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Free
Drug & Alcohol Assessments
Our online drug and alcohol assessments are for individuals who seek to manage their own addiction.
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.
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.
Drug Addiciton Survey
The survey is designed to gather information about people's experiences with drug addiction. The survey will ask about your personal experiences with drug addiction, as well as your thoughts on the subject. The survey is anonymous and confidential, and your answers will be used to help researchers better understand drug addiction and its impact on people's lives.
Alcohol Addiction Survey
The purpose of this survey is to gather information about people's experiences with alcohol addiction. The survey will ask about your personal experiences with alcohol addiction, as well as your thoughts on the causes, treatments, and consequences of addiction.
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.
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.
FAQs on Drug And Alcohol Assessment
- A drug and alcohol assessment is a comprehensive evaluation conducted by a qualified professional to determine an individual's substance use history, current level of functioning, and risk of harm due to their substance use. It is used to inform appropriate treatment and service recommendations.
Other categories
Explore moreHIPAA 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.
Healthcare Forms
A collection of forms to use a templates for the purpose of
healthcare administration.Mental Health Assessment
A collection of mental health self assessment templates for clinicians, researchers, and teachers.
Psychometric Scales
Psychometric scales are tools used for mental health practitioners to measure various aspects of an individual's mental health. These scales are standardized instruments that have been validated through research and are used to assess symptoms, behaviors, emotions, and other psychological constructs.
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.
Women Healthcare Surveys
Women healthcare surveys are questionnaires designed to gather information on various aspects of women's health, including their experiences with healthcare providers, access to healthcare services, reproductive health, mental health, and overall well-being. These surveys may ask women about their health behaviors, attitudes towards healthcare, satisfaction with services, and barriers to accessing care. The purpose of women healthcare surveys is to gather data that can help identify gaps in healthcare services, assess the quality of care provided to women, and inform policies and programs aimed at improving women's health outcomes. Survey results can also be used to track trends in women's health over time, monitor the impact of healthcare interventions, and guide healthcare providers in delivering more patient-centered care.
Cognitive Assessment Tests
Cognitive assessment tests are tools used by therapists to evaluate a person's cognitive abilities, such as memory, attention, reasoning, and problem-solving skills. These tests can help therapists identify cognitive strengths and weaknesses, track changes over time, and develop individualized treatment plans.
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.
Drug And Alcohol Assessment
Our online drug and alcohol assessments are for individuals who seek to manage their own addiction.
Institutional Research
Institutional research (IR) surveys are essential tools for colleges, universities, and K-12 institutions to collect, analyze, and interpret data that informs decision-making, policy development, and strategic planning.
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.
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.
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.
Self Assessments
These assessments help you identify your strengths and weaknesses.
Anonymous Surveys
Anonymous surveys let respondents share honest opinions securely and privately. Responses remain confidential, with no identifiable information collected. Ideal for sensitive feedback, ensuring trust and openness.
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
audience better.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.
Employee Experience
50+ Employee Survey Templates includes everything you'll need to conduct
an employee survey at your workplace.Anonymous Reporting
A collection of templates for anonymous reporting
Education Forms
Forms and survey templates for education institutions of all kinds. From pre-school to high school, universities and beyond.
Event Experience
Templates that come with refined design, simple navigation, and intuitive form fields for you to create memorable
event experience.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.
Token Gated Forms
Token-gated forms are specialized digital tools designed to restrict access to online forms or surveys based on the ownership of specific cryptographic tokens. These innovative solutions leverage blockchain technology to verify the possession of digital assets, allowing only token holders to participate in exclusive feedback collection, sign-ups, or opinion polls. This approach ensures targeted engagement from a particular community, such as NFT collectors, cryptocurrency investors, or members of decentralized autonomous organizations (DAOs). By integrating with various blockchain networks, these forms and surveys enhance privacy, reduce spam, and foster a sense of exclusivity and community among participants. They are ideal for gathering insights, feedback, or preferences from a specific audience, offering a new dimension to digital interactions and data collection in the blockchain era.
Crypto And Blockchain
The most comprehensive collection of forms and survey templates to build
your crypto blockchain industrySkill 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.
Financial Wellness Surveys
Financial wellness surveys are tools used to assess an individual's overall financial health and well-being. These surveys typically include questions about income, expenses, savings, debt, investments, and financial goals. They may also cover topics such as budgeting, retirement planning, emergency savings, and financial literacy.The purpose of financial wellness surveys is to provide individuals with insight into their current financial situation and to help them identify areas where they may need to make improvements.
Customer Experience
Our collection of more than 20 simple templates for customer experience. Includes NPS, CES, CSAT and other applications.
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.
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
with the government.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.
Gaming Surveys
Gaming surveys are questionnaires designed to gather information and opinions from gamers about their gaming habits, preferences, and experiences. These surveys can cover a wide range of topics, such as favorite gaming genres, preferred gaming platforms, frequency of gaming sessions, purchasing habits, and opinions on specific games or gaming trends. The information collected from gaming surveys can be used by game developers, publishers, marketers, and researchers to make informed decisions about game development, marketing strategies, and overall industry trends.
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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Join 500+ happy customers worldwide who are already using our amazing product.
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This platform goes far beyond basic surveys. I’ve used it for lead generation, landing page enrichment, and even embedded videos. Everything’s easy to use, well documented, and super flexible—whether you're building forms, quizzes, or something more advanced.
Martin G.Créateur de la Méthode RashōmonUI/UX is great and fast API processing
I think BlockSurvey is good for short and long surveys. What I find the best is the fact that there are so many templates I can use and customize.
Ankit M.AI Analyst Team LeadAI form builder for top security and data privacy
Uses end-to-end encryption technology that allows users to create survey forms where data is secure and private. UI looks very beautiful.
Lou F.Creative VisionaryNothing Like It — BlockSurvey Is in a League of Its Own!
From end-to-end encryption-level security and AI-generated questions to powerful logic flows and white-label domains, BlockSurvey has it all. It’s secure, innovative, and packed with features like calculations, templates, and in-app analytics. I use it to create personalized assessments for leadership training—nothing else compares.
Kim B.Founder/ President - International Leadership TrainerSurvey and Forms for Privacy and Security
BlockSurvey puts privacy and security above anything else. The use of end-to-end encryption is not a gimmick as in many products; it's a core feature enabling privacy and security. The survey building tools are impeccable. I've used numerous SaaS survey tools, and nothing comes close.
Trevor L.Chief Information Security Officer (CISO)Big fan of BlockSurvey and what Wilson and the team are doing. BlockSurvey was the end-to-end encrypted product I signed up for and I love the UI, privacy, responsiveness, and transparency behind the platform. Great job all 'round and awesome to see it keep evolving.
James Longley@jameslongleyUnmatched Security & Stunning Response Rates
Few tools combine data confidentiality and form aesthetics like this one. The conversational design improved my response rate by 43%, and the webhook integrations made syncing to our CRM effortless. I also love how responsive and community-driven the support team is.
Kris R.Group Automation ManagerPowerful custom surveys
Creating surveys with BlockSurvey has been a breeze. The drag-and-drop interface is intuitive, and we’re able to collect data anonymously and securely—without intermediaries. It’s interactive, friendly, and encourages high participation while protecting user privacy. The reports are solid, and we’ve used it confidently for internal and external feedback.
Liz D.IT Support SpecialistPrivate, Beautiful Surveys That Build Trust
For our NGO, data privacy is everything—and this platform nails it. It keeps personal info fully protected while letting us design beautiful, chat-like surveys that increase engagement. Team collaboration features sealed the deal.
Luis Noel D.Director Comercial