Self-Care Assessment
How are you feeling? Take 5 minutes to check in on your own wellbeing.
Please Tell Us Who You Are Below
Name
*
First Name
Last Name
Email
*
example@example.com
Back
Next
Take A Moment To Breathe And Identify Your Current State Of Mind
Back
Next
Please Rate All Items 1-10 Where 10 Is The Highest
Level of care you are giving your…
*
1
2
3
4
5
6
7
8
9
10
Physical Body
Emotional Body
Mental Body
Spiritual Self
Healthy Boundaries...saying "no" when appropriate, honoring your needs and integrity
*
1
2
3
4
5
6
7
8
9
10
With Self
With
Family And/Or Partners
With Friends
With Coworkers
Forgiveness…releasing blaming, grudges and victim mentality, not beating yourself up when you make mistakes
*
1
2
3
4
5
6
7
8
9
10
Of Self
Of
Family And/Or Partners
Of Friends
Of Coworkers
Compassion…letting people be who they are, being kind and understanding to self and others, realizing others may have a very different world view than you do
*
1
2
3
4
5
6
7
8
9
10
With Self
With
Family And/Or Partners
With Friends
With Coworkers
Amount of joy (deeper than temporary happiness, joy isn’t connected to having specific things or outcomes, it’s a perpetual feeling) you consistently experience in your life
*
1
2
3
4
5
6
7
8
9
10
With Self
With
Family And/Or Partners
With Friends
With Coworkers
Back
Next
Your Scores:
Which areas are you excelling at? Which areas can use some improvement?
Self-Care
Healthy Boundaries
Forgiveness
Compassion
Joy
Ready To Stop Talking About Deep Levels Of Growth And Do It?
Our leaders find their scores skyrocket after attending our annual Beyond Your Brain Retreat. Check out why leaders come to our retreat below:
What are your top three priorities in life?
*
Are you interested in working with SmartTribes
*
Yes
No
If yes, please enter your budget below:
Submit
Should be Empty: