1.  I forgive (name) for ……. (The things that were done or said).
2. Because it made me feel ….. (list the feelings that their actions or words caused)
3. Surrender those feelings to Jesus 
4. I bless (name) with ……(bless them with what they need, love, compassion, awareness, health, a relationship with Jesus, etc)
5. I bless myself with ….. (what was stolen from you, peace, joy, hope, etc)