Follow Up | YPR - Young People In Recovery

Hidden

ARC Number

Have you made progress towards your goals?*

Are you currently employed?*

Are you currently continuing your education?*

Highest level of education attained*

Satisfaction

	Very dissatisfied	Somewhat dissatisfied	Neutral	Somewhat Satisfied	Very Satisfied
If applicable, please rate your level of satisfaction with your employment status
If applicable, please rate your level of satisfaction with your education status

How many times have you visited an Emergency Room in the past 6 months (if any)?*

How many times have you been arrested in the past 6 months (if any)?*

Assessment of Recovery Capital

I am currently completely abstinent from substance use*

I feel I am in control of my substance use*

I have had no thoughts about reoccurrence*

I have had no recent periods of substance intoxication*

There are more important things to me in life than using substances*

I am able to concentrate when I need to*

I am coping with the stresses in my life*

I am happy with my appearance*

In general I am happy with my life*

What happens to me in the future mostly depends on me*

I cope well with everyday tasks*

I feel physically well enough to work*

I have enough energy to complete the tasks I set myself*

I have no problems getting around*

I sleep well most nights*

I am proud of the community I live in and feel part of it*

It is important for me to contribute to society and or be in involved in activities that contribute to my community*

It is important for me to do what I can to help other people*

It is important for me that I make a contribution to society*

My personal identity does not revolve around drug use or drinking*

I am happy with my personal life*

I am satisfied with my involvement with my family*

I get lots of support from friends*

I get the emotional help and support I need from my family*

I have a special person that I can share my joys and sorrows with*

I am actively involved in leisure and sport activities*

I am actively engaged in efforts to improve myself (training, education and/or self-awareness)*

I engage in activities that I find enjoyable and fulfilling*

I have access to opportunities for career development (job opportunities, volunteering or apprenticeships)*

I regard my life as challenging and fulfilling without the need for using drugs or alcohol*

I am proud of my home*

I am free of threat or harm when I am at home*

I feel safe and protected where I live*

I feel that I am free to shape my own destiny*

My living space has helped to drive my recovery journey*

I am free from worries about money*

I have the personal resources I need to make decisions about my future*

I have the privacy I need*

I make sure I do nothing that hurts or damages other people*

I take full responsibility for my actions*

I am happy dealing with a range of professional people*

I do not let other people down*

I eat regularly and have a balanced diet*

I look after my health and wellbeing*

I meet all of my obligations promptly*

Having a sense of purpose in life is important to my recovery journey*

I am making good progress on my recovery journey*

I engage in activities and events that support my recovery*

I have a network of people I can rely on to support my recovery*

When I think of the future I feel optimistic*