ABSTRACT
In part I of the following chart, check off all the feelings that you are experiencing. In part II, document how often you are aware of the feelings during 1 week. In part III, use the scale to determine how disturbing and disruptive the feelings are at different times during the day. During this time, also work on the last section of the chart. In part IV, record each time your feelings of fear, anger, guilt, or depression interfered with your life.
