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Influence Accelerator Application

Get Your Loved One Commited To Sobriety In Weeks NOT Years!

You've learned how to get your partner to see their alcohol problem. The next step is getting through the bargaining process.  Influence Accelerator will help you Fast Track to Sobriety. 

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Question 1 of 11

Your Name and Contact Info?

Question 2 of 11

What is your relationship to the person you’re concerned about? (ie: partner, adult child, friend, sibling, etc..) 

Question 3 of 11

What is the main concern you’re trying to address?
(ie: Alcohol, drugs, prescription medication misuse, gambling, porn/sex addiction, other.)

Question 4 of 11

How much access or contact do you currently have with your loved one?

(Select all that apply)
A

We live together and interact regularly.

B

We don’t live together, but we talk regularly.

C

Contact is inconsistent, but we still have some communication.

D

We rarely talk or they avoid almost all contact.

Question 5 of 11

Which best describes your loved one’s current level of functioning?

A

Mostly functional: working/parenting/managing responsibilities, even though the problem is causing harm.

B

Somewhat functional: inconsistent, but still has periods of stability or engagement.

C

Very unstable: rarely sober/clear-headed, frequently in crisis, or unable to function day-to-day.

D

Currently experiencing psychosis, acute mental health crisis, suicidal/homicidal risk, or severe medical instability.

E

Currently in detox/treatment/hospital/jail or another controlled setting.

Question 6 of 11

Briefly describe what’s been happening.

Question 7 of 11

What made this approach (denial breakthrough strategites)  feel relevant to your situation?

Question 8 of 11

Where do you feel most stuck applying these strategies in real life?

Question 9 of 11

If you had consistent support applying this approach, what would you hope could change over the next 8 weeks?

Question 10 of 11

Influence Accelerator requires time, emotional engagement, and a financial investment of $5,000, with payment plan options available. Do you have any concerns about being able to fully participate?

Question 11 of 11

Any other questions, concerns, or information we should know? 

Confirm and Submit