ApplyRelationship Safety Worksheet
A private tool for recognizing patterns, clarifying boundaries, and deciding what needs to change.
When you're questioning whether your pain was heard, a boundary was respected, or an apology led to real change, ordinary journaling may not be enough.
One-time purchase · no subscription
$22Two 8-page PDFs · print + fillable · instant download. Guest checkout with an email receipt. No account needed.
What's inside
- 8-page Preview + Print PDF
- 8-page interactive PDF you can fill in and save
- A 12-needs inventory: what is consistently met, unmet, or unsure
- Reflective questions for what you've noticed
- A pattern record for dates, events and responses
- A boundary and accountability planner built on Nonviolent Communication (NVC)
- Safety guidance, including when not to complete it together
Who it's for
Adults experiencing:
- Repeated boundary violations
- Defensiveness, denial or minimization when you raise a concern
- Important conversations that keep being forgotten
- Apologies without consistent repair
- Uncertainty about your physical or emotional safety
It also works as a reflective companion alongside a professional you already trust.
How you'll receive it
- 1Purchase as a guest. No account to create.
- 2Stripe emails your receipt.
- 3Your confirmation page opens with one button: Download Your Workbook.
- 4Save the ZIP to your device. It holds both PDFs.
Please read before you buy
This worksheet is educational and reflective. It is not therapy and not a diagnosis of you, another person or a relationship, and it can't promise any outcome. Your safety comes before completing it, and you never owe anyone a joint session. If a conversation could put you at risk, don't fill it out together.
If you're in danger, call 911. In the US you can call or text 988, or reach the National Domestic Violence Hotline at 1-800-799-7233.
Ready? Use Purchase the Worksheet at the top of this page.
Questions about your order? Write to support@venuscity.co or call (208) 918-0236.