10.
List the three most embarrassing or shameful things you've done related to
alcohol or drug use.
A.
B.
C.
11.
Legal
A.
How many crimes have you committed during your chemical use?
B.
Have you ever been arrested for anything related directly or indirectly to your
consumption or purchasing of a chemical? List dates, crimes and any other
pending legal matters.
12.
What types of physical problems do you have as a result of your use of
chemicals?
A.
B.
C.
13.
Preoccupation means looking forward to having a drink or a drug; setting up
situations in order to drink
or
drug; or being preoccupied in our thoughts when we are doing something else.
Give two examples of your Preoccupation:
A.
B.
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