Fear Mapping Template

Part 1 & 2: Identify & Prioritize Fears

Complete the table below. Check “I have this fear” if it applies. Then check “Top 3 fear” next to your three biggest fears.

Part 3: Rate & Reflect

Step 1: Circle one fear from your Top 3 below that feels most intense:


Time management ☐ Heavy workload ☐ Tests & exams ☐ Group projects ☐ Speaking in class ☐ Making friends ☐ Organizing materials ☐ Balancing activities ☐ Other: _______

Step 2: Rate its intensity (1 = mild, 5 = extreme):

1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐

Step 3: Why is this fear intense? (Use 3–5 words)


____________________


____________________

Strengths & Weaknesses Grid

Use the checkboxes to identify your executive-functioning strengths and challenges in each category. Then pair up, share one strength and one weakness, and record your partner’s suggestion by checking the options under “Peer Suggestion.”

Organization

Strengths (check up to 3):

☐ Keeps materials organized

☐ Uses color-coded folders

☐ Maintains a neat workspace

☐ Follows written checklists

☐ Other: ____________

Weaknesses (check up to 3):

☐ Misplaces materials often

☐ Difficulty starting tasks

☐ Overwhelmed by clutter

☐ Forgets assignment details

☐ Other: ____________

Peer Suggestion (choose one):

☐ Use a planner daily

☐ Set up a simple filing system

☐ Color-code binders/folders

☐ Create a daily check-off list

☐ Other: ____________

Focus

Strengths (check up to 3):

☐ Stays on task when motivated

☐ Minimizes distractions

☐ Completes work without reminders

☐ Follows verbal instructions well

☐ Other: ____________

Weaknesses (check up to 3):

☐ Easily distracted

☐ Loses track of time

☐ Struggles to finish tasks

☐ Needs frequent refocusing

☐ Other: ____________

Peer Suggestion (choose one):

☐ Use a timer for work sessions

☐ Break tasks into smaller steps

☐ Find a quiet workspace

☐ Turn off digital notifications

☐ Other: ____________

Planning

Strengths (check up to 3):

☐ Sets clear steps before starting

☐ Uses a calendar or planner

☐ Prioritizes tasks effectively

☐ Estimates time accurately

☐ Other: ____________

Weaknesses (check up to 3):

☐ Skips planning steps

☐ Underestimates task duration

☐ Overbooks schedule

☐ Forgets key deadlines

☐ Other: ____________

Peer Suggestion (choose one):

☐ Draft a weekly plan each Monday

☐ Set automatic reminders

☐ Use a planning app or digital calendar

☐ Review deadlines every morning

☐ Other: ____________

Action Roadmap Worksheet

Step 1: Identify a Key Weakness

Choose one executive functioning area to work on:


☐ Organization

☐ Time management

☐ Focus

☐ Planning

☐ Other: ____________

Step 2: Brainstorm Strategies

Select 2–3 strategies you can try:


☐ Use a planner or digital calendar daily

☐ Set a timer for focused work sessions

☐ Break tasks into small steps

☐ Color-code folders/binders

☐ Create a simple check-off list each morning

☐ Turn off notifications during work time

☐ Other: ____________

Step 3: Write a SMART Goal

Check one option in each category. Add an “Other” if needed.

Specific

☐ I will use my planner every school day

☐ I will color-code all my folders this week

☐ I will set a 25-minute timer for homework sessions

☐ Other: ____________

Measurable

☐ I will track tasks completed on a chart

☐ I will record study sessions in my planner

☐ I will count the number of on-time assignments

☐ Other: ____________

Achievable

☐ This fits into my daily schedule

☐ I have the necessary materials

☐ I can start with 10-minute sessions

☐ Other: ____________

Relevant

☐ It will reduce my stress

☐ It will improve my grades

☐ It will help me feel more organized

☐ Other: ____________

Time-bound

☐ By the end of this week

☐ Within two weeks

☐ By the end of the month

☐ Other: ____________

Step 4: Accountability

Who will help keep you on track? Check one:


☐ Classmate: _______________

☐ Teacher: _______________

☐ Family member: _______________

☐ Counselor: _______________

☐ Other: _______________

Step 5: Timeline & Checkpoints

Check the boxes when you review your progress:


☐ After 1 week

☐ After 2 weeks

☐ After 4 weeks

Reflection

How will you know your strategies are working? Check all that apply:


☐ I complete tasks on time

☐ I feel less overwhelmed

☐ My grades improve

☐ I use my tools daily

☐ Other: ____________