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CBT Experiment Plan


This form is for you to design an experiment plan to test a new alternative or balancing belief.

[form] The name and email field are required info or your work will not be sent Name: [text,r_name,40] Email: [text,r_email,30] Experiment Plan work for building confidence in an Alternative Belief Work this form up to the action step, SEND your work, Carry out the ACTION step, THEN come back and use the form again to fill in the results. If you're doing this, MAKE SURE you check the box to get a copy sent to you of your plan. First choose an alternative or balancing thought that you do not yet fully believe. Write it in as the thought to be tested. Then (with help if needed) design an experiment to test the new belief. Following that PREDICT the outcome of the experiment (holding the new belief to be true). ------------------------------ TIPS for success 1. Break up your experiments into small stepsSmall steps are easier to do, and what you learn from each small step will help you make bigger steps using this alternative thought 2. You will need to do a number of experiments before you truly believe a new way of thinking about things. It's easy to believe a thing when the pressure is off, but by experimenting you're being pro-active in future proofing yourself with a thought that matches what is true. 3. Until you try an experiment you may not discover what really happens when you try something new. IF your experiment doesn't turn out as you hoped, it is time to problem solve, NOT QUIT. It helps you dig deeper to really find out what the core belief is. 4. WRITE down your experiments This is why you're here using this form. Remember "Thoughts disentangle themselves as they move from the lips and down through the pencil tips". By recording them you improve the likelihood you'll learn from them. THOUGHT to be tested [textarea,thought_to_test,3,70] How much do you believe this new alternative thought at present? [list,present_belief_level] [option,Choose,Choose the percentage of belief,selected] [option,Not at all 0%,0% Not at all] [option,10%,10%] [option,20% A little,20% A little] [option,30%,30%] [option,40%,40%] [option,50% Medium,50% Medium] [option,60%,60%] [option,70% A lot,70% A lot] [option,80%,80%] [option,90% Quite a lot,90% Quite a lot] [option,100% Confident,As clost to 100% as I can be] [/list] This is now where you take time to design an experiment, then identify possible problems and develop strategies to overcome them. To help you with this designing, ask yourself, "IF a person believes this, THEN what kind of things would they be free to do?" The answer will be relative to the hot thought you developed your alternative from. This is my Experiment (specific terms not general) [textarea,my_experiment,5,70] This is my Prediction for the outcome [textarea,my_prediction,5,70] Possible Problems I can see that will block my prediction coming true [textarea,possible_problems,5,70] Strategies I could use to overcome the problems [textarea,my_problem_strategies,5,70] The OUTCOME of my experiment (fill in after you've done it) [textarea,the_outcome,10,60] How much does the outcome support the thought that was tested? [list,outcome_support_level] [option,Choose,Choose the percentage of belief,selected] [option,Not at all 0%,0% Not at all] [option,10%,10%] [option,20% A little,20% A little] [option,30%,30%] [option,40%,40%] [option,50% Medium,50% Medium] [option,60%,60%] [option,70% A lot,70% A lot] [option,80%,80%] [option,90% Quite a lot,90% Quite a lot] [option,100% complete support,As close to 100% as it can be] [/list] What is the level of your belief in the alternative after your experiment with it? [list,belief_now_level] [option,Choose,Choose the percentage of belief,selected] [option,Not at all 0%,0% Not at all] [option,10%,10%] [option,20% A little,20% A little] [option,30%,30%] [option,40%,40%] [option,50% Medium,50% Medium] [option,60%,60%] [option,70% A lot,70% A lot] [option,80%,80%] [option,90% Quite a lot,90% Quite a lot] [option,100% Confident,As clost to 100% as I can be] [/list] LAST question: WHAT did you learn from doing this experiment? [textarea,learn_from,5,70] IF you are yet to carry out your action step, check this box to get your plan. [checkbox,send copy] SEND me a copy of this plan please [submit,SEND this Entry][reset,Start Over again] [/form]

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