WEEKLY UPDATE AND SOBRIETY PLAN
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
What’s your Sobriety Date?
Do you have a sponsor ?
Please Select
Yes
No
What’s your sponsor’s name ?
First Name
Last Name
What’s your sponsor’s Phone Number?
Please enter a valid phone number.
What is the name of your employer?
What are your pay dates for work?
Are you having any cravings?
How would you rate the intensity of your cravings between 1-10?
Please Select
1
2
3
4
5
6
7
8
9
10
What do you do in response to your cravings to work past them?
What were your strengths this week?
What were your weaknesses this week?
In what areas of your life can we help you succeed (enroll in school, get a job, etc)? Please list and describe.
What meetings did you go to this week? Please list the date, name of the meeting and time?
Are you currently working the 12 Steps?
Please Select
Yes
No
What step are you on?
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Have you had any problems in the house with any other residents? Have you had any issues this week or areas you are concerned with regarding other residents?
What goals do you want to focus on this next week?
Submit
Should be Empty: