Never/Very Rarely Sometimes Often Very Always rarely true true true true often true 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
Never/Very rarely true Rarely true Sometimes true Often true Very often Always true 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 □ □ □ □ □ □
Five_Facets_of_Mindfulness_Survey-2.docx