The Sexual Mindfulness Measure (SMM) evaluates self-reported overall state mindfulness experienced during any sexual activity. In environments or contexts associated with heightened anxiety and stress, the ability to remain present, aware, and non-judgmental may be diminished. Measuring state mindfulness during sexual activity is important as the more individuals maintain a state of mindfulness – the stronger trait mindfulness will become. Sexually mindful individuals may use more productive efforts such as slowing their thoughts, regulating their physical response to be present and aware during sex resulting in connectedness that fosters quality romantic and sexual relationships. SMM has laid a strong foundation of early research that indicated its reliability and usefulness for both men and women in sexual experiences. Additional research has examined how awareness and non-judgment during sexual experiences positively linked to relational satisfaction, flourishing, relational and sexual communication, as well as sexual satisfaction and harmony, sexual functioning for both men and women, and overall connectedness within intimate relationships.