Turtle Case Formulation Tool

Turtle Case Formulation Tool

A printable case-formulation sheet, plotted from a client's Hexaflex scores — the hexagon stays blank for handwritten notes.

No client name or identifying information is generated on this page — only a date. Nothing typed here is saved; this page is meant to be printed and completed by hand.

Session details

These six scores set how far each corner circle fills in. If you arrived here from the Hexaflex Case Monitoring Tool, they're already filled in — adjust if needed, then print.

Print / Save as PDF

Turtle Case Formulation —

Write freely inside the hexagon: external and internal factors maintaining each score, and links between stronger and weaker processes.

Adapted from the Turtle Case Formulation Tool (Figures 4.3 & 4.4) in Acceptance and Commitment Therapy, Second Edition, by Steven C. Hayes, Kirk D. Strosahl, & Kelly G. Wilson (The Guilford Press). This is an independent tool built for clinical use and is not affiliated with or endorsed by the original authors or publisher. For clinical use only; not a diagnostic instrument.