Anxiety
Behavioral Self-Assessment
Behavioral Self-Assessment
This directive is designed to help clients identify and document specific thought patterns and behaviors that sustain a negative self-concept. It bypasses abstract discussion by grounding the client’s reflection in concrete, recent experiences, providing a clear baseline for intervention. The exercise helps externalize the client’s internal narrative, making it easier to observe and analyze patterns that might otherwise remain implicit or feel generalized. It creates a tangible record of self-perception for use in session.
This tool is particularly effective for individuals presenting with symptoms of low self-worth, persistent self-doubt, or imposter feelings. Use it in early sessions to gather specific data or later to track progress in cognitive restructuring. The completed worksheet serves as a functional starting point for challenging maladaptive core beliefs and developing new behavioral responses. It provides specific, client-generated examples that are useful for targeted therapeutic work.
Behavioral Self-Assessment
Consider your actions and thoughts over the past 3-6 months. For each statement, circle the number that best reflects your agreement. In the blank space below each item, write down specific examples or situations.
Rating Scale: 1. Strongly Agree; 2. Somewhat Agree; 3. Neutral; 4. Somewhat Disagree; 5. Strongly Disagree
| Statement | Rating |
|---|---|
| I often doubt my abilities and skills. | ① ② ③ ④ ⑤ |
| I frequently compare myself to others and find myself lacking. | ① ② ③ ④ ⑤ |
| I believe my opinions and ideas are not valuable or important. | ① ② ③ ④ ⑤ |
| I have difficulty accepting love and affection from others. | ① ② ③ ④ ⑤ |
| I often criticize myself. | ① ② ③ ④ ⑤ |
| I find it hard to accept compliments. | ① ② ③ ④ ⑤ |
| I question whether I deserve success or happiness. | ① ② ③ ④ ⑤ |
| I am overly sensitive to criticism or rejection. | ① ② ③ ④ ⑤ |
| I frequently apologize for expressing my needs or opinions. | ① ② ③ ④ ⑤ |
| I avoid taking on new challenges due to fear of failure. | ① ② ③ ④ ⑤ |
| I believe others are better than me in many aspects. | ① ② ③ ④ ⑤ |
| I worry that I am a burden to others. | ① ② ③ ④ ⑤ |
| I tend to put others’ needs before my own. | ① ② ③ ④ ⑤ |
| I avoid expressing my thoughts and feelings. | ① ② ③ ④ ⑤ |
| I often conclude that I do not belong or fit in. | ① ② ③ ④ ⑤ |
| I avoid taking credit for my achievements. | ① ② ③ ④ ⑤ |
| I tend to focus on my weaknesses rather than my strengths. | ① ② ③ ④ ⑤ |
| I have difficulty saying no and setting boundaries. | ① ② ③ ④ ⑤ |
| I consistently identify flaws in myself that need to be fixed. | ① ② ③ ④ ⑤ |
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