Free
Drug & Alcohol Assessments

Tobacco Motives Inventory

This is a 15-item self-report measure that assesses motives for cigarette smoking. Response choices are on a 5-point Likert scale ("not at all true" to "very true"). Adolescents are asked to rate each potential motive for smoking with respect to how true they think it is. There are four subscales for the 15-item measure. These include Social Motives (4 items), Self-enhancement Motives (4 items), Boredom Relief Motives (2 items), and Affect Regulation Motives (5 items).

Stanford Smoking Dependence Inventory

The SDI is a 5-item modified version of the Fagerstrom Tolerance Questionnaire for use with adolescent smokers. Modifications include rescaling items to provide more response options and analyzing daily cigarette consumption separately.

Jacksons Smoking Susceptibility

Jackson's Smoking Susceptibility is a scale used to describe the likelihood of a child's (in grade 3 to grade 5) smoking susceptibility in 2 years.

Smoking Consequences Questionnaire

The Smoking Consequences Questionnaire is a tool used to assess the possible consequences of someone's smoking habits. The questionnaire is designed to help individuals identify areas of their life that may be negatively impacted by their smoking habits.

The Cigarette Dependence Scale

The Cigarette Dependence Scale (CDS) is a self-report measure used to assess an individual’s level of nicotine dependence on cigarettes. It assesses the intensity of physical and psychological dependence and the frequency of smoking. 

Nicotine Dependence Questionnaire For Adolescents

The Nicotine Dependence Questionnaire for Adolescents (NDSA) contains questions about nicotine dependence in adolescents. It has questions about the intensity and severity of nicotine use in terms of dependence symptoms, such as craving, withdrawal, and tolerance.

CRAFFT Questionnaire

The CRAFFT questionnaire is a clinical screening tool used to assess risk for substance abuse among adolescents and young adults. It was developed at the Center for Adolescent Substance Abuse Research at the Johns Hopkins University School of Medicine.

Drug Abuse Screening Test

The Drug Abuse Screening Test (DAST) is a 10-question, self-report survey used to detect potential substance abuse. This test is intended to identify any potential use of illicit drugs, as well as the abuse of prescription drugs. 

Alcohol Use Disorders Identification Test

Because alcohol use can affect your health and can interfere with certain medication and treatments, it is important that we ask some questions about your use of alcohol.

Drug Use Questionnaire

The purpose of this questionnaire is to provide a brief, simple, practical but valid method of identifying individuals who are abusing psychoactive drugs. It also yields a quantitative index score of the degree of problems related to drug use and drug misuse. 

Michigan Alcohol Screening Test

The MAST (Michigan Alcohol Screening Test) was published by Selzer, M. L., Vanosdall, F. E., & Chapman, M. in 1971. Some studies show that it has successfully identified dependent drinkers with up to 98% accuracy.

Am I An Alcoholic Test

Drinking casually with friends for fun doesn’t seem alcoholic; the classic picture of an alcoholic is someone whose life is falling apart, doesn’t have a job, or stealing money to drink. But this is not true; someone who looks pretty perfect and functional from the outer can be alcoholic. 

Fagerstorm Test for Nicotine Dependence

The Fagerstrom Test for Nicotine Dependence (FTND) is a scale that can be used to assess the level of an individual's dependence on nicotine as indicated by their smoking behavior.

A person with a great job, paying his bills promptly, having great friends, and drinking for fun cannot be framed as an alcoholic. He may not suffer or come across a setback in life due to alcohol drinking. But alcoholism takes many forms, it doesn’t restrict itself to a stereotype alcoholic whose life is falling apart, doesn't have a job, or stealing money to drink. Alcoholism or any substance addiction is a dependence where the individuals have a physical or psychological compulsion to drink alcohol or drug. There are a lot of people in the community who need drug and alcohol assessments. These services can greatly benefit individuals who feel as if they are struggling with substance abuse or have a loved one that might be. Check out these Free templates of Drugs and Alcohol assessments from BlockSurvey.

