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OUT FROM UNDER!
Treating Your Own Addictions

 Dan Mahony, M.Phil. & Bill Moschella, D.M.D.


APPENDIX 4

RECOVERY NETWORK QUESTIONNAIRE

        This is a series of questions designed to help you cover all bases in your recovery. There is no "score" to achieve. The purpose of it is to show you the areas needing greater participation in your recovery. It also shows you the areas where you are doing well. 

 

1) When did you last speak to your sidekick?
a) today
b) yesterday
c) week ago
d) month ago
e) not in the last few months

a) What type of sober social activi ties have you been involved in?
b) How many people in your network have you had contact with?
c) Have you telephoned anyone on a regular basis?

3) Participation in self help groups:

a) Do you regularly attend AA, Al- Anon, group therapy, educational group, or other recovery groups?
b) Do you regularly attend hobby clubs, social activities, church events?

4) Spiritual attitudes:

Past:
a) Did your parents "force" religion on you?
b) Did you attend services on a regular basis?
c) Did you honestly enjoy your childhood religious experience?
d) Did you attend other types of religious educational programs?
e) How would you rate your religious childhood experience?

Present:
a) Do you now attend religious services?
b) Is it the same religion as that .of your parents?
c) Do you enjoy religious services now?

 

 

FAMILY RECOVERY NETWORK SURVEY


How much help can your father give you with your healing?
(0) -none
(1) -very little
(2) -don't know
(3) -could help
(4) -very helpful

How much help can your mother give you with your healing?
(0) -none
(1) -very little
(2) -don't. know
(3) -could help
(4) -very helpful

How much help can your brother(s) give you with your healing?
(0) -none
(1) -very little
(2) -don't know
(3) -could help
(4) -very helpful
4) ("1" for oldest, "2" for 2nd oldest, etc. for each.)

How much help can your sister(s) give with your healing?
(0) -none
(1) -very little
(2) -don't know
(3) -could help
(4) -very helpful
5) What other relatives can help?

How much help can they be?
(0) -none
(1) -very little
(2) -don't know
(3) -could help
(4) -very helpful
6) What friends can help?

How much help can they be?
(0) -none
(1) -very little
(2) -don't know
(3) -could help
(4) -very helpful
7) Of all of the above persons, who can help the most? Anyone else?
8) Who helps you now? Anyone else?


 

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