ACT Life Compass
Intimate Relationships Recreation/Leisure
Importance (I): _______ / 10 I: _______ / 10 S: _______ / 10
Satisfaction (S) _______ / 10 C: ______________________________
Recent committed actions(C): __________ ________________________________
____________________________________
Work/Career
Parenting I: _______ / 10 S: _______ / 10
I: _______ / 10 S: _______ / 10
C: ______________________________
C: ______________________________
________________________________
________________________________
Education/Learning
Family of Origin
I: _______ / 10 S: _______ / 10
I: _______ / 10 S: _______ / 10
C: ______________________________
C: ______________________________
________________________________
________________________________
Friends/Social Life Spirituality
I: _______ / 10 S: _______ / 10 I: _______ / 10 S: _______ / 10
C: ______________________________ C: ______________________________
________________________________ ________________________________
Community Life/ Health, Physical
Environment/Nature Self-Care
I: _______ / 10 S: _______ / 10 I: _______ / 10 S: _______ / 10
C: ______________________________ C: ______________________________
________________________________ ________________________________
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