Miscellaneous
Fill in the Blanks
Treatment
Family Life
Friends
100
What three words describe you best?
The three words that describe me best are...
100
I like to _______________ on the weekend.
I like to _____________ on the weekend.
100

What is your favorite topic from group? What is your least favorite?

My favorite topic is... My least favorite topic is...

100
Who do you live with?
I live with...
100
Who is your best friend? What makes them your best friend?
My best friend is....He/She is my best friend because...
200

Have you traveled outside of New Jersey before? If so, where?

I have/have not traveled outside of California...

200
My favorite band is __________.
My favorite band is ____________.
200

What are your plans once you graduate treatment?

After I graduate, I would like to...

200
Do you have any pets? If you could have any pet in the world, what would it be?
I do/ do not have any pets. If I could have any pet in the world, I would like to have...
200
Do you consider yourself a good friend? Why?
I consider myself a ______ friend, I feel this way because...
300
Do you consider yourself an optimist or a pessimist?
I consider myself...
300
If I could be any animal, I would want to be a ___________.
If I could be any animal, I would want to be a ___________.
300

If you could be a counselor for the day, what lesson would you try to share?

If I could be a counselor for the day, I would...

300
Which family member are you closest to?
The family member I am closest to is...
300
If you could be friends with any celebrity, who would it be?
If I could be friends with any celebrity, I would like to be friends with ...
400
What are you really good at?
I am really good at...
400

My least favorite thing about recovery is ___________.

My least favorite thing about recovery is _____________.

400

What do you do during your free time?

During my free time I like to...

400

What do you do at home that is recovery related?

I do....

400
What are some qualities in a friend you feel are important?
I feel the important qualities of a friend are...
500

If you could go back in time, what would you tell your 16 year old self?

I would tell me to....

500

My most favorite things about recovery are...

My most favorite things about recovery are...

500

*Group Question! EVERYONE answers!* What are your goals for program? What are you trying to get out of it?

My goals are...

500

Did you play any sports growing up?

I played....

500

Is it easy for you to make friends? Why/why not?

It is easy/not easy because....