Your Self Care Check
Below is your self care checker. This is the first step to balance. Please complete in its entirety and be honest. Remember this is a safe space. Please complete the following statements based on how often according to you. Use the following Scale: 1.) Never 2.) Rarely 3.) Sometimes 4.) Often 5.) Always
Physical Self Care
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I engage in regular physical activity.
I get enough sleep and rest.
I eat a balanced and nutritious diet.
I listen to my body and rest when needed.
I attend regular medical check-ups.
Emotional Self Care
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I am in touch with my feelings and emotions.
I practice mindfulness or relaxation techniques.
I allow myself to express my emotions in a healthy way.
I engage in activities that bring me joy and happiness.
I surround myself with positive and supportive people.
Social Self Care
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I maintain connections with friends and loved ones.
I engage in social activities that I enjoy.
I communicate openly and honestly with others.
I set boundaries in my relationships to protect my well-being.
I seek out and foster new social connections.
Mental Self Care
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I engage in activities that stimulate my mind (e.g., reading, puzzles).
I manage my stress levels effectively.
I practice self-compassion and avoid self-criticism.
I engage in learning and personal growth.
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I take breaks and give myself time to recharge during the day.
Scoring Guide
Add up your scores for each category. 5-10: Low self-care in this area. 11-15: Moderate self-care in this area. 16-20: Good self-care in this area. 21-25: Excellent self-care in this area.
Your scores suggest the level of attention you're currently giving to different aspects of self-care. Use the guide to identify areas that might need more focus and areas where you're doing well. Remember, self-care is an ongoing journey.
Name
First Name
Last Name
Email
example@example.com
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