intakes@unityplacemc.com
1075 STEPHENSON AVE. SUITE C OCEANPORT, NJ 07757
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intakes@unityplacemc.com
1075 STEPHENSON AVE. SUITE C OCEANPORT, NJ 07757
About
Who are We?
Our Team
Gallery
Services
Programs
Resources
Unity Media
Blogs
Events
News
Get HELP
CAGE-AID Questionnaire
Over the last 2 weeks, how often have you been bothered by any of the following problems?
Have you ever felt that you ought to cut down on your drinking or drug use?
Yes
No
Have people annoyed you by criticizing your drinking or drug use?
Yes
No
Have you ever felt bad or guilty about your drinking or drug use?
Yes
No
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?
Yes
No
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Phone number
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Mental illness and addiction are not choices, but recovery is.
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Questionnaire
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