Chat Enquiry

     

    Please narrate the intoxicants you are addicted to or you consume occasionally.

     

    S.No

    :

    Name of Intoxitant

    Duration of addiction(year)

    Quantity consumed per day

    1.

    :

    2.

    :

    3.

    :

    4.

    :

    4.

    :

    4.

    :

     

    Please propose 3 occasions convenient for you to get your toxicity level assessed.

     

    Date

     

    Time

     

    Date

     

    Time

     

    Date

     

    Time