Physical Recovery Interest Survey

This survey, hosted by the CMI Twelfth Step Within committee chair, is intended to allow fellows from this area to be matched with other fellows who have the same interests in order to increase physical recovery and build recovery partnerships.  By completing this survey you agree to be contacted by others with similar interests for physical recovery in order to pursue this interest together, individually or in groups.

Choose up to 8 types of physical recovery.

Your anonymity is protected.  Use only first names with a last initial, if needed for common names.

Question Title

* 1. Address

Question Title

* 2. Select the activity and your interest level:

Question Title

* 3. Select the activity and your interest level:

Question Title

* 4. Select the activity and your interest level:

Question Title

* 5. Select the activity and your interest level:

Question Title

* 6. Select the activity and your interest level:

Question Title

* 7. Select the activity and your interest level:

Question Title

* 8. Select the activity and your interest level:

Question Title

* 9. Select the activity and your interest level: