Barc - 10
Brief Assessment of Recovery Capital
Name
First Name
Last Name
Date of Birth
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Todays Date:
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please select a number 1 through 6 that represents your level of agreement towards the following statements.
Rows
1 Strongly Disagree
2 Disagree
3 Somewhat Disagree
4 Somewhat Agree
5 Agree
6 Strongly Agree
There are more important things to me in life than using substances
In general I am happy with my life
I have enough energy to complete the tasks I set for myself
I am proud of the community I live in and feel a part of it
I get lots of support from my friends
I regard my life as challenging and fulfilling without the need for using drugs or alcohol
My living space has helped to drive my recovery journey
I take full responsibility for my actions
I am happy dealing with a range of professional people
I am making good progress on my recovery journey
Total
Submit
Should be Empty: