Owning Your Issue Exploration

(Why is this relationship important to you?)

(Facts are what a video camera can record. Only list the recordable facts.)

(What emotions do you feel e.g., sad, angry, scared, ashamed, guilty, numb, overwhelmed, …? How are these emotions impacting your life?)

(What judgments / assessments / stories are you making about the other parties and this issue? What personal beliefs might be contributing to your story? What assumptions are you making?)

(What has been your part in creating and / or sustaining the issue? How have you contributed to the dynamic?)

(What would you like the other parties to do? What do you really want for yourself? What might ultimate resolution of this issue look like for you?)

(List as many options as you can. Then, identify which option(s) deserve further exploration. Note: Doing Nothing / Status Quo is an option you are encouraged to consider.)

(List the risks to do nothing, pursue a specific option, or take any course of action? What fears arise as you consider each of these options?)

(Support might be shared experiences, advice, empathy, encouragement, courage, and /or accountability to help you make a commitment and take action.)

A copy of your submitted questionnaire will be sent to you at the email address you provide in the following field. You may leave this field blank if you do not wish to receive a copy of the completed questionnaire.