This document is a "no-contact plan" that you can fill out, reuse, and revisit every time you need it. This plan outlines the steps to successfully remain in no-contact in a very clear, concise way. The purpose of this worksheet is to provide clarity and prepare you for maintaining no contact. This worksheet encourages concious decision-making and self-exploration.
 
INCLUDED:
A blank version of this worksheet
An additional worksheet that I filled out that provides in-depth examples of each question
 
Instructions for use:
Read through the prompts, in order, and either answer them in your head or write them down (it is highly encouraged to write them down).
Refer to the example worksheet if you feel stuck or unable to answer a question
Refer back to this plan every time you feel the desire to break no-contact
 
Disclaimer: The use of this worksheet does not replace proper services such as psychotherapy.