Read-only — answer these for yourself in a personal notebook. Nothing is stored on our servers.
This checklist is not an evaluative tool. Its purpose is to identify potential problem areas in your recovery. Answering yes does not indicate a diagnosis — it means further attention should be given to that area. Discuss any concerns with your therapist, Primary Care Provider, sponsor, or a trusted family member.
1.I feel bored
2.I feel lonely
3.I have difficulties concentrating
4.I am forgetful
5.I feel sad a lot
6.I feel depressed
7.I worry a lot
8.My thoughts are racing
9.I feel anxious
10.I have difficulties sleeping
11.I do not like the way I look
12.I feel my diet is out of control
13.I hate the way my body looks
14.I have thrown up intentionally to lose or manage weight
15.I feel isolated
16.I have thoughts of hurting myself
17.I do not have many friends
The more answers that fall under each category, the more attention that category should be given.