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Worksheets

Mindfulness

Total questions: 13

Worksheet time: 13mins

Name
Class
Date
1.

When I am startled, I notice what is going on inside my body.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

2.

I am aware of thoughts I'm having when my mood changes.

a)

Never.

b)

Rarely.

c)

Sometimes.

d)

Often.

e)

Very often.

3.

I notice changes inside my body, like my heart beating faster or my muscles getting tense.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

4.

I tell myself I shouldn't feel sad.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

5.

I tell myself that I shouldn't have certain thoughts.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

6.

I try to distract myself when I feel unpleasant emotions.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

7.

There are things I try not to think about.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

8.

When I shower, I am aware of how the water is running over my body.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

9.

When I walk outside, I am aware of smells or how the air feels against my face.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

10.

When someone asks how I am feeling, I can identify my emotions easily.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

11.

Whenever my emotions change, I am conscious of them immediately.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

12.

When talking with other people, I am aware of their facial and body expressions.

a)

Never

b)

Rarely

c)

Sometimes

d)

Often

e)

Very often

13.

How often do you meditate?

a)

Never

b)

Several times a year

c)

Several times a month

d)

Several times a week

e)

Daily