YES to the Future – CAGE-AID Questions Please complete this on your own. Choose Yes, or No for each of the following questions. 1. Have you ever felt you ought to cut down on your drinking or drug use?*1. Have you ever felt you ought to cut down on your drinking or drug use? Yes No 2. Have people annoyed you by criticizing your drinking or drug use?*2. Have people annoyed you by criticizing your drinking or drug use? Yes No 3. Have you felt bad or guilty about your drinking or drug use?*3. Have you felt bad or guilty about your drinking or drug use? Yes No 4. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover (eye-opener)?*4. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover (eye-opener)? Yes No Name* First Last County of Residence*CentreClintonColumbiaLycomingMifflinMontourNorthumberlandSnyderUnionParticipant ID* Signature*Date* MM slash DD slash YYYY Quicklinks Explore Careers Specialized Services Building Green Futures Build Skills Job Seeker Success Stories Additional Resources & Support Forms & Policies
