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Date & Time<br />
When did you<br />
start to feel<br />
bad<br />
Situation<br />
Describe:<br />
•<strong>The</strong> event leading to the<br />
unpleasant emotion<br />
and/or;<br />
•<strong>The</strong> stream of thoughts<br />
leading to the unpleasant<br />
emotion<br />
Emotions<br />
What emotions you felt<br />
e.g.. Sad, Angry<br />
Rate strength of emotion<br />
1 – 10 (1 being not bad,<br />
10 being the worst)<br />
Automatic Thoughts<br />
Write what thoughts<br />
went through your<br />
mind just before you<br />
felt the emotion
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