Frontiers! The Alcoholism & Addiction Recovery Option
Alcoholism and drug addiction recovery alternatives
www.recoverforever.com
www.addictionalternative.net


Addiction Questionnaire
Real Life, Real People


Question #1
Do you believe addiction to be a disease?
Yes
No
Undecided
Question #2
Do you believe current treatment is effective in dealing with addiction?
Yes
No
Undecided
Question #3
Have you or someone you know attempted to stop their addictive behavior in the past?
Yes
No
Undecided
Question #4
If you answered yes to previous questions: How many times have they attempted to stop?
Once
A few (2-5 times)
Many (more than 6 times)
Question #5
Have you or someone you know with an addiction ever attended AA?
Yes
No
Undecided
Question #6
Have you or someone you know with an addiction ever attended counseling?
Yes
No
Undecided
Question #7
Have you or someone you know stopped their addictive behavior without AA or counseling treatment?
Yes
No
Undecided
Question #8
Do you believe someone can stop their addictive behavior on their own?
Yes
No
Undecided
Question #9
Do you believe someone with an addiction lacks the will or strength to defeat the addiction?
Yes
No
Undecided
Question #10
Do you believe developing one's spirituality plays a role in stopping the addiction?
Yes
No
Undecided
Question #11
Do you believe addiction is a choice?
Yes
No
Undecided
Question #12
Are you or the person you refer to in the poll still actively using drugs or alcohol?
Yes
No
Undecided
Question #13
Do you believe relapse is a part of recovery?
Yes
No
Undecided
Question #14
What do you believe is the main reason people quit using alcohol/drugs
AA, NA
Treatment (Individual counseling, Rehabs)
Family/Friends
Legal System
Choice
Spirituality
Health
Education
Money
None of the above
Question #15
Have you or someone you know remained sober (without a "relapse") with AA or treatment?
Yes
No
Undecided
Question #16
Have you or someone you know remained sober (without a "relapse") on their own?
Yes
No
Undecided






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