ReflectionsProfile - EMOTIONAL STRESS BALANCE...

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Unformatted text preview: EMOTIONAL STRESS BALANCE "REFLECTIONS PROFILE" Name ____________________ M F Age _____ Date _________ Log # ___ Review Period ______________ RED SUITS (Write in the numbers.) (Then connect the numbers circled.) AFFECTIONATE _____ 0 1 2 3 4 5 6 ESB APPRECIATED _____ 0 1 2 3 4 5 6 Level AWARE _____ 0 1 2 3 4 5 6 CONTENT TO DIE _____ 0 1 2 3 4 5 6 To 100% CREATIVE _____ 0 1 2 3 4 5 6 calculate- CURIOUS _____ 0 1 2 3 4 5 6 emotional- 95% DARING _____ 0 1 2 3 4 5 6 stress- DETERMINED _____ 0 1 2 3 4 5 6 balance- 90% ENTHUSED _____ 0 1 2 3 4 5 6 level,- GRATEFUL _____ 0 1 2 3 4 5 6 first- 85% HAPPY _____ 0 1 2 3 4 5 6 calculate:- HEALTHY _____ 0 1 2 3 4 5 6- 80% HOPEFUL _____ 0 1 2 3 4 5 6 A- JOYFUL _____ 0 1 2 3 4 5 6 B- 75% LOVE _____ 0 1 2 3 4 5 6 C- PLAYFUL _____ 0 1 2 3 4 5 6- 70% POWERFUL _____ 0 1 2 3 4 5 6 in which:- RELAXED _____ 0 1 2 3 4 5 6- 65% ROMANTIC _____ 0 1 2 3 4 5 6 A =- SELF-CONFIDANT _____ 0 1 2 3 4 5 6- 60% SEXUALLY ALIVE _____ 0 1 2 3 4 5 6 total- SPIRITUAL _____ 0 1 2 3 4 5 6 positive- 55% SUCCESSFUL _____ 0 1 2 3 4 5 6 emotions- SYMPATHETIC _____ 0 1 2 3 4 5 6- 50% TRUSTING _____ 0 1 2 3 4 5 6 _____- VIBRANT _____ 0 1 2 3 4 5 6- 45%- BLUE SUITS- 40% ACHES & PAINS _____ 0 1 2 3 4 5 6 B =- ANGRY _____ 0 1 2 3 4 5 6 - 35% BORED _____ 0 1 2 3 4 5 6 - CONFLICTED _____ 0 1 2 3 4 5 6 negative- 30% CONFUSED _____ 0 1 2 3 4 5 6 emotions- DESPERATE _____ 0 1 2 3 4 5 6- 25% DEPRESSED _____ 0 1 2 3 4 5 6 _____- DISCONTENTED _____ 0 1 2 3 4 5 6- 20% DISILLUSIONED _____ 0 1 2 3 4 5 6- EXHAUSTED _____ 0 1 2 3 4 5 6- 15% FEARFUL _____ 0 1 2 3 4 5 6 C = A + B - FRUSTRATED _____ 0 1 2 3 4 5 6- 10% GUILTY _____ 0 1 2 3 4 5 6 total- HURT _____ 0 1 2 3 4 5 6 of all- 5% IRRITABLE _____ 0 1 2 3 4 5 6 emotions- LAZY _____ 0 1 2 3 4 5 6- 0% LONELY _____ 0 1 2 3 4 5 6 _____ POSSESSIVE _____ 0 1 2 3 4 5 6 PRESSURED _____ 0 1 2 3 4 5 6 RESENTFUL _____ 0 1 2 3 4 5 6 ESB = SERIOUS _____ 0 1 2 3 4 5 6 SUICIDAL _____ 0 1 2 3 4 5 6 A SUSPICIOUS _____ 0 1 2 3 4 5 6 divided by TRAUMATIZED _____ 0 1 2 3 4 5 6 C WORRIED _____ 0 1 2 3 4 5 6 WORTHLESS _____ 0 1 2 3 4 5 6 x 100 = ____ % ______________________________________________________________________________________ positive Reflections & ESB Progress Log ESB 100% 98% 95% 90 85 80 75 70 65% -------------------------------------------------------------------------------------------------------------- 60 55 50 45 40 35 25 20% Week: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Date: ___ ___ ___ ___ ___ ___ What are the prevailing and shifting patterns to your emotions? To what do you attribute these patterns? Selected Emotions Progress Log Scale 6 5 4 3------------------------------------------------------------------------------------------------------------ 2 1 Week: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Date: ___ ___ ___ ___ ___ ___ * = __________________ # = ___________________ o = __________________ 2 EMOTIONAL STRESS BALANCE "REFLECTIONS PROFILE" Name ____________________ M F Age _____ Date _________...
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ReflectionsProfile - EMOTIONAL STRESS BALANCE...

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