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Recovery Capital Assessment

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Recovery Capital Assessment

Assess the strength of your recovery capital

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Assess your Physical Capital

Email*

Do you have a regular exercise routine?*

Do you have a balanced and healthy diet?*

Do you get enough sleep?*

Do you have any chronic health conditions?*

Do you have any physical limitations?*

Description:Assess your recovery capital with this easy-to-use form. Recovery capital refers to the internal and external resources that support an individual's recovery from addiction. This assessment will help you identify your strengths and areas for growth in your recovery journey.

Recovery capital is essential for maintaining long-term sobriety. This form is designed to help you assess your recovery capital by identifying the internal and external resources that support your recovery. The assessment covers six domains: physical, emotional, social, intellectual, spiritual, and financial. By completing this assessment, you will gain a better understanding of your strengths and areas for growth in your recovery journey. Use the results to develop a plan for enhancing your recovery capital and achieving your goals.

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Client Name*

Company Name*

Phone Number*

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What is your full name?*

What is your patient ID number?*

What was the date of your inpatient stay?*

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Full Name*

Date of Birth*

Emergency Contact Name*

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