Fillable Printable Standard Feelings Chart Template
Fillable Printable Standard Feelings Chart Template
Standard Feelings Chart Template
FEELINGS CHART
Su M T W Th F 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, circle day of week you rate your feelings. At
top of page, mark time of day you rate your feelings. Use
different colored pens to rate your feelings multiple times on
one day. Note any provoking circumstances on reverse side.
Victoria A. Fitton, PhD, LMSW, ACSW
FEELINGS CHART
Su M T W Th F 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, circle day of week you rate your feelings. At
top of page, mark time of day you rate your feelings. Use
different colored pens to rate your feelings multiple times on
one day. Note any provoking circumstances on reverse side.
Victoria A. Fitton, PhD, LMSW, ACSW
