Neurological Levels Worksheet™

Goal Setting & Breakthrough Planning

VISIONLOGIC THERAPEUTIC TOOLS

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Therapist Select your therapist... Kevin Brough, AMFT Michael Quinn Boyer, LMFT Tina Brough, LMFT Sarah Allred, LCMHC Matt Eschler, LMFT Lisa Jones, LMFT Chad Olson, LMFT Other Therapist

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Understanding the Neurological Levels

Robert Dilts' Neurological Levels model reveals that change operates at different depths within us. Each level organizes and influences all the levels below it. When you're stuck, it's often because you're trying to create change at a level below where the real block exists.

"Change becomes deeper and more persistent the higher we reach."

This worksheet helps you examine your goal through each neurological level—from your environment up through your sense of purpose and transcendence—to identify where the real barriers exist and create aligned, lasting change.

Spirit

Purpose — Will to Meaning?

Identity — Who am I to BE?

Beliefs/Values — Why?

Skills — How?

Actions — What?

Environment — When? Where? With Whom?

How This Works with LifeScaping & MindSight:

• This worksheet helps you consciously work through each level
• Your MindSight Journal engages your subconscious to support the change
• Together, they align your Valued Actions and Activities with your higher self
• The goal is to make empowering behaviors your new "homeostatic" normal

Your Goal

What goal, change, or breakthrough do you want to work on? Be specific about what you want to achieve or who you want to become.

My Goal:

Begin Level-by-Level Exploration →

Your Goal

Environment

When? Where? With Whom? — Context, Time & Place (Space)

Key Question: What external circumstances need to change or be in place for this goal to happen?

What is your current environment regarding this goal? (Where are you? When does this show up? Who is around you?)

What in your environment might be holding you back or making this goal harder?

What environment would support this goal? What needs to change?

Actions

What? — Activity, Energy, Behavior (Doing)

Key Question: What specific behaviors and activities support or sabotage this goal?

What are you currently doing (or not doing) related to this goal?

What behaviors are holding you back? What are you doing that works against this goal?

What actions do you need to take consistently? What behaviors would your best self demonstrate?

Skills & Capabilities

How? — Competencies, Awareness (Being)

Key Question: What do you know how to do? What skills do you need to develop?

What skills and capabilities do you already have that support this goal?

What skills are missing? What don't you know how to do yet?

What capabilities do you need to develop? How will you build them?

Beliefs & Values

Why? — Life Scripting, Inner Wisdom (Openness)

Key Question: What do you believe about yourself, others, and life that affects this goal? What matters most to you?

What beliefs do you hold about this goal? What do you believe about your ability to achieve it?

What limiting beliefs might be holding you back? What values conflicts exist?

What empowering beliefs would support this goal? What values are you honoring?

Identity

Who am I to BE? — Self-Actualization, Acceptance (Reclamation & Transformation)

Key Question: Who do you need to become to achieve this goal? How do you see yourself?

How do you currently see yourself in relation to this goal? What kind of person are you now?

What identity or self-image might be holding you back? What "story" do you tell about who you are?

Who do you need to BE to achieve this goal? What identity supports your higher self?

Purpose

Will to Meaning? — Enlightenment, Higher Purpose (Intent)

Key Question: What larger purpose does this goal serve? What meaning does it create?

How does this goal connect to your sense of purpose or mission in life?

Is there any disconnect between this goal and your sense of purpose? Any meaning crisis?

How does achieving this goal contribute to something larger than yourself?

Spirit / Transcendence

Connection to Something Greater — Autonomy, Commitment (Mission)

Key Question: How does this connect to your spiritual life, your connection to the divine, or your sense of being part of something greater?

How does this goal relate to your spiritual life or sense of connection to something greater?

Is there any spiritual resistance or disconnection? Any sense of being out of alignment?

How might achieving this goal honor your highest self and serve your spiritual growth?

Synthesis: Identifying the Breakthrough Level

Now that you've examined each level, consider: where is the real block? Remember, change at higher levels cascades down and reorganizes everything below.

Which level do you feel is most holding you back? Select the primary blocking level... Environment — Context/circumstances need to change Actions — Behaviors/habits need to change Skills — Capabilities need to develop Beliefs/Values — Mindset/priorities need to shift Identity — Self-concept needs transformation Purpose — Meaning/direction needs clarity Spirit — Spiritual alignment is needed

Primary Block:

Focus your transformation work here. Changes at this level will cascade down through all lower levels.

Why do you believe this level is the key to your breakthrough?

Integration with MindSight

What will you focus on in your MindSight Journal to support this transformation?

Valued Actions & Activities

What specific Valued Actions will you commit to that honor your higher self?

First Steps

What are the first 3 concrete actions you will take in the next 7 days?

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Your Goal

Primary Breakthrough Level:

Your Commitment

Valued Actions & Activities

MindSight Focus

First Steps (Next 7 Days)

Your Level-by-Level Summary

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Neurological Levels Worksheet™ is part of the VisionLogic Therapeutic Tools suite.

Based on Robert Dilts' Neurological Levels model.

© 2010-2025 VisionLogic | Ascend Counseling & Wellness

Neurological Levels Worksheet v2.2 (2026-10-01)

Psychoeducation Handout

Dilts' Neurological Levels — One-Page Handout

The six levels of change on a single page, grouped into Actions, Skills, and Mental Processes — so a client can see why the block usually sits higher than where they're trying to fix it.

PDF · US Letter · free for clinical & educational use with attribution · See the full library →

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