Interview Questions

 UTurn Recovery Housing Interview Questions


Welcome to the UTurn Recovery Housing
Please complete the following questions to help us learn a bit about you so we can determine how we can help.
Click next to begin!

General


What is today's Date?
Who will be filling out this application?
If other, who?

Personal Information

Tell us about yourself

What is your first name?
What is your last name?
Do you go by another name?

Are you fleeing from a domestic violence situation?
 

Contact Information

How can we reach you?

At what phone number can we best reach you at?
Currently Residing:
Don't see the option you're looking for? Click here
How did you hear about UTurn Recovery Housing?
Why do you want to live in Sober Living?
What are your expectations of Sober Living?
What do you expect to gain from Sober Living?
Have you lived in Sober Living before?
If yes, list previous Sober Livings:
  • Sober Living History #1

    name:

    description:

    address:

    city:

    state:

    zip code:

    admitted:

    discharged:

    estimated length of stay:

    reason for discharge:
    Don't see the option you're looking for? Click here


Drug History

Tell us about your drug history.

How long have you been clean/sober?
What is your substance(s) of choice? Add multiple by clicking in the box and selecting different options
Don't see the option you're looking for? Click here
What age did you being using?
Do you have a family history of substance abuse?
Do you struggle with other addictions?
Are you in treatment?
If yes, when are you getting out?
What is your previous treatment history?

Recovery

Tell us about your recovery

How serious are you about staying clean/sober? Explain:
Do you have a relapse prevention plan?
If yes, what is the plan?
What are your plans for IOP, aftercare and 12-step meeting participation?
Do you currently have a sponsor?
If yes, how is your relationship with your sponsor?
If no, have you ever had a sponsor?
What are your plans for getting a sponsor?
Are you currently attending meetings?
If yes, what types of meetings are you attending?
Don't see the option you're looking for? Click here
What prescription and non-prescribed medications are you currently taking and plan to continue taking?

Financial Information

Tell us about your financial situation

Are you currently employed?
What is the highest level of education you completed?
Don't see the option you're looking for? Click here
Are you currently enrolled in school?
If yes, what school?
How will you be meeting your financial obligations for rent and living expenses?

Family Information

Tell us about your family

Are you in the process of family reunification?
Do you have children?
If yes, what is the situation with them?
 

Thank you for your interest!

We value proactivity!

 

Please follow up with Justin Jensen (801) 645-1242 any time after 10:00 am daily!

 

Just submitting an application doesn't automatically put you on the list! Contact needs to be made to ensure placement!!!
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