I-Statement Practice Worksheet
Use this worksheet to practice expressing yourself using I-Statements for clearer, more effective communication.
Your Name
First Name
Last Name
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Describe the situation or event you want to address.
*
What specific behavior or action are you responding to?
*
How did this situation make you feel?
*
What need or value of yours is connected to this feeling?
*
Write your I-Statement using this structure: 'I feel [emotion] when [describe behavior/situation] because [need/value]. I would like [request or action].'
*
How confident do you feel about using this I-Statement in a real conversation?
*
Very confident
Somewhat confident
Not very confident
Not confident at all
What challenges do you anticipate when using this I-Statement?
How likely are you to use I-Statements in future conversations?
*
1
2
3
4
5
Reflect on your experience: What did you learn from this exercise?
Would you like to receive feedback on your I-Statement?
*
Yes, please
No, thank you
Submit Worksheet
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