen with five yes/no questions that shows whether a stressful experience may still be affecting the patient in a way that is worth looking at more closely.
Trauma & PTSDSelf-report5 itemsOpen scale
Support that goes beyond a single screening
A screening is only a first step. coobi care offers digital support for therapy, rehabilitation and aftercare — built together with clinicians.