Application Form - Freedom From Addiction Circle with Evolving Man
Please fill out this form to apply for the circle. This information will be kept 100% private. The more honest your answers, the better I can help.
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Email *
Your first and last name *
Your drug(s)/process of choice. The primary one(s). examples: Cocaine and Alcohol, sex/porn, food, marijuana, gambling.  *
Use history - What is the basic history of your drug/process use over the years? (Daily user for 10 years, binge user, or give a detailed history) *
Major life events/trauma: Please share any known wounding that I should know about.
What is your goal in joining this group? *
Can you commit to showing up to meetings clean and sober? This means no substances (other than caffeine and nicotine) for 24 hours before the meeting. Prescription medications are OK.  *
Attendance expectations will be high for this group. You'll be expected to show up unless there is an emergency (work or home) or if you're travelling. Can you commit to showing up within these guidelines? *
Can you regularly attend a meeting that is happening on Wednesdays from 5-7pm Pacific Standard Time? *
Anything else you'd like me to be aware of: Your availability, your fears/concerns, anything.
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