Form 2.

Activity Schedule

In this chart, we ask you to score your life in two aspects for each day when you are active at certain times of the day (e.g., going somewhere) or in a passive behavior (e.g., being in the living room when a guest comes to visit). 1) If it is appropriate for that behavior or situation (e.g., eating), you should score between 0 (no pleasure) and 10 (most pleasurable) for that behavior or situation in terms of pleasure. 2) If it is appropriate for that behavior or situation (e.g., cleaning a room), you should give a score between 0 (never succeeded/did not achieve the goal) to 10 (most successful/achieved the goal) in terms of achieving the success/goal.
Please fill in the chart as soon as possible when the event or behavior occurred. Give the points as you feel right at the moment. There is no absolute right or wrong scoring.
Period		Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Morning	Time:
	Time:
	Time:
Afternoon	Time:
	Time:
	Time:
Evening	Time:
	Time:
	Time:
Night	Time:
	Time:
	Time: :

This document was prepared by Dr. Kadir Özdel and it can only be used after being cited.