Living in Full Experience—The LIFE Form
A Life Enhancement Exercise
Date: _______ /_______ / _______                      Time: __________________ A.M./P.M.
Check off any sensations you experienced just now:
Check what emotion best describes your experience of these sensations (pick one):
Now rate how strongly you felt this emotion/feeling (circle number):
 0     1     2     3     4     5     6     7     8
Mild/Weak                Moderate              Extremely Intense
Now rate how willing you were to have these sensations/feelings without acting on them (e.g., to manage them, get rid of them, suppress them, run from them):
0     1     2     3     4     5     6     7     8
Mild/Weak                Moderate              Extremely Intense
Describe where you were when these sensations occurred: 

Describe what you were doing when these sensations occurred: 

Describe what your mind was telling you about the sensations/feelings: 

Describe what you did (if anything) about the sensations/feelings: 

If you did anything about the sensations or feelings, did it get in the way of anything you really value or care about? If so, describe what that was here: