Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Patient-Completed Health Outcome Measures
GLOBAL HEALTH (complete one or both)
PROMIS 10
PROMIS 29
MINDFULNESS (complete your choice of at least 3)
Cognitive and Affective Mindfulness Scale (CAMS-R)
Five Facet Mindfulness Questionnaire (FFMQ)
Freiburg Mindfulness Inventory (FMI)
Mindful Attention Awareness Scale (MAAS)
Philadelphia Mindfulness Scale (PHMS)
Self-Other Immeasurables Scale (SOIS)
Toronto Mindfulness Scale (TMS)
1
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Global Health- PROMIS Global Health (10) SF
Please respond to each item by marking
one box per row
Global
01
In general, would you say your health is:
Global
02
In general, would you say your quality of
life is:
In general, how would you rate your physical
health?
In general, how would you rate your mental
health, including your mood and your ability to
think?
In general, how would you rate your satisfaction
with your social activities and relationships?
In general, please rate how well you carry out
your usual social activities and roles. (This
includes activities at home, at work and in your
community, and responsibilities as a parent,
child, spouse, employee, friend, etc.)
Global
03
Global
04
Global
05
Global
09
Global
06
Global
10
To what extent are you able to carry out your
everyday physical activities such as walking,
climbing stairs, carrying groceries, or moving a
chair?
In the past 7 days
How often have you been bothered by
emotional problems such as feeling anxious,
depressed or irritable?
Global
08
How would you rate your fatigue on average?
Global
07
How would you rate your pain on average?
Excellent
Very
good
Good
Fair
Poor
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
Completely
Mostly
Moderately
A
Little
Not At
All
5
4
3
2
1
Never
Rarely
Sometimes
Often
Always
5
4
3
2
1
None
Mild
Moderate
Severe
Very
Severe
5
4
3
2
1
0
1
No
Pain
2
3
4
5
6
7
8
9
10
Worst
Imaginable
Pain
Scoring:
Re-code Global07. The recoded score ranges from 1 to 5.
(5=0 No pain; 4=1; 4=2; 4=3; 3=4; 3=5; 3=6; 2=7; 2=8; 2=9; 1=10 Worst pain imaginable)
After recoding, the
Global Physical Health score = SUM responses to G03 + G06 + G07 + G08.
Global Mental Health score = SUM G02 + G04 + G05 + Global10.
TOTALS
Global Physical Health
Global Mental Health
Raw Score
T-Score
2
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
PROMIS GLOBAL SF (10)
Mental
Physical
Short Form Conversion Table
Raw.Score
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
T.Score
16.2
19.9
23.5
26.7
29.6
32.4
34.9
37.4
39.8
42.3
44.9
47.7
50.8
54.1
57.7
61.9
67.7
*SE = Standard Error
SE*
4.8
4.7
4.5
4.3
4.2
4.2
4.1
4.1
4.1
4.2
4.3
4.4
4.6
4.7
4.9
5.2
5.9
Short Form Conversion Table
Raw.Score
T.Score
SE*
4
21.2
4.6
5
25.1
4.1
6
28.4
3.9
7
31.3
3.7
8
33.8
3.7
9
36.3
3.7
10
38.8
3.6
11
41.1
3.6
12
43.5
3.6
13
45.8
3.6
14
48.3
3.7
15
50.8
3.7
16
53.3
3.7
17
56.0
3.8
18
59.0
3.9
19
62.5
4.2
20
67.6
5.3
*SE = Standard Error
Hays, R. D., Bjorner, J. B., Revicki, D. A., Spritzer, K. L., & Cella, D. (2009). Development of physical
and mental health summary scores from the patient-reported outcomes measurement information
system (PROMIS) global items. Quality of Life Research, 18(7), 873-880.
3
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
PROMIS 29 (optional)
Physical Function
Please respond to each item by marking
one box per row
PFA11
1
PFA21
2
PFA23
3
PFA53
4
Are you able to do chores such as vacuuming
or yard work?
