Gratitude List

Gratitude List

describe the people, places and things you are grateful for and why
Person One Name
Why are you grateful for person one?
Person Two Name
Why are you grateful for person two?
Person Three Name
Why are you grateful for person three?
Person Four Name
Why are you grateful for person four?
Person Five Name
Why are you grateful for person five?
What are some of the places you have to be grateful for?

A HomeA JobA place in natureA place to worship or meditateA place to learnA place to socializeA place to exerciseA place to express yourselfOther
Why are your grateful for the places in your life?
What are some of the things you have to be grateful for?

TransportationYour healthYour clothesYour phoneMusicBooksBeliefsYour higher powerA sense of inner peaceThe ability to grow and changeThe abilities to hear, see, smell, taste and feelOther
Why are your grateful for the things in your life?
What are some of your gifts and talents?

HonestCaringReliableArtisticIntelligentSports / PhysicalPuzzles and/or GamesExpressiveGenerousThoughtfulMusicalLearningCookingHousekeeping / cleanlinessSupportiveEarningDrivingMemoryOther
Are you willing to discuss your results with one of our members?

YesNoOther
Who are you willing to speak with? (if other, please add their name and email address)

Jeff RoundsSelyna BreezeDavid WilkOther
Name

First NameLast Name
Email
example@example.com
By submitting I hereby confirm that the information I have given above is true, and that I will be receiving an email response to my submission and an invitation to discuss the results with a nonprofessional member of Mixed Recovery.
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