
37923 W 12 Mile Rd, Suite C · Farmington Hills, MI 48331
Phone: 248.392.3733 · Call, Text & WhatsApp: 248.378.4133 · Fax: 1-888-313-4538
Each person fills in their prompts before the check-in. Hold your partner's boundaries. Share one prompt at a time.
My success that I am most proud of in supporting my recovery and healing this week is:
I feel and about this success.
My challenge that I experienced with my recovery this week has been:
I feel and about this challenge.
The tools that I used for my challenges are:
The one thing I can do to support my recovery in the week ahead is:
Take a few moments to consider.
I hear that you feel and about your success.
I feel and when I hear about this success.
I understand that you feel and about your challenge.
I feel and when I hear about this challenge.
One thing I can do moving forward in response to this information, in supporting you and our relationship, is:
SA Affirmation to Partner
“Thank you for in my recovery.”
My success that I am most proud of in supporting my healing this week is:
I feel and about this success.
My challenge that I experienced with my healing this week has been:
I feel and about this challenge.
The tools that I used for my challenges are:
The one thing I can do to support my healing in the week ahead is:
Take a few moments to consider.
I hear that you feel and about your success.
I feel and when I hear about this success.
I understand that you feel and about your challenge.
I feel and when I hear about this challenge.
One thing I can do moving forward in response to this information, in supporting you and our relationship, is:
Partner Affirmation to SA
“Thank you for in my healing.”
This week I have felt most proud about myself and our relationship in the following way:
This week I have felt most supported and appreciated by you in our relationship in the following way:
This week I have felt misunderstood and about the following situation (1–3 sentences; be respectful and clear; use “I” statements):
This week I feel that I have not heard or understood you in the following way:
What I need moving forward to feel best supported in this relationship over the next week is:
What I am willing to contribute to support our relationship moving forward over the next week is:
Thank you for sharing your positive actions and feelings about our relationship and your wants and needs. Thank you for taking ownership of your challenges; this allows me to feel and .
I hear that what you need from me is:
I am willing to try to be more aware and work on this.I also hear that you are willing to contribute support by:
This week I have felt most proud about myself and our relationship in the following way:
This week I have felt most supported and appreciated by you in our relationship in the following way:
This week I have felt misunderstood and about the following situation (1–3 sentences):
This week I feel that I have not heard or understood you in the following way:
What I need moving forward to feel best supported in this relationship over the next week is:
What I am willing to contribute to support our relationship moving forward over the next week is:
Thank you for sharing your feelings about our relationship and your wants and needs. Thank you for taking ownership of your challenges; this allows me to feel and .
I hear that what you need from me is:
I am willing to try to be more aware and work on this.Each person keeps their weekly sheets in their recovery notebooks to reflect on over the week ahead, and as a motivational tool for improving interactions with the other. Practice meeting your own individual needs while endeavoring to meet a need (a need, not all needs) of your spouse or partner.
A closing note: The check-in is a container — one of many in your recovery and healing. The work does not end when the check-in does. It continues in your individual therapy, your recovery program, your own reflection, and in the small daily moments between check-ins. Each week's worksheet is a snapshot, not a verdict. Over time, these pages become a record of how you are learning — together and separately — to show up differently.
The person in recovery (SA) and their partner each sign below to acknowledge this week's check-in.
SA — person in recovery
Partner