CHECK-IN AND WARM-UP / PSYCHOEDUCATION: FEELINGSCheck-In Sheet

Check-In SheetName Date

What are you feeling right now? Circle up to three feelings.

Excited Apologetic Hurt Happy Determined Annoyed Impatient Hopeless Joyful

Regretful Angry Lonely Frightened Grieving Ashamed Nervous Aggressive Humiliated Withdrawn

Peaceful Disappointed Confident Guilty Jealous Hopeful Proud Grateful Enraged Calm

How intensely do you feel this way? Rate each feeling on a scale of 1-10.

After some time has passed or you’ve practiced your coping skills, check back in on your feelings and rate them again to see how they have changed!

Feeling Rating 1 Rating 2

Feeling 1

Feeling 2

Feeling 3

10

5

0

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