Recovery Plan
This exercise is intended to help you develop some goals, think about potential barriers to accomplishing your goals and uncover your strengths and the resources that will help you achieve those goals within a timeline. Your mentor can support you in filling this out.
Client Name
First Name Last Name
Mentor Name
First Name Last Name

Goal 1
What would you like to accomplish?*
Example: I would like to graduate treatment.
What barriers could get in the way?*
Example: Selling drugs to my celly's
What are the resources and strengths you could use to accomplish your goal?*
When would you like to accomplish it?*
Less than a month. Less than 3 months. 3 to 6 months 6 months to a year Over a year This is an on-going goal

Goal 2
What would you like to accomplish?*
Example: I would like to graduate treatment.
What barriers could get in the way?*
Example: Selling drugs to my celly's
What are the resources and strengths you could use to accomplish your goal?*
When would you like to accomplish it?*
Less than a month. Less than 3 months. 3 to 6 months 6 months to a year Over a year This is an on-going goal

Goal 3
What would you like to accomplish?*
Example: I would like to graduate treatment.
What barriers could get in the way?*
Example: Selling drugs to my celly's
What are the resources and strengths you could use to accomplish your goal?*
When would you like to accomplish it?*
Less than a month. Less than 3 months. 3 to 6 months 6 months to a year Over a year This is an on-going goal

Optional Question: How can 4D help you to achieve your goals and stay in recovery?
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