Relaxed Breathing Record Form

The Relaxed Breathing Record Form supports client monitoring of the impact of relaxed breathing exercises on their anxiety.

Interactive and mobile-friendly

Assign securely to clients

Review client submissions

Relaxed breathing (also known as ‘diaphragmatic breathing’ or ‘deep belly breathing’) involves taking slower, deeper, and more relaxed breaths from deep within your diaphragm. It can reduce the effects of stress, tension, and anxiety, helping you feel calmer and more relaxed.

Regular practice will help get most from relaxed breathing. Complete this Relaxed Breathing Record Form whenever you practice relaxed breathing to keep track of your progress.

Overview

The Relaxed Breathing Record Form is designed to complement the relaxed breathing instruction worksheet. It serves as a practical tool for therapists and their clients, providing a structured method to track the effects of diaphragmatic breathing on anxiety. Clients are encouraged to note their subjective anxiety levels before and after practice, offering visible insights into their progress.

Use this tool with your clients

Support therapeutic work between sessions.

Assign

Send the tool securely to your client.

Client completes

Your client works through it on any device, at their own pace.

Review

Review their responses before the next session.

Relaxed Breathing Record Form