THE POWER OF FULL ENGAGEMENT WORKSHEET

Aspect evaluated

Question / Description

Response

Physical state

Hours that you sleep per night, do you feel rested?

Balanced diet (Yes/No)

Regular exercise (Yes/No)

Emotional state

Stress level: (High, moderate, low)

Mood: (Stable/Unstable)

Social support (Yes/No)

Mental state

Focus on therapy (Yes/No)

Spiritual state

Clear purpose of therapy (Yes/No)

Goal and rituals

Therapy goals (Short, medium, long term)

Daily and weekly rituals

Tracking and reflection

Learning and post session state

Actions taken, weekly reflection

Energy level (physical, emotional, mental and spiritual)

Achievements and areas for improvement

References:

  1. American Psychological Association (APA). (2017). Ethical principles of psychologists and code of conduct.
  2. Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York: Guilford Press.

You can download more Mental Health worksheets here.

Please note: There may be a more up-to-date and editable version of this worksheet available here which may be more suitable to present to clients if you are a therapist or to use in a classroom as a teacher or guidance counsellor.

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