Forms for Therapists

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

Forms and Handouts for Couples:

Group Presentation Form

Cycle Fill In Form

Dyadic Adjustment Scale

DAS Article for Scoring Info

Sample Video Release – Word

Sample-Taping-Request-Letter

Training Note Form

First Session Possible Questions

EFT Supervision Agreement

EFT Assessment and Session Notes

Video Tape Consent Form

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

Video Session Review Form

For Supervisors and Supervision

Bug-In-Ear Informed Consent Sample Form

Case Presentation Form

Cycle Fill In Form

Supervision/Consultation Agreement

Supervision/Consultation Agreement – To You To Edit For Your Use

Cloud or Computer – Practice Management Info

How to make a video file an audio file, for transcription – by Alan Groverman

 For MAC                         For PC

Clinical Forms

Dyadic Adjustment Scale (DAS)

DAS Article for Scoring Info

Sample Video Release – Word

Sample-Taping-Request-Letter

Sample Veterans Affairs Video/Audio Release

Sample Video Consent by Sandy Jardine

First Session Possible Questions

Sexual Relations Assessment-no heading

EFT Assessment and Session Notes

Sandy Jardine’s After First Session Homework/Assessment Questions 

“This is the couples questionnaire I give to all couples at the end of the first session. I ask them to fill it out and get it to me either at our individual session or prior to it if at all possible.” Sandy Jardine