Alcoholism Visit for Patient Participating in Alcoholics Anonymous (AA)

[comment memo="If a patient chooses to participate in Alcoholics Anonymous, this could be addressed at a clinic visit.  "]
[comment memo="There is evidence of a dose response relationship for participation in AA.  "]
[comment memo="Documentation of progress in the program may possibly help facilitate abstinence.  "]
The patient has been sober for --> [select name="Variable_1" value="24 hours|30 days/1 month|60 days/2 months|90 days/3 months|4 months|5 months|6 months|7 months|8 months|9 months|10 months|11 months|1 year|more than 1 year"]

Steps the patient is currently addressing:
[checklist name="Variable_2" value="1. We admitted we were powerless over alcohol -- that our lives had become unmanageable.|2. Came to believe that a Power greater than ourselves could restore us to sanity.|3. Made a decision to turn our will and our lives over to the care of God as we understood Him.|4. Made a searching and fearless moral inventory of ourselves.|5. Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.|6. Were entirely ready to have God remove all these defects of character.|7. Humbly asked Him to remove our shortcomings.|8. Made a list of all persons we had harmed, and became willing to make amends to them all.|9. Made direct amends to such people wherever possible, except when to do so would injure them or others.|10. Continued to take personal inventory and when we were wrong promptly admitted it.|11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the poer to carry that out.|12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to all alcoholics, and to practice these principles in all our affairs."]

Specific challenges the patient is facing:
[textarea name="Variable_3"]

[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
references:  
[link url="https://www.aa.org/assets/en_US/en_bigbook_chapt5.pdf" memo="#1"] Alcoholics Anonymous. Alcoholics Anonymous: The story of how many thousands of men and women have recovered from alcoholism. New York, NY: Alcoholics Anonymous World Services; 1939.
[link url="https://www.ncbi.nlm.nih.gov/pubmed/19340677" memo="#2"] Kaskutas LA. Alcoholics anonymous effectiveness: faith meets science. J Addict
Dis. 2009;28(2):145-57.
[/conditional]
If a patient chooses to participate in Alcoholics Anonymous, this could be addressed at a clinic visit.
There is evidence of a dose response relationship for participation in AA.
Documentation of progress in the program may possibly help facilitate abstinence.
The patient has been sober for -->

Steps the patient is currently addressing:


Specific challenges the patient is facing:


display/hide references

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.75, 10 form elements, 20 boilerplate words, 1 text areas, 1 checkboxes, 1 check lists, 1 drop downs, 2 links, 3 comments, 1 conditionals, 15 total clicks
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