My Stages of Grief Worksheet (Free PDF Download)

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Download the worksheet (PDF)

What is the My Stages of Grief worksheet?

The My Stages of Grief worksheet gives clients two pages for recording their own route through Denial, Anger, Bargaining, Depression and Acceptance. Each stage carries a yes or no box and a slot for ordering it from 1 to 5. Page two maps that order.

How to use the My Stages of Grief worksheet

Use this sheet both in session and as homework. Start by asking which of the five stages the client recognizes at all, since several are usually absent. Only then number the ones they marked yes, from 1 to 5. Your clients can write the thoughts and feelings for each stage at home, where there is time to sit with them. The second page asks for a current stage and past stages, which is where a client sees Denial or Anger return.

My Stages of Grief Worksheet Download – What’s Included

The download is a two-page printable PDF. Page one covers Anger, Denial and Bargaining, page two covers Depression and Acceptance. Each stage repeats the same pair of prompts: whether the client experienced it, and where it fell from 1 to 5. Page two ends with a map of the current stage and past stages, where a stage may be listed more than once.

References Kübler-Ross’s five-stage model, presented as descriptive rather than prescriptive: Kübler-Ross, E. (1969). On Death and Dying.

Frequently asked questions

What are the five stages of grief according to Kübler-Ross?

Denial, anger, bargaining, depression and acceptance, as set out in On Death and Dying. The sheet uses those five stages and no others. It asks the client to mark which of them they actually experienced, rather than assuming all five.

Do the stages of grief happen in order?

Not reliably. The worksheet says outright that the stages are not always experienced in a specific order, and that a client may return to one more than once. That is why it asks for both a current stage and past stages, and lets the same stage appear twice.

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Your Author

Tracy Collins, LCP

Tracy Collins is a licensed clinical psychologist with over six years of direct clinical experience in outpatient and telehealth settings. She specializes in cognitive behavioral therapy, structured treatment planning, and measurable therapy outcomes. Tracy has extensive experience writing SOAP and DAP notes, developing insurance-compliant treatment plans, and aligning documentation with ICD-10 and DSM-5-TR diagnostic criteria. Her clinical approach integrates cognitive behavioral therapy techniques, behavioral activation, exposure-based interventions, and mindfulness-based strategies to create structured and outcome-driven therapy plans. At Mentalyc, Tracy supports therapists by creating educational resources that simplify documentation workflows and improve treatment plan defensibility during audits.