Exit this survey Vulnerability Screening Tool 1. Consumer Characteristics Question Title * 1. Mental Health Needs 0 No evidence. 1 History or suspicion of symptoms associated with a mental disorder. 2 Clear evidence of symptoms of a mental health disorder that interferes with life functioning in one or more life domains. 3 Clear evidence of a dangerous level of mental health/psychiatric symptoms requiring frequent use of screening centers or other psychiatric facilities. Question Title * 2. Chemical Dependency Needs 0 No evidence 1 History or suspicion of substance use 2 Clear evidence of substance abuse that interferes with life functioning in any life domain 3 Has a drug or alcohol addiction or requires detox Question Title * 3. Physical/Health Condition This rating includes both health problems and chronic/acute physical condition 0 No evidence of physical or medical problems 1 Mild or well-managed physical or medical problems are indicated. This might include well managed chronic conditions like diabetes or asthma. 2 Chronic physical or moderate medical problems are present 3 Severe, life threatening physical or medical condition exists Next