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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!
What is today's Date?
Who will be filling out this application?
If other, who
Tell us about yourself
What is your first name?
Client first name
What is your last name?
Client last name
Do you go by another name?
Are you fleeing from a domestic violence situation?
How can we reach you?
At what phone number can we best reach you at?
How did you hear about UTurn Recovery Housing?
Client Referred By
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:
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
Client substances of choice
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?
Tell us about your recovery
How serious are you about staying clean/sober?
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?
Client kinds of meetings attended
What prescription and non-prescribed medications are you currently taking and plan to continue taking?
Tell us about your financial situation
Are you currently employed?
What is the highest level of education you completed?
Are you currently enrolled in school?
If yes, what school
How will you be meeting your financial obligations for rent and living expenses?
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!!!