After completion of this assessment, you'll get an email to schedule the "Alcohol Free Personal Coaching" session.
Click the button below to start.
Question 1 of 7
How many alcoholic drinks do you consume each week?
1 to 5
6 to 10
11 to 15
16 to 20
Over 20
Question 2 of 7
When was the last time you were sober for 30 days (or longer)?
Over the last 60 days
Over the last 90 days
Over the last 120 days
Over the last 180 days
I can't remember.... it's been that long
Question 3 of 7
How much money do you spend on alcohol on a monthly basis?
$80 - $100 USD
$100 - $150 USD
$150 - $200 USD
$200 - $250 USD
Over $300 USD
Question 4 of 7
On a scale 1 (low commitment) to 10 (high commitment), subjectively score your commitment to being Alcohol Free for 30 days?
Question 5 of 7
What type of drinker are you?
Social Drinker (Drink a couple time per month, don't drink to get drunk, but it happens occasionally)
Alcohol Abuser (Takes drinking to far, typically take social drinking to extreme drinking, you may drive under the influence, you're able to not drinking, however you plan when you will.)
Alcoholic (Addiction to alcohol, unable to control or set limits on your drinking)
Question 6 of 7
What have you done to try to either stop drinking or at least get it under control?
Alcoholics Anonymous (AA)
Therapy
Meditation
Book(s)
Medical doctor
Some other group program
Online digital courses
Question 7 of 7
Explain why you want a "Alcoholic Free Personal Coaching session? What will this mean to you? What change are you seeking?