Are you able to go up and down stairs at a
normal pace?
Are you able to go for a walk of at least 15
minutes?
Are you able to run errands and shop?
Without any
difficulty
With a
little
difficulty
With some
difficulty
With
much
difficulty
Unable to
do
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
Never
Rarely
Sometimes
Often
Always
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
Never
Rarely
Sometimes
Often
Always
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
Not at all
A little
bit
Somewhat
Quite a
bit
Very
much
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
Anxiety
In the past 7 days
I felt fearful
EDAN
X015
EDAN
X406
I found it hard to focus on anything other than
my anxiety
EDAN
X417
My worries overwhelmed me
EDAN
X538
I felt uneasy
Depression
In the past 7 days
EDDE
P049
I felt worthless
EDDE
P0610
I felt helpless
EDDE
P2911
I felt depressed
EDDE
4112
I felt hopeless
Fatigue
During the past 7 days
HI713
I feel fatigued
I have trouble starting things because I am
A314
tired
In the past 7 days
FATE
How run down did you feel on average?
XP41
15
FATE
XP40
16
How fatigued were you on average?
4
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Sleep Disturbance
In the past 7 days
My sleep quality was
Sleep
20927
In the past 7 days
Sleep
11618
My sleep was refreshing
Sleep
2019
I had a problem with sleep
Sleep
4422
I had difficulty falling asleep
Very poor
Poor
Fair
Good
Very good
5
Not at all
4
A little
bit
3
Somewhat
2
Quite a
bit
1
Very
much
5
4
3
2
1
1
2
3
4
5
1
2
3
4
5
Not at all
A little
bit
Somewhat
Quite a
bit
Very
much
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
Not at all
A little
bit
Somewhat
Quite a
bit
Very
much
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
Satisfaction with Social Role
In the past 7 days
SRPS
AT072
1
SRPS
AT242
2
SRPS
AT472
3
SRPS
AT492
4
I am satisfied with how much work I can do
(include work at home)
I am satisfied with my ability to work (include
work at home)
I am satisfied with my ability to do regular
personal and household responsibilities
I am satisfied with my ability to perform my
daily routines
Pain Interference
In the past 7 days
PAINI
N925
PAINI
N2226
PAINI
N3127
PAINI
N3428
How much did pain interfere with your day to
day activities?
How much did pain interfere with work around
the house?
How much did pain interfere with your ability to
participate in social activities?
How much did pain interfere with your
household chores?
Pain Intensity
Global
0729
How would you rate your pain on average?
0
No
Pain
1
2
3
4
5
6
7
8
9
10
Worst
Imaginable
Pain
5
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Scoring PROMIS 29
TOTALS
Physical Function
Anxiety
Depression
Fatigue
Sleep Disturbance
Satisfaction with Social
Role
Pain Interference
Pain Intensity
Raw Score
T-Score
N/A
Note: The single pain intensity item is not scored but reported as its raw score (e.g., 0 to 10).
6
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Mindfulness Measures (complete your preference of at least 3)
Instrument
Cognitive and Affective Mindfulness
Scale- Revised, CAMS-R
Five Facet Mindfulness
Questionnaire, FFMQ
Freiburg Mindfulness Inventory, FMI
Mindful Attention Awareness Scale,
MAAS
Philadelphia Mindfulness Scale,
PHMS
Self-Other Four Immeasurables, SOFI
Toronto Mindfulness Scale, TMS
Number of Items
10
39
14
15
20
16
13
7
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Cognitive and Affective Mindfulness Scale- Revised (CAMS-R)
Please respond to each item by marking one box per row
CAMS-R1
It is easy for me to concentrate on what I am doing.
CAMS-R3
I can tolerate emotional pain.
CAMS-R4
I can accept things I cannot change.
CAMS-R5
I can usually describe how I feel at the moment in
considerable detail.
