st step worksheet - holisticgardner.com · balanced center living trademark used under license. ......

HEALTH

INTENTION SOBER LIVING COMMUNITY Helping People Help Themselves

SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY

Balanced Center Living trademark used under license. Unmodified duplication of this document in its entirety is permitted.

www.SereneCenter.com Toll Free 1-TO MY SERENITY 1

1st STEP WORKSHEET

We admitted we were powerless over alcohol (or whatever substance or behavior) – that our lives had become unmanageable.

(Alcoholics Anonymous, Alcoholics Anonymous World Services, Inc.)

1. List the circumstances when you have tried, and failed, to control alcohol (or whatever substance or behavior):

Substance or Behavior Circumstance

Attach page if necessary.

2. How has your life become unmanageable due to alcohol (or whatever substance or behavior)?

Finances Relationships Friends Physical Health Mental Health Spirituality Weight Accomplishment Career/Job Kindness Forgiveness Integrity Honesty Accurate Thought Gratitude Responsibility Other?

SOBER LIVING COMMUNITY Helping People Help Themselves

HEALTH

INTENTION

SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



3. What power do you have over alcohol (or whatever substance or behavior)?

4. How do you feel about your life being unmanageable due to alcohol (or whatever substance or behavior)?

Angry Afraid Joyous Passionate Loving Ashamed Guilty Resentful Overwhelmed Threatened Hurt Pitiful Sad Hopeful Compassionate Wanting Embarrassed Humble Regretful Remorseful Other?

5. How would your life be different if you did not have the unmanageability of alcohol (or whatever substance or behavior) in it?

6. Write a statement of how you are powerless over alcohol (or whatever substance or behavior), and how it has made your life unmanageable.

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



2nd STEP WORKSHEET

Came to believe that a Power greater than ourselves could restore us to sanity. (Alcoholics Anonymous, Alcoholics Anonymous World Services, Inc.)

1. Do you agree or disagree with the following statements?

Statement Yes / No I am powerless over alcohol (or whatever substance or behavior) ‐ my life has become unmanageable.

Alcohol (or whatever substance or behavior) is a bigger problem than I can handle on my own.

Alcohol (or whatever substance or behavior) has, to some extent, caused a decline in my mental health and sanity.

I accept that I am unable to restore my mental health and sanity without the assistance of something or someone more than I have experienced before.

I accept that a Power greater than myself is best able to assist in the restoration of my mental health and sanity.

2. Why is a Higher Power needed to restore your sanity and take away alcohol (or whatever substance or behavior)?

3. How does the possibility that a Higher Power can restore your sanity make you feel?

Angry Afraid Joyous Passionate Loving Ashamed Guilty Resentful Overwhelmed Threatened Hurt Pitiful Sad Hopeful Compassionate Wanting Embarrassed Humble Regretful Remorseful Other?


HEALTH

INTENTION

SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



4. What reservations do you have about a Higher Power’s ability to restore your sanity and

take away alcohol (or whatever substance or behavior)?

5. What attributes and characteristics must your Higher Power possess to restore your sanity and take away alcohol (or whatever substance or behavior)?


Statement Yes / No A Higher Power is larger than my own comprehension. A Higher Power may, or may not, be a religious icon. My understanding of my Higher Power is my own, and will be different from others. Belief in my Higher Power requires faith. Faith in my Higher Power gives me hope.

7. Write a statement of understanding about your belief that a Power greater than yourself can restore your sanity and take away alcohol (or whatever substance or behavior):

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



3rd STEP WORKSHEET

Made a decision to turn our will and our lives over to the care of God, as we understood God.



Statement Yes / No My understanding of my Higher Power is my own, and will be different from others. I understand that “God” represents my Higher Power and may, or may not, be a religious icon.

I can agree to call my Higher Power “God,” understanding that this makes it easier to communicate with others about my spirituality.

2. In what ways is God (Higher Power) better able to handle the affects that alcohol (or whatever substance or behavior) has on your life?

3. Answer the following questions?

Question Yes / No Does turning over your will and your life to the care of God (Higher Power) relieve you of the responsibility of watching out for yourself on a daily basis?

If I allow it, God (Higher Power) communicates his will for me through spiritual guidance.

If I allow it, God (Higher Power) provides me with strength, courage and opportunity in my life through spiritual guidance.

If I turn my will and my life over to the care of God (Higher Power) I no longer have to be accountable for my actions and behaviors.


HEALTH

INTENTION

SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



4. What do you do on a daily basis to turn your will and your life over to the care of God

(Higher Power)?

5. What can you do on a daily basis to turn your will and your life over to the care of God (Higher Power)?

6. Write a prayer turning over your will and your life to the care of God:

7. How has turning your will and life over to the care of God (Higher Power) benefited you?

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



4th STEP WORKSHEET

Made a searching and fearless moral inventory of ourselves. (Alcoholics Anonymous, Alcoholics Anonymous World Services, Inc.)

