Real Life Assessment
There are no wrong answers here. No judgment. No shame. This assessment is a safe space to be completely honest about where you are right now — not where you think you should be. The more honest you are, the more clarity you will receive. Your story is not over, and this is your first step toward rebuilding your real life.
Name
*
First Name
Last Name
Email Address
*
example@example.com
Recovery Readiness
Answer honestly based on where you are today — not where you want to be or where you think you should be. There is no judgment here.
How often do you feel the urge or craving to use a substance or engage in a compulsive behavior?
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Daily or multiple times a day
Several times a week
A few times a month
Rarely
Never / In solid recovery
When life gets hard — stress, conflict, loss, loneliness — what is your default response?
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I go straight to my old behavior
I want to, but usually white-knuckle it
I have some tools, but struggle to use them
I use healthy coping most of the time
I reach out, pray, or process it well
How would you describe your current support system?
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I have no one I can be honest with
I have people around, but hide the real stuff
I have 1 person I partially open up to
I have a small but real support circle
I have accountability, community, and mentorship
How do you see yourself when you think about your past patterns and struggles?
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I am my addiction/failures — that's who I am
Mostly shame and regret with little hope
I know I am more than this but barely feel it
I am growing — my past does not define me
I walk in identity and purpose beyond my history
How many days have you been free from your primary struggle?
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I am currently in it
Less than 30 days
30 to 90 days
90 days to 1 year
Over 1 year of sustained freedom
Health Optimization
Your physical health is the foundation of everything else. Answer based on your real daily habits, not your best days.
How many hours of sleep do you typically get each night?
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Less than 5 hours
5 to 6 hours
6 to 7 hours
7 to 8 hours
8 to 9 hours and I feel rested
How would you describe your typical daily eating pattern?
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Mostly fast food, processed food, or skipping meals
Inconsistent — some good choices, many poor ones
I eat okay but have significant room to improve
I eat mostly whole foods with occasional indulgences
I eat intentionally — whole foods, hydration, and balance are my norm
How many days per week do you engage in intentional physical movement — walking, exercise, or activity?
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Zero days — I am sedentary
1 day
2 to 3 days
4 to 5 days
6 to 7 days with variety and consistency
How would you rate your energy levels throughout an average day?
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Exhausted from the moment I wake up
Low — I barely get through the day
Inconsistent — some hours good, some crashes
Generally good with occasional dips
Strong and consistent — I feel energized most of the day
How much water do you drink daily?
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I rarely drink plain water
1 to 2 cups — mostly coffee or soda
3 to 4 cups
5 to 7 cups
8 or more cups consistently
Financial Wellness
Money can be a painful topic. Answer from your current reality. Honesty here is the first step toward freedom.
How would you describe your current relationship with money?
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It is a source of constant fear and dread
I avoid looking at it — I do not want to know
I check occasionally but feel overwhelmed
I am aware and working on it even if it is messy
I have a clear, calm relationship with my finances
Do you have a monthly budget or spending plan?
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No — I have never made one
I tried once and gave up
I have a rough idea in my head but nothing written
I have a basic budget but do not always follow it
I have a working budget I track consistently
How often do you spend money to cope with stress, boredom, or emotional pain?
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Very often — shopping or spending is my go-to
Frequently — it is a pattern I recognize
Sometimes — I catch myself doing it
Rarely — I am mostly aware of emotional spending
Almost never — I separate emotions from financial decisions
What is your current debt situation?
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I have overwhelming debt and no clear path out
Significant debt and I am barely keeping up
Manageable debt, but it is stressful
Small or structured debt I am paying down
Debt-free or very close to it
Do you have any savings — a small emergency fund?
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Nothing at all
Less than $100
A few hundred dollars
One to three months of expenses saved
Three or more months of expenses saved
Total Score (out of 75)
Score Trigger
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