Acceptance and Action Questionnaire (AAQII)


Below you will find a list of statements. Please rate the truth of each statement using the following scale:

1 - never true 2 - very seldom true 3 - seldom true 4 - sometimes 5 - frequently 6 - almost always  7 - always true

1.  My painful experiences and memories make it difficult for me to live a life that I value

2.  I'm afraid of my feelings

3.  I worry about not being able to control my worries and feelings

4.  My painful memories prevent me from having a fulfilling life

5.  Emotions cause problems in my life

6.  It seems like most people are handling their lives better than I am

7.  Worries get in the way of my success

Total score = 

Scoring: Scores above 23 suggest current clinical distress and lower levels of psychological flexibility.  Higher scores are correlated with future distress as well as work absence and lower quality of life.  At Proactive Psychotherapy, we help you to overcome these barriers by increasing your psychological flexibility. We will work with you so that thoughts, feelings, worries, and painful memories will no longer interfere with your quality of life. 

A critical component of any quality treatment involves using validated outcome measures to evaluate your progress and ensure that you are making positive strides.  We work with our clients to achieve scores below 22--indicating higher quality of life, less distress, greater psychological flexibility, and greater overall mental health.

 About this assessment:   This measure evaluates the degree to which we are psychologically "flexible."  The more psychologically INflexible we are, the greater we experience entanglement with negative self-evaluations and distressing thoughts and feelings. The more psychologically inflexible we are, the more likely we are to engage in avoidant and ineffective coping strategies and less likely to behave according to identified values and goals (Hayes et al., 1999; Bond et al., 2011).  A meta-analysis of 27 studies that used this measure found that it predicted a wide-range of quality of life outcomes (e.g., depression, anxiety, general mental health, job satisfaction, future work absence, and future job performance), with an average effect size of r = .42 (Hayes, Luoma, Bond, Masuda, & Lillis, 2006; see also Chawla & Ostefin, 2007).