Step 4 inventory
This form is designed to allow you to quickly note down the people, ideas and so forth that you may need to write a full resentment, fear or harm inventory for. It is broken up into the 4 columns suggested by the AA 'Big Book'. It is also suitable for a daily (Step 10) inventory. Only Column 1 & 2 are required - so you can complete them first, and return to the form later on to complete the other 'columns'. There is a submit button at the end of the first page, or you can continue to complete it and submit at the end.
Type of inventory
Resentment
Fear
Harm (Sexual)
Harm (Other)
Column 1 - I resent
I list people, myself, institutions, addictions, ideas or principles with whom I am angry, resent, feel hurt or threatened by. Complete one form per resentment.
Column 1 - I fear
I list people, myself, institutions, addictions, ideas or principles that I fear. Complete one form per fear.
Column 1 - I hurt
I list by name individual people or groups of people, or myself that I have harmed. Complete one form per harm.
I resent:
*
I fear:
*
I hurt:
*
Column 2 - Because
Column 2 - Description
BECAUSE:
*
What happened? Be specific as to why I was wounded or angry.
Describe what I did:
*
What did I do to cause harm? Be specific.
Strength (scale 1-10)
How strong is the resentment on a scale of 1 to 10? Does it burn with heat of a thousand suns (10)? Or would it just tickle your ear (1)?
Duration (scale 1-10)
How constant is the resentment on a scale of 1 to 10? Does it say good night to you and greet you in the morning (10)? Or does it just pop into your mind now and then (1)?
Submit
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Column 3 - This affects my
Which of the seven parts of self were affected?
Pride
Self-Esteem
Ambitions
Personal Relations
Sexual Relations
Security
Finances
Which part of self caused me to do what I did? Was it caused by the social instinct, the security instinct, or the sex instinct?
Social Instinct
Security Instinct
Sex Instinct
Column 4 - My Part
What feelings did I create in others? Did I arouse jealousy, suspicion, or bitterness, anger, desire to retaliate, fear, etc..?
Which of these Character Defects were involved?
ANGER / Rage
ENVY
GLUTTONY
GREED
LUST
PRIDE
Abandoned
Anxious / Fearful
Approval Seeking
Arrogance
Co/dependency
Condescension
Cowardice
Denial / Dishonest
Egotistical
Emotionally Deprived
Head-Centred
Immature
Impatient
Inconsiderate
Indecisive
Insincerity
Isolated / Withdrawn
Jealousy
Manipulative
Mistrust
Narrow
Negative Thinking
Obsessive-Compulsive
Passive Aggressive
Perfectionism
Procrastination / Lazy
Rationalisation
Selfish
Self-righteous
Shameful / Self-pity
Smart Ass / Sarcastic
Tactless
Temperamental
Vanity / Frivolous
More detail:
Column 5 - Options
What should I have done instead?
Submit
Should be Empty: