HEALING                                            Repentance/Confession Worksheet
 

Name______________________________________________  Date_____________________

1. Type of sin. __________________________________________________________

(ex. sexual impurity, fornication, adultery, stealing, lying, violence, homosexuality, drugs or alcohol abuse, gossip, spreading discord, fear and terror, traumatic events, etc.)

 2. Give a brief description of the incident.
  
 

 3. Name the people involved.
 
 

 4. Have you confessed your sin to the Lord Jesus Christ? ______ Date Confessed: ____________

 5. Have you repented (changed your behavior)? _______________ Date: ____________________

 6. Have you asked the other people involved to forgive you? _____________ Date: ___________

 7. Have you made restitution? __________________________________ Date: _______________

Do you plan to make restitution? ________ When: ___________________________________
What is proper restitution in this case?
 
 

 8. Have you renounced any spiritual powers involved in your sin? _________ Date: ___________ What were they?

 

 9. Have you received forgiveness from God for your sin? ______ Date __________________

Forgiveness from others? _______ Date: ___________________

10. Have you forgiven yourself?  __________ Date: _________________

11. Have you forgiven others involved with you in this sin? ________ Date: ________________

Have you prayed a prayer of blessing or released them? _____________Date______________

12. (James 5:16) Have you confessed your sin to other brethren and been prayed for that you might be

healed?  Date: ___________ Who Prayed with you? ______________________________

13.   Jesus came to bind up the broken-hearted.  Do you have painful memories? ________Have

 you forgiven the people involved? ______   Have you forgiven yourself?  ______ Have you prayed a

 prayer of blessing and released them?________   Have you given the pain to the Lord?_____ Date_______

14.  In memories of sexual relationships have you repented?_______ Have you forgiven the other

 person? _______Have you forgiven yourself? ______Have you prayed a prayer of blessing and

 released them? ______ Have you broken soul ties?_____  (Taken back what the other person took

 from you and given back what you took from them)   Date_______________

15.  Fear and terror has torment.  Have you asked the Lord to take the fear and terror?  _________

 Date_______________________ Have you asked Him to fill all the areas with His Love? _____

 God's perfect love casts out all fear.  

16.  Wherever the enemy had a stronghold have you asked the Lord to fill  that area with His

 presence?__________.

This information is released voluntarily  Date____________                                                        

                                                        

(Signed)_________________________________
 

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