Top Ten You can download a PDF version to fill in, or choose to fill in the secure form and send it to me directly, whichever you feel most comfortable with. PDF Version Top TenDownload Fillable Form (Submit Online) Top TenCreating Your Top Ten Lists Before your next session, please make a list of your top ten positive memories, and your top ten negative memories. If you don't have ten, that's okay. If you would feel more comfortable doing this exercise together in session, please let me know. Top Ten Worst Memories The object is to note the memories without becoming disturbed. View them as if you were watching a movie or taking a peek from the corner of your eye. You don't need to go into detail when listing the memory, a single sentence, short phrase, or word will do. Be sure to note what age you were for each memory. If you are able, also note how disturbing the memory is to your now. (Use a scale of 0 - 10, where 0 is no disturbance or neutral, and 10 is the highest disturbance you can imagine). Your ratings may change later. For this exercise we're just trying to find the relative disturbance level of each memory. This is a secure form. When I receive your answers, I will print them out, and delete any other record of them. Just the printout will be stored securely in your file in a locked file drawer in my office. Please use the PDF form if you'd prefer to fill it out by hand.Name or Initials *Worst/Negative Memory 1AgeDisturbance level 0 -10Worst/Negative Memory 2AgeDisturbance level 0 -10Worst/Negative Memory 3AgeDisturbance level 0 -10Worst/Negative Memory 4 AgeDisturbance level 0 -10Worst/Negative Memory 5 AgeDisturbance level 0 -10Worst/Negative Memory 6AgeDisturbance level 0 -10Worst/Negative Memory 7AgeDisturbance level 0 -10Worst/Negative Memory 8AgeDisturbance level 0 -10Worst/Negative Memory 9AgeDisturbance level 0 -10Worst/Negative Memory 10AgeDisturbance level 0 -10Top Ten Best MemoriesAlso, please make a list of your top ten best memories, including the age you were at the time of the event or memory. Use a scale of 1 - 10, where 1 is Good, and 10 is Really Fantastic. Best/Positive Memory 1AgeHow Good 1 -10Best/Positive Memory 2AgeHow Good 1 -10Best/Positive Memory 3AgeHow Good 1 -10Best/Positive Memory 4AgeHow Good 1 -10Best/Positive Memory 5AgeHow Good 1 -10Best/Positive Memory 6AgeHow Good 1 -10Best/Positive Memory 7AgeHow Good 1 -10Best/Positive Memory 8AgeHow Good 1 -10Best/Positive Memory 9AgeHow Good 1 -10Best/Positive Memory 10AgeHow Good 1 -10Submit