🔒 Secure & de-identified

Welcome to your CSAT GPRA intake form

This secure portal walks you through Sections A–G of the CSAT GPRA questionnaire. You can move at your own pace and review your answers before they are sent.

View locally saved answers

• Most people take around 30–40 minutes to complete all sections.
• Your responses are stored in an encrypted system and de-identified before analysis.
• You may pause between sections during your session; use the Save button on each page to keep answers in this browser.

What you’ll be asked

Basic demographics and contact details (Section A)
Substance use and treatment history (Section B)
Housing, education, work, and income (Sections C–D)
Legal, mental, and physical health questions (Sections E–F)
Support networks and social connectedness (Section G)

Your privacy

This intake is designed to follow federal guidance for GPRA data collection. For full details on how your information is handled, see our Privacy Policy.

Personally identifying info is handled separately from analytics fields.
Only authorized staff can view named records.
You can request that your answers be updated or corrected through your provider.