Assess Your Readiness for Recovery

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MonthDayYear
Date
Please answer the following questions. Think them through and indicate your most honest answer from the choices available. You must complete all questions in order to receive results.
(1) I think I have an alcohol or drug problem*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(2) I might have an alcohol or drug problem, but it isn’t that bad yet.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(3) I sometimes worry that I could develop a severe alcohol or drug problem in the future.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(4) I think about stopping my alcohol or drug use but I haven’t tried to quit yet.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(5) I have an alcohol or drug problem, but feel I can handle it on my own.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(6) I don’t think inpatient treatment is a good option for me.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(7) I can’t afford to spend thousands for rehab.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(8) I'm not willing to take time away for conventional treatment.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(9) I've been through a rehab in the past. I was unsuccessful at maintaining recovery. I think my treatment experience was missing something I needed.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(10) I know people in successful long-term recovery from alcohol and/or drug problems.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(11) I have promised myself and others many times that I would cut down or stop my drinking or drug use.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(12) I have tried to stop my drinking or drug use many times.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(13) I can name three things in my life that would improve if I stopped my drinking and/or drug use.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(14) I can name three bad things that might happen to me if I continue my drinking or drug use.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(15) I have some family and friends who will support me if I try to stop my drinking and/or drug use.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(16) I'm in fear of losing relationships with people I love because I can't seem to stop the substance use.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(17) I’m surrounding by family members and friends that would make it very hard for me to stop my drinking and/or drug use.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(18) I currently have a plan to stop my drinking and/or drug use, but I have not acted on the plan yet.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(19) I live in a community with many recovery resources that could help me.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(20) I've tried 12-step meetings in the past, but found that I still couldn't stay clean and sober.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
(21) I live in a community with many recovery support meetings per week.*

Strongly AgreeAgreeNot SureDisagreeStrongly Disagree
Score
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