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Self-Care Assessment © 

Self-Care Assessment © 

Adapted from Saakvitne, Pearlman, & Staff of TSI/CAAP (1996). Transforming the pain: A workbook on vicarious traumatization. Norton. 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 but ignore others? Are there items on the list that make you think, "I would never do that"? Listen to your inner responses, your internal dialogue about self-care and making yourself a priority. Take particular note of anything you would like to include more in your life. ‎ ‎ (© 2024 Dr E. Anthony Allen) 
8Questions
  • 1
    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 N = This never occurred to me
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  • 2
    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 N = This never occurred to me
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  • 3
    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 N = This never occurred to me
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  • 4
    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 N = This never occurred to me
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  • 5
    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 N = This never occurred to me
    1 of 11
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  • 6
    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 N = This never occurred to me
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  • 7
    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 N = This never occurred to me
    1 of 2
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