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Health Checking Reduction Diary

Track gradual reduction in body checking behaviours — setting targets, monitoring frequency, and recording what happens when you check less.

Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed

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Worksheet preview

Preview
Set a target for reducing a specific checking behaviour each week. Record how often you checked, whether you met the target, and what happened to your anxiety. Build evidence that reducing checking doesn't lead to the feared outcome.

Live preview — type in any field to try it. Nothing is saved here.

This Week's Target

Daily Log

#DayTimes CheckedMet Target?Avg Anxiety (0–10)Did Feared Outcome Occur?Actions
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Weekly Review

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When to use the Health Checking Reduction Diary

The Health Checking Reduction Diary is an interactive cognitive behavioural therapy (CBT) worksheet, most often used in CBT for health anxiety.

It is designed to be used within therapy rather than as a standalone self-help tool: a therapist introduces it, works through it collaboratively, and helps make sense of what it surfaces. You can preview the full worksheet above, then assign it digitally for clients to complete between sessions on any device — or download it as a print-ready PDF.

How it works

Most people work through it in around 5 minutes. It moves through three short steps:

  1. This Week's Target
  2. Daily Log
  3. Weekly Review

Completed on the Formulate platform, your client's answers are saved automatically and shared straight back to you, so you can review them before the next session rather than waiting for a paper copy to come back.

The CBT approach behind it

In common with other CBT methods, the Health Checking Reduction Diary works by gradually and safely facing avoided situations so anxiety can subside (exposure). The aim is not positive thinking but a clearer, shared understanding of what keeps a difficulty going — and practical, testable ways to change it.

Because it is a CBT tool it stays focused on the here-and-now links between thoughts, feelings, the body and behaviour, and it works best as one part of a wider course of therapy rather than as advice or a diagnosis.

Evidence & sources

This worksheet is grounded in established cognitive behavioural therapy theory and practice. Key sources include:

  • Salkovskis, P.M. & Warwick, H.M.C. (2001). Making sense of hypochondriasis: A cognitive model of health anxiety. In G.J.G. Asmundson et al. (Eds.), Health Anxiety. Chichester: Wiley.
  • Salkovskis, P.M., Rimes, K.A., Warwick, H.M.C., & Clark, D.M. (2002). The Health Anxiety Inventory. Psychological Medicine, 32(5), 843-853. doi:10.1017/S0033291702005822

For use alongside professional support

Formulate provides educational CBT resources for use with a qualified therapist. They are not a substitute for professional assessment, diagnosis, or crisis care.

If you need urgent help now:

  • Emergency services: 999 — if you or someone else is in immediate danger
  • Samaritans: 116 123 — free, day or night, 365 days a year
  • SANEline: 0800 689 5555 — 4:30pm–10:30pm, every day

More Health Anxiety worksheets

View all Health Anxiety worksheets →

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