cage

CAGE-AID Questionnaire for Drug or Alcohol Addiction Screening
[select name="Q1" value="no=0|YES=1"] <-- Have you ever felt that you ought to cut down on your drinking or drug use?
[select name="Q2" value="no=0|YES=1"] <-- Have people annoyed you by criticizing your drinking or drug use?
[select name="Q3" value="no=0|YES=1"] <-- Have you ever felt bad or guilty about your drinking or drug use?
[select name="Q4" value="no=0|YES=1"] <-- 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?
Score --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)" memo="score"] out of 4.  Interpretation --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4);score>0?'POSITIVE Screen for Alcohol or Drug Addiction - One positive response to any question suggests the need for closer assessment.  ':'NEGATIVE screen for Alcohol or Drug Addiction.'" memo="interpretation"]
[checkbox memo="hide/display references and links" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"]
references and links:
[link url="http://www.ncbi.nlm.nih.gov/pubmed/4416585" memo="#1"] Mayfield D, McLeod G, Hall P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974 Oct;131(10):1121-3.
[link url="https://www.ncbi.nlm.nih.gov/pubmed/7778330" memo="#2"] Brown RL, Rounds, LA. Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wisconsin Medical Journal. 1995:94(3) 135-140.
[/conditional]
CAGE-AID Questionnaire for Drug or Alcohol Addiction Screening
<-- Have you ever felt that you ought to cut down on your drinking or drug use?
<-- Have people annoyed you by criticizing your drinking or drug use?
<-- Have you ever felt bad or guilty about your drinking or drug use?
<-- 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?
Score --> scorescore=(Q1)+(Q2)+(Q3)+(Q4) out of 4. Interpretation --> interpretationscore=(Q1)+(Q2)+(Q3)+(Q4);score>0?'POSITIVE Screen for Alcohol or Drug Addiction - One positive response to any question suggests the need for closer assessment. ':'NEGATIVE screen for Alcohol or Drug Addiction.'
hide/display references and links

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 10 form elements, 89 boilerplate words, 1 checkboxes, 4 drop downs, 2 links, 2 calculations, 1 conditionals, 5 total clicks
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