Self-Compassion and Inner Critic Reflection Form

Self-Compassion and Inner Critic Reflection Form — Form Fields

This personal template includes 8 fields. Structured reflection on self-critical thoughts and building a more compassionate self-view. Free to customize and use on ZenBuild.

• Your Name (or Anonymous) (text, optional)
• Date (text, required)
• What Did Your Inner Critic Say Today? (long text, required)
• Common Self-Criticism Theme (dropdown selection, required) — options: Not Good Enough, Too Slow/Lazy, Failure, Unlovable, Not Smart Enough, Imposter, Physical Appearance
• What Would You Say to a Dear Friend in This Situation? (long text, required)
• A Piece of Evidence That Counters the Inner Critic (long text, optional)
• Did You Treat Yourself Kindly Today? (multiple choice, required) — options: Yes, Not Really, Working on It
• Level of Self-Compassion Today (rating, required)