Verity Treatment Center Sober Living
Personal Trigger Worksheet

Name:
Date:

1. Situation
What happened?

2. Internal signals
What did I notice in my body, feelings, or thoughts?

3. External signals
Who, where, what, or when was involved?

4. Intensity
Rate the pull from 0 to 5.
0 = no pull
1 = light
2 = noticeable
3 = strong
4 = very strong
5 = urgent

5. Next safe step
What is the next practical action I can take?

6. Support
Who can I contact right now?

7. Review
What should I change next time?