Please download and review the "Group Notes & 21 Questions" before the first session.
Clients are to take notes during every session.
Clients are to answer the 21 Questions only 1 time. (Not after every session.)
After the FINAL session, return notes and answers to the 21 Questions to
john@johndurochercounseling.com
Return as an MS Word document or PDF file. No other file types will be accepted.
If notes are handwritten, use a scanner to make a PDF copy and email that.
See video below for how to use a phone as a scanner.
Clients are to take notes during every session.
Clients are to answer the 21 Questions only 1 time. (Not after every session.)
After the FINAL session, return notes and answers to the 21 Questions to
john@johndurochercounseling.com
Return as an MS Word document or PDF file. No other file types will be accepted.
If notes are handwritten, use a scanner to make a PDF copy and email that.
See video below for how to use a phone as a scanner.
| John DuRocher Counseling - Group Notes & 21 Questions (Download This!!) |
Clients can "copy and paste" or handwrite a copy of the 21 questions from below.
Group Notes
and
21 Questions
Group Notes
Please keep track of the dates, times and topics covered in your group sessions.
DO NOT simply note the topic of the session.
Share your insights and thoughts about the discussion.
Did you learn anything new?
What did you hear that can help you?
Will you apply what you learned to your own life?
If so, how?
If not, why not?
What did others share?
Also, answer the 21 Questions below.
You will only answer these questions ONE time, not after every session.
If you have any questions, please bring them up during a session.
Complete and return after you have completed your FINAL session.
This document will ONLY be accepted as an MS Word document or PDF file.
No other file types will be accepted.
NOTE: Phones can be used to “scan” a document to PDF.
Use Google to learn how to do this.
Return to
john@johndurochercounseling.com
Thank you.
__________________________________________________________________________________________
Questions
1. What is addiction/alcoholism?
2. How might addiction/alcoholism affect an addict’s/alcoholic’s life?
3. How might addiction/alcoholism affect the lives of those around the alcoholic/addict?
4. What can an addict/alcoholic do to help themselves?
5. What can those who care about an addict/alcoholic do to help the addict/alcoholic?
6. What can you do to improve your physical wellbeing?
7. What can you do to improve your own “mental” wellbeing?
8. What can you do to improve your own “spiritual” wellbeing?
9. How would you like to spend your “free time” over the next year?
10. Where do you hope to be in 1 year?
11. Where do you hope to be in 5 years?
12. What challenges do you see in the path to getting to where you want to be in life?
13. Who makes up your support network? (List at least 3 people or organizations.)
14. Are you on probation? If so, what is the name and email of your PO?
15. What, if anything, do you have left to do to get your full driver’s license back or complete your probation/pretrial requirements?
16. Will you be required to have an interlock device or impound your car? How much will it cost to get installed and maintained?
17. Will you be required to carry additional insurance (FR44) because of your DUI? How much will it cost?
18. When is the last time you drank alcohol or took drugs not prescribed to you?
19. Can you commit to never again driving when under the influence of alcohol or drugs? Or using any substance that might jeopardize your job etc.?
20. Where and when is an AA, NA, Al-Anon, Celebrate Recovery, Church, or any type of self-help meeting you could attend if needed?
(Even if you never plan to go, look one up and write the exact time & location of the meeting.)
21. Write at least 100 words about your overall experience since the incident which led to you attending treatment with John DuRocher Counseling.
(What was it like getting arrested? What were your thoughts after testing positive? What was probation like? What was the Safety Council like?
What were your sessions with JDC like? What can you do to never again be arrested for a DUI or testing positive at work?
What are your plans for future alcohol/drug use?)
Clients are invited to leave a review of their experience with John DuRocher Counseling here.
By leaving a review you give John DuRocher Counseling permission to post it anonymously on our website.
Review:
Date_________________________________________________________
Client Name________________________________________________
Group Notes
and
21 Questions
Group Notes
Please keep track of the dates, times and topics covered in your group sessions.
DO NOT simply note the topic of the session.
Share your insights and thoughts about the discussion.
Did you learn anything new?
What did you hear that can help you?
Will you apply what you learned to your own life?
If so, how?
If not, why not?
What did others share?
Also, answer the 21 Questions below.
You will only answer these questions ONE time, not after every session.
If you have any questions, please bring them up during a session.
Complete and return after you have completed your FINAL session.
This document will ONLY be accepted as an MS Word document or PDF file.
No other file types will be accepted.
NOTE: Phones can be used to “scan” a document to PDF.
Use Google to learn how to do this.
Return to
john@johndurochercounseling.com
Thank you.
__________________________________________________________________________________________
Questions
1. What is addiction/alcoholism?
2. How might addiction/alcoholism affect an addict’s/alcoholic’s life?
3. How might addiction/alcoholism affect the lives of those around the alcoholic/addict?
4. What can an addict/alcoholic do to help themselves?
5. What can those who care about an addict/alcoholic do to help the addict/alcoholic?
6. What can you do to improve your physical wellbeing?
7. What can you do to improve your own “mental” wellbeing?
8. What can you do to improve your own “spiritual” wellbeing?
9. How would you like to spend your “free time” over the next year?
10. Where do you hope to be in 1 year?
11. Where do you hope to be in 5 years?
12. What challenges do you see in the path to getting to where you want to be in life?
13. Who makes up your support network? (List at least 3 people or organizations.)
14. Are you on probation? If so, what is the name and email of your PO?
15. What, if anything, do you have left to do to get your full driver’s license back or complete your probation/pretrial requirements?
16. Will you be required to have an interlock device or impound your car? How much will it cost to get installed and maintained?
17. Will you be required to carry additional insurance (FR44) because of your DUI? How much will it cost?
18. When is the last time you drank alcohol or took drugs not prescribed to you?
19. Can you commit to never again driving when under the influence of alcohol or drugs? Or using any substance that might jeopardize your job etc.?
20. Where and when is an AA, NA, Al-Anon, Celebrate Recovery, Church, or any type of self-help meeting you could attend if needed?
(Even if you never plan to go, look one up and write the exact time & location of the meeting.)
21. Write at least 100 words about your overall experience since the incident which led to you attending treatment with John DuRocher Counseling.
(What was it like getting arrested? What were your thoughts after testing positive? What was probation like? What was the Safety Council like?
What were your sessions with JDC like? What can you do to never again be arrested for a DUI or testing positive at work?
What are your plans for future alcohol/drug use?)
Clients are invited to leave a review of their experience with John DuRocher Counseling here.
By leaving a review you give John DuRocher Counseling permission to post it anonymously on our website.
Review:
Date_________________________________________________________
Client Name________________________________________________