This free, printable template is designed to help you document difficult interactions clearly, calmly, and consistently.
It’s intentionally neutral and adaptable, making it useful for documenting:
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boundary violations
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harassment or coercion
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repeated unwanted contact
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power-imbalanced interactions
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situations where context and patterns matter
Each page guides you to record facts, context, impact, and follow-up without requiring legal language or emotional justification.





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