Self-Reflection Worksheet

Name: _________________________ Date: _______________

1. My Personal Strengths

List three personal strengths or qualities you’re proud of. Explain why each is important to you.

2. Body Image Reflection

How do you currently feel about your body? Describe any emotions, sensations, or images that come to mind.

3. Negative Self-Talk Identification

Write down at least two negative thoughts or beliefs you notice when you think about your appearance.

4. Impact of Negative Thoughts

For each negative thought above, explain how it affects your mood, behavior, or self-esteem.

5. Recall a Positive Moment

Think of a recent time when you felt confident or proud of yourself. Describe what happened and how you felt in that moment.

6. Influences on Self-Perception

Who or what tends to trigger negative self-talk for you (people, social media, situations)? How do these influences affect your view of yourself?

7. Preliminary Affirmations

Based on your reflections above, gather ideas and elements you’d like to include on your Digital Vision Board Template. Your insights here will make your vision board meaningful and personal.

Hold onto this worksheet—your insights here will guide the next activity, where you’ll create your personalized digital vision board to reinforce positive self-talk and body love.

Reflect and Embrace Script

Introduction (5 minutes)

Teacher: "Hi [Student Name], thank you for meeting with me today. In our 30 minutes together, we’re going to explore your self-esteem and body image in a safe, judgment-free space. My goal is to help you recognize your strengths, notice any negative self-talk, and create positive reminders you can use every day. Everything we share stays between us, so feel free to be open and honest. Does that sound okay to you?"

Potential follow-ups:

• "What questions do you have before we begin?"
• "How are you feeling about talking on this topic?"

Guided Reflection (10 minutes)

Teacher: "Great. Let’s start with some reflection. I’m handing you the Self-Reflection Worksheet. Take a look at question 1: ‘My Personal Strengths.’"

Teacher (after 1 minute): "What is one strength you’ve listed? Tell me why that quality is important to you."

If student hesitates:

• "Think of a time you handled a tough situation—what helped you get through it?"

Teacher: "Now move to question 2: ‘Body Image Reflection.’ How do you currently feel about your body? You can describe emotions, sensations, or mental images that come to mind."

Teacher (after writing): "Thank you for sharing. Can you say more about what makes you feel that way?"

Teacher: "Next is question 3: ‘Negative Self-Talk Identification.’ Write down two thoughts or beliefs that come up when you think about your appearance."

Teacher: "How do those thoughts affect your mood or behavior? That’s question 4, ‘Impact of Negative Thoughts.’ Take a moment to jot down your reflections."

Check-in after 3 minutes:

• "You’re doing great. Let me know if you need more time or if you want to talk through any part of it."

Digital Vision Board Creation (10 minutes)

Teacher: "Great work with the reflection. Now, we’re going to bring those insights to life on your Digital Vision Board Template. This is where you'll visualize your strengths, body appreciation, and goals."

Teacher: "I'll share the digital vision board template with you. Your task is to fill it with images, quotes, emojis, or GIFs that represent:"
Teacher: "1. Your Personal Strengths (from question 1 on your worksheet)"
Teacher: "2. Body Appreciation (how you want to feel about your body, countering negative self-talk from question 3)"
Teacher: "3. Inspirational Quotes or Affirmations (using those positive statements you drafted in question 7, or new ones that resonate)"
Teacher: "4. Future Goals related to your well-being and self-perception."

Teacher: "Feel free to be creative with the layout and colors. What comes to mind first for your strengths?"

Prompts as needed:

• "What kind of image or symbol best represents that strength?"
• "How can you visually challenge that negative self-talk you identified?"
• "Which section are you most excited to fill?"

Discussion and Next Steps (5 minutes)

Teacher: "Let’s look at your finished digital vision board. Would you like to share some key elements or sections with me?"

Teacher (after student shares):

• "Thank you for sharing—those are powerful statements."

Teacher: "How might you use this digital vision board in your daily routine? For example, where could you set it (like a desktop background) to remind yourself each morning?"

Follow-up ideas:

• "Maybe on your mirror, in your locker, or inside your notebook."
• "What time of day do you think you’ll need these reminders most?"

Teacher: "You did a great job today. Remember, if negative thoughts pop up, revisit your vision board and focus on the positive elements you’ve created. I’d like to meet again in two weeks to see how you’re doing and maybe add new elements as you grow. How does that sound?"

Teacher: "Thank you for your openness today. I believe in you and the strengths you identified. I’ll see you soon!"

Digital Vision Board Template

Instructions:

• Use this digital canvas to build your personal vision board.
• Add images (via URLs or uploads), quotes, emojis, GIFs, or short text in each section.
• Resize, move, and layer elements to create a visually meaningful layout.

1. Personal Strengths

(Insert images or words that reflect your top strengths)
__________________________________________

2. Body Appreciation

(Choose images, words, or symbols that celebrate your body and what it can do)
__________________________________________

3. Inspirational Quotes

(Include quotes or affirmations that motivate and uplift you)
__________________________________________

4. Future Goals

(Visualize and write down goals you want to achieve for your personal growth and well-being)
__________________________________________

Tip: Once complete, set this board as your desktop background, phone wallpaper, or bookmark the live link to review daily.

Digital Vision Board Rubric

Use this rubric to evaluate the student’s personalized digital vision board. This rubric aligns with the lesson’s objectives: reflecting on personal strengths, challenging negative self-talk, and creating positive visual reminders for daily use. Each criterion is scored on a 4-point scale.

Scoring Guide:

• Total Score (sum of criterion scores): __ /16
• Interpretation:
  • 14–16 = Exemplary mastery of digital vision board creation and reflection
  • 10–13 = Proficient understanding and application
  • 6–9 = Developing skill; needs more guidance and practice
  • 4–5 = Beginning; significant support required

Use this rubric to provide targeted feedback and guide the student’s next steps in strengthening self-esteem and body positivity practices.