Couples Nonviolent Communication Practice Form
Reflect and grow together by practicing nonviolent communication as a couple. Use this form to guide your shared conversation and deepen your understanding.
Date of Practice
*
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Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Your Name (optional)
First Name
Last Name
Partner's Name (optional)
First Name
Last Name
Observation: What happened? (Just the facts, no judgments)
*
Feelings: How did you feel in response?
*
Needs: What needs were present for you?
*
Requests: What would you like to ask of your partner or yourself?
*
Reflection: What did you learn or notice from this practice?
Joint Intention: What intention would you like to set together moving forward?
Additional Notes (optional)
Submit Practice
Should be Empty: