A Self-Reflection Worksheet for Healthier Relationships

Part 1: Understanding Your Trust Patterns

Rate yourself (1-5) on these trust-building behaviors:

I follow through on what I say I'll do

I communicate openly about my feelings

I admit when I make mistakes

I respect boundaries (mine and others')

I share my genuine thoughts and feelings

Part 2: Identifying Trust Barriers

Complete these reflection prompts:

1. When I feel myself pulling away from my partner, I usually...

2. Three situations that make me feel vulnerable in relationships are:

3. My biggest fear about trusting others is:

Part 3: Building Your Trust Action Plan

This week, I commit to:

□ One small way I'll be more reliable:

□ One fear I'm willing to share:

□ One boundary I need to express:

Part 4: Progress Tracking

When I take a risk to trust, I notice:

• How I feel:

• My partner's response:

• What I learned:

Part 5: Daily Trust-Building Practices

Choose one small action each day:

□ Share one genuine feeling

□ Ask for help with something small

□ Express appreciation

□ Share a hope or dream

□ Admit a mistake or uncertainty

Reflection Corner

What did I learn about myself this week?