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Do I seek to love Him with my whole heart?
Do I give God time every day in prayer?
Do I seek to surrender myself to God's word as taught by the Church?
Are there other "gods" in my life? Money, Security, Power, People, etc.?
Have I ever received communion in the state of mortal sin?
Have I ever deliberately told a lie in Confession or have I withheld a mortal sin from the priest in Confession?
Have I used God's name in vain: lightly or carelessly?
Have I been angry with God?
Have I wished evil upon any other person?
Have I insulted a sacred person or abused a sacred object?
Have I deliberately missed Mass on Sundays or Holy Days of Obligation?
Have I tried to observe Sunday as a family day and a day of rest?
Do I do needless work on Sunday?
Do I honor and obey my parents?
Have I neglected my duties to my spouse and children?
Have I given my family good religious example?
Do I try to bring peace into my home life?
Do I care for my aged and infirm relatives?
Have I physically harmed anyone?
Have I abused alcohol or drugs?
Did I give scandal to anyone, thereby leading him or her into sin?
Have I been angry or resentful?
Have I harbored hatred in my heart?
Have I encouraged or condoned sterilization?
Have I participated in or approved of euthanasia?
Have I had an abortion or encouraged or helped anyone to have an abortion?
Have I been faithful to my marriage vows in thought and action?
Have I engaged in any sexual activity outside of marriage?
Have I used any method of contraception or artificial birth control in my marriage?
Has each sexual act in my marriage been open to the transmission of new life?
Have I been guilty of masturbation?
Do I seek to control my thoughts and imaginations?
Have I respected all members of the opposite sex, or have I thought of other people as mere objects?
Have I been guilty of any homosexual activity?
Do I seek to be chaste in my thoughts, words,actions?
Am I careful to dress modestly?
Have I stolen what is not mine?
Have I returned or made restitution for what I have stolen?
Do I waste time at work, school, and home?
Do I gamble excessively, thereby denying my family of their needs?
Do I pay my debts promptly?
Do I seek to share what I have with the poor?
Have I cheated anyone out of what is justly theirs, for example creditors, insurance companies, big corporations?
Have I lied? Have I gossiped?
Do I speak badly of others behind their back?
Am I sincere in my dealings with others?
Am I critical, negative or uncharitable in my thoughts of others?
Do I keep secret what should be kept confidential?
Have I injured the reputation of others by slanders?
Have I consented to impure thoughts?
Have I caused them by impure reading, movies, television, conversation or curiosity?
Do I pray at once to banish impure thoughts and temptations?
Have I behaved in an inappropriate way with members of the opposite sex: flirting, being superficial, etc.?
Am I jealous of what other people have?
Do I envy the families or possessions of others?
Am I greedy or selfish?Are material possessions the purpose of my life?
Lord our God, You are patient with sinners and accept our desire to make amends. I acknowledge my sins and I am resolved to change my life. Help me to celebrate this sacrament of Your mercy so that I may reform my life and receive from You the gift of everlasting joy. We ask this through Christ our Lord. Amen.
The priest will tell you what your penance is, usually an act of some sort or prayer(s). Normally, penance is performed later, and some place other than the confessional.
"My God, I am sorry for my sins with all my heart. In choosing to do wrong and failing to do good, I have sinned against You whom I should love above all things. I firmly intend, with your help, to do penance, to sin no more, and to avoid whatever leads me to sin.   Our Savior Jesus Christ suffered and died for us. In his name, my God, have mercy. Amen"
"O my God, I am heartily sorry for having offended you and I detest all my sins, because I dread the loss of heaven and the pains of hell; but most of all because they offend you, my God, who are all good and deserving of all my love. I firmly resolve with the help of your grace, to confess my sins, to do penance, and to amend my life. Amen"
A Psalm of David. A Maskil.Blessed is he whose transgression is forgiven, whose sin is covered. Blessed is the man to whom the LORD imputes no iniquity, and in whose spirit there is no deceit. When I declared not my sin, my body wasted away through my groaning all day long. For day and night thy hand was heavy upon me; my strength was dried up as by the heat of summer. Selah
To the choirmaster. A Psalm of David, when Nathan the prophet came to him, after he had gone in to BathshebaHave mercy on me, O God, according to thy steadfast love; according to thy abundant mercy blot out my transgressions. Wash me thoroughly from my iniquity, and cleanse me from my sin!
A Psalm of David.Bless the LORD, O my soul; and all that is within me, bless his holy name! Bless the LORD, O my soul, and forget not all his benefits, who forgives all your iniquity, who heals all your diseases, who redeems your life from the Pit, who crowns you with steadfast love and mercy, who satisfies you with good as long as you live so that your youth is renewed like the eagle's.
Behold, O kind and most sweet Jesus, I cast myself upon my knees in Your sight, and with the most fervent desire of my soul I pray and beseech You that You would impress upon my heart lively sentiments of Faith, Hope, and Charity, with true repentance for my sins, and a firm purpose of amendment, while with deep affection and grief of soul I ponder within myself and mentally contemplate Your five most precious Wounds; having before my eyes the words which David in prophecy spoke concerning Yourself, O good Jesus: “They have pierced my hands and feet; they have numbered all my bones.”
"He was known to them in the breaking of the bread"
Copyright 1996, United States Conference of Catholic Bishops