Sierra Center for Peak Perfromance

PERSONALIZED
STRESS MANAGEMENT 
 AFFIRMATIONS

Use this form to set goals and action steps and Dr. Relax will turn them into a set of powerful stress-busting affirmations that will motivate, inspire and reinforce your efforts to manage stress more effectively.

To ask Dr. Relax to create a listing of personalized affirmations specific to you and your unique circumstances, simply complete this form and click on "Send" at the bottom.

If you are not sure how affirmations can help you see: http://www.drrelax.com/ezine1.htm#3

What is your first name?
What is your last name?
What is your gender?
What is your age?
What are your stress management process goals? Give at least 4 Goals.

Process: To walk five miles each day.

Avoid Outcome goals: To experience less stress.

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What must you do to achieve each of the goals stated above? (What actions must you take?)* Note that Step 1 is the action you must take to achieve Goal 1 and each step should be paired with each goal above. 1.
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What is the single biggest challenge to you reaching your goals?
What are your major sources of stress? 1.
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Are there any circumstances that are a particular challenge to your efforts at reaching your goals?
What feelings or emotions do you associate with reaching your goals?
(Try to name more than four if you can.)		 1.
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What specifically do you believe my training will help you to do
better with regard to stress management?
Name three people you admire 1.
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Daytime Phone
Evening Phone
E-Mail address to receive your draft affirmations


    Confirm E-mail Address

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