Preparation checklist + target events
Severity and onset
Target events
Triggers + elicited responses
Resource pages mirrored from the packet
Background form
Readiness checklist
Safe / calm place
Adapted from Francine Shapiro’s EMDR preparation procedures. Source: Shapiro (2018), Eye Movement Desensitization and Reprocessing (EMDR) Therapy, 3rd ed., Guilford Press. Copyrighted material; commercial electronic permission is pending.
Resource development and installation
Adapted from Andrew M. Leeds’ Resource Development and Installation (RDI) procedural steps and script; see also Korn & Leeds (2002). Springer Publishing/author permission for this commercial electronic adaptation is pending.
Dissociative Experiences Scale-II
DES-II © Eve B. Carlson and Frank W. Putnam. Clinical/research copying permission is reported by the authors; commercial electronic embedding permission is pending. Intended as an adult screening measure, not a diagnosis. See Settings for the full citation and permission status.
This questionnaire consists of twenty-eight questions about experiences that may happen in daily life. Rate each item by the percentage of the time it happens when the person is not under the influence of alcohol or drugs.
Multidimensional Inventory of Dissociation (MID-60)
MID-60 by Kate, Jamieson, Dorahy & Middleton, based on Paul F. Dell’s original MID. Commercial electronic reproduction and scoring permission is pending. A screening measure, not a diagnosis. See Settings for citations and permission status.
How often do you have the following experiences when you are not under the influence of alcohol or drugs? Rate each item from 0 (never) to 10 (always).
PTSD Checklist for DSM-5 (PCL-5)
Developed by the U.S. Department of Veterans Affairs, National Center for PTSD; identified by the VA as public domain and not copyrighted.
The standard 20-item PCL-5. Keeping your worst event in mind, rate how much you've been bothered by each problem in the past month.
Attachment Style Quiz
Helo Echo short-form adaptation using modified ECR/ECR-R-family items and dimensions. Commercial adaptation permission has not been established. It is not the official or a validated ECR, ECR-R, or ECR-RS. See Settings for citations and permission status.
This questionnaire measures relationship anxiety and avoidance to identify attachment style. Rate each item by the percentage of the time you feel this way.
Standard Template
Contains or adapts the standard EMDR assessment and reprocessing script associated with Francine Shapiro. Source: Shapiro (2018), 3rd ed., Guilford Press. Copyrighted material; commercial electronic permission is pending.
Fixed-Gaze Processing
Scene Rescripting
Uploaded form
Standard Future Template
Adapted from the standard EMDR Future Template associated with Francine Shapiro and reproduced in EMDR protocol literature. Shapiro/Guilford and any applicable EMDR Institute permission is pending.
Positive Template
Adapted from Andrew M. Leeds, “Positive Template Procedural Steps Script,” Exhibit B.12 in A Guide to the Standard EMDR Therapy Protocols, 2nd ed., Springer Publishing. Copyrighted material; commercial electronic permission is pending.
Uploaded form