Personal Boundary Assessment & Planning Worksheet
Personal Boundary Assessment & Planning
A Therapeutic Worksheet for Setting and Maintaining Healthy Boundaries
Part 1: Understanding Your Current Boundaries
Boundaries are limits that define where you end and others begin. They protect your time, energy, emotions, and values. This assessment will help you evaluate your current boundaries and develop strategies for healthier limit-setting.
1. How would you define "personal boundaries" in your own words?
2. What messages did you receive about boundaries growing up (from family, culture, or society)?
3. How comfortable are you with setting boundaries in different relationships?
Very comfortable - I set clear limits easily
Somewhat comfortable - I can do it but it's difficult
Neutral - depends on the situation and person
Somewhat uncomfortable - I avoid setting boundaries
Very uncomfortable - I rarely set any boundaries
4. What makes it difficult for you to set or maintain boundaries?
Fear of conflict or confrontation
Worry about hurting others' feelings
Need to be liked or approved of
Guilt about saying "no"
Feeling selfish when prioritizing my needs
Not knowing what my limits are
Fear of losing relationships
Lack of confidence in my right to have boundaries
HEALTHY VS. UNHEALTHY BOUNDARIES

Understanding the difference helps you set appropriate limits

Healthy Boundaries:
  • Flexible and context-appropriate
  • Clearly communicated
  • Respectful of others while protecting yourself
  • Consistent with your values
  • Allow for healthy relationships
Unhealthy Boundaries:
  • Too rigid (walls) or too loose (no limits)
  • Unclear or inconsistent
  • Based on fear or manipulation
  • Harm relationships or self
  • Create isolation or resentment
Part 2: Types of Boundaries Assessment
Rate your current boundary strength in each area using the scale: 1 = Very Weak, 2 = Weak, 3 = Moderate, 4 = Strong, 5 = Very Strong
Physical Boundaries

Personal space, touch, privacy

Current strength (1-5):
1
2
3
4
5
Areas needing improvement:
Emotional Boundaries

Feelings, emotional energy, responsibility for others' emotions

Current strength (1-5):
1
2
3
4
5
Areas needing improvement:
Time Boundaries

Schedule, availability, commitments

Current strength (1-5):
1
2
3
4
5
Areas needing improvement:
Mental/Intellectual Boundaries

Thoughts, beliefs, opinions, values

Current strength (1-5):
1
2
3
4
5
Areas needing improvement:
Financial Boundaries

Money, financial decisions, lending/borrowing

Current strength (1-5):
1
2
3
4
5
Areas needing improvement:
Digital/Technology Boundaries

Social media, texting, work emails, screen time

Current strength (1-5):
1
2
3
4
5
Areas needing improvement:
Part 3: Boundary Violation Recognition
5. Which signs indicate that your boundaries may be being violated or that you need stronger boundaries?
Feeling resentful or angry after interactions
Consistently feeling drained or exhausted
Taking on responsibilities that aren't yours
Saying "yes" when you want to say "no"
Others making decisions about your life without consulting you
Feeling guilty for taking care of your own needs
Being criticized for having limits or preferences
Feeling responsible for others' emotions or problems
Having little time for yourself or your interests
Others ignoring your "no" or pushing after you've declined
6. Describe a recent situation where you felt your boundaries were crossed:
7. How did you respond, and what would you do differently next time?
Part 4: Boundary Setting Communication Scripts
Practice different ways to communicate boundaries clearly and respectfully. Check the scripts that feel authentic to you or adapt them to your style.
Setting Initial Boundaries
"I need to let you know that..."
"I'm not comfortable with..."
"I've decided that I won't be able to..."
"Going forward, I need..."
"That doesn't work for me."
Saying No
"I appreciate you thinking of me, but I can't commit to that."
"No, I'm not available for that."
"That's not something I can take on right now."
"I need to decline, but thank you for asking."
"Let me think about it and get back to you." (buying time)
Reinforcing Boundaries
"As I mentioned before, I'm not able to..."
"I understand you're disappointed, but my answer is still no."
"I need you to respect my decision on this."
"This is important to me, and I need your support."
"I won't be changing my mind about this."
Setting Consequences
"If this continues, I'll need to..."
"I'll have to step away from this conversation if..."
"I'm not willing to discuss this unless..."
"I'll need to limit our time together if this keeps happening."
Part 5: Boundary Practice Scenarios
Practice setting boundaries in common challenging situations. Write how you would respond using your chosen communication style.
Workplace Overload

Your boss asks you to take on additional work when you're already overwhelmed.

Your boundary response:
Family Pressure

Family members criticize your life choices and give unwanted advice.

Your boundary response:
Friend's Crisis

A friend frequently calls with dramatic problems, expecting you to drop everything to help.

Your boundary response:
Financial Request

Someone asks to borrow money when you're not comfortable lending it.

Your boundary response:
Physical Space

Someone stands too close, touches you without permission, or enters your personal space.

Your boundary response:
Digital Intrusion

Someone expects immediate responses to texts/emails or contacts you during your designated off-hours.

Your boundary response:
Part 6: Personal Boundary Action Plan
8. Based on your assessment, what are your top 3 boundary priorities to work on?
Boundary Area Specific Situation/Person Action Steps Timeline
9. What support do you need to successfully implement these boundaries?
10. How will you handle guilt, pushback, or resistance when setting boundaries?
Part 7: Boundary Implementation Progress
Rate your confidence and ability in boundary setting:
Very Low Low Moderate High Very High
12345
I can identify when my boundaries are being crossed
1
2
3
4
5
I feel confident communicating my limits to others
1
2
3
4
5
I can say "no" without excessive guilt or anxiety
1
2
3
4
5
I maintain my boundaries even when others push back
1
2
3
4
5
I feel comfortable taking care of my own needs
1
2
3
4
5
Weekly Boundary Practice Log
Track your boundary-setting experiences to build confidence and skills.
Day Boundary Situation How You Responded Outcome What You Learned
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Key Takeaway

Remember: Healthy boundaries are not walls that keep people out - they are guidelines that help you maintain your well-being while building respectful relationships. Setting boundaries is an act of self-care and self-respect, not selfishness. It takes practice to get comfortable with boundary-setting, and some people may resist your new limits initially. This is normal and doesn't mean you should abandon your boundaries. Strong boundaries actually lead to healthier, more authentic relationships.

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Body Awareness & Regulation Techniques