Therapist Imaginal Exposure Recording Form Page 2
ADVERTISEMENT
1
2Imaginal Exposure Homework Recording Form
Client ___________________________
Date _________________
Instructions: Please record your SUDS ratings on a 0 to 100 scale (where 0 = no
discomfort and 100 - maximal discomfort, anxiety, and panic) before and after you listen to
the audiotape of the imaginal exposure. You will also rate the exposure for vividness: how
real it seemed to you when you listened to it (0 = couldn't get into it, not at all real; 100 =
almost like it was happening again).
Tape #: __________________
DATE & TIME
SUDS Pre
SUDS Post
Peak SUDS
DATE & TIME
SUDS Pre
SUDS Post
Peak SUDS
Form 11 Record Sheet for homework imaginal exposures
Ledley, Foa, & Huppert
95
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business