RPT |
.| .| The Acceptance and Action Questionnaire (AAQ-2)| | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>|
SSN: 66,<.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | | AAQ-2 Score: <-AAQ-2 Score->| High scores on the AAQ-2 indicate psychological
flexibility (range: 10 to 70).| | | Questions and Answers| | 1. It's OK if I remember something unpleasant.| <*Answer_5450*>| 2. My painful experiences and memories make it
difficult for me to live a life that I would value.| <*Answer_5451*>| 3. I'm afraid of my feelings.| <*Answer_5452*>| 4. I worry about not being able to control my worries and
feelings.| <*Answer_5461*>| 5. My painful memories prevent me from having a fulfilling life.| <*Answer_5462*>| 6. I am in control of my life.| <*Answer_5463*>| 7. Emotions
cause problems in my life.| <*Answer_5464*>| 8. It seems like most people are handling their lives better than I am.| <*Answer_5465*>| 9. Worries get in the way of my success.|
<*Answer_5466*>| 10. My thoughts and feelings do not get in the way of how I want to live my life.| <*Answer_5467*>| | | Information contained in this note is based on a self-report
assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities and procedures.|
$~
|