Feelings Inventory

Kids sometimes have different feelings and ideas.

This is a list of feelings and ideas in groups. Print the list off and follow these instructions. From each group pick one sentence that describes you best for the past two weeks. After you pick a sentence from the group make a check mark next to the sentence and go on to the next group.

There is no right answer or wrong answer. Just pick the sentence that best describes the way you have been recently. Put a mark like this X next to your answer. Put the mark in the box next to the sentence that you pick.

Remember; pick out the sentences that describe your feelings and thoughts in the past two weeks.

1.

___I am sad once in a while.

___I am sad many times.

___I am sad all the time.

2.

___Nothing will ever work out for me.

___I am not sure if things will work out for me.

___Things will work out for me o.k.

3.

___I do most things o.k.

___I do many things wrong.

___I do everything wrong.

4.

___I have fun in many things.

___I have fun in some things.

___Nothing is fun at all.

5.

___I am bad all the time.

___I am bad many times.

___I am bad once in a while.

6.

___I think about bad things happening to me once in a while.

___I worry that bad things will happen to me.

___I am sure that terrible things will happen to me.

7.

___I hate myself.

___I do not hate myself.

___I like myself.

8.

___All bad things are my fault.

___Many bad things are my fault.

___Bad things are not usually my fault.

9.

___I do not think about killing myself.

___I think about killing myself but I would not do it.

___I want to kill myself.

10.

___I feel like crying everyday.

___I feel like crying many days.

___I feel like crying once in a while.

11.

___Things bother me all the time.

___Things bother me many times.

___Things bother me once in a while.

12.

___I like being with people.

___I do not being with people many times.

___I do not want to be with people at all.

13.

___I cannot make up my mind about things.

___It is hard to make up my mind about things.

___I make up my mind about things easily.

14.

___I look o.k.

___There are some bad things about my looks.

___I look ugly.

15.

___I have to push myself all the time to do my schoolwork.

___I have to push myself many times to do my schoolwork.

___Doing schoolwork is not a big problem.

16.

___I have trouble sleeping every night.

___I have trouble sleeping many nights.

___I sleep pretty well.

17.

___I am tired once in a while.

___I am tired many days.

___I am tired all the time.

18.

___Most days I do not feel like eating.

___Many days I do not feel like eating.

___I eat pretty well.

19.

___I do not worry about aches and pains.

___I worry about aches and pains many times.

___I worry about aches and pains all the time.

20.

___I do not feel alone.

___I feel alone many times.

___I feel alone all the time.

21.

___I never have fun at school.

___I have fun at school only once in a while.

___I have fun at school many times.

22.

___I have plenty of friends.

___I have some friends but I wish I had more.

___I do not have any friends.

23.

___My schoolwork is alright.

___My schoolwork is not as good as before.

___I do very badly in subjects I used to be good in.

24.

___I can never be as good as other kids.

___I can be as good as other kids if I want to.

___I am just as good as other kids.

25.

___Nobody really loves me.

___I am not sure if anybody loves me.

___I am sure that somebody loves me.

26.

___I usually do what I am told.

___I do not do what I am told most times.

___I never do what I am told.

27.

___I get along with people.

___I get into fights many times.

___I get into fights all the time.

This form can be very helpful to your doctor in discussing your feelings. Bring it with you to your appointment with us and we can discuss it with you.