GSR Reports – Pure & Simple Area Reports

This page is for Pure & Simple Area trusted servants only.

Are you a GSR, Alt-GSR, or an individual authorized to submit on behalf of an GSR? *YesNoThis form is for GSR Reports only. Another form exists for all other reports.

If you are not submitting an GSR form, would you like to be contacted?

Email Address (not GSR) *

Phone (not GSR)

First Name *

Last Initial *0 / 3

Email Address *Your email address will not be displayed online.

Phone *Your phone number will not be displayed online.

Select the Month of the ASC Meeting for this report: *Choose the month when the ASC meeting occurs. If you are submitting early, your selection may be different than today’s month.

Select your Group *

Identify the Group that is missing from the list. *

Identify your role. *GSRAlt-GSRSubstitute / SurrogateOther Addict

Have your meeting details (i.e. day, time, format, etc.) changed since the last ASC meeting? *NoYes

Describe the changes to your meeting.

GPRNA Meeting Update Form:

It is suggested that you formally communicate the change to ensure the meeting list is updated. Here is the form used for communicating changes to your meeting day/time/format:
GPRNA MEETING UPDATE FORM

Has your group processed a meeting update form on the GPRNA website? *NoYes

Would you like to download a GSR Orientation Packet? *NoYes

GSR Orientation Packet:

GSR ORIENTATION PACKET
Updated October 2024

Is your Group making a financial contribution to Area? *NoYes

Contribution Amount *Enter the contribution, in dollars.

Is your Group ordering literature? *NoYes

Literature Order Form:

You will need to complete a literature order form:
PSANA LITERATURE ORDER FORM
Bring a paper copy of this form with you to the ASC Meeting.
Make note of the “TOTAL,” which needs to be entered below.

Literature Order Total *Enter the total for your literature order, in dollars, that appears at the bottom of your order form.

Will you be submitting a motion to be voted on at the ASC Meeting? *NoYes

Motion Form:

You need to complete and submit a motion form:
PSANA MOTION FORM

Motion Upload *

This is for motion forms only, not your report. Complete one or more of the forms linked above. You can upload an electronic copy or a photo. You are limited to three submission here. If you need to submit more, email them to secretary@pureandsimplearea.org

Do you have any fliers for upcoming events? *NoYes

Upload Fliers *

This is for fliers only, not your report. The limit is six. If you need to submit more, email secretary@pureandsimplearea.org

Your event WILL NOT be posted to the GPRNA Events Calendar automatically. We suggest completing the online form at the address found below so that addicts in the Philadelphia Region are aware of your event. We will email you a link to the online form. *Acknowledged.https://naworks.org/gprna-events/

Preparing Your Report

You may report “All is well,” or you can provide additional information such as:

Changes to your meeting day/location/time
Changes to your meeting format
Needs or struggles
Growth or new members
Upcoming events that your group will host
Other items your group wants to have included in the minutes

Remember: All reported information will be visible on a public website. Personal identifiers, phone numbers, and email addresses should not be included.

What would you like to report? *“All is well.”I would like to report additional information.Be sure to report any funds requested and the justification for those requests.

How would you like to submit your report? *Type into a fieldUpload a reportSelect one or both. Be mindful that any information included in your report will immediately become public. Do not include personal identifiers, email addresses, or phone numbers.

Enter your report.

Upload your report.

You are limited to three files. If you need to upload more, submit them to reports@naworks.org

Do you have any anniversary celebrations to communicate? *NoYes

Addict #1- First Name and Last Initial

Years

Date of Celebration

Two or more anniversary celebrations? *NoYes

Addict #2- First Name and Last Initial

Years

Date of Celebration

Three or more anniversary celebrations? *NoYes

Addict #3- First Name and Last Initial

Years

Date of Celebration

Four or more anniversary celebrations? *NoYes

Addict #4- First Name and Last Initial

Years

Date of Celebration

Five or more anniversary celebrations? *NoYes

Addict #5- First Name and Last Initial

Years

Date of Celebration

Six or more anniversary celebrations? *NoYes

Addict #6- First Name and Last Initial

Years

Date of Celebration

Seven or more anniversary celebrations? *NoYes

Addict #7- First Name and Last Initial

Years

Date of Celebration

Eight or more anniversary celebrations? *NoYes

Addict #8- First Name and Last Initial

Years

Date of Celebration

Nine or more anniversary celebrations? *NoYes

Addict #9- First Name and Last Initial

Years

Date of Celebration

More than nine (9) anniversaries?

You may only submit nine (9) anniversary celebrations using this online form. If you need to submit more, please see the ASC Secretary or email secretary@pureandsimplearea.org

Optional Private Notes to the SecretaryThe secretary will see this information but it will not be displayed in the report preview or in the minutes.