How effective was the skill in helping you cope with the situation (keeping you from doing 
something to make the situation worse)? Circle a number below.
I still couldn’t stand 
the situation, even 
for one more minute.I was able to cope somewhat, 
at least for a little while.  
It helped somewhat.I could use skills, 
tolerated distress, and 
resisted problem urges.
1 2 3 4 5
Did this skill help you cope with uncomfortable emotions or urges, or  avoid conflict of any 
kind? Circle YES or NO.
Describe how the skill helped or did not help: