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DWI Education BD-2
Brian Knaack
2022-08-11T00:32:50-05:00
DWI Education BD-2
My Personal Action Plan
"
*
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Name
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First
Middle Initial
Last
Email
*
Personal Change
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Based on what I know now about the effects of alcohol/drugs on traffic safety and the body, the cost, and signs of alcoholism, I plan to make the following changes:
I plan to:
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Check all that apply.
Stop drinking alcohol and/or using drugs.
Separate my drinking/drug use from driving.
Have a designated driver.
Not drive when taking my medication(s).
Change people, places, and alcohol/drug-related activities.
I can depend on the following people for support in following my plan:
*
Check all that apply.
Family
Spouse
Non-drinking/drug-using friends
AA/NA sponsor
Spiritual leader/higher power
Other
I will get the following benefits from following my action plan:
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Check all that apply.
No legal problems related to alcohol/drug use
Healthier life
Rebuild trust and respect
More money
Freedom
Other
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