Hur har alkoholen/drogen frsatt ditt och andras liv i fara?
1_________________________________________________ 2_________________________________________________ 3_________________________________________________ Hur har du frlorat sjlvrespekten p, g, a ditt drogande? 1_________________________________________________ 2_________________________________________________ 3_________________________________________________ Vad r det i ditt beteende som din familj och vnner mest invnder mot? 1_________________________________________________ 2_________________________________________________ 3_________________________________________________ Hur har du frskt att kontrollera din konsumtion av alkohol/droger? 1_________________________________________________ 2_________________________________________________ 3_________________________________________________ Ge fem exempel p hur maktlsheten (kontrollfrlusten) har pverkat dig i dina frsk till ett vrdigt liv. 1_________________________________________________ 2_________________________________________________ 3_________________________________________________ 4_________________________________________________ 5_________________________________________________
Hur har din fysiska kondition pverkats? (Hjrta, lever etc.)
1_________________________________________________ __________________________________________________ __________________________________________________ Vad r skillnaden p att erknna och att acceptera? __________________________________________________ __________________________________________________ __________________________________________________ Erknner du eller accepterar du? 1_________________________________________________ Beskriv hur du genom ditt beteende erknner eller accepterar.
Vad vertygar dig att du inte lngre kan anvnda
alkohol/droger? __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ r du en alkoholist eller en kemist beroende person? __________________________________________________ __________________________________________________ Tre ml jag har i mitt r: 1________________________ 2________________________ 3________________________
Jag har frskt att uppn dessa ml fre behandlingen genom
att: __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ Kriser som slutligen skulle kunna intrffa frutom det som har hnt. __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ Tio skl till varfr jag behver fortstta med programmet. 1____________________________ 2____________________________ 3____________________________ 4____________________________ 5____________________________ 6____________________________ 7____________________________ 8____________________________ 9____________________________ 10___________________________ Lycka till