← Back to REBT Training
Shame-Attacking Exercise Planner
Your Contact Information
Email Address *
Phone Number *
Name / Initials:
Date:
Targeted Fear
"What am I afraid will happen if I look foolish or imperfect?"
Planned Shame-Attacking Action
Important:
Choose an action that is safe, legal, and mildly embarrassing.
Predictions
What do you predict will happen?
Outcome Feared
Likelihood (0-100%)
✕
+ Add Another Prediction
Results (After Exercise)
Complete this section after performing the exercise
• What actually happened?
• What did this teach me about approval and worth?
Save Worksheet
View Saved Worksheets
Export as Text
Print
Clear Form
Submit to Database
Data submitted successfully to database!
Please provide valid email and phone number.
Saved Worksheets
Close