Please fill out the form, then click Finish for a printable page.
Name:
Today's date: Date of event:
Event/what happened?
Physical warning signs:
Behavioral warning signs:
Hidden Hurt/s experienced:
Was I abusive/controlling or did I practice PRAY? Abusive/controlling Practiced PRAY
Negative self-talk:
Abusive or controlling behaviors used:
What did I want the other person to say, do, or think?
Beliefs that allowed me to be abusive/controlling:
How did my abuse/control affect the other person?
How did my abuse/control affect other people involved?
What did I gain from being abusive/controlling?
What did I lose from being abusive/controlling?
What Christ-like attitude or belief would have helped me?
What positive self-talk would have helped me?
What would have been a Christ-like response to this event?
Make a “Direct Statement” to express the feelings and desires in this situation:
When I began experiencing my Hidden Hurt and began to PRAY, my prayer was:
When I recognized my Hidden Hurt, I experienced feelings I remembered from the past of:
I applied compassion for myself by thinking (positive self-talk):
I applied compassion for the other person by thinking:
What Christ-like attitude did I choose to practice?
What true value did I recognize as truth?
What did I say and/or do in this event?
What belief helped me to stay free of abusive/controlling behavior?
How did my Christ-like response affect others?
How did my Christ-like response affect me?
