Final AssessmentBy KCB Recovery / January 18, 2021 Back to: KCB Recovery MasterClassPlease complete the form below and click the ‘orange‘ submit button at the end of the form to submit the form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Country *State *City *Age *18-24 Years25-34 Years35-44 Years45-54 Years55-64 Years65 Years or olderGender *MaleFemaleHow are you feeling today? *GoodBadNeutralWhat are you looking to achieve? *ModerationAbstinenceDrinking only on specific occationsI don't know yetOtherHow bothered are you by your drinking or using? *Extremely botheredVery botheredSomewhat botheredNot really botheredNot botheredHow many drinks do you have per day? *How many times per day do you use?Are you struggling with anything else? (eg, anxiety, depression, motivation, etc)What does success look like to you? *SubmitShare this:Click to share on Facebook (Opens in new window)Click to share on X (Opens in new window)Related