Self Care Assessment

Self care is the practice of looking after your own health and mental wellbeing. Often times, these become regular practice and part of your routine.

This assessment is a starting point to evaluate different areas in your life and the attention you place on them. There are no right or wrong answers. This serves as a way to help you explore areas you may strengthen or maintain.

Label each with one of the below:

1: I’m happy with where I’m at with this activity

2: There is room for improvement

3: I would like to do this more frequently

 

Physical

____ I maintain a balanced diet (I eat things I enjoy while also incorporating the nutrients my body needs)

____I have a healthy relationship with food (don’t over or under eat)

____ I get my body moving regularly

____ I take care of personal hygiene

____ I get enough sleep

____ I attend medical care appointments (when sick or preventative: physicals, teeth cleanings etc.)

____ I don’t abuse alcohol or drugs or use it regularly to feel better.

 

 

Emotional

____ I talk kindly to myself

____ I talk about my problems

____ I allow myself to feel and reflect on my feelings

____ I allow myself to relax

____ I’m able to ask for help if I need it

 

Boundaries

____ I maintain a schedule that is manageable

____ I have a healthy relationship with time spent on social media (doesn’t cut into time needs in other important areas: relationships, work, school, spiritual)

____ I can say no to others

____ I communicate personal wants and needs

____ I don’t compromise my values for others

____I set limits with friends and family, work or school as needed

____ I respect the rights and values of others

 

Social

____ I have people I can talk to

____ I take time off

____ I participate in hobbies

____ I spend time with my romantic partner

____ I make time for friends

____I feel connected to a community

 

Spiritual

____ I have things in my life that give me/my life meaning

____ I am open to new experiences

____ I nurture my spirit with nature, music, or art (or anything that sounds appealing)

____ I look at what’s good about myself and others

____ I make time for self-betterment

 

What are other self care activities I can work on or are important? (i.e. professional, relationships)

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To get started, pick 3 of the the above self care activities that you would like to focus on improving in your life. List them here:

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