Prompting event/situation: What caused this issue?

Think about if a specific day, event, or relationship caused the issue. Keep it as simple as the cause itself; no perspective, no emotions, just the details of what occurred in your life.

Interpretation: Your thoughts about the event?

Here is where you can speak to your feelings on the event. For example, let's say for the event you wrote, "I watched a relative get hit by a car and hospitalized when I was 5." Your interpretation might be "I was young and struggled to handle the concepts of death and sickness. I became paranoid about losing family members and friends."

Sensations: What do you feel physically from this issue?

List your physical feelings regarding the situation. For example, someone facing fear of rejection might say, "When someone isn't nice to me, I get sweaty, jittery, and panicky."

Body language?

What body language do you have regarding this circumstance? This includes posture changes, closed-off arms, head up or down, tension in fists or other body parts, abilities with eye contact, etc.

Action urges?

What is your natural urge for how to act when confronted with the feeling(s)? Fight and flight responses are common examples. Maybe you want to punch a hole in the wall. Maybe you want to find a corner and hide. What's your urge? Is there more than one?

What emotion is this?

Finally, based on your answers to the other questions, three to five in particular, what can you call this emotion? For instance, if your answers included words like tension, frustration, and fight response, your answer to this question may be "anger."