In your own words, what is your reason for wanting to come to Holina?
Substance Addiction Questionnaire
Substances being used currently and historically, including Alcohol and Prescription Medication
Behavioural Addiction Questionnaire
(Sex, Gambling, Gaming, Food (overeating / Bulimia / Anorexia), Self-Harming, Shopping / Spending, Co-Dependency / Love Addiction, Obsessive Compulsive, etc)
I Have A Behavioural Addiction
Please click what applies to you