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Are you addicted to drugs 8. Date of last drug use 9. List drugs you used addictively 10. When did you attend your first AA or NA meeting 11. How many AA/NA meeting do you now attend each week 12. Do you want to stop drinking alcohol and using addictive drugs 13. I have read all of the material on this application form. I have answered each question honestly and want to achieve comfortable recovery from alcoholism and/or drug addiction without relapse. Signature Date FOR USE BY LORRAINE S...
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