Sometimes a client says they feel stuck but can't say where. This worksheet helps them see it.
Clients rate eight life areas from 1 to 10, mark their scores on the wheel, and connect the points to see the overall shape. Guided reflection prompts and a simple action plan then help them choose one small step for the week.
I built this from my own clinical practice. It's the tool I reach for at intake, during a mid-treatment check-in, or when a session needs a gentle way in.
A branded cover page you can customize with your own practice name and credentials
A "How to Use This Template" page with ideas for intake, check-ins, and stand-alone sessions
Client instructions with plain-language descriptions of all eight domains: Physical Health, Emotional Health, Career, Finances, Family, Romance, Friends, and Personal Growth
A blank wheel graphic with eight wedges and rings numbered 2 to 10 - A ratings table with space for a one-word reason behind each score
Five reflection prompts, each with guiding questions and a sample client answer
A "Your Answers" page with writing space for every prompt - Action planning pages: pick one area, choose one small step for the week, plan for obstacles, and decide how you'll know it's working
The eight domains are a starting point. Relabel any wedge to fit your client, like swapping "Career" for "School" with a student.
It works for talk therapy, EMDR prep, DBT, coaching-style sessions, and homework between visits.
The action planning pages turn reflection into something concrete: a specific day, a step small enough to do, and an if-then plan for obstacles. - The tone is warm and direct, so clients don't feel graded.
This is a reflection tool, not a diagnostic or standardized assessment. Scores are subjective and meant to start a conversation. The wheel is a printed graphic that clients mark by hand, and the copyright footer is locked on every page. Made in Microsoft Word. It also opens in Google Docs and Pages, though formatting may shift.
An instant digital download of one editable Word document (.docx).
Licensed for use in your individual clinical practice. Please don't resell, share, or redistribute the file, in original or modified form. If colleagues would like a copy, they're welcome to purchase their own.
Pairs well with: Brain Dump Worksheet, SMART Therapy Goals Worksheet, and Coping Skills Toolkit by Presentation.
Sometimes a client says they feel stuck but can't say where. This worksheet helps them see it.
Clients rate eight life areas from 1 to 10, mark their scores on the wheel, and connect the points to see the overall shape. Guided reflection prompts and a simple action plan then help them choose one small step for the week.
I built this from my own clinical practice. It's the tool I reach for at intake, during a mid-treatment check-in, or when a session needs a gentle way in.
A branded cover page you can customize with your own practice name and credentials
A "How to Use This Template" page with ideas for intake, check-ins, and stand-alone sessions
Client instructions with plain-language descriptions of all eight domains: Physical Health, Emotional Health, Career, Finances, Family, Romance, Friends, and Personal Growth
A blank wheel graphic with eight wedges and rings numbered 2 to 10 - A ratings table with space for a one-word reason behind each score
Five reflection prompts, each with guiding questions and a sample client answer
A "Your Answers" page with writing space for every prompt - Action planning pages: pick one area, choose one small step for the week, plan for obstacles, and decide how you'll know it's working
The eight domains are a starting point. Relabel any wedge to fit your client, like swapping "Career" for "School" with a student.
It works for talk therapy, EMDR prep, DBT, coaching-style sessions, and homework between visits.
The action planning pages turn reflection into something concrete: a specific day, a step small enough to do, and an if-then plan for obstacles. - The tone is warm and direct, so clients don't feel graded.
This is a reflection tool, not a diagnostic or standardized assessment. Scores are subjective and meant to start a conversation. The wheel is a printed graphic that clients mark by hand, and the copyright footer is locked on every page. Made in Microsoft Word. It also opens in Google Docs and Pages, though formatting may shift.
An instant digital download of one editable Word document (.docx).
Licensed for use in your individual clinical practice. Please don't resell, share, or redistribute the file, in original or modified form. If colleagues would like a copy, they're welcome to purchase their own.
Pairs well with: Brain Dump Worksheet, SMART Therapy Goals Worksheet, and Coping Skills Toolkit by Presentation.
