2Distress Level
SUDS (Subjective Units of Distress Scale): Rate your overall distress level right now
No distressExtreme distress
3Safety Rating
How safe do you feel right now? 0 = completely safe, 10 = very unsafe
Completely safeVery unsafe
Rate the intensity of emotions you experienced today
Rate the intensity of any urges you experienced
6DBT Skills Used
Check all the skills you practiced today
7What do you most need help with today?
Choose what you'd like to focus on in your daily plan
8Notes
Any additional thoughts about your day