Cognitive Distortions Self-Assessment Checklist
Reflect on your thinking patterns by assessing how often you experience common cognitive distortions.
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First Name
Last Name
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Please indicate how often you experience the following thinking patterns:
*
Rows
Never
Rarely
Sometimes
Often
Almost Always
All-or-Nothing Thinking (Seeing things in black or white categories)
1
2
3
4
5
Overgeneralization (Viewing a single negative event as a never-ending pattern)
6
7
8
9
10
Mental Filter (Dwelling on the negatives and ignoring positives)
11
12
13
14
15
Disqualifying the Positive (Rejecting positive experiences)
16
17
18
19
20
Jumping to Conclusions (Assuming negative outcomes without evidence)
21
22
23
24
25
Catastrophizing (Expecting the worst to happen)
26
27
28
29
30
Emotional Reasoning (Assuming feelings reflect reality)
31
32
33
34
35
Should Statements (Using 'should,' 'must,' or 'ought to' statements)
36
37
38
39
40
Labeling (Attaching negative labels to yourself or others)
41
42
43
44
45
Personalization (Blaming yourself for things out of your control)
46
47
48
49
50
Which of these cognitive distortions do you feel impact you the most? (Select up to 3)
*
All-or-Nothing Thinking
Overgeneralization
Mental Filter
Disqualifying the Positive
Jumping to Conclusions
Catastrophizing
Emotional Reasoning
Should Statements
Labeling
Personalization
Other
How much do cognitive distortions affect your daily life?
*
1
2
3
4
5
Have you ever worked with a mental health professional to address cognitive distortions?
*
Yes
No
Are you interested in learning strategies to manage cognitive distortions?
*
Yes
No
Maybe
What situations tend to trigger cognitive distortions for you?
Please share any additional comments or reflections about your experience with cognitive distortions.
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