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Event:_________________ Positive Cognition:

Negative cognition:
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________________________ _________________________
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________________________ Validity of Cognition
________________________ 1 2 3 4 5 6 7
________________________ 1 2 3 4 5 6 7
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________________________ SUDS
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________________________ 1 2 3 4 5 6 7 8 9 10 Notes:
________________________ 1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
Sensations/ Emotions 1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
Location on body? 1 2 3 4 5 6 7 8 9 10

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