I am easily distracted. (R)
CAMS-R6
CAMS-R8
CAMS-R9
It’s easy for me to keep track of my thoughts and
feelings.
I try to notice my thoughts without judging them.
CAMSR10
I am able to accept the thoughts and feelings I have.
CAMSR11
I am able to focus on the present moment.
CAMSR12
I am able to pay close attention to one thing for a long
period of time.
Rarely/Not
at All
Sometimes
Often
Almost
Always
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
Scoring: Note that 6 is reversed scored. Sum of all values reflect greater mindful qualities.
Your total score: __________
Comments:
Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. P. (2007). Mindfulness and emotion
regulation: The development and initial validation of the Cognitive and Affective Mindfulness ScaleRevised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29(3), 177-190.
Note that original scale was 12 items, but the original items 2 and 7 were deleted as less useful than the
remaining 10.
8
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Mindfulness- Five Facet Mindfulness Questionnaire (FFMQ)
Please rate each of the following statements
with the number that best describes your
own opinion of what is generally true for you.
FFQM
1
FFQM
2
FFQM
3
FFQM
4
FFQM
5
FFQM
6
FFQM
7
FFQM
8
FFQM
9
FFQM
10
FFQM
11
FFQM
12
FFQM
13
FFQM
14
FFQM
15
FFQM
16
FFQM
17
FFQM
18
When I’m walking, I deliberately
notice the sensations of my body
moving. (OBS)
I’m good at finding words to describe
my feelings. (D)
I criticize myself for having irrational
or inappropriate emotions. (NJ-R)
I perceive my feelings and emotions
without having to react to them. (NR)
When I do things, my mind wanders
off and I’m easily distracted. (AA-R)
When I take a shower or bath, I stay
alert to the sensations of water on my
body. (OBS)
I can easily put my beliefs, opinions,
and expectations into words. (D)
I don’t pay attention to what I’m doing
because I’m daydreaming, worrying,
or otherwise distracted. (AA-R)
I watch my feelings without getting
lost in them. (NR)
I tell myself I shouldn’t be feeling the
way I’m feeling. (NJ-R)
I notice how foods and drinks affect
my thoughts, bodily sensations, and
emotions. (OBS)
It’s hard for me to find the words to
describe what I’m thinking. (D-R)
I am easily distracted. (AA-R)
I believe some of my thoughts are
abnormal or bad and I shouldn’t think
that way. (NJ-R)
I pay attention to sensations, such as
the wind in my hair or sun on my face.
(OBS)
I have trouble thinking of the right
words to express how I feel about
things. (D-R)
I make judgments about whether my
thoughts are good or bad. (NJ-R)
I find it difficult to stay focused on
what’s happening in the present. (AAR)
Never or
very rarely
true
Rarely
true
Sometimes
true
Often
true
Very
often or
always
true
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
9
Kemper- Gascon
FFQM
19
FFQM
20
FFQM
21
FFQM
22
FFQM
23
FFQM
24
FFQM
25
FFQM
26
FFQM
27
FFQM
28
FFQM
29
FFQM
30
FFQM
31
FFQM
32
FFQM
33
FFQM
34
FFQM
35
FFQM
36
When I have distressing thoughts or
images, I “step back” and am aware
of the thought or image without
getting taken over by it. (NR)
I pay attention to sounds, such as
clocks ticking, birds chirping, or cars
passing. (OBS)
In difficult situations, I can pause
without immediately reacting. (NR)
When I have a sensation in my body,
it’s difficult for me to describe it
because I can’t find the right words.
