Multidimensional Assessment of Interoceptive Awareness
(MAIA)
Full Name:
*
First Name
Last Name
Age:
*
Gender:
*
Phone Number
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Email:
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example@example.com
Date:
*
-
Day
-
Month
Year
Date
Below you will find a list of statements. Please indicate how often each statement applies to you generally in daily life.
Choose one number for each question
1. When I am tense I notice where the tension is located in my body.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
2. I notice when I am uncomfortable in my body.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
3. I notice where in my body I am comfortable.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
4. I notice changes in my breathing, such as whether it slows down or speeds up.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
5. I do not notice (I ignore) physical tension or discomfort until they become mo
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
Q5
6. I distract myself from sensations of discomfort.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
Q6
7. When I feel pain or discomfort, I try to power through it.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
Q7
8. When I feel physical pain, I become upset.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
Q8
9. I start to worry that something is wrong if I feel any discomfort.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
Q9
10. I can notice an unpleasant body sensation without worrying about it.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
11. I can pay attention to my breath without being distracted by things happening around me.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
12. I can maintain awareness of my inner bodily sensations even when there is a lot going on around me.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
13. When I am in conversation with someone, I can pay attention to my posture.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
14. I can return awareness to my body if I am distracted.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
15. I can refocus my attention from thinking to sensing my body.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
16. I can maintain awareness of my whole body even when a part of me is in pain or discomfort.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
17. I am able to consciously focus on my body as a whole.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
18. I notice how my body changes when I am angry.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
19. When something is wrong in my life I can feel it in my body.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
20. I notice that my body feels different after a peaceful experience.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
21. I notice that my breathing becomes free and easy when I feel comfortable.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
22. I notice how my body changes when I feel happy / joyful.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
23. When I feel overwhelmed I can find a calm place inside.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
24. When I bring awareness to my body I feel a sense of calm.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
25. I can use my breath to reduce tension.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
26. When I am caught up in thoughts, I can calm my mind by focusing on my body/breathing.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
27. I listen for information from my body about my emotional state.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
28. When I am upset, I take time to explore how my body feels.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
29. I listen to my body to inform me about what to do.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
30. I am at home in my body.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
31. I feel my body is a safe place.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
32. I trust my body sensations.
Never
0
1
2
3
4
Always
5
0 is Never, 5 is Always
Noticing:
Awareness of uncomfortable, comfortable, and neutral body sensations - Total Score
Not-Distracting:
Tendency not to ignore or distract oneself from sensations of pain or discomfort - Total score
Not-Worrying:
Tendency not to worry or experience emotional distress with sensations of pain or discomfort - Total score
Not-Worrying:
Tendency not to worry or experience emotional distress with sensations of pain or discomfort - Total score
Attention Regulation:
Ability to sustain and control attention to body sensations - Total score
Emotional Awareness:
Awareness of the connection between body sensations and emotional states - Total score
Self-Regulation:
Ability to regulate distress by attention to body sensations - Total score
Body Listening:
Active listening to the body for insight - Total score
Trusting:
Experience of one’s body as safe and trustworthy - Total score
Total score
Submit
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