A pre-screening document

A pre-screening document.

A pre screening document is a set of questions set by an interviewer in order to get information from the targeted group of people or individual. This is mostly experienced in hospitals where patients seeking medical care are advised to fill in a form, describing their health history and their current health condition. The purpose of a pre-screen document or form is to enable doctors with diagnosis or what the patient needs for treatment. In a rehabilitation centre, for example a drug addict wants to quit using drugs, the doctor asks the patient to fill in a form describing some of the drugs the addict uses, how long they have used them and to what degree. These are some of the information details present in a pre screen document. Drug addiction is one of the leading fatal problems (Bier, 1962) reigning most of the youth today, some fight to get out of it but the environment or due to peer influence they find it hard to stop (Barnard, 2007). But some take the most difficult step and they decide to openly declare their addiction; they join rehabilitation centres where they are taken through step by step process in order to recover. As they join the rehabilitation centres, they are required to go through a pre screening interview either orally or via filling a form so as to give the counsellors and doctors a go ahead of what to expect and through that they can decide which path they can take towards recovery.

Fill in the following detail.

Full name:

Sex/ age:

Marital status:

Contacts/ email address:

As Drug Rehabilitation centre the knowledge about our client’s health history and his current health status is our concern. For the questions asked below a tick if the answer is yes if no leave the box blank. For the information you are required to write the answers please do. Pay attention to what is asked and fill in the correct information.

Which kind of drug(s) do you use?                                          Yes or No

• Alcohol

• tobacco

• Marijuana

• Khat