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

“NO Secrets” Policy
Training Note Form
First Session Possible Questions
EFT Supervision Agreement
EFT Assessment and Session Notes

Case Presentation Form
Cycle Fill In Form
Dyadic Adjustment Scale
DAS Article for Scoring Info
Sample Video Release – Word
Sample-Taping-Request-Letter