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  hipaa forms

  HIPAA forms, also known as Health Insurance Portability and Accountability Act forms, are documents that are used to ensure compliance with HIPAA regulations. HIPAA is a federal law that was enacted in 1996 to protect the privacy and security of individuals' health information.HIPAA forms are typically used in healthcare settings such as hospitals, clinics, and doctor's offices.

• self care

  Forms & Surveys for Self Care, Mindfulness, Manifestation, Visualization is an online resource helping individuals to take charge of their lives and create positive change. Through our forms, surveys and tools, we provide easy and interactive ways to gain insight into yourself and your life, and to take action towards your goals. Our resources are designed to help you prioritize self-care, build resilience, and manifest your best life.

• hobbies and lifestyle

  Hobbies and lifestyle research using surveys is a type of research method used to gain insight into people’s interests and lifestyle choices. Surveys are used to ask people about their hobbies, activities, and interests. They can also be used to ask about lifestyle choices such as diet, exercise habits, and leisure activities. Surveys are typically conducted online or in person, depending on the goals of the research. Surveys can be used to uncover trends and insights into a population's hobbies and lifestyle, helping to inform marketing campaigns, product development, and more.

• politics and governance

  Politics and Governance Surveys are surveys that focus on people's attitudes, beliefs and values related to politics and governance. They are used to gauge public opinion and to help inform policy decisions. They may ask questions about topics such as voting, government spending, taxation, government performance, international relations, and other issues related to politics and governance. They can also be used to identify public opinion trends and to measure changes in public opinion over time.

• agriculture and environment

  Agriculture and Environment Surveys are surveys that aim to understand the impact of agricultural activities on the environment. They are conducted by governments, organizations, and experts in the field of agriculture and environmental science. The surveys help to assess the impact of various agricultural practices, inputs, and management techniques on land, water, and air quality. They also provide insight into the economic and social impacts of agricultural activities. These surveys are used to inform decision-making and policy development. They provide data that can be used to make more informed decisions about agricultural practices, inputs, and management techniques.

• learning assessments

  Learning assessments are tests or activities used to measure the effectiveness of learning methods. Assessments can be used to evaluate learning styles and strategies. Assessments can be used to determine a student's metacognition abilities. Assessments can also be used to gauge a student's progress over time and provide feedback on areas of strength and weaknesses.

• skill assessments

  Skill assessments evaluate an individual's performance in a particular area. They are used to measure an individual's capabilities and progress over time. Skill assessments are typically comprised of a series of questions, tasks, or activities that are used to measure an individual's skill level. They may also be used to identify areas for improvement.

• resilience scales

  Resilience scales are tools used to measure an individual's ability to cope with stress, adversity, and trauma. These scales typically use a combination of self-report and observational measures to assess an individual's ability to respond effectively to difficult situations. Scales may measure different aspects of resilience, such as problem-solving skills, optimism, and social support.

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  sports forms

  A sports form is a form that provides information about a sports event. It typically includes information about the event, such as the date, time, location, and participants. Sports forms can be used to register for an event, request information about an event, or provide feedback <br class="d-none d-sm-none d-md-block d-lg-none d-xl-none"> about an event.

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  shared experience

  Ain't got the expertise or time to build a form? No sweat. We've got you covered with simple, yet beautiful form and survey templates that'll get you maximum results. Select your template of choice from <br class="d-block d-sm-none d-md-block d-lg-none d-xl-none"> our library.

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  self assessments

  These assessments help you identify your strengths and weaknesses.

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  research forms

  Research forms are forms that researchers use to collect data from participants in a study. The forms typically include questions or prompts that guide the participant in providing information. The form allows researchers to ask questions and collect responses from participants in a structured way.

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  salon forms

  A Salon Form is a form that is used by salons and spa businesses to collect important information from their clients. This type of form is important for businesses to have so that they can keep track of their client's contact information, service preferences, and other <br class="d-none d-sm-none d-md-block d-lg-none d-xl-none"> important details.

