In the space to the left of each item, please indicate whether each of the following statements is generally true or generally false of you, employing the following scale:
1
2
3
4
5
Never or Very Rarely True
Very Often or Always True
Rate 1-5 |
Item # |
Item |
| 1 | When I'm walking, I deliberately notice the sensations of my body moving. | |
| 2 | I'm good at finding words to describe my feelings. | |
| 3 | I criticize myself for having irrational or inappropriate emotions. | |
| 4 | I perceive my feelings and emotions without having to react to them. | |
| 5 | When I do things, my mind wanders off and I'm easily distracted. | |
| 6 | When I take a shower or bath, I stay alert to the sensations of water on my body. | |
| 7 | I can easily put my beliefs, opinions, and expectations into words. | |
| 8 | I don't pay attention to what I'm doing because I'm daydreaming, worrying, or otherwise distracted. |
|
| 9 | I watch my feelings without getting lost in them. | |
| 10 | I tell myself I shouldn't be feeling the way I'm feeling. | |
| 11 | I notice how foods and drinks affect my thoughts, bodily sensations, and emotions. | |
| 12 | It's hard for me to find the words to describe what I'm thinking. | |
| 13 | I am easily distracted. | |
| 14 | I believe some of my thoughts are abnormal or bad and I shouldn't think that way. | |
| 15 | I pay attention to sensations, such as the wind in my hair or sun on my face. | |
| 16 | I have trouble thinking of the right words to express how I feel about things | |
| 17 | I make judgments about whether my thoughts are good or bad. | |
| 18 | I find it difficult to stay focused on what's happening in the present. | |
| 19 | When I have distressing thoughts or images, I 'step back' and am aware of the thought or image without getting taken over by it. | |
| 20 | I pay attention to sounds, such as clocks ticking, birds chirping, or cars passing. | |
| 21 | In difficult situations, I can pause without immediately reacting. | |
| 22 | When I have a sensation in my body, it's difficult for me to describe it because I can't find the right words. |
|
| 23 | It seems I am 'running on automatic' without much awareness of what I'm doing. | |
| 24 | When I have distressing thoughts or images, I feel calm soon after. | |
| 25 | I tell myself that I shouldn't be thinking the way I'm thinking. | |
| 26 | I notice the smells and aromas of things. | |
| 27 | Even when I'm feeling terribly upset, I can find a way to put it into words. | |
| 28 | I rush through activities without being really attentive to them. | |
| 29 |
When I have distressing thoughts or images I am able just to notice them without reacting. |
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| 30 | I think some of my emotions are bad or inappropriate and I shouldn't feel them. | |
| 31 |
I notice visual elements in art or nature, such as colors, shapes, textures, or patterns of light and shadow. |
|
| 32 | My natural tendency is to put my experiences into words. | |
| 33 | When I have distressing thoughts or images, I just notice them and let them go. | |
| 34 | I do jobs or tasks automatically without being aware of what I'm doing. | |
| 35 |
When I have distressing thoughts or images, I judge myself as good or bad, depending what the thought/image is about. |
|
| 36 | I pay attention to how my emotions affect my thoughts and behavior. | |
| 37 | I can usually describe how I feel at the moment in considerable detail. | |
| 38 | I find myself doing things without paying attention. | |
| 39 | I disapprove of myself when I have irrational ideas. |
Click here for information on scoring and norms.
This page last revised 04/21/11 04:28:33 PM.