(D-R)
It seems I am “running on automatic”
without much awareness of what I’m
doing. (AA-R)
When I have distressing thoughts or
images, I feel calm soon after. (NR)
I tell myself that I shouldn’t be
thinking the way I’m thinking. (NJ-R)
I notice the smells and aromas of
things. (OBS)
Even when I’m feeling terribly upset, I
can find a way to put it into words. (D)
I rush through activities without being
really attentive to them. (AA-R)
When I have distressing thoughts or
images, I am able just to notice them
without reacting. (NR)
I think some of my emotions are bad
or inappropriate and I shouldn’t feel
them. (NJ-R)
I notice visual elements in art or
nature, such as colors, shapes,
textures, or patterns of light and
shadow. (OBS)
My natural tendency is to put my
experiences into words. (D)
When I have distressing thoughts or
images, I just notice them and let
them go. (NR)
I do jobs or tasks automatically
without being aware of what I’m
doing. (AA-R)
When I have distressing thoughts or
images, I judge myself as good or
bad depending what the thought or
image is about. (NJ-R)
I pay attention to how my emotions
affect my thoughts and behavior.
(OBS)
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Never or
very rarely
true
Rarely
true
Sometimes
true
Often
true
Very
often or
always
true
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
10
Kemper- Gascon
FFQM
37
FFQM
38
FFQM
39
I can usually describe how I feel at
the moment in considerable detail.
(D)
I find myself doing things without
paying attention. (AA-R)
I disapprove of myself when I have
irrational ideas. (NJ-R)
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Never or
very rarely
true
Rarely
true
Sometimes
true
Often
true
Very
often or
always
true
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
Scoring:
(Note: R = reverse-scored item)
Subscale Directions
Observing: Sum items
1 + 6 + 11 + 15 + 20 + 26 + 31 + 36
Describing: Sum items
2 + 7 + 12R + 16R + 22R + 27 + 32
+ 37.
Acting with Awareness: Sum
items
5R + 8R + 13R + 18R + 23R + 28R
+ 34R + 38R.
Nonjudging of inner experience:
Sum items 3R + 10R + 14R + 17R +
25R + 30R + 35R + 39R.
Nonreactivity to inner experience:
Sum items 4 + 9 + 19 + 21 + 24 +
29 + 33.
TOTAL FFMQ (add subscale
scores)
Your Score TOTAL
Your score item Avg.
NOTE: Some researchers divide the total in each category by the number of items in that category to get
an average category score. The Total FFMQ can be divided by 39 to get an average item score.
Comments:
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment
methods to explore facets of mindfulness. Assessment, 13(1), 27-45.
11
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Mindfulness- The Freiburg Mindfulness Inventory (FMI)
Please respond to each item by marking
one box per row
FMI
1
I am open to the experience of the present moment
FMI
2
I sense my body, whether eating, cooking, cleaning, or
talking
When I notice an absence of mind, I gently return to the
experience of the here and now.
FMI
3
FMI
4
I am able to appreciate myself.
FMI
5
I pay attention to what’s behind my actions.
FMI
6
I see my mistakes and difficulties without judging them.
FMI
7
I feel connected to my experience in the here-and-now
FMI
8
I accept unpleasant experiences.
FMI
9
I am friendly to myself when things go wrong.
FMI
10
I watch my feelings without getting lost in them.
FMI
11
In difficult situations, I can pause without immediately
reacting.
I experience moments of inner peace and ease, even
when things get hectic and stressful.
FMI
12
FMI
13
I am impatient with myself and with others. (R)
FMI
14
I am able to smile when I notice how I sometimes make
life difficult.
Rarely
Occasionally
Fairly
often
Almost
Always
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
4
3
2
1
1
2
3
4
Scoring: These are simply added up for the raw score. Note that #13 is reverse scored.
Mindfulness measure
FMI
My total
My item average
Comments:
Walach, H., Buchheld, N., Buttenmüller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring
mindfulness—the Freiburg mindfulness inventory (FMI). Personality and Individual Differences, 40(8),
1543-1555.
12
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Mindfulness-Mindful Attention Awareness Scale (MAAS)
Please indicate the degree to which
you agree with each of the following
items using the scale below.
MAAS
I could be experiencing some
1
emotion and not be conscious
of it until some time later.
MAAS
I break or spill things because
2
of carelessness, not paying
attention, or thinking of
something else.