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  startup forms

  The collection of startup forms and templates will help you to significantly reduce the amount of time you spend on creating forms. We will be continuously updating this collection with new and useful startup forms so stay tuned!

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  satisfaction surveys

  A satisfaction survey is a measuring tool used to evaluate how well a service or product is meeting the needs of its customers. The survey can be used to gauge customer satisfaction with a variety of factors, including service quality, product features, and overall value.The survey should include questions that cover all aspects of the customer experience, from initial contact to post-purchase follow-up. The questions should be designed to elicit honest feedback, and the responses should be used to improve the customer experience.When creating a satisfaction survey, businesses should consider their customer base, their objectives, and the type of feedback they are hoping to collect. They should also create a plan for how the survey results will be used to improve the customer experience.

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  relationship forms

  The Relationship Forms app helps you easily manage and keep track of your relationships with the people you care about. This type of dating form is typically used by people who are looking for a relationship online. It includes questions about your personal information, your interests, and your preferences for a potential partner.

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  student forms

  The student forms are designed to help the student keep track of their academic progress and to provide the student with information on their rights and responsibilities. The forms also help the student to understand the university's policies and procedures. The forms include a student information form, a course registration form, a course progress form, complaint form, performance evaluation form and a final grade report.

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  request forms

  Request forms are used to request information or services from another individual or organization. The request may be for something as simple as a particular document or it may be for more complex services such as reimbursement requests or legal assistance. The form should be clear and concise, and it should provide all of the necessary information that the individual or organization receiving the request will need in order to fulfill it.

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  social awareness surveys

  Social awareness surveys are used to measure an individual's level of awareness of social issues. They are typically used to assess an individual's ability to identify and understand social problems, as well as their willingness to take action on these issues. Social awareness surveys can be used to measure an individual's level of concern for social issues, their knowledge of social problems, and their willingness to take action on these issues.

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  violence forms

  The Violence Forms has a set of templates that can be used to document instances of violence. These templates can be used to document different types of violence, such as physical violence, sexual violence, and emotional violence. The templates can be used to document the victim's experience, the perpetrator's information, and any witnesses to the violence.

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  forms

  Easily create responsive, mobile-friendly forms without <br class="d-none d-sm-none d-md-block d-lg-none d-xl-none"> any coding experience.

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  patient consent forms

  A patient consent form is a document that is signed by a patient to give their permission for a healthcare provider to carry out a specific medical treatment or procedure. The form will detail what the treatment or procedure is, what the risks are, and what the alternatives are. It is important that patients understand the information on the form before they sign it.

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  nutrition forms

  There are many different types of nutrition forms that can be used to assess an individual's dietary intake. These forms can be used to assess an individual's nutrient intake, food intake, or both. These forms are often used to assess an individual's <br class="d-block d-sm-none d-md-none d-lg-none d-xl-none"> overall diet.

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  nonprofit forms

  A comprehensive source of online forms and templates for nonprofits. From event registration, proposals, surveys, appeals, membership forms to fundraising packing lists and much more.

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  product experience

  Our collection of more than 30 templates for product experience. <a href='https://blocksurvey.io/use-cases/product-market-fit-survey' style='color: rgba(255,255,255, 0.9); text-decoration: underline;'>Product Market Fit Survey</a> included.

• parental forms

  There are numerous parental forms that may be required by schools, daycares, and other organizations that work with children. Some common parental forms include emergency contact information, authorization for medical treatment, and permission slips for field trips or other activities.

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  pride surveys

  The Pride Surveys focus on understanding the behaviors and attitudes of the LGBTQ community. There are many different types of LGBTQ surveys, some surveys focus on their general behaviors, while others focus on specific topics such as self-identification, transgender issues, or workplace attitudes toward the LGBTQ community.

