Emotional Awareness Exercise — BADASS DIABETIC LLC

Emotional Awareness Form

Name

First Name

Last Name

Email Address

With Regards To (YOUR FOCUS OF THE COURSE - i.e. T1D, T2D, weight, health, wealth, personal relationships, business, etc)

I feel angry because....

I feel sad because.....

I feel afraid that......

I feel ashamed or embarrassed about....

I feel guilty because......

I feel sorry because.....