MAAS
I find it difficult to stay focused
3
on what’s happening in the
present.
MAAS
I tend to walk quickly to get
4
where I’m going without paying
attention to what I experience
along the way.
MAAS
I tend not to notice feelings of
5
physical tension or discomfort
until they really grab my
attention.
MAAS
I forget a person’s name almost
6
as soon as I’ve been told it for
the first time.
MAAS
It seems I am “running on
7
automatic” without much
awareness of what I’m doing.
MAAS
I rush through activities
8
without being really attentive to
them.
MAAS
I get so focused on the goal I
9
want to achieve that I lose
touch with what I am doing right
now to get there.
MAAS
I do jobs or tasks automatically,
10
without being aware of what I’m
doing.
MAAS
I find myself listening to
11
someone with one ear, doing
something else at the same
time.
MAAS
I drive places on “automatic
12
pilot” and then wonder why I
went there.
MAAS
I find myself preoccupied with
13
the future or the past.
MAAS
I find myself doing things
14
without paying attention.
MAAS
I snack without being aware
15
that I’m eating.
Almost
Very
Somewhat
Somewhat
Very
Almost
always
frequently
frequently
infrequently
infrequently
never
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
13
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Scoring MAAS: To score the scale, simply compute a mean of the 15 items. Higher scores reflect higher
levels of dispositional mindfulness.
Mindfulness measure
MAAS
My total
My item average
Comments on MAAS:
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in
psychological well-being. Journal of personality and social psychology, 84(4), 822.
14
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Mindfulness- Philadelphia Mindfulness Scale (PHLMS)
Please select how often you experienced each of
the following statements within the past week.
PHLMS1
I am aware of what thoughts are passing
through my mind. (Aw)
PHLMS2
I try to distract myself when I feel
unpleasant emotions. (Ac)
PHLMS3
When talking with other people, I am
aware of their facial and body expressions.
(Aw)
PHLMS4
There are aspects of myself I don’t want to
think about. (Ac)
PHLMS5
When I shower, I am aware of how the
water is running over my body. (Aw)
PHLMS6
I try to stay busy to keep thoughts or
feelings from coming to mind. (Ac)
PHLMS7
When I am startled, I notice what is going
on inside my body. (Aw)
PHLMS8
I wish I could control my emotions more
easily. (Ac)
PHLMS9
When I walk outside, I am aware of smells
or how the air feels against my face. (Aw)
PHLMS10
I tell myself that I shouldn’t have certain
thoughts. (Ac)
PHLMS11
When someone asks how I am feeling, I
can identify my emotions easily. (Aw)
PHLMS12
There are things I try not to think about.
(Ac)
PHLMS13
I am aware of thoughts I’m having when
my mood changes. (Aw)
PHLMS14
PHLMS15
PHLMS16
PHLMS17
I tell myself that I shouldn’t feel sad. (Ac)
I notice changes inside my body, like my
heart beating faster or my muscles getting
tense. (Aw)
If there is something I don’t want to think
about, I’ll try many things to get it out of my
mind. (Ac)
Whenever my emotions change, I am
conscious of them immediately. (Aw)
Never
Rarely
Sometimes
Often
Very
Often
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
PHLMS18
I try to put my problems out of mind. (Ac)
PHLMS19
PHLMS20
When talking with other people, I am
aware of the emotions I am experiencing.
(Aw)
When I have a bad memory, I try to
distract myself to make it go away. (Ac)
15
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Scoring the PHMS:
Awareness Subscale: items 1, 3, 5,7,9,11,13,15,17,19
Acceptance Subscale: items 2,4,6,8,10,12,14,16,18,20
My total
My item average
PHMS -TOTAL
Awareness
Acceptance
Comments on PHMS:
Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). “The Assessment of
Present-Moment Awareness and Acceptance: The Philadelphia Mindfulness Scale.” Assessment, 15 (2),
204-223.
