Non-Violent Communication Worksheet
2
Communication Breakdown Describe a recent conflict or argument: _______________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Observations: __________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Feelings: _____________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Needs: _______________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Request(s): ___________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
Transcript of Non-Violent Communication Worksheet
Communication Breakdown
Describe a recent conflict or argument: _______________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Observations: __________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Feelings: _____________________________________________________________
____________________________________________________________________
____________________________________________________________________
Needs: _______________________________________________________________
____________________________________________________________________
____________________________________________________________________
Request(s): ___________________________________________________________
____________________________________________________________________
____________________________________________________________________
BASIC NEEDS LIST
Connection:
acceptance
affection
appreciation
belonging
cooperation
communication
closeness
community
companionship
compassion
consideration
consistency
empathy
inclusion
intimacy
love
mutuality
nurturing
respect/self-respect
safety
security
stability
support
to know and be known
to see and be seen
to understand and
be understood
trust
warmth
Physical Well-Being:
air
food
movement/exercise
rest/sleep
sexual expression
safety
shelter
touch
water
Honesty:
authenticity
integrity
presence
Play:
joy
humor
Peace:
beauty
communion
ease
equality
harmony
inspiration
order
Meaning:
awareness
celebration of life
challenge
clarity
competence
consciousness
contribution
creativity
discovery
efficacy
effectiveness
growth
hope
learning
mourning
participation
purpose
self-expression
stimulation
to matter
understanding
Autonomy:
choice
freedom
independence
space
spontaneity
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