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  human rights surveys

  Human rights surveys are designed to measure people's perceptions of their own human rights. The surveys typically ask questions about people's experiences with human rights violations, their knowledge of human rights, and their attitudes towards human rights. The surveys are used to assess the state of human rights in a country or region, and to identify areas where <br class="d-none d-sm-none d-md-none d-lg-block d-xl-block"> human rights need to be improved.

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  order forms

  There are many different types of order forms, but they all serve the same purpose: to streamline the ordering process for goods and services. An order form typically includes space for the customer's name, contact information, and shipping address, as well as a list of ordered items or services and the corresponding prices. Some order forms also include a section for the customer's signature, which confirms that they agree to the terms and conditions of the purchase.

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  privacy forms

  Data privacy is important as it ensures preventing the information of the organization from activities such as phishing, hacking, and identity theft. A data breach can lead to a high risk of exposure to important data. And surveying about data privacy, and collecting consent from your target audience can help in preventing such risks to a greater extent as it helps you in understanding your <br class="d-none d-sm-none d-md-none d-lg-block d-xl-block"> audience better.

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  market research

  Need a form or survey to run your market research? We have made it easy for you with our pre-made templates. Start collecting data in minutes without design experience.

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  feedback forms

  Collect feedback from people, create surveys and polls, and get answers with user-friendly templates.

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  men healthcare surveys

  A collection of men's healthcare surveys designed to help organizations and businesses learn more about men's health and help them make better health choices.

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  pet forms

  Pet owners use pet and veterinary forms to record vital information about their pets, such as their medical history, vaccination records, and other pertinent information. To help you keep your pet healthy and content, we provide a variety of pet forms and services, such as adoption forms, health records, ownership forms, and more.

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  motherhood surveys

  There are many different types of motherhood surveys that can be used to collect data about mothers and their experiences. Some surveys focus on specific topics such as breastfeeding or postpartum depression, while others are more general in nature. Some surveys are administered in person, while others are conducted online or <br class="d-none d-sm-none d-md-block d-lg-none d-xl-none"> over the phone.

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  forensic forms

  Our forensic forms are designed to help you collect the evidence you need to build a strong case. Choose from a variety of options, including DNA kits, fingerprinting kits, and more.

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  political forms

  A political form is a document used by political organizations to collect feedback from the public about a particular issue or candidate. The form typically includes questions about the respondent's opinions on the issue at hand, their views on policies, their political ideology as well as their contact information.

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  motherhood forms

  Pregnancy, childbirth, and parenting forms are all included in the Motherhood Forms collection. No matter if you're a first-time parent or an experienced one, we have the forms you need.

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  healthcare forms

  A collection of forms to use a templates for the purpose of <br class="d-none d-sm-none d-md-block d-lg-none d-xl-none"> healthcare administration.

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  personality tests

  Personality tests designed to measure an individual’s psychological traits. These tests can be used to measure an individual’s potential for certain job roles, as part of a mental health assessment, or simply to gain insight into one’s personality.

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  poll templates

  Poll templates are used to create polls on websites or social media platforms. They typically include questions and answer choices, and may also include images or videos. Poll templates can be used to create polls for any topic, and are often used to gauge public opinion on current events or <br class="d-none d-sm-none d-md-none d-lg-block d-xl-block"> hot-button issues.

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  registration forms

  A registration form is a form that is used to collect information from people who want to register for something. This could be an event, a class, a website, or anything else where people need to sign up. The form will typically ask for basic information like name, email address, and contact information.

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  malnutrition surveys

  Many different types of malnutrition surveys exist, but all seek to gather data about the prevalence of malnutrition. In these surveys, weight, height, and/or upper arm circumference are measured and used to calculate indices like Body Mass Index (BMI). The data collected can be used to estimate the prevalence of undernutrition (weight-for-age), stunting (height-for-age), wasting (weight-for-height), and/or underweight (BMI-for-age) in a population.

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  fitness forms

  Fitness forms help individuals track their fitness goals and progress. There are many different types of fitness forms available, but some of the most popular ones include the Gym signup form, Physical fitness survey, and Gym feedback form. These forms help individuals to set fitness goals and track their progress over time. They also help fitness professionals to assess an individual's progress and tailor a workout program specifically for them.