1. Use the following table to list your resentments: a. Include who and/or what you resent; b. The reason you resent them and/or it; c. How the resentment affects your life; d. Your part, or mistakes, regarding the resentment toward the person(s) and/or thing.

I am resentful of; For this reason; How it affects my life; My part, My Mistakes;

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY




Attach pages if necessary.

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY





HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



2. Write a prayer asking (or thanking) for the patience, tolerance and compassion toward the people or things you have resentment toward.

3. Write a prayer asking (or thanking) for the removal of your anger toward the people or things you have resentment toward.

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



4. Use the following table to list your fears: a. Include who and/or what you fear; b. The reason you fear them and/or it; c. How the fear affects your life; d. The solution to being afraid of the person(s) and/or thing.

I am afraid of; For this reason; How it affects my life; Solution;

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY





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SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY




5. Write a prayer asking (or thanking) for the removal of your fears and for the guidance and

courage to follow through on your solutions.

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



6. Use the following table to list your selfish or hurtful sexual behavior carried out in the past: a. Include who and/or what selfish or hurtful sexual behavior you carried out; b. Who you affected as a result; c. What you should have done instead of the selfish or hurtful sexual behavior; d. The solution for committing the selfish or hurtful sexual behavior.

Behavior; Who it affected; What I should have done; Solution;

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SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY






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INTENTION

SPIRITUALITY

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LOVE

SELF-EFFICACY




7. Write a prayer asking (or thanking) for the removal of your harmful sexual behavior in the

future and for the guidance and courage to follow through on your solutions.

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



5th STEP WORKSHEET

Admitted to God, to ourselves, and to another human being the exact nature of our wrongs. (Alcoholics Anonymous, Alcoholics Anonymous World Services, Inc.)


Statement Yes / No Character deficiencies (character defects, shortcomings) are behaviors that can be changed with thought and effort.

My understanding of my Higher Power is my own, and will be different from others. I understand that admitting something to myself means completely owning it and believing it.

2. Make a list of your character deficiencies (character defects, shortcomings) resulting from the “My Part, My Mistakes” section reported in the 4th Step. It is likely that you will be able to condense similar repeating behaviors and list them only once.

Character Deficiency (Character Defect, Shortcoming)



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INTENTION

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3. Prioritize the list of Character Deficiencies in #2 by asking the question of yourself, “What

affects my joy and freedom most?” Write down the priority from “1” being most impactful, and list the priority number in the column to the left of the Character Deficiencies in #2.

4. Write the list of Character Deficiencies in order of priority below. Then write down how the character deficiency impacts your joy and freedom, followed by writing down how you would like to behave in the future.

Character Deficiency Impact to Joy & Freedom Preferred Behavior


5. What is your plan to change your unhealthy behaviors into your preferred behaviors?

6. Share your 5th Step work with God (Higher Power) aloud, then give great thought to owning your behaviors, then share your 5th Step work with your Sponsor.

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



6th STEP WORKSHEET

Were entirely ready to have God remove all these defects of character. (Alcoholics Anonymous, Alcoholics Anonymous World Services, Inc.)

1. Make a list of your character deficiencies (character defects, shortcomings) from the 5th Step

and mark down whether you are entirely ready to have them removed, or you are not ready to have them removed.

Character Deficiency (Character Defect, Shortcoming) Ready? Yes/No


2. Write a prayer asking for (or thanking) God (Higher Power) the readiness to remove your character deficiencies (character defects, shortcomings).


HEALTH

INTENTION

SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



3. Write the list of character deficiencies that you marked as ‘not being ready to have removed’ in #1, then write down the reasons why you choose to hold on to these character deficiencies (character defects, shortcomings).

Character Deficiency Reasons for Holding On


4. Write a prayer asking for (or thanking) God (Higher Power) the courage, wisdom and opportunity to let go of your character deficiencies (character defects, shortcomings).

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



7th STEP WORKSHEET

Humbly asked God to remove our shortcomings. (Alcoholics Anonymous, Alcoholics Anonymous World Services, Inc.)

1. Make a list of your character deficiencies (character defects, shortcomings) that you are

‘ready to have removed’ from the 6th Step.

Character Deficiency (Character Defect, Shortcoming)


2. Write a prayer asking for (or thanking) God (Higher Power) to remove your character deficiencies (character defects, shortcomings).


HEALTH

INTENTION

SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY




Statement Yes / No Character deficiencies (character defects, shortcomings) are behaviors that can be changed with spiritual guidance, thought and effort.

My Higher Power (God) will help me to realize my character deficiencies if I remain open to listening.

My Higher Power (God) will afford me the courage, wisdom and opportunities to change my character deficiencies behaviors into my preferred behaviors.

