Advanced Perfectionism Worksheet

FMPS-style subscales, guilt/shame rating, auto-interpretation, and progress tracking across sessions
Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC-TMC, ASDCS, NATC, CCTP, CCTP II, ADHD-CCSP, C-DBT
Branded CBT-oriented perfectionism worksheet for psychoeducation, treatment planning, self-monitoring, and progress tracking.

Client Information

Instructions

Rate each item based on the past 7 days. Use the scale below:

0 = Not at all | 1 = Slightly | 2 = Moderately | 3 = Very much | 4 = Extremely

Higher scores generally reflect greater perfectionistic thinking, self-criticism, doubt, guilt, rigid standards, and functional interference.

Self-Scoring Items

Item 0 1 2 3 4
1. I feel very upset when I make mistakes.
Concern Over Mistakes
2. If something is not done perfectly, it feels wrong or unacceptable.
Concern Over Mistakes
3. I am highly self-critical when I do not meet my standards.
Concern Over Mistakes
4. I doubt whether I have done things correctly, even after checking.
Doubts About Actions
5. I spend too much time redoing, reviewing, or fixing things.
Doubts About Actions
6. I often do not trust myself to get things right the first time.
Doubts About Actions
7. I set very high standards for myself.
Personal Standards
8. I feel driven to perform at an unusually high level.
Personal Standards
9. I judge myself harshly when my performance falls short of my standards.
Personal Standards
10. I feel uncomfortable when things are messy, incomplete, or disorganized.
Organization / Order
11. I spend extra time organizing or arranging things to feel settled.
Organization / Order
12. I become distressed when things are out of place or not how I expected.
Organization / Order
13. I feel that others expect too much from me.
Perceived External Pressure / Criticism
14. I feel pressure to avoid mistakes because of how others may respond.
Perceived External Pressure / Criticism
15. Criticism or disapproval affects me strongly and lingers.
Perceived External Pressure / Criticism
16. I feel guilty, ashamed, or embarrassed when I am not perfect.
Guilt / Shame
17. Mistakes make me feel like I am letting myself or others down.
Guilt / Shame
18. I avoid starting or finishing things because I fear they will not be good enough.
Guilt / Shame / Avoidance

Subscale Scores

Concern Over Mistakes
0
Items 1–3 | Range: 0–12
Doubts About Actions
0
Items 4–6 | Range: 0–12
Personal Standards
0
Items 7–9 | Range: 0–12
Organization / Order
0
Items 10–12 | Range: 0–12
External Pressure / Criticism
0
Items 13–15 | Range: 0–12
Guilt / Shame
0
Items 16–18 | Range: 0–12
Total Score
0
Range: 0–72
Overall Severity
Not scored yet
0–12 minimal
13–24 mild
25–36 moderate
37–54 marked
55–72 severe

Automatic Interpretation

Cognitive and Behavioral Reflection

Progress Tracking Across Sessions

Use one row per session. After calculating the current score, click “Add Current Score to Progress Table.”

Session # Date Total Severity Concern Over Mistakes Doubts About Actions Personal Standards Organization External Pressure Guilt / Shame

Clinical Notes / Plan

References / Sources
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449–468.
Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60(3), 456–470.
Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: A cognitive-behavioural analysis. Behaviour Research and Therapy, 40(7), 773–791.
Beck, J. S. (2011). Cognitive Behavior Therapy: Basics and Beyond (2nd ed.). Guilford Press.
This worksheet is intended for psychoeducational and treatment-planning purposes and does not replace a formal diagnostic evaluation.