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Feelings Diary Worksheet

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Name:Date:

Feelings Diary Worksheet

Over seven days, notice your emotions without judging them. You can write as much or as little as feels comfortable, and you may skip any prompt. Choose more than one feeling if needed. Keep your diary private and share it only with someone you trust. If you feel unsafe or need support, talk with a trusted adult or a health professional.

Seven-day feelings diary

Complete one entry each day. Add the date, choose any feelings that fit, and note what was happening and what support or action might help.

1.Date (DD/MM/YYYY): ______________. Which feelings came up today? Choose any: content, low, worried, frustrated, peaceful, tired, excited, or another feeling. What was happening around that time? What might support you now or next time?
2.Date (DD/MM/YYYY): ______________. Which feelings came up today? Choose any: content, low, worried, frustrated, peaceful, tired, excited, or another feeling. What was happening around that time? What might support you now or next time?
3.Date (DD/MM/YYYY): ______________. Which feelings came up today? Choose any: content, low, worried, frustrated, peaceful, tired, excited, or another feeling. What was happening around that time? What might support you now or next time?
4.Date (DD/MM/YYYY): ______________. Which feelings came up today? Choose any: content, low, worried, frustrated, peaceful, tired, excited, or another feeling. What was happening around that time? What might support you now or next time?
5.Date (DD/MM/YYYY): ______________. Which feelings came up today? Choose any: content, low, worried, frustrated, peaceful, tired, excited, or another feeling. What was happening around that time? What might support you now or next time?
6.Date (DD/MM/YYYY): ______________. Which feelings came up today? Choose any: content, low, worried, frustrated, peaceful, tired, excited, or another feeling. What was happening around that time? What might support you now or next time?
7.Date (DD/MM/YYYY): ______________. Which feelings came up today? Choose any: content, low, worried, frustrated, peaceful, tired, excited, or another feeling. What was happening around that time? What might support you now or next time?

Look back and learn

Use your notes to reflect. There is no single correct pattern or answer.

8.Looking over the week, did you notice any situations, times, or needs that seemed connected with particular feelings? Describe one possible pattern, or write that you did not notice one.
9.Which strategies did you try this week? Tick any that apply: talking with someone you trust; slow breathing or grounding; moving your body; taking a restorative break; writing or drawing; another strategy; none yet.
  • Talking with someone I trust
  • Slow breathing or grounding
  • Moving my body
  • Taking a restorative break
  • Writing or drawing
  • Another strategy
  • None yet
10.Choose one strategy you tried, or one you might try. What makes it seem useful or suitable for you?
11.Charlotte feels tense before a presentation. Which response is a practical first step she could choose for herself?
  • Pause and try a few slow breaths, then decide what she needs
  • Pretend she has no feelings and refuse all support
  • Blame herself for feeling nervous
  • Use alcohol to try to feel calmer
12.Wiremu has felt overwhelmed for several weeks, and it is affecting his sleep and schoolwork. Which next step is most supportive?
  • Keep it secret and wait indefinitely
  • Talk with a trusted adult or health professional about getting support
  • Tell himself that needing help is a failure
  • Stop doing anything he enjoys

Plan one small step

Make a flexible plan for the coming week. You can change it if your needs change.

13.Select up to three options you might use next week: contact a friend or whānau member; practise a short grounding exercise; take a walk or do another activity; write down a feeling; make time for a creative activity; ask a trusted adult or health professional for support; another option.
  • Contact a friend or whānau member
  • Practise a short grounding exercise
  • Take a walk or do another activity
  • Write down a feeling
  • Make time for a creative activity
  • Ask a trusted adult or health professional for support
  • Another option
14.Write one small, realistic action you want to try, when you plan to try it, and who you could contact if you need support.
15.Choose a date to review your plan (DD/MM/YYYY): ______________.

4 printable pages

  • Feelings Diary Worksheet, page 1 of 4: Seven-day feelings diary

    Page 1

  • Feelings Diary Worksheet, page 2 of 4: 4. Date (DD/MM/YYYY): ______________. Which feelings came up today? Choose any: content,…

    Page 2

  • Feelings Diary Worksheet, page 3 of 4: Look back and learn

    Page 3

  • Feelings Diary Worksheet, page 4 of 4: Plan one small step

    Page 4

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