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Emdr blocking beliefs worksheet 2026

The document is a Blocking Beliefs Questionnaire designed to help individuals identify and rate their beliefs about a specific problem they want to solve. It includes 26 statements that participants evaluate on a scale from 1 (completely untrue) to 7 (completely true), focusing on beliefs that may hinder their ability to address the problem. Developed by Jim Knipe for use in EMDR therapy, the questionnaire aims to uncover underlying thoughts that could block personal progress.

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Click ‘Get Form’ to open the EMDR Blocking Beliefs Worksheet in our editor.
Begin by entering your name and the date at the top of the form. This personalizes your worksheet and helps track your progress.
In the 'Problem I want to solve' section, clearly articulate the issue you are addressing. This sets a focused intention for your work.
For each blocking belief listed, rate how true it feels for you on a scale from 1 (completely untrue) to 7 (completely true). Click on the corresponding number next to each statement.
Take your time reflecting on each belief as you fill it out. This process is crucial for identifying and overcoming obstacles in your healing journey.
Once completed, save your document. You can easily share or print it directly from our platform for further use in therapy sessions.

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