Version 21.3

Path: Clinical tab > More button (Customize group) > Surveys > CHADIS Group

Disclaimer: CHADIS Surveys are only available in OP to practices who have an active subscription with CHADIS.

About

With the release of OP 21.3, the CHADIS Survey Library was enhanced to include the following CHADIS Surveys. *These questionnaires may have an additional cost associated with them. Ask your CHADIS account manager or sales representative for details.

CHADIS Surveys Added

Adolescent Self-Administered

Questionnaire	OP Short Name
CBCL: Youth Self-Report for Ages 11-18	YSR 11-18
Sexuality and Gender Questionnaire	Sexuality and Gender
Patient Health Questionnaire-9 (Cut Score >=8) T - MEDS	PHQ-9-cut >=8
Brief Problem Monitor - Youth Form for ages 11-18	BPM-Y
Pediatric Symptom Checklist 35-item Youth Report with Suicide Related Questions	Y-PSC-35 with Suicide-Related Questions
Goals and Strengths Youth	Goals and Strengths Youth
Youth Health Questionnaire - S	YHQ-S
Youth Health Questionnaire - S with goals revised	YHQ-S
Patient Health Questionnaire-9 (Cut Score >=8) Version T	PHQ-9-cut >=8
Goals and Strengths Youth- Short	Goals and Strengths Youth- Short

Adult

Questionnaire	OP Short Name
The Modified Overt Aggression Scale	MOAS
Relational Self-Schema Measure	Relational Self-Schema Measure
Adult Self Report for Ages 18-59*	Adult Self Report for Ages 18-59*
Brief Problem Monitor - Adult Form for ages 18-59*	Brief Problem Monitor - Adult Form for ages 18-59*
Patient Annual Update	Patient Annual Update
UCLA Loneliness Scale Version 3	UCLA Loneliness Scale Version 3

Child Mental Health

Questionnaire	OP Short Name
Weiss Symptom Record II	WSR-II
Weiss Symptom Record II without Suicide Items	WSR-II
Teacher's Report Form for Ages 6-18	TRF 6-18
Child Behavior Checklist for Ages 6-18	CBCL 6-18
Child Behavior Checklist for Ages 1 1/2-5	CBCL 1½-5
Mood and Feelings Questionnaire: Parent-Report on Child Short Version - MEDS	SMFQ: Parent-Report on Child Short Version
Brief Problem Monitor - Parent Form for ages 6-18	BPM-P
Caregiver-Teacher Report Form for Ages 1 1/2 - 5 (for use in daycare settings)	CTRF 1 1/2 -5
Mood and Feelings Questionnaire: Parent-Report on Child Short Version	SMFQ: Parent-Report on Child Short Version

Clinician Tools

Questionnaire	OP Short Name
Oral Risk Assessment Tool - PARENT	Oral Risk
Oral Risk Assessment Tool - CLINICIAN	Oral Risk

Educator

Questionnaire	OP Short Name
Brief Problem Monitor - Teacher Form for ages 6-18	BPM-T

Family/Environment

Questionnaire	OP Short Name
CIFC Health Center Intake	Intake Form
CIFC Health Center Records Request	Records Request
Integra Social Health Questionnaire (ID: 1159)	Integra SDoH
CIFC Health Center Intake with Records Request	Intake Form
Integra Social Health Questionnaire (ID: 1213)	Integra SDoH
Integra Social Health Questionnaire (ID: 1242)	Integra SDoH

General Medical - Bright Futures including Safety

Questionnaire	OP Short Name
Safety Checklist: 7-10 Years Youth Report	Safety: 7-10 Youth
Safety Checklist: 11-17 Years Parent/Guardian Report	Safety: 11-17 Parent
Safety Checklist: 11-17 Years Youth Report	Safety: 11-17 Youth
Safety Checklist: 18-21 Years Young Adult	PHQ-9-cut >=8-MEDS

General Medical & Behavioral

Questionnaire	OP Short Name
Older Adult Self-Report For Ages 60+	OASR
Adult Self Report for Ages 18-59	ASR
Youth Health Questionnaire S - Parent (without TEENSAFE)	YHQ-P S

General Medical Care

Questionnaire	OP Short Name
Tuberculosis Screening Questionnaire - TX	TB Screening Questionnaire
Tuberculosis (TB) Screener - General	TB Screening Questionnaire
Guidance Topics	Guidance Topics
Brenner 'Families in Training'	FIT
MHSA CONFIDENTIAL ATHLETIC PRE-PARTICIPATION PHYSICAL EXAM	Sports Physical

General Medical - Other

Questionnaire	OP Short Name	CHADIS Category
Intake Form (Childhood/Adolescent Questionnaire)	Intake Form	General Medical - Clinic Specific Intake Forms
Blood Lead Screening and Healthy Homes Summary	Mississippi lead	General Medical - EPSDT
PRAPARE - Health Center	PRAPARE - Health Center	General Medical - Social Determinants of Health
Lead Poisoning and Tuberculosis Risk Assessment	Lead Poisoning and TB Risk Assessment	General Medical - EPSDT

Mental Health

Questionnaire	OP Short Name	CHADIS Category
Spence Preschool Anxiety Scale (Parent Report)	(SCAS-Preschool)	Mental Health - Preschool Screeners
CRAFFT+N-HONC Version 2.1	CRAFFT+N-HONC Version 2.1	Mental Health - Substance Use

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