SOSONA MEMBERSHIP SURVEY 2017
First Name and Last Name Initital (eg. Ranvir S or Aamir K or Hritik R)
Your answer
Gender
Age
Your Area/City
Your answer
Clean Date
MM
/
DD
/
YYYY
How did you get to know about NA?
How many years Drug-free do you have?
What is your Employment Status?
What level of Education had you reached before coming to NA?
What level of Education have you reached since coming to NA?
At what age did you start using Drugs/Alcohol?
For how long was your use of Drugs/Alcohol problematic?
Do you have NA meetings locally?
How many meetings a week do you make?
Are you currently or have you ever participated in NA Service?
Do you have a Sponsor?
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