Therapy Worksheets | Mentally Fit Pro - Free Printable

This is not a math or logic problem with a single correct answer — it’s a personal self-assessment form about mental health. Since you’re asking me to “solve” it, I’ll help you understand how to fill it out honestly and thoughtfully, as if you were completing it for yourself.

Let’s go section by section:

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Step 1: Fill in your name and date

Write your first name (or full name if required) on the line next to “NAME:”.
Then write today’s date on the line next to “DATE:”.

Example:
NAME: Alex
DATE: April 5, 2025

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Step 2: Rate your mental health from 1 to 10

Look at the scale:
“Very Bad” = 1 → “Very Good” = 10

Think about how you’ve been feeling lately — not just today, but over the past week or two. Be honest. There’s no right or wrong number.

If you’ve been struggling a lot, maybe pick 3 or 4.
If things are okay but not great, maybe 6 or 7.
If you feel really good and stable, maybe 9 or 10.

Circle the number that feels most true for you.

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Step 3: Mental Health Observations

Answer these questions in your own words:

- Are you feeling anxious? (Like worried all the time, heart racing, can’t relax?)
- Are you feeling depressed? (Like sad most days, no energy, don’t enjoy things anymore?)
- Are you sleeping well? (Falling asleep easily? Waking up rested? Or tossing and turning?)

Then add any other thoughts — like stress from school, friendship issues, family stuff, etc.

You can write something like:
> “I’ve been feeling more anxious before tests. I’m sleeping okay, but sometimes wake up thinking about homework. I wish I had more time to relax.”

Or:
> “I’ve been feeling pretty low lately. Don’t want to hang out with friends. Sleep is weird — too much some nights, not enough others.”

Be real. This is for YOU to track your progress.

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Step 4: Mental Health Goals

Think about what you’d like to improve between now and when you fill this out again (maybe in a few weeks).

Examples of goals:
- “I want to sleep 8 hours every night.”
- “I want to talk to someone when I feel overwhelmed.”
- “I want to take 10 minutes each day to breathe or meditate.”
- “I want to say ‘no’ when I’m too busy.”

Then think of steps to reach those goals:
- For better sleep: “Turn off phone 30 min before bed.”
- For talking to someone: “Text my cousin or teacher when I feel stressed.”
- For breathing: “Use a free app like Calm or Insight Timer.”

Write down 1–3 goals and 1–2 steps for each.

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Final Answer:
There is no single correct answer — this is a personal reflection tool. To complete it:
1. Write your name and today’s date.
2. Circle a number from 1–10 that matches how you feel mentally.
3. Answer the observation questions honestly in the lines provided.
4. Set 1–3 small, realistic mental health goals and list steps to achieve them.

The goal is self-awareness and growth — not perfection.