CRAFFT Questionnaire - version 2.1 - self-administered clinician interview risk assessment guide

Sep 18, 2026

Upload by Levi

CRAFFT Questionnaire (version 2.1) provides patient self-administration instructions to assess substance use risk over the past 12 months. It guides respondents to answer questions about alcohol, marijuana or synthetic marijuana, other drugs, and follow-up risk items including riding in a car with someone high or drinking, using substances to relax or alone, memory blackouts, advice from family or friends to cut down, and trouble resulting from use. Instructions specify branching: if all responses are 0, stop at question 4; otherwise answer questions 4-9. The clinician CRAFFT Interview (version 2.1) includes administration wording, Part A and Part B/C/F/R/A/F/T item mapping, and scoring guidance.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages3

Reading Time8 min

AccessFree to download

CRAFFT Questionnaire (version 2.1)

Patient self-administration instructions (past 12 months)

Question set and stop/continue rule

CRAFFT Interview (version 2.1)

Clinician administration script and Part A

CRAFFT items (CAR, Relax, Alone, Forget, Friends, Trouble)

Scoring interpretation (two or more YES)

Confidentiality and clinical next steps

Protected information notice (42 CFR Part 2)

Graph review and DSM-5 risk counseling

Brief counseling talking points

Contract for Life and self-motivation statements

The CRAFFT Questionnaire (version 2.1) To be completed by patient Please answer all questions honestly; your answers will be kept confidential. During the PAST 12 MONTHS, on how many days did you: | 1. | Drink more than a few sips of beer, wine, or any drink containing alcohol? Put “0” if none. | | | | | --- | --- | --- | --- | --- | | 2. | Use any marijuana (weed, oil, or hash, by smoking, vaping, or in food) or “synthetic marijuana” (like “K2,” “Spice”) or“vaping” THC oil? Put “0” if none. |
\# of days | | | | 3. | Use anything else to get high (like other illegal drugs, | | | | | | prescription or over-the-counter medications, and things | | | | | | that you sniff, huff, or vape )? Put “0” if none. | \# of days | | | | | | | | | | READ THESE INSTRUCTIONS BEFORE CONTINUING:
􀁸 If you put “0” in ALL of the boxes above, ANSWER QUESTION 4, THEN STOP.
􀁸 If you put “1” or higher in ANY of the boxes above, ANSWER QUESTIONS 4-9. | | | | | | No Yes | | | | | | 4. | Have you ever ridden in a CAR driven by someone (including yourself) who was “high” or had been using alcohol or drugs? | | 􀂅 | 􀂅 | | 5. | Do you ever use alcohol or drugs to RELAX , feel better about yourself, or fit in? | | 􀂅 | 􀂅 | | 6. | Do you ever use alcohol or drugs while you are by yourself, or ALONE? | | 􀂅 | 􀂅 | | 7. | Do you ever FORGET things you did while using alcohol or drugs? | | 􀂅 | 􀂅 | | 8. | Do your FAMILY or FRIENDS ever tell you that you should cut down on your drinking or drug use? | | 􀂅 | 􀂅 | | 9. | Have you ever gotten into TROUBLE while you were using alcohol or drugs? | | 􀂅 | 􀂅 | The CRAFFT Interview (version 2.1) To be orally administered by the clinician Begin: “I’m going to ask you a few questions that I ask all my patients. Please be honest. I will keep your answers confidential.” Part A During the PAST 12 MONTHS, on how many days did you: 1. Drink more than a few sips of beer, wine, or any drink containing alcohol? Say “0” if none. 2. Use any marijuana (weed, oil, or hash, by smoking, vaping, or in food) or “synthetic marijuana” (like “K2,”“Spice”) or “vaping” THCoil? Put “0” if none. 3. Use anything else to get high (like other illegal drugs, prescription or over-the-counter medications, and things that you sniff, huff, or vape)? Say “0” if none. Did the patient answer “0” for all questions in Part A? Yes No Ask CAR question only, then stop Ask all six CRAFFT* questions below Part B No Yes C Have you ever ridden in a CAR driven by someone (including yourself) who was “high” or had been using alcohol or drugs? R Do you ever use alcohol or drugs to RELAX , feel better about yourself, or fit in? A Do you ever use alcohol or drugs while you are by yourself, or ALONE? F Do you ever FORGET things you did while using alcohol or drugs? F Do your FAMILY or FRIENDS ever tell you that you should cut down on your drinking or drug use? T Have you ever gotten into TROUBLE while you were using alcohol or drugs? *Two or more YES answers suggest a serious problem and need for further assessment. See back for further instructions NOTICE TO CLINIC STAFF AND MEDICAL RECORDS: The information on this page is protected by special federal confidentiality rules (42 CFR Part 2), which prohibit disclosure of this information unless authorized by specific written consent. A general authorization for release of medical information is NOT sufficient. 1. Show your patient his/her score on this graph and discuss level of risk for a substance use disorder. Percent with a DSM-5 Substance Use Disorder by CRAFFT score* CRAFFT Score *Data source: Mitchell SG, Kelly SM, Gryczynski J, Myers CP, O’Grady KE, Kirk AS, & Schwartz RP. (2014) . The CRAFFT cut-points and DSM-5 criteria for alcohol and other drugs: a reevaluation and reexamination. Substance Abuse, 35(4), 376–80. 2. Use these talking points for brief counseling. 1. REVIEW screening results For each “y

FAQs

What is the purpose of the CRAFFT Questionnaire (version 2.1)?

It is designed to screen for risk related to alcohol and other drug use over the past 12 months, using patient-reported answers and a clinician interview follow-up when needed.

How should patients decide whether to stop or continue after answering questions 1-3?

If “0” is entered in ALL boxes above, answer question 4 and then stop. If “1” or higher is entered in ANY box above, answer questions 4-9.

What do “two or more YES answers” indicate in the CRAFFT Interview?

Two or more YES answers suggest a serious problem and need for further assessment.

Sep 18, 2026

Upload by Levi