The Simple Intention Worksheet

A clear intention sharpens a session. It does not need to be poetic. It does not need to be brave. It needs to be honest. This worksheet helps you find one true sentence to bring into your remote acupuncture session, in about ten minutes. Print it, or use it on screen with a notebook beside you.

Why an intention matters

The proxy model that Acupuncture.is uses begins with three things: your name, your intention, and your session focus. Of these, the intention is the part you shape. It is the throughline that holds the session steady. Without one, sessions still happen, but they tend to feel diffuse. With one, the work has somewhere to land.

The trap most people fall into is naming an intention they think they should have. "I want to be more positive." "I want to be a better partner." "I want to fix my sleep." These are aspirations, not intentions. An intention names where you actually are, what you are actually carrying, and what you would honestly like to settle, soften, or see more clearly.

Step 1: Name the season

Two minutes. Write a single sentence describing the season of life you are in right now. Not the year. Not the decade. The current few weeks.

Prompts:

• "Right now, I am in a season of ____."
• "The word that describes this stretch of my life is ____."
• "Lately, more than anything, I feel ____."

Write what is true. Avoid editing for tone. Avoid making it sound better or worse than it is.

My season:

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Step 2: Find the heaviness

Three minutes. Write what you are carrying, even if it feels small or embarrassing to name. Heaviness is not always dramatic; it is often quiet, repeating, hard to fix by trying.

Prompts:

• The thing I keep returning to in my head is ____.
• The body part that feels tight, sore, or unsettled is ____.
• The relationship, situation, or memory I am avoiding is ____.
• The thing that makes me sigh out loud when I am alone is ____.

You do not need to share this with anyone. The page is for you.

What I am carrying:

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Step 3: Translate into one honest intention

Three minutes. From what you have written, find one sentence to bring to your session. The sentence should follow this shape, or one close to it:

"For this session, I would like to be supported in ____."

Examples (do not copy, find your own):

• "For this session, I would like to be supported in resting more deeply tonight."
• "For this session, I would like to be supported in holding the grief that arrived this week."
• "For this session, I would like to be supported in softening around a decision I am not yet ready to make."
• "For this session, I would like to be supported in the recovery my body is already doing."

Notice what these sentences share. They are present-tense. They do not promise an outcome. They name a direction. They are honest.

My intention for this session:

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If you cannot find a sentence, that is fine. Use this default: "For this session, I would like to be supported in arriving where I am, without effort."

Step 4: Write a single word

One minute. Find one word that holds your intention. The word is the lightweight version you can return to during the session itself if your mind wants something to hold. Examples: rest. soften. quiet. release. arrive. enough.

My word for this session:

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This word is what you can repeat silently at the start of your rest. Not a chant. A reminder.

Step 5: Reflection space, after the session

Use this section in the first ten minutes after your session ends. Do not skip it. The first ten minutes are when small notes have the most signal.

The texture of the rest:

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A word that arrived during the session, if any:

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Something I noticed in the body:

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Something I noticed in the mind:

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One sentence I want to remember from this rest:

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Reflection questions for next time

Answer these the day after, not the day of. Time changes what you notice.

1. Did anything shift, even slightly, since the session?
2. Was my intention the right one, or did the session reveal a more honest one?
3. What is the next session asking for?
4. Is there someone I want to share something from this with, or is it for me alone?

If your intention shifts session to session, that is good. It means you are paying attention. If your intention stays the same for many sessions, that is also good. It means you have found something that needs sustained support. Both patterns are right.

How to use this worksheet

Use it before every session for the first month. After that, use it whenever a session feels foggy or whenever a life shift makes the previous focus stale. The worksheet is not the work. The work is the honesty it asks of you. The page is just where the honesty lands. Keep it private. Save the answers in one place if it helps you see patterns. Burn the page if that feels right after a particular session. The worksheet serves you, not the other way around.

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Next step. Download the worksheet, set aside ten minutes before your next session, and let it do the small job it is good for. The session that begins with a clear intention is rarely the session that ends in confusion.