This worksheet is designed to help you reflect on your fears in a structured way. Since this is a personal reflection task, there’s no single “correct” answer — the goal is for *you* to think honestly and write down your own thoughts.
Here’s how to fill it out step by step:
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Step 1: Column 1 – “I’m fearful of:”
Think about things that scare you or make you anxious. It could be anything — like failing a test, speaking in front of people, being alone, spiders, heights, etc. Write one fear per row (rows 1–11). You don’t have to fill all 11 if you only have a few fears.
Example:
Row 1: Failing my math test
Row 2: Getting lost in a crowd
Row 3: Being judged by others
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Step 2: Column 2 – “Cause of my fear?”
For each fear, ask yourself: Why am I afraid of this? What started this fear? Was it something that happened before? Did someone tell me to be scared? Or maybe I just imagine worst-case scenarios?
Example:
Row 1: Because I didn’t study enough last time and got a bad grade
Row 2: Once I got separated from my mom at the mall and felt panicked
Row 3: My friends sometimes laugh when I say something silly
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Step 3: Column 3 – “How does the fear affect my life?”
Think about how this fear changes what you do or feel every day. Does it stop you from trying new things? Make you avoid certain places? Cause stress or sleep problems?
Example:
Row 1: I procrastinate studying because I’m scared I’ll fail anyway
Row 2: I won’t go to crowded events even if I want to
Row 3: I stay quiet in class so no one notices me
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Step 4: Column 4 – “What was my part, if any?”
This asks: Did I do something that made this fear worse? Or could I have acted differently? This isn’t about blaming yourself — it’s about seeing where you might have control.
Example:
Row 1: I chose not to ask for help when I didn’t understand the lesson
Row 2: I didn’t hold onto my mom’s hand tightly enough
Row 3: I didn’t speak up when I felt uncomfortable with their jokes
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You can use real examples from your life. There’s no right or wrong — just honest answers. Take your time. If you’re stuck on one row, skip it and come back later.
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Final Answer:
There is no single correct answer — this is a personal reflection worksheet. Fill each column based on your own fears, their causes, effects, and your role in them. Use the examples above as a guide to get started.
Parent Tip: Review the logic above to help your child master the concept of step 4 worksheet.
