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    Self-Care Assesment

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    api-337514528
    This document provides a self-care assessment worksheet to help individuals evaluate how well they practice self-care in different areas of their lives. The worksheet lists areas of physical, psychological, emotional, spiritual, relationship, and workplace self-care. For each area, individuals are asked to rate on a scale of 0 to 3 how frequently they engage in various self-care activities. They are also encouraged to reflect on patterns in their responses to identify areas they may want to prioritize going forward to better care for themselves.

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    Self-Care Assesment

    Uploaded by

    api-337514528
    324 views2 pages
    This document provides a self-care assessment worksheet to help individuals evaluate how well they practice self-care in different areas of their lives. The worksheet lists areas of physical, psychological, emotional, spiritual, relationship, and workplace self-care. For each area, individuals are asked to rate on a scale of 0 to 3 how frequently they engage in various self-care activities. They are also encouraged to reflect on patterns in their responses to identify areas they may want to prioritize going forward to better care for themselves.

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    This document provides a self-care assessment worksheet to help individuals evaluate how well they practice self-care in different areas of their lives. The worksheet lists areas of physical, psychological, emotional, spiritual, relationship, and workplace self-care. For each area, individuals are asked to rate on a scale of 0 to 3 how frequently they engage in various self-care activities. They are also encouraged to reflect on patterns in their responses to identify areas they may want to prioritize going forward to better care for themselves.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    324 views2 pages

    Self-Care Assesment

    Uploaded by

    api-337514528
    This document provides a self-care assessment worksheet to help individuals evaluate how well they practice self-care in different areas of their lives. The worksheet lists areas of physical, psychological, emotional, spiritual, relationship, and workplace self-care. For each area, individuals are asked to rate on a scale of 0 to 3 how frequently they engage in various self-care activities. They are also encouraged to reflect on patterns in their responses to identify areas they may want to prioritize going forward to better care for themselves.

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    Self-Care Assessment

    The following worksheet for assessing self-care is not exhaustive, merely suggestive. Feel free
    to add areas of self-care that are relevant for you and rate yourself on how often and how well
    you are taking care of yourself these days. When you are finished, look for patterns in your
    responses. Are you more active in some areas of self-care? Do you tend to ignore others? Are
    there items on the list that hadnt even occurred to you? Listen to your internal responses and
    dialogue about self-care, and take note of anything you would like to prioritize moving forward.
    Rate the following areas according to how well you think you are doing
    3 = I do this well (e.g., frequently)
    2 = I do this OK (e.g., occasionally)
    1 = I barely or rarely do this

    0 = I never do this
    ? = This never occurred to me

    Physical Self-Care
    ____ Eat regularly (breakfast, lunch, and dinner)
    ____ Get regular medical care for prevention
    ____ Get medical care when needed
    ____ Take time off when sick
    ____ Wear clothes I like
    ____ Do some fun physical activity
    ____ Think positive thoughts about my body

    ____ Exercise
    ____ Eat healthily
    ____ Get massages
    ____ Take vacations
    ____ Get enough sleep
    ____ Do some fun artistic activity
    ____ (Other) __________________

    Psychological Self-Care
    ____ Take day trips or mini-vacations
    ____ Have my own personal psychotherapy
    ____ Make time away from technology/internet
    ____ Read something unrelated to work
    ____ Notice my thoughts, beliefs, attitudes, feelings
    ____ Engage my intelligence in a new way or area
    ____ Do something at which I am not expert

    ____ Make time for self-reflection


    ____ Write in a journal
    ____ Attend to minimizing life stress
    ____ Be curious
    ____ Say no to extra responsibilities
    ____ Be okay leaving work at work
    ____ (Other) ___________________

    Emotional Self-Care
    ____ Spend time with people whose company I enjoy
    ____ Stay in contact with important people in my life
    ____ Re-read favorite books, re-view favorite movies
    ____ Identify and seek out comforting activities/places
    ____ Express my outrage in social action or discussion

    ____ Love myself


    ____ Allow myself to cry
    ____ Give myself affirmation/praise
    ____ Find things that make me laugh
    ____ (Other) ___________________

    Spiritual Self-Care
    ____ Make time for reflection
    ____ Find a spiritual connection or community
    ____ Be aware of non-material aspects of life
    ____ Try at times not to be in charge or the expert
    ____ Identify what is meaningful to me
    ____ Seek out reenergizing or nourishing experiences
    ____ Contribute to causes in which I believe
    ____ Read or listen to something inspirational

    ____ Spend time in nature


    ____ Be open to inspiration
    ____ Cherish my optimism and hope
    ____ Be open to knowing
    ____ Meditate
    ____ Find time for prayer or praise
    ____ Have experiences of awe
    ____ (Other) ___________________

    Relationship Self-Care
    ____ Schedule regular dates with my partner
    ____ Call, check on, or see my relatives
    ____ Share a fear, hope, or secret with someone I trust
    ____ Stay in contact with faraway friends
    ____ Make time for personal correspondence
    ____ Allow others to do things for me

    ____ Make time to be with friends


    ____ Ask for help when I need it
    ____ Communicate with my family
    ____ Enlarge my social circle
    ____ Spend time with animals
    ____ (Other) ___________________

    Workplace or Professional Self-Care


    ____ Take time to chat with coworkers
    ____ Identify projects/tasks that are exciting
    ____ Balance my load so that nothing is way too much
    ____ Arrange work space to be comfortable
    ____ Get regular supervision or consultation
    ____ Negotiate/advocate for my needs

    ____ Make quiet time to work


    ____ Take a break during the day
    ____ Set limits with my boss/peers
    ____ Have a peer support group
    ____ Identify rewarding tasks
    ____ (Other) ___________________

    Overall Balance
    ____ Strive for balance within my work-life and work day
    ____ Strive for balance among my family, friends, and relationships
    ____ Strive for balance between play and rest
    ____ Strive for balance between work/service and personal time
    ____ Strive for balance in looking forward and acknowledging the moment
    Areas of Self-Care that are Relevant to You
    ____ (Other) ___________________________________________________________________
    ____ (Other) ___________________________________________________________________
    ____ (Other) ___________________________________________________________________
    Adapted from Saakvitne, Pearlman, & Staff of TSI/CAAP (1996). Transforming the Pain: A Workbook on Vicarious
    Traumatization. Norton. Adapted by Lisa D. Butler, PhD.

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