Are there issues related to past trauma in my family or culture that may affect the success of my plan?
Your answer
What strengths from my culture or family will help me succeed in my goal?
Your answer
How might my childhood experiences affect the success of my goal?
Your answer
My current family support is
Your answer
The stressors and triggers I need to consider
Your answer
What is the positive self-talk message I can use when I get triggered? Or, what is a “positive phrase” from a role model or an Elder I can say to myself when I get triggered?
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of StrataG. Report Abuse