EMDR Future Template Worksheet (PDF)

1. Write down the goal/problem you want to address

2. Note down your emotional state related to the problem/issue

3. Write down positive affirmations related to the problem/issue

4. Identify and write down past experiences related to the problem/issue

5. Write down negative beliefs/thoughts related to past experiences

6. Replace the negative thoughts/beliefs with positive ones

7. Note your emotional state regarding past events

8. Identify triggers regarding the current issue/problem

9. List down negative emotions related to the current triggers

10. Contradict the negative emotions with positive ones

11.  List techniques to relax yourself when required

12.  Develop a self-care plan

13.  After some time, reevaluate your emotional state related to the problem/issue and add more affirmations

References

1. What Is EMDR Therapy? Past, Present, and Future Directions 

You can download more Mental Health worksheets here.

Please note: There may be a more up-to-date and editable version of this worksheet available here which may be more suitable to present to clients if you are a therapist or to use in a classroom as a teacher or guidance counselor.