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ACT Hexaflex Worksheet Depression Worksheets Anxiety Worksheets

ACT Hexaflex Worksheet

Published: November 2, 2026 Updated: November 3, 2026

ACT Hexaflex Worksheet

ACT Hexaflex Worksheet

This ACT hexaflex worksheet helps you understand the six skills of psychological flexibility, with a description of each, a self-rating, and space to plan one small step.

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ACT Hexaflex Worksheet Overview

The ACT hexaflex is a six-sided map of the core skills in acceptance and commitment therapy (ACT), developed by psychologist Steven Hayes and colleagues. Together, the six skills build psychological flexibility: staying present with hard thoughts and feelings while still acting on what matters to you. Research on ACT has found that it helps with anxiety, depression, chronic pain, and other problems.

This worksheet explains each skill in plain words, grouped into ACT trainer Russ Harris's three pairs. You then rate yourself on each one and choose a small step to grow the skill where you feel most stuck.

In this worksheet, we’ll:

  • Explain the six processes of the ACT hexaflex and how they fit together
  • Show you what being stuck in each process can look like
  • Give you a 0 to 10 self-rating for each skill, based on the past two weeks
  • Help you choose one skill to grow and one small step to take this week
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Sources

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our worksheets. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change (2nd ed.). Guilford Press.

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1-25.

  • Harris, R. (2019). ACT Made Simple: An Easy-to-Read Primer on Acceptance and Commitment Therapy (2nd ed.). New Harbinger.

  • Gloster, A. T., Walder, N., Levin, M. E., Twohig, M. P., & Karekla, M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science, 18, 181-192.

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