1.Please provide your credentials (MD, DO, PA, NP, PhD, RN, other)

2.I feel I have a working knowledge of alcohol and drug problems.

Yes

No

3.I feel I know enough about the causes of alcohol and drug problems to carry out my role when working with adolescents who drink alcohol/use drugs.

Yes

No

4.I feel I know enough about alcohol and drug use effects on family/social relationships to carry out my role when working with adolescents who drink alcohol/use drugs.

Yes

No

5.I feel I know enough about the physical/health effects of drugs and alcohol to carry out my role when working with adolescents who drink alcohol/use drugs.

Yes

No

6.I feel I know enough about the factors which put adolescents at risk of developing substance use problems to carry out my role when working with adolescents who drink alcohol/use drugs.

Yes

No

7.I feel I know how to counsel adolescents who drink alcohol or use drugs over the long term.

Yes

No

8.I feel I can appropriately advise my adolescent patients about drug/alcohol use and their effects.

Yes

No

9.I feel I have the right to ask adolescent patients questions about their drinking/drug use when necessary.

Yes

No

10.I feel that my adolescent patients believe I have the right to ask them questions about drinking and drug use when necessary.

Yes

No

11.I feel I have the right to ask an adolescent patient for any information that is relevant to their drug/drinking problem.

Yes

No

12.If I felt the need when working with adolescents who drink alcohol/use drugs, I could easily find someone who would help me clarify my professional responsibilities.

Yes

No

13.If I felt the need, I could easily find someone who would be able to help me formulate the best approach to an adolescent who drinks alcohol/uses drugs.

Yes

No

14.I want to work with adolescents who drink alcohol/use drugs.

Yes

No

15.I feel comfortable working with adolescents who drink alcohol/use drugs.

Yes

No

16.In general, one can get satisfaction from working with adolescents who drink alcohol/use drugs.

Yes

No

17.In general, it is rewarding to work with adolescents who drink alcohol/use drugs.

Yes

No

18.In general, I feel I can understand adolescents who drink alcohol/use drugs.

Yes

No