Examine what determines your self-worth — and how much is dominated by eating, shape, and weight compared to other life domains.
Self-Evaluation Pie Chart
PreviewHow much does each area determine your self-worth RIGHT NOW? Percentages should add to 100.
Current self-worth pie
No entries
This is a worksheet calculation, not a validated clinical score.
How would you LIKE it to be? What would a more balanced pie look like?
Preferred self-worth pie
No entries
This is a worksheet calculation, not a validated clinical score.
What is the biggest difference between your current and preferred pie?
Not answered
What is one step you could take to invest more in another area?
Not answered
This is a read-only preview. Sign up to assign it and let clients complete it on any device.
The Self-Evaluation Pie Chart is an interactive cognitive behavioural therapy (CBT) worksheet, most often used in CBT for eating disorders. It is also commonly drawn on when working with low self-esteem.
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.
Most people work through it in around 15 minutes. It moves through three short steps:
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.
In common with other CBT methods, the Self-Evaluation Pie Chart works by re-engaging with meaningful and rewarding activity (behavioural activation). 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.
This worksheet is grounded in established cognitive behavioural therapy theory and practice. Key sources include:
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:
Sign up free and send your client a link. They complete it on any device — you review their responses before the next session.
No credit card required. 10 free worksheets every month.
The core CBT-E self-monitoring tool — record what you eat, when, where, and how you felt, including any binge/purge episodes and triggers.