Attachment Style Tracker
About this form

This form is not connected to any server and does not transmit or store your responses anywhere. Everything you enter exists only in your browser while this page is open. When you close or refresh the page, all entries are permanently erased.

To keep a copy, use the Print / Save as PDF button at the bottom and store the file somewhere secure that only you can access. Do not send this form through regular email. If your therapist has a secure client portal, use that to share it.

Your attachment style
Select the style that fits you best. Your therapist can help confirm this if you're unsure.

Your selection is saved for this session only. Nothing is sent anywhere.


This week, overall
A brief orientation before you log specific situations.
Week of
How would you describe your overall emotional tone this week? (pick all that apply)
Did your attachment patterns feel more or less active than usual this week?
Much less active
Somewhat quieter
About average
More activated than usual
Strongly activated
Any context that helps explain the week — stress, relationships, changes?

Situations this week
Log one or more moments when your attachment style showed up. Be as honest as you can — this is for you.

Reflection
Step back and look at the week as a whole.
Looking at the patterns across this week — what do you notice?
Which attachment need felt most consistently unmet this week?
Protection — feeling safe
Comfort — being soothed
Acceptance — being seen as I am
Hard to say
What do you want to make sure you bring to your next session?