Forms for Therapists

Here are links to forms you may find useful for your learning and practice of EFT.

These are links to EFT websites around the world where these resources are held. Our thanks to our generous colleagues for providing these.

Learning EFT Helps and Self Review Forms

EFT-Fidelity Scale: Self Report Version and Article Abstract – check your knowledge and competency on important EFT skills

Self Supervision Checklist

Training Note Form

 

Clinical Forms:

Dyadic Adjustment Scale (DAS)

DAS Article for Scoring Info

Sample Video Release – Word

Sample-Taping-Request-Letter

“NO Secrets” Policy

First Session Possible Questions

Sexual Relations Assessment-no heading

EFT Assessment and Session Notes

Forms for use with Couples

These are links to EFT websites around the world where these resources are held.
​Our thanks to our generous colleagues for providing these.

What is EFT

Sample handout explaining EFT

Couples Questionnaire

Used during intake and reviewed after first session.

Couples Screening Form

(Doug Tilley) This is a self-reporting questionnaire about each person and their partner. It asks about specific contraindications.

Couples Satisfaction Checklist

A check list of areas of distress-easy to see hot spots in where the couple may experience conflict-helps with themes of distress

Individual Problem Checklist

Helps indicators to be aware of such as physical and relational patterns, stressors of past several years

Attachment History Questions

Brief Attachment History Questions Developed by Dr. Scott R. Woolley.

When were not getting along

Survey of thoughts, feelings and behaviors when couple is in conflict-beginning window into cycle

Understanding your negative cycle

Assesses the couples’ ability to track their cycle-reaction patterns.

Attachment Questionnaire

From Parenting From the Inside Out Provides an Introduction into their family of origin history.

About EFT Psychology today

Sue Johnson. Introducing EFT

Cycle Form with note lines; Training Note Form; Cycle Fill in Form

To use as you’re mapping the cycle and learning EFT steps and interventions.

Interpersonal Violence Assessment 

To assess for domestic violence