Chapter 11
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Values and Goals Worksheet
Please complete the form below by stating a single value, listing action steps related to that value, and describing thoughts or emotions that might interfere with taking the action steps. Please rate the degree to which you are currently living your value by using the following scale: 0 = not living it at all; 1 = living it a little; 2 = moderately living the value; 3 = living the value most of the time; 4 = completely living the value. Value Example: 1. Lead a spiritual life. Action steps Pray on a daily basis. Internal reasons (thoughts, emotions) 1. Forgetting to pray 2. Feeling anger at God 2. Degree to which value is being lived 2
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Robyn D. Walser & Darrah Westrup/New Harbinger Publications 2007
Acceptance & Commitment Therapy for the Treatment of Post-Traumatic Stress Disorder & Trauma-Related Problems