Wellness Plan for Youth

Complete the worksheet using the fillable web form below and download your completed copy to your computer. None of your information will be stored. You may still opt to Download the PDF to fill in offline instead.

Thought Record Worksheet

Catch It

1. What is the situation?

2. What am I thinking or imagining?

3. How much do I believe it? 3. How much do I believe it?

4. How does that thought make me feel? (e.g., angry, sad, nervous, etc.)

5. How strong is the feeling on a scale of 0-100%?

Check It

6. What makes me think the thought is true?

7. What makes me think the thought is not completely true?

8. What’s the worst that could happen?

9. What’s the best that could happen?

10. What will probably happen?

Change It

11. What will happen if I keep telling myself the same thought?

12. What could happen if I changed my thinking?

13. a) Name someone close to you

13. b) What would I tell my friend __________________ if this happened to them?

14. What’s another way of thinking about this?

15. How do I feel now? Rerate the intensity on a scale of 0-100%.

Email for Your Completed Response

To have your completed form above emailed to you, please put in your email address below. (None of your answers will be saved.)

Captcha

Clear Form

If you are human, leave this field blank.

Download PDF _{To fill in offline}

Looking for Resources?

Catch It

Check It

Change It