A feasible, voluntary repair offer
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Optional blank sheet. Use only where appropriate for your privacy and circumstances. Do not add identifying or sensitive details unnecessarily. This is not therapy, legal advice, a safety assessment or a crisis service.

The action I need to own:
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The practical consequence I understand:
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What cannot simply be undone:
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One or two options I can actually provide:
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Privacy, safety or formal-procedure questions to clarify:
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A question that allows refusal or another answer:
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What the recipient actually accepted:
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The action, timing and channel agreed:
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The behavior change I will own without supervision:
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The response or contact decision that remains theirs:
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Original educational worksheet — RelateWell Guide
Article: https://relatewellguide.com/articles/apology-forgiveness-ask-what-repair-would-help/
Editorial revision: 2026-11-04