16
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Mindfulness- Self-Other Four Immeasurable (SOFI)
Indicate to what extent you have
thought, felt, or acted this way toward
yourself and others during the past
WEEK
Friendly—toward myself
SOFI1
(PS)
Friendly—toward others
SOFI2
(PO)
SOFI3
Hateful—toward myself (NS)
SOFI4
Hateful—toward others (NO)
SOFI5
Angry—with myself (NS)
SOFI6
Angry—with others (NO)
SOFI7
Joyful—for myself (PS)
SOFI8
Joyful—for others (PO)
SOFI9
Accepting—toward myself
SOFI10
Accepting—toward others
SOFI11
Cruel—toward myself
SOFI12
Cruel—toward others
SOFI13
SOFI14
Compassionate—toward
myself
Compassionate—toward
others
SOFI15
Mean—toward myself
SOFI16
Mean—toward others
Very
slightly
or not at
all
A little
Moderately
Quite a
bit
Extremely
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
Scoring: Add the subscale item responses, and divide by 4.
High scores reflect higher levels in the respective area.
Positive-self- 1, 7, 9, and 13
Negative-self- 3, 5, 11, and 15
Positive-other- 2, 8, 10, and 14
Negative-other- 4, 6, 12, and 16
My total
My item average
SOFI -TOTAL
Positive Self (PS)
Positive Other (PO)
Negative Self (NS)
Negative Other (NO)
17
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Comments on SOFI:
Kraus, S., & Sears, S. (2009). Measuring the immeasurables: Development and initial validation of the
Self-Other Four Immeasurables (SOFI) scale based on Buddhist teachings on loving kindness,
compassion, joy, and equanimity. Social Indicators Research, 92(1), 169-181.
18
Kemper- Gascon
IRCIMH – Health Outcome Measures
Global Health and Mindfulness
Mindfulness- Toronto Mindfulness Scale (TMS)
Please respond to each item by marking one
Not at
A little Moderately
box per row
all
I experienced myself as separate from
TMS1
my changing thoughts and feelings. (D)
0
1
2
TMS2 I was more concerned with being
TMS2
open TMS3to my experiences than
0
1
2
controlling oTMS4r changing them. (D)
I was curious aboTMS5ut what I might
learn
about myself by taking notice of
TMS3
how I react to certain thoughts, feelings,
0
1
2
or sensations.(C)
I experienced my thoughts more as
events
in my mind than as a necessarily
TMS4
accurate reflection of the way things
0
1
2
“really” are. (D)
I was curious to see what my mind was
TMS5
up to from moment to moment
0
1
2
I
was
curious
about
each
of
the
TMS6
thoughts and feelings that I was having.
0
1
2
I was receptive to observing
TMS7
unpleasant thoughts and feelings
0
1
2
without interfering with them.
I was more invested in just watching my
TMS8
experiences as they arose than in
0
1
2
figuring out what they could mean.
I approached each experience by trying
TMS9
to accept it, no matter whether it was
0
1
2
pleasant or unpleasant.
I remained curious about the nature of
TMS10
each experience as it arose.
0
1
2
I was aware of my thoughts and
TMS11
feelings without over identifying with
0
1
2
them.
I was curious about my reactions to
TMS12
things.
0
1
2
I was curious about what I might learn
TMS13
about myself by just taking notice of
0
1
2
what my attention gets drawn to.
Scoring:
Curiosity score: The following items are summed: 3, 5, 6, 10, 12, and 13
Decentering score: The following items are summed: 1, 2, 4, 7, 8, 9, and 11
My total
Quite a
bit
Very
much
3
4
3
4
3
4
3
4
3
4
3
4
3
4
3
4
3
4
3
4
3
4
3
4
3
4
My item average
TMS-TOTAL
Curiosity score
Decentering score
Comments:
Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., & Devins, G. (2006). The
Toronto mindfulness scale: Development and validation. Journal of clinical psychology, 62(12), 14451467.
19