Old 05-23-2009, 11:42 AM
  # 13 (permalink)  
adore79
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Join Date: Mar 2007
Location: WA, USA
Posts: 2,591
External Trigger Questionnaire

Place a checkmark next to activities, situations, or settings in which yo frequently used substances; place a zero next to activities in which you never have used substances:

home alone
home with friends
friends home
parties
sporting events
movies
bars/clubs
beach
concerts
with friends who use drugs
when gaining weight
vacations/holidays
when its raining
before a date
during a date
before sexual activities
during sexual activities
after sexual activities
before work
when carrying money
after going past dealers residences
driving
liquor store
during work
talking on the phone
recovery groups
after payday
before going out to dinner
before breakfast
at lunch break
while at dinner
after work
after passing a particular street or exit
school
the park
in the neighborhood
weekends
with family members
when in pain

List any other activities, situations, or settings where you frequently have used.


List activites, situations, or settings in which you would not use.



List people you could be with and not use.
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