Note: Copies of this form can be printed from http://www.alcoholfree.info/coping/reasons.htm

My Reasons for Stopping

DATE: ____________________

 

 

Some or all of the the areas listed here may apply to you!

  1. Physical or Mental Health

    Concerns about drinking

     

     

     

    Benefits of abstinence

     

     

     

  2. Job-related

    Concerns about drinking

     

     

     

    Benefits of abstinence

     

     

     

  3. Family/Marital/Other Relationships

    Concerns about drinking

     

     

     

    Benefits of abstinence

     

     

     

  4. Financial/Legal

    Concerns about drinking

     

     

     

    Benefits of abstinence

     

     

     

  5. Guilt/Embarassment

    Concerns about drinking

     

     

     

    Benefits of abstinence

     

     

     

  6. Other that are not listed above (You can list them now!)
    1.   ______________________________________

      Concerns about drinking

       

       

       

      Benefits of abstinence

       

       

       

    2.   ______________________________________

      Concerns about drinking

       

       

       

      Benefits of abstinence

       

       

       

    3.   ______________________________________

      Concerns about drinking

       

       

       

      Benefits of abstinence

       

       

       

    4.   ______________________________________

      Concerns about drinking

       

       

       

      Benefits of abstinence