Cognitive Behaviour Therapy with mindfulness (CBTm)

Cognitive Behaviour Therapy with mindfulness - Learn Skills for Life

Behavioural Experiment Worksheet

Complete the worksheet using the fillable web form below and download your completed copy to your computer. None of your information will be stored. You may still opt to Download the PDF to fill in offline instead.

Instructions: Complete Part 1 to predict and plan the experiment. After completing the experiment, complete Part 2, the outcome and learning reflection and compare to Part 1. Or if you’ve already done the experiment, complete both parts to reflect on the experiment planning and results.

Behavioural Experiment Worksheet

Part 1: Experiment Plan

What is your prediction? What do you expect will happen? How would you know if it came true?
50
What experiment could test this prediction? (where, when, how, etc.) What safety behaviours will need to be dropped? How would you know if your prediction came true?

Part 2: Experiment Results

What happened? Was your prediction accurate?
What did you learn? How likely is it that your prediction(s) will happen in the future?
50
To have your completed form above emailed to you, please put in your email address below. (None of your answers will be saved.)
Clear Form
DOWNLOAD PDF

To fill in offline