Professional Documents
Culture Documents
Any reference to “I” or “me” in the following document, refers to the person using the material.
Disclaimers
I should consult with a relationship professional/ mental health professional in my area to see if this
material is right for me.
I understand this is designed as self-help material and is for informational purposes. This material is
considered a piece of equipment not a psychological service.
I acknowledge no assessment has been conducted, and as such no specific recommendation has
been given that this material is best for my situation. I am choosing to engage in this self-help
material based on my own best judgement. I acknowledge this is not specific advice for me.
I acknowledge that Ember Relationship Psychology, does not and will not have any duty, obligation,
or liability that comes from the provision of, or failure to provide medical/ relationship/
psychological/mental health services.
I understand that if my symptoms are severe or I am experiencing distress I should seek access to a
relationship provider in my area who can offer better assistance. It is my responsibility to access
services that can assess, diagnose and provide treatment recommendations.
I acknowledge that any participation in using the material is voluntary. I understand that if there is a
part of the program I am uncomfortable with, I can refuse to do the activity.
I recognize that there are no guarantees or warranties that will come to me as a result of my
participation in using the material. Results will vary person to person.
I understand and acknowledge that Ember Relationship Psychology is not available for questions and
comments related to how the material applies to me.
I knowingly, freely, and explicitly waive any claim I may have Ember Relationship Psychology for any
relational, physical, emotional, cognitive or behavioral injury I may sustain as a result of using the
material.
I knowingly, freely and explicitly forever waive responsibility of Ember Relationship Psychology, from
all manner of actions, causes of action, suits, demands, debts, accounts, covenants, contracts, and
damages which may be suffered by me, now or in the future, in connection with my participation this
material.
Video 1
Values
Circle 10 items that matter to you. Then rank them in order with 1 being the most important
and 10 being the least important.
@emberrelationshippsychology www.emberrelationshippsychology.com
Video 1
Relationship Goals
Circle 10 items that matter to you. Then rank them in order with 1 being the most important
and 10 being the least important.
____ Have regular date nights ____ Gain confidence in our future
____ Make time to have sex ____ Role models for our children
@emberrelationshippsychology www.emberrelationshippsychology.com
Video 1
Relationship Goals
Circle 10 items that matter to you. Then rank them in order with 1 being the most important
and 10 being the least important.
____ Reignite the spark ____ Get on the same page with habits
____ Feel seen and heard ____ Manage our work stress together
____ Get on the same page with ____ Support each other's emotional
parenting needs
____ Get on the same page with ____ Increase healthy choices
____ Get strategies to talk about money ____ Change decision making
@emberrelationshippsychology www.emberrelationshippsychology.com
Video 2
What did I learn by exploring my values? What goals, if any, did I become aware of
during that exercise?
What did I learn by exploring the relationship goals worksheet? What goals, if any,
feel like a priority right now?
In 2022, how do I want to feel when I wake up in the morning? What is getting in
the way of me feeling that way?
What areas of my life are causing me the most distress? (e.g. relationship,
parenting, work, friends, finances, fitness, etc. ) How come?
How would I like the area listed above to be different one year from now?
@emberrelationshippsychology www.emberrelationshippsychology.com
Video 3
What one relationship goal would I like to achieve in 2022? How come this matters
to me? How will I feel when I achieve it?
S
M
A
R
T
For my relationship goal: 1. What do I need to stop to achieve it? 2. What do I need
to start to achieve it? 3. What do I need to find to achieve it?
@emberrelationshippsychology www.emberrelationshippsychology.com
Video 3
What one personal goal would I like to achieve in 2022? How come this matters to
me? How will I feel when I achieve it?
S
M
A
R
T
For my personal goal: 1. What do I need to stop to achieve it? 2. What do I need to
start to achieve it? 3. What do I need to find to achieve it?
@emberrelationshippsychology www.emberrelationshippsychology.com