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  mental health assessment

  A collection of mental health self assessment templates for clinicians, researchers, and teachers.

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  judicial surveys

  Judicial surveys are conducted by judges in order to gather information about a particular legal issue. These surveys are typically used to determine the public's opinion on a particular issue, or to gauge the public's reaction to a proposed change in the law. Judges may also use judicial surveys to collect data about how often certain legal issues arise, or to track changes in the law over time.

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  organizational forms

  Evaluate the performance of the people from your <br class="d-none d-sm-none d-md-block d-lg-none d-xl-none"> organization, measure their overall satisfaction, and improve the overall efficiency of your organization with the help of templates available at Blocksurvey. Collecting data from your employees and surveying them is no more a time-consuming task. Send personalized forms and streamline the data collection and storage in a better way by using templates available at BlockSurvey.

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  quiz templates

  A quiz template is a form that contains a set of questions and answers choices that can be used to create a quiz. The template can be used as it is or customized to create a unique quiz. Quiz templates typically include questions and answers, as well as a scoring system. The templates can be used for educational or entertainment purposes.

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  event experience

  Templates that come with refined design, simple navigation, and intuitive form fields for you to create memorable <br class="d-block d-sm-none d-md-none d-lg-none d-xl-none"> event experience.

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  gen z surveys

  Gen Z Surveys are designed to help businesses better understand the attitudes and behaviors of Generation Z consumers. The surveys are conducted online and cover various topics, including social media, branding, and purchasing behavior. The results of the surveys can be used to create marketing campaigns and strategies that are more likely to resonate with this <br class="d-block d-sm-none d-md-none d-lg-none d-xl-none"> critical demographic.

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  education forms

  Forms and survey templates for education institutions of all kinds. From pre-school to high school, universities and beyond.

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  checklists

  A checklist is a tool that can be used to assist in remembering specific tasks or steps that need to be completed. A checklist can also help to ensure that all necessary steps are completed when doing a specific task. Checklists can be used for various day-to-day tasks, including cleaning, cooking, car maintenance, and more.

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  crypto and blockchain

  The most comprehensive collection of forms and survey templates to build <br class="d-none d-sm-none d-md-none d-lg-block d-xl-block"> your crypto blockchain industry

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  disorder surveys

  The Disorder Surveys are a series of questionnaires designed to assess different aspects of mental health and well-being. They cover a wide range of topics, including anxiety, depression, stress, coping, and quality of life.

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  drug and alcohol assessment

  Our online drug and alcohol assessments are for individuals who seek to manage their own addiction.

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  criminology surveys

  A criminology survey is a study that looks at the frequency, types, and patterns of criminal behavior. It is typically conducted by government agencies or academic researchers. The results of a criminology survey can be used to develop crime prevention and control strategies, as well as to evaluate the effectiveness of <br class="d-block d-sm-none d-md-none d-lg-none d-xl-none"> existing ones.

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  coaching forms

  1. The Initial Contact Form is used to gather information from a prospective client interested in coaching services.2. The Client Information Form is used to gather detailed information about a client's background, goals, and expectations for coaching.3. The Session Evaluation Form is used to evaluate a coaching session and identify areas of improvement.4. The Coaching Agreement Form is used to outline the terms and conditions of the coaching relationship.5. The Payment Authorization Form is used to authorize payment for coaching services.

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  employee form

  These employee forms are used by employers to collect information from employees. The form can be used to collect personal information, contact information, emergency contact information, work history, education information, performance, leave, skill, and other information. The form can be used to collect information from new employees or from current employees.

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  criminology forms

  Collections of criminology forms - includes forms for background checks, criminal history checks, and other criminal justice forms.

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  customer experience

  Our collection of more than 20 simple templates for customer experience. Includes NPS, CES, CSAT and other applications.

