The SASSI Institute Feedback Form

Your experience with our instrument is important to us.

While we hope that everyone using our screening tools is 100% satisfied, we also know that is not always possible. This form is intended for you to share the good and the bad. We want to continue to support you and other professionals in the field, but can only do that effectively, if we hear your experiences.

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* 1. Which licensed instrument do you currently use or have used in the past? Check all that apply:

Adult SASSI (Adult Substance Abuse Subtle Screening Inventory) any version

Adolescent SASSI (Adolescent Substance Abuse Subtle Screening Inventory) any version

Spanish SASSI (Spanish Substance Abuse Subtle Screening Inventory)

BADDS (Behaviors & Attitudes Drinking & Driving Scale)

SAS-ASL (Substance Abuse Screener in American Sign Language)

I have only completed SASSI certified training, but have not used the instrument.

I do not use or have ever used an instrument licensed by The SASSI Institute, nor have I ever completed a SASSI Training.

Other (please specify)

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* 2. In what context do you utilize our instrument(s)?

EAP, Union, DOT-SAP

Probation, Parole, Pre-sentencing

Drug Court

Workforce Development

Jail, Prison

Behavioral Health Facility

Secondary / College Education

Welfare, Child Protective Services

Medical, Hospital, HMO

Military

Vocational Rehabilitation

Substance Abuse Treatment Program

Private Practice

Other (please specify)

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* 3. What format do you currently (or most recently) use to administer our instrument(s)?

Paper & Pencil

SASSI Online

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* 4. Do you currently use any other screening instruments in your line of work?

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* 5. Please describe how you utilize our instrument to support the work you do with your clients?

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* 6. Please describe if you think anything is missing from our instrument(s) or how we could support you better.

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* 7. Can we use your name and location to share how the instrument supports your work as a review on our website, in marketing materials, and/or on our social media platforms? If yes, please provide your information to be displayed. If no information is provided, it will be submitted anonymously.

First Name or Initial, Last Name or Initial, both, or neither

State/Province and Country