Inventory of Sexual Conduct

Inventory of Sexual Conduct

Part of recovery is facing our fears and doing what we can to adapt to the circumstances of our lives. Please complete the form below to continue your recovery.
Item 1 - Who did you hurt?
Item 1 - What did you do?
Item 1 - What feelings or problems did I create for others?
Item 1 - What can you do about it, what amend are you willing to make?
Item 2 - Who did you hurt?
Item 2 - What did you do?
Item 2 - What feelings or problems did I create for others?
Item 2 - What can you do about it, what amend are you willing to make?
Item 3 - Who did you hurt?
Item 3 - What did you do?
Item 3 - What feelings or problems did I create for others?
Item 3 - What can you do about it, what amend are you willing to make?
Item 4 - Who did you hurt?
Item 4 - What did you do?
Item 4 - What feelings or problems did I create for others?
Item 4 - What can you do about it, what amend are you willing to make?
Item 5 - Who did you hurt?
Item 5 - What did you do?
Item 5 - What feelings or problems did I create for others?
Item 5 - What can you do about it, what amend are you willing to make?
Item 6 - Who did you hurt?
Item 6 - What did you do?
Item 6 - What feelings or problems did I create for others?
Item 6 - What can you do about it, what amend are you willing to make?
Item 7 - Who did you hurt?
Item 7 - What did you do?
Item 7 - What feelings or problems did I create for others?
Item 7 - What can you do about it, what amend are you willing to make?
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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