Hear for You Counselling

delivering counselling support to all communities FROM KNAPHILL, WOKING


TT – September 2024

Activity Diary

Write briefly in each box: What you did (brief description), one word that describes your Mood, and rate the intensity of your mood on a scale of 0 – 100%, your sense of Achievement for the activity on a scale of 0-10 (A0 – 10) your sense of Closeness to others (C0 – 10), and sense of Enjoyment (E 0-10). An activity may be sitting down, or lying in bed, not only washing dishes, walking etc.

Example : Watching TV with son, Sad 60%, A0, C7, E4

After completing the diary, you might notice patterns in your mood variations, and how particular activities affect your mood. You will then be able to plan a more healthy range of activities which give you a sense of Achievement, Enjoyment and Closeness (using another blank form).

Download PDF

Get in touch

Feel free to contact me if you have any questions about how I work, or to arrange an initial appointment.


You can also call me on +44 7726 190087 if you would prefer to leave a message or speak to me first. I am happy to discuss any queries or questions you may have prior to arranging an initial appointment.


All enquires are usually answered within 24 hours, and all contact is strictly confidential and uses secure phone and email services.

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© Colleen Shelswell

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