Below you will be able to estimate your FINANCIAL COST of an addiction over the years.
Obviously, this does not take into consideration the other life (damages) cost; Reputation,the emotional toll, the physical damage, intimate relationships, spiritual, educational, job, advancement, etc. When completing this form you'll have to estimate the cost of items like cigarettes. Maybe throughout your lifetime of smoking cigarettes have gone from $1.00 to $ 5.00 a pack. Thus, maybe you have an average cost of $ 3.75. The majority of my clients, over the years, were truly amazed at their total cost over the years.

Financial First Step
1. Weekly Expenses for: * Annual Costs X Years Used = Lifetime Cost of Use
>Cigarettes ___________ X 52 = ___________ X _________ = $_________________
>Alcohol ___________ X 52 = ___________ X _________ = $_________________
>Drugs ____________ X 52 = ___________ X _________ = $_________________
-Illegal ___________ X 52 = ___________ X _________ = $_________________
-Prescription ____________ X 52 = ___________ X _________ = $_________________
-OTC ____________ X 52 = ___________ X _________ = $_________________
>Addictions ____________ X 52 = ___________ X _________ = $_________________
-Non Chemical ____________ X 52 = ___________ X _________ = $_________________
*Regardless of who paid for them?

2. How much was your bail for each arrest? Together their total = $_______________

3. How much were lawyer fees altogether? (Include divorces, etc.) = $_______________

4. How much were you fined each time? Together their total = $_______________

5. How much were court costs for each arrest? Together their total = $_______________

6. How much were your probation fees? Together their total = $_______________

7. How much has alcohol/drug treatment cost and regardless of who paid? = $_______________

8. Cost to taxpayers for each day you have been incarcerated:
Multiply $35 per day for each day incarcerated in a county jail = $_______________
Multiply $50 per day for each day incarcerated in a state prison = $_______________

9. How much did your auto insurance raise after DUI arrests? = $_______________
X Number of years it was raised = $_______________

10. Missed work days due to hangovers, wanting to party instead,
Being in jail, etc.: Number of lost workdays - ________
X Amount earned per day - $________ total = $_______________

11. Long term career opportunities (jobs) lost due to missing work, poor attitude, etc.:
Annual income from the best job ever held - $__________
X Number of years since you lost it - $__________ total = $________________

12. How much have auto repairs cost for your cars and other people's cars
that you damaged as a result of your addiction and regardless of who paid? = $________________
13. How much have repairs to doors, windows, furniture, TV's and other
material goods cost as a result of damage due to your addiction,
regardless of who paid? = $_________________

14. How much money has been totaled in medical bills for injury to yourself
and/or other people as a result of your addiction and regardless of who paid? = $_________________

15. How much have you spent on gambling, including lottery tickets? = $_________________

16. How much credit card and other debts are delinquent because of your addiction? = $_________________

17. Itemize the value of items/cash you have sold/lost because of your addiction. = $_________________

18. Itemize the value of items/cash you have stolen because of your addiction. = $_________________

19. Itemize moving and travel expenses incurred as a result of your addiction. = $_________________

20. TOTAL ESTIMATED COST OF YOUR ADDICTION = $__________________