WHAT IT COST ME

(If yes, what was it? . If no, why not? )

(If yes, what was it? )

(If drinking alcohol after work, for how many hours? )
(If engaged in a recreational activity while using alcohol or drugs, for how many hours? )

(If had used Pills, what type: )

During the weekdays, I tend to drink or use drugs on (place the number of drinks/ amount of drugs used next to a.m./p.m.):
Monday:     #a.m. to       #p.m.
Tuesday:       #a.m. to      #p.m.
Wednesday:       #a.m. to      #p.m.
Thursday:       #a.m. to      #p.m.
Friday:       #a.m. to      #p.m.

During the weekends, I tend to drink or use drugs on (place the number of drinks/ amount of drugs used next to a.m./p.m.):
Saturday:         #a.m. to        #p.m.
Sunday:       #a.m. to      #p.m.