Printable worksheet
Relapse Warning-Sign Checklist
Notice early warning signs before the day gets too big to manage well.
When to use it
- Once a week as a quiet self-check.
- After a conflict, disappointment, or schedule disruption.
- When something feels off but you cannot quite name it yet.
Instructions
- 1.Check the signs that are showing up now, not the ones you wish were showing up.
- 2.Pick the one or two signs that deserve attention first.
- 3.Write one action that moves you toward support today.
Privacy note
Your checklist stays local and private. No analytics capture these answers.
Worksheet fields
Write directly in the fields below. Nothing is sent anywhere automatically, and you can save a local browser copy only if you choose to.
Warning signs
Select every sign that feels relevant right now.
Nothing is stored unless you choose Save on this device.
Safety note
If there is immediate danger, call 911. For emotional crisis support, call or text 988.
Related educational article
Read more background before or after you use the worksheet.
Understanding Relapse Warning Signs
An article that explains why warning signs matter and what to do early.
Open articleWant help narrowing what matters most today?
Verity Treatment Center can help you sort a long checklist into a simple next move.
