Emotions Records
Use this form to keep a record of the emotions you feel along with the thoughts associated to it.

Remember to evaluate up to what extent these emotions affect you when something triggers them.

You can use this form as many times as you wish. The more you use it, the more prepared you'd be to accurately assess, evaluate, address and manage situations in a healthy and adaptive way in the future.


 
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Email *
Name and Last Name *
Describe the events/facts/perceptions/perceived triggers. What has triggered the emotion/s? *
Now, think about a time when you felt affected/triggered, and describe the situation.
Emotions *
What emotions did you have and up to what degree? Ex. Anxiety (7/10)
Captionless Image
Thoughts *
  1. What was going through your mind? What were you thinking about before, during and after the emotion was triggered? Write down every single thought you can remember.
What were your real triggers?  *
Required
Behaviour *
What did you do as a result of this situation? How did you deal/cope with it? Did you cope in a healthy way? Did you withdraw, distract yourself? Use/abused any substance/food/porn/shopping or started mindlessly scrolling on social media?
Conclusion. What did you realised about yourself? And what care you going to do about it?
A copy of your responses will be emailed to the address you provided.
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