DWI INTERVENTION Assignments - weekend #6 - A+ Alcohol & Drug Offender Education Center

These are the assignment for the 32-hour DWI Intervention/Repeat Offender Program - WEEKEND #6 as required by the Texas Department of Licensing and Regulation. These assignments can be completed here. Please DO NOT complete and submit these assignments until you're instructed to do so by your teacher. All assignments must be submitted successfully in order to be issued a certificate of completion.

Full Name*

E-mail*

Phone Number*

Case# or Cause#*

FINAL ACTION PLAN

Directions: Please review your Action Plan and make any needed changes. Consider any suggestions from other class members, friends, family members, and the instructor. Think through your plan very carefully--it will be an important part of your recovery. During the Exit Interview your instructor will discuss the plan with you and approve it or negotiate additional changes with you. This plan will then become your plan for the rest of your probation supervision.

Describe the problem in one sentence.*

Set a long-range goal. How would you like it to be in six months? (Be sure to be as positive and be as specific as you can.)*

Write a positive statement.*

What will stand in your way?*

What will push you towards making the changes to meet this goal?*

What is the first step towards meeting this goal? (What would it have to be like in one month in order for you to meet your six-month goal?)*

What will you do in the next month in order to achieve this first step?*

How will you get help?*

What will you do if this plan doesn't work?*

What will be the next step if this plan does work?*

EXIT INTERVIEW

Probation Officer:*

County:*

Have you completed your Action Plan? Is it realistic and workable? Discuss in more detail below:*

Are you currently attending A.A.?

Yes
No

If yes, how often?

Are you still drinking?

Yes
No

Do you need additional help for your drinking problem?

Yes
No

Will you continue drinking despite the negative consequences that might occur? Discuss:*

What was most helpful to you during this course?*

PROGRAM EVALUATION

Looking back on the past 6 weeks of this program, please rate each item in terms of its helpfulness to you. Rate each item from 1 (NOT helpful) to 5 (VERY helpful).

LECTURES*

VISUAL AIDS*

VIDEOS*

HOMEWORK*

GROUP DISCUSSIONS*

MEETINGS WITH INSTRUCTOR*

Additional Comments