My Recovery Story | Southeastern New Hampshire Services

Name

First

Last (or Last Initial)

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Are you currently...

A current SENHS client

A former SENHS client

Not a past or present client

I prefer not to say

If you are/were an SENHS client, when did you access services?

Which of the following programs were you enrolled in?

Turning Point (low-intensity residential)

Impaired Driver Care Management (IDCMP) / MOP

Addiction Recovery Center (ARC)

Outpatient LADC Counseling

FOR (Focus on Recovery) Women Intensive Outpatient

Strafford County Drug Court Intensive Outpatient

Other

EXPERIENCE: Please describe what it was like before you sought out treatment (i.e., what your life was like before/during active addiction).

STRENGTH: Please describe how you came to seek out treatment or help. What changed in your life? What motivated you? What was your personal turning point? What did your treatment experience at Southeastern NH Services look like?

HOPE: What does life look like in recovery? What does the future look like for yourself and your loved ones/family?

OPTIONAL: Upload a photo. Would you be willing to share a photo of yourself (or a pair of photos: before and after beginning recovery?)

Consent

I understand by submitting this form that my Recovery Story will remain confidential per the laws both federal and state-level regarding Substance Use Treatment history. I understand that before my Recovery Story and photograph is published in any medium (press, marketing collateral, social/digital media, et cetera), SENHS must secure a signed release from me for that purpose. I also understand that I have the right to revoke my permission for use of my Recovery Story and photograph if I inform SENHS in writing.

If you are human, leave this field blank.

If you think that you are willing to help us spread the word of real recovery by sharing your story of experience, strength, and hope, please fill out the form below.

All submissions are confidential and clients can revoke use by SENHS at any time or request the removal of all Personal Identifiable Information (PII) before publication.

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