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  euthanasia survey

  The Euthanasia Survey is a collection of surveys designed to collect data on people's attitudes and beliefs about euthanasia. The survey consists of a series of questions about people's views on the topic, as well as their personal experiences with euthanasia. The survey is anonymous and takes only a few minutes to complete.

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  childcare forms

  Childcare forms are a collection of essential daycare forms that are used to collect information from parents about their child, their childcare needs & preferences, and emergency contact details. They also help childcare providers keep track of families and children in their care.

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  citizen experience

  Citizen Experience Surveys measure the satisfaction of citizens with their interaction with the government. The surveys are typically conducted by government agencies or third-party contractors on behalf of government agencies. The surveys ask citizens about their satisfaction with various aspects of their interaction <br class="d-none d-sm-none d-md-block d-lg-none d-xl-none"> with the government.

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  complaint forms

  Complaints are the primary reasons of being out of your business. Therefore, collect the complaints quickly with our <br class="d-none d-sm-none d-md-block d-lg-none d-xl-none"> complaint <br class="d-block d-sm-none d-md-none d-lg-none d-xl-none"> form templates.

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  consent forms

  Consent forms are documents that are used to obtain permission from an individual before proceeding with a particular action. They are often used in research studies, clinical trials, and other situations where someone may be asked to participate in something that could have potential risks. It is important for individuals to carefully read and understand the consent form before signing it.

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  calculators

  A collection of free online calculators that are useful to students, teachers or engineering professionals.

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  enquiry forms

  Enquiry forms are used to collect information from potential customers or clients. They typically include questions about the individual's contact information, preferences, and needs. The information collected can be used to follow up with the individual and provide them with customized information about your products or services.

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  church forms

  Wondering what forms and surveys churches should be using? Here is a giant list of church forms that you can use in your church.

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  employee experience

  50+ Employee Survey Templates includes everything you'll need to conduct <br class="d-none d-sm-none d-md-none d-lg-block d-xl-block"> an employee survey at your workplace.

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  counseling forms

  The counseling forms on our website provide counselors with the information they need to understand their clients' needs and provide the best possible counseling services.

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  astrology forms

  Astrology Form templates is a list of templates designed to get your horoscope readings and astrology predictions effortlessly. With our easy-to-use online forms, you can get started right away collecting horoscope details of your customers and get going with <br class="d-block d-sm-none d-md-none d-lg-none d-xl-none"> divinatory practices.

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  anonymous form

  An anonymous form is a form that does not include any identifying information about the person who is filling it out. This type of form is often used for surveys or polls in which the respondent's identity is not important. Anonymous forms can also be used for sensitive information, such as an employee or salary questionnaire, where the person's anonymity is important.

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  brand experience

  Create brand experience consistency and get valuable feedback with our templates.

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  booking forms

  A collection of handy booking forms

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  assessment forms

  The Assessment Forms allow you to collect data, and evaluate the progress & performance of your employees, students, or vendor. Helps you keep track of individual or group development in <br class="d-block d-sm-none d-md-block d-lg-block d-xl-block"> your organization.

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  application form

  The application form is used by organizations to collect information from applicants. It is a document that contains questions that help the organization to know the applicant better. It also allows the applicant to provide information that may be relevant to the organization's decision-making process.

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  abuse surveys

  There are many different types of abuse surveys, but they all share a common goal: to collect data about the prevalence of abuse and the characteristics of victims and abusers. Abuse surveys can be conducted by government agencies, non-profit organizations, or private companies.

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  anonymous reporting

  A collection of templates for anonymous reporting

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  alcoholism surveys

  There are many different types of alcoholism surveys, but all of them aim to collect data about alcohol use and abuse. Some surveys focus on specific populations, such as college students or adults in treatment for alcoholism, while others are more general in nature. Questions typically focus on how much alcohol is consumed, how often it is consumed, and any problems that have arisen from drinking.

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  blocksurvey features

  The most easy way to start and <br class="d-block d-sm-none d-md-none d-lg-none d-xl-none"> learn BlockSurvey