3-S Form 3: WEEKLY SELF-SCHEMA AWARENESS LOG (Page 1 of 2)
for the week of
STOP THREE TIMES EACH DAY. Become aware of the self-schema that was active. Give it a descriptive name, and enter it in the box. Then rate the extent to which you were able to experience and express your Spiritual nature while you were accessing this particular self-schema
.
Enter here two different cues (e.g., beepers, meal times, etc.) that you will use to remind you to stop three times a day
Morning
Afternoon
Evening
SUNDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
expressed
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Rate extent Spiritual nature
experienced
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
expressed
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Rate extent Spiritual nature
experienced
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
expressed
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
MONDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
expressed
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Rate extent Spiritual nature
experienced
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
expressed
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Rate extent Spiritual nature
experienced
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
expressed
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
TUESDAY
Enter active Self-Schema here
Enter active Self-Schema here
Enter active Self-Schema here
Rate extent Spiritual nature
experienced
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
expressed
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Rate extent Spiritual nature
experienced
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
expressed
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Rate extent Spiritual nature
experienced
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
expressed
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
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