My Boundary Assessment
Rate how well your limits hold up across seven areas of one relationship or setting, then plan a small step
My Boundary Assessment
Rate how well your limits hold up across seven areas of one relationship or setting, then plan a small step
My Boundary Assessment
Rate how well your limits hold up across seven areas of one relationship or setting, then plan a small step
Boundaries can be firm with one person and shaky with another. You might guard your evenings from your manager and still lend money to a sibling every time they ask. This sheet looks at one relationship or setting at a time, across seven areas, so you can see where your limits hold and where you might start. For a closer look at how limits work in different parts of life, see Boundary Types: Six Domains of Personal Boundaries.
If setting a limit with this person could put your safety at risk, talk it over with a counselor or a domestic violence advocate before you try anything new. The National Domestic Violence Hotline answers 24 hours a day at 1-800-799-7233, or text START to 88788.
- At the top, name one relationship or setting, such as a parent, a partner, a roommate, your manager or a group chat. Keep that one in mind for every row.
- Each row names an area and gives one example of a healthy limit there. In "How it is now," rate how often your limits in that area hold there, from 1 (almost never) to 5 (very often). The ratings carry no score and there is nothing to add up. If an area doesn't apply, leave its row blank.
- In "Where I'd like it to be," write the number you would like to reach. A wide gap between the two numbers shows where you might start.
- In "One small step," write one thing you could try in that area this week.
- Then answer the questions in the boxes below.
The relationship or setting I'm thinking about
| Area, with one example of a healthy limit | How it is now (1 to 5) | Where I'd like it to be (1 to 5) | One small step |
|---|---|---|---|
| Time and energy: I keep time for rest, even when they want more | |||
| Emotional: I can let them be upset without rushing to fix it | |||
| Physical and personal space: I decide who hugs me, and when | |||
| Digital and privacy: I answer messages on my own schedule | |||
| Money and belongings: I lend money or things only when I choose to | |||
| Work or school: I stop answering messages at a time I've chosen | |||
| Values and beliefs: I can hold an opinion that differs from theirs without hiding it |
Which area was hardest to rate honestly, and why?
Pick one area you rated low. What usually happens right before that limit slips?
One small limit I could practice there this week, and the exact words I would use
Who could back me up while I try it?
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See also
Clinical guides that use this worksheet
Common Questions
What is the My Boundary Assessment worksheet?
Boundaries can be firm with one person and shaky with another. You might guard your evenings from your manager and still lend money to a sibling every time they ask. This sheet looks at one relationship or setting at a time, across seven areas, so you can see where your limits hold and where you might start.
How do I use the My Boundary Assessment worksheet?
Fill out this worksheet digitally or print it for use in session. You can save your progress with a Pro account. Take your time with each column — there are no right or wrong answers.
Is the My Boundary Assessment worksheet free?
Yes. Like every worksheet on Therapy Resource, it is free to read, print, and download as a PDF, no account required. A Pro subscription adds online filling with saved progress, practice-branded PDF exports, and secure client sharing.
Can I fill out the My Boundary Assessment worksheet online?
Yes. Switch the worksheet to "Type on Screen" mode to fill in the fields directly in your browser before printing. Pro members can also save their entries across sessions and export the completed worksheet as a branded PDF.
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