Almost Very Somewhat Somewhat Very Almost always frequently frequently infrequently infrequently never 1. I be experiencing some emotion and □ □ not be □ □ □ □ conscious of it until some time later. 2. I break or spill things because of carelessness, not paying □ □ □ □ □ □ attention, or thinking of something else. 3. I find it difficult to stay focused on what’s □ □ □ □ □ □ happening in the present. 4. I tend to walk quickly to get where □ □ I’m going □ □ □ □ without paying
Almost always Very frequently Somewhat frequently Somewhat infrequently Very infrequently Almost never 1. I be experiencing some emotion and not be conscious of it until some time later. □ □ □ □ □ □ 2. I break or spill things because of carelessness, not paying attention, or thinking of something else. □ □ □ □ □ □ 3. I find it difficult to stay focused on what’s happening in the present. □ □ □ □ □ □ 4. I tend to walk quickly to get where I’m going without paying □ □ □ □ □ □
Mindful_Attention_Awareness_Survey-1.docx