Habitual Self-Schema Worksheet

for the week prior to beginning 3-S

From to

In the spaces below, list the primary qualities/characteristics of your "Habitual Self-Schema" -- i.e., when you reflect on the past week, how would you describe the kind of person you were while traveling whatever path (or "super-highway") you were typically on during the week (This worksheet is for your personal use. Use non-judgmental, but honest, self-reflection.)

10.

Reflect on the habitual self-schema, described above, and identify at least one associated ...

Daydream (theme of mind wandering)

Thought (script/internal dialogue)

Feeling (emotional reaction)

Behavior (action sequence)

Click on the appropriate box to the right if this habitual self-schema caused, or had the potential to cause, any suffering or harm

Potential for suffering or harm

To yourself

To others

Rate (from 0-100%) the extent to which you were able to experience and express your Spiritual nature while this habitual self-schema was active last week

Extent Spiritual nature was simultaneously

experienced

expressed