SAFE
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Email *
Name *
Facilitator/Provider *
Date *
MM
/
DD
/
YYYY
1.- As a result of the class, I know the steps for using a time out *
2.- I can identify my high-risk situations for engaging in abusive behavior *
3.- I know how to handle criticism effectively ( I can hear the criticism without becoming defensive or abusive) *
4.- I have relapse prevention plan that details high-risk situations and how to avoid them *
5.- I understand how alcohol use might lead to abusive behaviors *
6.- I believe I can control my behavior *
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