ACT Values Worksheet (Free PDF Download)

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Download the worksheet (PDF)

What is the ACT Values worksheet?

The act values worksheet works through six life domains rather than asking for a list of values in the abstract. Relationships, work, health, personal growth, free time and community each get their own questions, ending with whether daily actions match what was written.

How to use the ACT Values worksheet

Use it both in session and as homework, one domain at a time. What qualities do you value in your relationships? is easier to answer than a bare request for values, which is why the sheet asks it that way. Do not let a client rank domains on a first pass. Your clients can return to Are your daily actions consistent with your values? a week later, since that comparison is where the discomfort and the work sit.

ACT Values Worksheet Download – What’s Included

Three printable pages. An opening note describes values as a compass that gives direction rather than goals to achieve. Each of the six domains then gets two questions. Relationships asks what you want to build and what qualities matter. Work asks what is meaningful and what you want to achieve. Health, growth, recreation and community follow the same shape.

Based on Acceptance & Commitment Therapy (Steven Hayes). Hayes, S. C., Strosahl, K., & Wilson, K. G. (2012). Acceptance and Commitment Therapy (2nd ed.). Guilford Press.

Frequently asked questions

What is values clarification?

Working out what actually matters to someone, in their own words, before setting any goals. This sheet does it by domain rather than by asking directly. A person answers what qualities do you value in your relationships more honestly than name your values. The answers become the reference point for later decisions.

What are values in life?

In ACT they are directions rather than destinations. The sheet calls them a compass: you can travel toward being a caring partner forever, but you cannot tick it off the way you tick off a goal. That is why the closing question asks about daily actions rather than achievements.

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Your Author

Tracy Collins, LCP

Tracy Collins is a licensed clinical psychologist with over six years of direct clinical experience in outpatient and telehealth settings. She specializes in cognitive behavioral therapy, structured treatment planning, and measurable therapy outcomes. Tracy has extensive experience writing SOAP and DAP notes, developing insurance-compliant treatment plans, and aligning documentation with ICD-10 and DSM-5-TR diagnostic criteria. Her clinical approach integrates cognitive behavioral therapy techniques, behavioral activation, exposure-based interventions, and mindfulness-based strategies to create structured and outcome-driven therapy plans. At Mentalyc, Tracy supports therapists by creating educational resources that simplify documentation workflows and improve treatment plan defensibility during audits.