The cost of not making changes

1) If you were arrested in the future for the same offense – how would you feel about yourself? (Can select more than one)

2) What immediate consequences would you face? (can select more than one)

3) What would be the reaction of your family, friends, co-workers and others in your community? (can select more than one)

4) Would it affect your job, career or school?  Yes or No

5)  In light of all the consequences you have experienced you may be convinced that you will never drink/use drugs and drive again. On a scale of 1 – 10, (“10” being the most confident) how confident are you?

6) Explain why you choose that number on the scale (check all that apply):