4. Write the list of how you behave when practicing your character deficiencies, and then write

down how you wish to behave instead.

Character Deficiency Behavior Preferred Behavior


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LOVE

SELF-EFFICACY



8th STEP WORKSHEET

Made a list of all persons we had harmed and became willing to make amends to them all. (Alcoholics Anonymous, Alcoholics Anonymous World Services, Inc.)

1. List who you have harmed and how they were harmed by your behaviors:

Person Harm Done


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SELF-EFFICACY



2. Make a list of the people in #1 to whom you are willing to make direct amends:

1. 6.

2. 7.

3. 8.

4. 9.

5. 10.

Attach a page if necessary.

3. Make a list of the people in #1 to whom you are not willing to make direct amends:

1. 6.

2. 7.

3. 8.

4. 9.

5. 10.


4. Write a prayer to your Higher Power thanking for the willingness to make amends to those whom you are willing to make amends.

5. Write a prayer to your Higher Power asking (or thanking) for the willingness to make amends to those whom you are not yet willing to make amends.

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



9th STEP WORKSHEET

Made direct amends to such people wherever possible, except when to do so would injure them or others.


1. How do you feel about making amends to the persons listed in Step 8?

Person Feelings/Emotions Reasons


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2. Write a Prayer to your Higher Power asking (or thanking) for the willingness to make amends wherever possible, except when to do so would injure them or others.

3. Make a list of people to make direct amends with the help of your sponsor:

1. 6.

2. 7.

3. 8.

4. 9.

5. 10.


4. What actions can you take to make contact with the people in the list?

5. How can you make amends with someone you cannot locate or is deceased?

6. What will you say to explain why you are contacting them?

7. Why would some people choose to welcome your amends?

8. Why would some people choose to criticize your amends?

9. What is your plan to make amends?

HEALTH


SPIRITUALITY

PRUDENCE

ACCURATE THOUGHT

LOVE

SELF-EFFICACY



10th STEP WORKSHEET

Continued to take personal inventory and when we were wrong promptly admitted it. (Alcoholics Anonymous, Alcoholics Anonymous World Services, Inc.)

1. List the incidents and circumstances over the past week when you have practiced any of your defects of character:

Incident Circumstance 1.

2.

3.

4.

5.

6.

7.

8.

9.


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2. If you promptly admitted you were wrong in any of the incidents in #1, write down how you recognized the defect of character and how you promptly admitted you were wrong:

Incident Recognition How You Promptly Admitted 1.

2.

3.

4.

5.

6.

7.

8.

9.


3. If you did not promptly admit you were wrong in any of the incidents in #1, write down how you would like to behave in the future:

Incident Recognition Preferred Behavior 1.

2.

3.

4.

5.

6.

7.

8.

9.

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SELF-EFFICACY



11th STEP WORKSHEET

Sought through prayer and meditation to improve our conscious contact with God as we understood God, praying only for knowledge of God’s will for us and the power to carry that out.


1. List the incidents and circumstances over the past week when you have sought or should have sought through prayer and meditation to improve your conscious contact with your Higher Power, praying only for knowledge of your Higher Power’s will for you and the power to carry that out:

Incident Circumstance 1.

2.

3.

4.

5.

6.

7.

8.


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2. Write a prayer asking (or thanking) for God’s will and the power to carry that out:

3. How do you feel about praying to your Higher Power?

Embarrassed Humble Put out Empowered Relieved Waste of time Connected Punished Opportune Bigger Proud Smaller Guilty Joyous Remorseful Free Other?

4. Under what circumstances do you think it is necessary to improve your conscious contact with God as you understand your Higher Power?

5. Praying has been described as speaking to your Higher Power, and meditating has been described as listening to your Higher Power. How do you meditate?

Method How Long How Often

6. How do you feel about meditating?

Embarrassed Humble Put out Empowered Relieved Waste of time Connected Punished Opportune Bigger Proud Smaller Guilty Joyous Remorseful Free Other?

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LOVE

SELF-EFFICACY



12th STEP WORKSHEET

Having had a spiritual awakening as the result of these steps, we tried to carry this message to others, and to practice these principles in all our affairs.


1. Describe your most recent spiritual awakening:

2. What feelings do you have about your spiritual self?

3. How might others interpret you if you try to explain the spiritual awakening caused by working the 12 steps?

Enlightened Fellow Cultish Well meaning Empathetic Hostile Informed Unintelligent Peaceful Burdened Free Independent Small minded Religious Constrained Crazy Other?

4. How have you tried to carry this message to one who has wished to experience a 12 step process for any trouble?

Person Circumstance


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5. How do you practice the spiritual principles in your life?

Surrender

Hope

Commitment

Honesty

Truth

Willingness

Humility

Reflection

Amendment

Vigilance

Spirituality

Service


st step worksheet - holisticgardner.com · balanced center living trademark used under license. ......

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