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From DBT Skills Training Handouts and Worksheets, Second Edition  by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan. Permis -
sion to photocopy this worksheet is granted to purchasers of this book for personal use only (see copyright page for details). Purchasers may 
download a larger version of this worksheet from www.guilford.com/dbt-  
worksheets .Mindfulness WorksHeet 5   (Mindfulness Handouts 5–5c)
mindfulness “ how” Skills:  
nonjudgmentalness, o ne- mindfulness, e ffectiveness
Due Date:       Name:                   Week Starting:  
Check off the mindfulness skills you practiced this week. Write out descriptions of two different times 
when you practiced a mindfulness skill. Use back of sheet for more examples.
  Nonjudgmentalness   One-  mindfulness   Effectiveness
Describe the situation and how you practiced the skill:
 
   
Check if practicing this mindfulness skill has improved any of the following, even a little bit :
  Reduced suffering   Increased happiness   Increased ability to focus 
  Decreased reactivity   Increased wisdom   Increased experiencing the present
  Increased connection   Increased sense of personal validity
Describe how the skill helped or did not help you become more mindful:  
 Describe the situation and how you practiced the skill:
  
 
 
Check if practicing this mindfulness skill has improved any of the following, even a little bit :
  Reduced suffering   Increased happiness   Increased ability to focus 
  Decreased reactivity   Increased wisdom   Increased experiencing the present
  Increased connection   Increased sense of personal validity
Describe how the skill helped or did not help you become more mindful:  
 
list any and all wise things you did this week: