Fillable Printable Standard Feelings Chart Template
Fillable Printable Standard Feelings Chart Template
Standard Feelings Chart Template
FEELINGS CHART
SuM T W ThF S
8:00a----Noon----4:00p----8:00pm----Midnight
Depression / Sadness
0----1----2----3----4----5----6----7----8----9----10
none extreme
Disappointment
0----1----2----3----4----5----6----7----8----9----10
Boredom
0----1----2----3----4----5----6----7----8----9----10
Loneliness
0----1----2----3----4----5----6----7----8----9----10
Miserable
0----1----2----3----4----5----6----7----8----9----10
Anger / Rage / Frustration
0----1----2----3----4----5----6----7----8----9----10
Disturbed / Anxious / Worried
0----1----2----3----4----5----6----7----8----9----10
Scared / Frightened
0----1----2----3----4----5----6----7----8----9----10
Cautious
0----1----2----3----4----5----6----7----8----9----10
Exhausted
0----1----2----3----4----5----6----7----8----9----10
Guilty
0----1----2----3----4----5----6----7----8----9----10
Hurt
0----1----2----3----4----5----6----7----8----9----10
Obstinate
0----1----2----3----4----5----6----7----8----9----10
Aggressive
0----1----2----3----4----5----6----7----8----9----10
Mischievous
0----1----2----3----4----5----6----7----8----9----10
Confident / Determined
0----1----2----3----4----5----6----7----8----9----10
Relieved
0----1----2----3----4----5----6----7----8----9----10
Loved / Nurtured
0----1----2----3----4----5----6----7----8----9----10
Happy / Ecstatic / Joyful
0----1----2----3----4----5----6----7----8----9----10
Peace / Contentment / Satisfied
0----1----2----3----4----5----6----7----8----9----10
Thoughtful
0----1----2----3----4----5----6----7----8----9----10
Optimistic
0----1----2----3----4----5----6----7----8----9----10
At top of page, circleday of week you rateyourfeelings.At
top of page, mark time of day you rateyour feelings.Use
different colored pens to rate yourfeelings multiple times on
one day. Noteany provokingcircumstances on reverse side.
Victoria A. Fitton, PhD, LMSW, ACSW
FEELINGS CHART
SuM T W ThF S
8:00a----Noon----4:00p----8:00pm----Midnight
Depression / Sadness
0----1----2----3----4----5----6----7----8----9----10
none extreme
Disappointment
0----1----2----3----4----5----6----7----8----9----10
Boredom
0----1----2----3----4----5----6----7----8----9----10
Loneliness
0----1----2----3----4----5----6----7----8----9----10
Miserable
0----1----2----3----4----5----6----7----8----9----10
Anger / Rage / Frustration
0----1----2----3----4----5----6----7----8----9----10
Disturbed / Anxious / Worried
0----1----2----3----4----5----6----7----8----9----10
Scared / Frightened
0----1----2----3----4----5----6----7----8----9----10
Cautious
0----1----2----3----4----5----6----7----8----9----10
Exhausted
0----1----2----3----4----5----6----7----8----9----10
Guilty
0----1----2----3----4----5----6----7----8----9----10
Hurt
0----1----2----3----4----5----6----7----8----9----10
Obstinate
0----1----2----3----4----5----6----7----8----9----10
Aggressive
0----1----2----3----4----5----6----7----8----9----10
Mischievous
0----1----2----3----4----5----6----7----8----9----10
Confident / Determined
0----1----2----3----4----5----6----7----8----9----10
Relieved
0----1----2----3----4----5----6----7----8----9----10
Loved / Nurtured
0----1----2----3----4----5----6----7----8----9----10
Happy / Ecstatic / Joyful
0----1----2----3----4----5----6----7----8----9----10
Peace / Contentment / Satisfied
0----1----2----3----4----5----6----7----8----9----10
Thoughtful
0----1----2----3----4----5----6----7----8----9----10
Optimistic
0----1----2----3----4----5----6----7----8----9----10
At top of page, circleday of week you rateyourfeelings.At
top of page, mark time of day you rateyour feelings.Use
different colored pens to rate yourfeelings multiple times on
one day. Noteany provokingcircumstances on reverse side.
Victoria A. Fitton, PhD, LMSW, ACSW
