Choosing Memento Vivere
ACT Psychological Flexibility Assessment
Your Name
Client Code
(provided by your therapist)
Question 1 of 15
I am able to accept my thoughts and feelings without struggling against them
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 2 of 15
I can notice difficult emotions without being overwhelmed by them
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 3 of 15
I find it easy to be fully present in the current moment
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 4 of 15
I can observe my thoughts without being controlled by them
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 5 of 15
I recognize that my thoughts are just mental events, not facts
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 6 of 15
I can step back from my thoughts and see them for what they are
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 7 of 15
I know what is truly important and meaningful to me in life
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 8 of 15
I act in ways that are consistent with my personal values
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 9 of 15
I persist in goal-directed behavior even when facing obstacles
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 10 of 15
I can commit to actions that serve my long-term well-being
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 11 of 15
I have a clear sense of who I am beyond my thoughts and feelings
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 12 of 15
I can maintain perspective even during difficult times
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 13 of 15
I am able to focus my attention on what I am doing right now
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 14 of 15
I can adapt my behavior based on what the situation requires
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Question 15 of 15
I feel capable of handling whatever life brings my way
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
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