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Substance Use Check for Adolescents (S2BI)

This assessment is intended for members under 18 years of age. In the past year, how many times have you used:

Fields marked with an asterisk (*) are required




Prescription drugs that were not prescribed for you (such as pain medication or Adderall)?

Illegal drugs (such as cocaine or Ecstasy)?

Inhalants (such as nitrous oxide)?

Herbs or synthetic drugs (such as salvia, “K2”, or bath salts)?

Important Information About Self-Check Tools