Skip to main content

Relaxed Breathing Record Form

Practising Relaxed Breathing serves to reduce physiological arousal and can be an excellent grounding technique. This record form helps clients to monitor their adherence to a relaxed breathing practice.

The Relaxed Breathing Record Form is from the book Psychology Tools For Overcoming Panic. Some clients find that relaxed breathing exercises can be a helpful part of treatment for anxiety. The Relaxed Breathing Record Form encourages you to monitor your relaxed breathing practice, and to record its effects upon how you feel.

Use this worksheet in combination with the relaxed breathing instruction worksheet. Clients should be encouraged to record their (relaxed, diaphragmatic) breathing practice, noting their subjective rating of anxiety before and afterwards.

Whalley, M. G. (2017). Psychology Tools For Overcoming Panic. Psychology Tools

Download Options

Full pack


Description, instructions, references, worksheet, case examples

Quick access


Blank worksheet

Translation Template


Translate this worksheet into your language



Editable worksheet in PowerPoint format

Languages available

Sign Up To The Free Newsletter

Early access – get informed about the latest resources first

Research summaries – stay informed about developments in therapy research

No spam – newsletters delivered monthly, we won’t share your details with anyone else

Confidence assured – unsubscribe at any time