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Hi there!
We hope this form takes you one step closer to your self-care goals!
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Email
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We only ask for your email, so that we can email you the results.
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Pick your go-to domain!
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There are a number of things for all of us to work on! Let us know which domain you'd like to focus more on starting today?
Nourishment
Hygiene
Intellectual and Creative Health
Physical Activity
Spiritual Care
Balance and Relaxation
Time for Loved Ones
Big Picture Goals
Pleasure and Outdoor Activities
Hobbies
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We're glad you like to stay nourished!
Let us know what your go to form of self-care is
Staying Hydrated
Shopping and eating healthy foods
Massage
Drinking coffee/Alcohol
Other
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We're glad you chose hygiene!
Let us know what your go to form of self-care is
Taking naps
Pampering Self
Going to bed early
Baths/Showers
Maintain Hygiene
Medical Appointments
Maintaining appearance and dressing nicely
Skin Care
Marijuana
Other
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We're glad you chose intellectual and creative health!
Let us know what your go to form of self-care is
Intellectual Activities
Listening to podcasts or audiobooks
Photography
Knitting
Reading the news
Playing Instruments
Singing in a choir
Engaging in artistic activities
Other
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We're glad you chose physical activity!
Let us know what your go to form of self-care is
Group exercise
Dance classes
Hiking
Playing sports: Soccer, Basketball etc
Running
Going to the gym/working out
Weight-lifting
Walking
Yoga
Other
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We're glad you chose spiritual care!
Let us know what your go to form of self-care is
Attending religious services
Engaging in religious activities
Studying religion
Prayer
Therapy
Journaling
Meditation
Reflecting
Setting aside time
Other
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We're glad you chose balance and relaxation!
Let us know what your go to form of self-care is
Setting healthy boundaries
Maintaining a work-life balance
Relaxing
Taking time out for self
Taking a day off
Engaging in stress reduction activities
Breathing exercises
Rewarding yourself
Taking sick days
Other
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We're glad you chose time for loved ones!
Let us know what your go to form of self-care is
Spending time with a significant other
Talking to family
Visiting family
Phone calls with others
Going out with others
Engaging with people outside of medicine
Spending time with pets
Other
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We're glad you chose the big picture goals!
Let us know what your go to form of self-care is
Shadowing physicians
Volunteering
Studying
Other
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We're glad you chose pleasure and outside activities!
Let us know what your go to form of self-care is
Going out to dinner
Participating in outside activities
Going to sporting events
Spending time outdoors
Cooking
Other
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We're glad you chose hobbies!
Let us know what your go to form of self-care is
Writing
Reading for pleasure
Playing video games
Watching entertainment (TV/Netflix/YouTube etc)
Listening to music/composing music
Shopping
Other
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