Recovery Month 2017
Interview form for feature on QuitWining.com
Name
Your answer
Email Address (will not be published)
Your answer
Nickname
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Age
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Location (can be as specific as town and state or as vague as country or no location at all)
Your answer
Recovery Date
Your answer
Recovering From
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Bio (3-5 short sentences about who you are)
Your answer
Blog and/or Social Media (provide urls for blog and social media accounts)
Your answer
Before you entered recovery, what did you think the "thing" you were addicted to gave you, did for you, etc.?
Your answer
Now that you are in recovery, what have you learned about that "thing?"
Your answer
How are you recovering (e.g., 12-step program, rehab, counseling, on your own, etc.)?
Your answer
In recovery, how do you give yourself what you thought that "thing" provided?
Your answer
What was your "rock bottom" or "breaking point" when you realized you needed to change?
Your answer
What has been the hardest part of recovery so far?
Your answer
What about recovery has been easier than you had anticipated?
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What has helped you the most in recovery?
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Who has helped you the most in recovery?
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What has been the biggest surprise about recovery?
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What role has family played in your recovery?
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Knowing what you do now, what would you tell your pre-recovery self about recovery?
Your answer
What would you say to someone who is thinking about recovery?
Your answer
If there is anything else you want to add, please do ...
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Photos (please email -- to info@quitwining.com -- 1-3 photos of you and/or your family -- can be before and after if you would like). Providing photos gives Laura Ward of Quit Wining permission to publish them online. (Note: Please comment below if you are sending photos so I know to look for them. Thanks!)
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If you would be interested in doing a 30-minute Facebook Live interview with me, please select the best date for your schedule.
Your Shipping Address (for your thank you gift)
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