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Are You Ready to Change Your Life?

This is a private questionnaire. It is for your eyes only. It does not submit to the Sanctuary at all. It is for you to answer questions honestly about yourself. This is just a tool for you to decide if you should call us. We are here to help you change your life.

  • Q. Do you have secrets and often feel like you lead a “double life”?
  • A. Yes No
  • Q. Do you ever lie about yourself, your life, or your behaviors to others?
  • A. Yes No
  • Q. Do you often isolate yourself
  • A. Yes No
  • Q. Do you feel like people don't know the "real you"?
  • A. Yes No
  • Q. Do you feel like you are on the outside and never quite fit in?
  • A. Yes No
  • Q. Do you give your power away to people, places, or things?
  • A. Yes No
  • Q. Do you hide habits or behaviors from your friends and family?
  • A. Yes No
  • Q. Do you spend a lot of time and energy trying to look good on the outside in order to hide how bad you feel inside?
  • A. Yes No
  • Q. Are you doing what you want to do with your life? With the person you want to be with? In the place you want to live?
  • A. Yes No
  • Q. Do you feel all alone even when you are surrounded by people?
  • A. Yes No
  • Q. Is your mood and sense of wellbeing determined by external circumstances, like relationships, money, career, etc.?
  • A. Yes No
  • Q. Do you feel shame and guilt about any parts of your life, especially those parts you keep secret?
  • A. Yes No
  • Q. Have you ever promised yourself that you would “change” tomorrow, yet tomorrow never seems to come?
  • A. Yes No
  • Q. Are you taking prescription medications for mental/emotional disorders? Have you tried to stop? Do you want to stop?
  • A. Yes No
  • Q. Do all of your doctors know of every medication you take?
  • A. Yes No
  • Q. Do you regularly take antidepressants?
  • A. Yes No
  • Q. Do you believe you have “tried everything” and nothing works?
  • A. Yes No
  • Q. Do you often feel trapped, held back, shut down and/or numb?
  • A. Yes No
  • Q. Do you often feel angry, resentful, ashamed or depressed?
  • A. Yes No
  • Q. Do you either dominate and intimidate others?
  • A. Yes No
  • Q. Do you feel intimidated, coerced and manipulated by others and unable to stand up for yourself and speak your truth?
  • A. Yes No
  • Q. Do relationships, career and life in general feel empty and meaningless?
  • A. Yes No
  • Q. Do you feel as though you are just going through the motions without any joy or connection?
  • A. Yes No
  • Q. Do you lack intimacy and deep connection in your life? Do you repeatedly have failed relationships?
  • A. Yes No
  • Q. Are you unemotional or disconnected from your feelings, or are your feelings running you?
  • A. Yes No

Reasons to Call Today

  • I have secrets and often feel like I lead a “double life”.
  • I lie about myself, my life, or my behaviors to others.
  • I often isolate myself.
  • You feel like people don't know the "real you".
  • I feel like an outsider who never quite fits in.
  • You give power away to people, places or things.
  • You hide habits or behaviors from your friends and family.
  • You spend a lot of time and energy trying to look good on the outside in order to hide how bad you feel inside.
  • You aren't doing what you want in life.
  • You feel alone, even when you're surrounded by people.
  • Your mood and sense of wellbeing is determined by external circumstances.
  • You feel shame and guilt about parts of your life.
  • You promised yourself that you would change.
  • You're taking prescription medications for mental or emotional disorders.
  • Your doctors aren't aware of every medication you take.
  • You regularly take antidepressants.
  • You feel like you've "tried everything" but nothing seems to work.
  • You feel trapped, held back, shut down or numb.
  • You feel angry, resentful, ashamed or depressed.
  • Sometimes, you dominate and intimidate others.
  • You feel intimidated, coerced and manipulated
  • Relationships, careers and life in general feel empty and meaningless.
  • You feel as though you are just going through the motions without any joy or connection.
  • You lack intimacy and deep connection in your life; you repeatedly have failed relationships.
  • You are unemotional or disconnected from your feelings.
Start Your Recovery
  • This field is for validation purposes and should be left unchanged.

Frustrated Trying to Achieve Lasting Recovery?
To Receive Pricing Information and Our 6 Part Email Series on Holistic Recovery,
Please Complete This Form.

  • Private and Shared Accommodations
  • Strong Clinical Component
  • Individualized Attention & Daily Private Therapy
  • Integrative Addiction Recovery
  • Healing Core Issues
  • Safe Nurturing Environment
(877) 710-3385
I am inquiring about myself
I am inquiring for a friend or family
 

Frustrated Trying to Achieve Lasting Recovery?
To Receive Pricing Information and Our 6 Part Email Series on Holistic Recovery,
Please Complete This Form.

  • Private and Shared Accommodations
  • Strong Clinical Component
  • Individualized Attention & Daily Private Therapy
  • Integrative Addiction Recovery
  • Healing Core Issues
  • Safe Nurturing Environment
(877) 710-3385
I am inquiring about myself
I am inquiring for a friend or family
 

Frustrated Trying to Achieve Lasting Recovery?
To Receive Pricing Information and Our 6 Part Email Series on Holistic Recovery,
Please Complete This Form.

  • Private and Shared Accommodations
  • Strong Clinical Component
  • Individualized Attention & Daily Private Therapy
  • Integrative Addiction Recovery
  • Healing Core Issues
  • Safe Nurturing Environment
(877) 710-3385
I am inquiring about myself
I am inquiring for a friend or family
 

Frustrated Trying to Achieve Lasting Recovery?
To Receive Pricing Information and Our 6 Part Email Series on Holistic Recovery,
Please Complete This Form.

  • Private and Shared Accommodations
  • Strong Clinical Component
  • Individualized Attention & Daily Private Therapy
  • Integrative Addiction Recovery
  • Healing Core Issues
  • Safe Nurturing Environment
(877) 710-3385
I am inquiring about myself
I am inquiring for a friend or family
 

Frustrated Trying to Achieve Lasting Recovery?
To Receive Pricing Information and Our 6 Part Email Series on Holistic Recovery,
Please Complete This Form.

  • Private and Shared Accommodations
  • Strong Clinical Component
  • Individualized Attention & Daily Private Therapy
  • Integrative Addiction Recovery
  • Healing Core Issues
  • Safe Nurturing Environment
(877) 710-3385
I am inquiring about myself
I am inquiring for a friend or family