This self-care assessment worksheet contains over 20 areas of self-care across four categories: physical, psychological, emotional, and spiritual. The user rates each area on a scale of 1 to 5 based on how often they engage in that activity. The goal is for the user to identify one item in each category that they can improve on and actively work to enhance their self-care in that area.
This self-care assessment worksheet contains over 20 areas of self-care across four categories: physical, psychological, emotional, and spiritual. The user rates each area on a scale of 1 to 5 based on how often they engage in that activity. The goal is for the user to identify one item in each category that they can improve on and actively work to enhance their self-care in that area.
This self-care assessment worksheet contains over 20 areas of self-care across four categories: physical, psychological, emotional, and spiritual. The user rates each area on a scale of 1 to 5 based on how often they engage in that activity. The goal is for the user to identify one item in each category that they can improve on and actively work to enhance their self-care in that area.
This self-care assessment worksheet contains over 20 areas of self-care across four categories: physical, psychological, emotional, and spiritual. The user rates each area on a scale of 1 to 5 based on how often they engage in that activity. The goal is for the user to identify one item in each category that they can improve on and actively work to enhance their self-care in that area.
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Self-Care Assessment Worksheet
This assessment tool provides an overview of effective strategies to maintain self-care.
After completing the full assessment, choose one item from each area that you will actively work to improve. Using the scale below, rate the following areas in terms of frequency (how often you complete the activity) 5 = Frequently 4 = Occasionally 3 = Rarely 2 = Never 1 = It never occurred to me
Physical Self-Care __5_ Eat regularly (e.g. breakfast, lunch and dinner) _4__ Eat healthy __5_ Exercise __3_ Do medical care for prevention (check-ups, vitamins, blood tests) __5_ Get medical care when needed __5_ Dance, swim, walk, run, play sports, sing, or do some other physical activity that is fun _4__ Get enough sleep (at least 8 hours) _4__ Wear clothes you like __5_ Do activities with your family __3_ Make time away from telephones, social media, games __3_ Other:
Psychological Self-Care __5_ Make time for self-reflection _5__ Write in a journal _4__ Read a book of interest to you __5_ Learn a new skill or hobby (baking, cooking, gardening, etc.) __3_ Decrease stress in your life _3__ Let others know different aspects of you ___4 Notice your inner experience—listen to your thoughts, judgments, beliefs, attitudes, and feelings _4__ Other:
Emotional Self-Care __5_ Spend time with others whose company you enjoy _5__ Stay in contact with important people in your life _5__ Love yourself as you are _3__ Re-read favorite books, re-view favorite movies __5_ Identify comforting activities, objects, people, relationships, places and seek them out _5__ Allow yourself to cry __5_ Find and do things that make you laugh _5__ Play with siblings _5__ Other:
Spiritual Self-Care _5__ Make time for reflection/devotion _5__ Spend time with nature _5__ Find a spiritual connection or community _5__ be open to inspiration _5__ Cherish your optimism and hope _5__ Be aware of nonmaterial aspects of life _4__ Try at times not to be in charge or the expert __5_ Be open to not knowing _5__ Identify what in meaningful to you and notice its place in your life _5__ Meditate _5__ Pray __5_ Sing _4__ Spend time with children __4_ Have experiences of awe __3_ Contribute to causes in which you believe _5__ Read inspirational literature (talks, music, etc.) __5_ other:
