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    Self Care Assessment and Planning Dragged 2

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    This self-care assessment worksheet contains categories to help individuals rate their self-care in physical, psychological, emotional, and spiritual areas. It includes a scale to rate how frequently certain self-care activities are practiced. Examples of self-care activities are listed under each category such as eating regularly, exercising, spending time with others, engaging in spiritual/inspirational practices, and other relaxing activities. Upon completion, the results can be used to develop a full self-care plan.

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    Self Care Assessment and Planning Dragged 2

    Uploaded by

    api-385677584
    332 views1 page
    This self-care assessment worksheet contains categories to help individuals rate their self-care in physical, psychological, emotional, and spiritual areas. It includes a scale to rate how frequently certain self-care activities are practiced. Examples of self-care activities are listed under each category such as eating regularly, exercising, spending time with others, engaging in spiritual/inspirational practices, and other relaxing activities. Upon completion, the results can be used to develop a full self-care plan.

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    This self-care assessment worksheet contains categories to help individuals rate their self-care in physical, psychological, emotional, and spiritual areas. It includes a scale to rate how frequently certain self-care activities are practiced. Examples of self-care activities are listed under each category such as eating regularly, exercising, spending time with others, engaging in spiritual/inspirational practices, and other relaxing activities. Upon completion, the results can be used to develop a full self-care plan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    332 views1 page

    Self Care Assessment and Planning Dragged 2

    Uploaded by

    api-385677584
    This self-care assessment worksheet contains categories to help individuals rate their self-care in physical, psychological, emotional, and spiritual areas. It includes a scale to rate how frequently certain self-care activities are practiced. Examples of self-care activities are listed under each category such as eating regularly, exercising, spending time with others, engaging in spiritual/inspirational practices, and other relaxing activities. Upon completion, the results can be used to develop a full self-care plan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Self-Care Assessment Worksheet

    This assessment tool provides an overview of effective strategies to maintain self-care. After completing the full assessment, you can
    move on to developing a full self-care plan.

    Using the scale below, rate the following areas in terms of frequency:
    5 = Frequently 4 = Occasionally 3 = Rarely 2 = Never 1 = It never occurred to me

    Physical Self-Care
    ___ Eat regularly (e.g. breakfast, lunch and dinner)
    ___ Eat healthy
    ___ Exercise
    ___ Get regular medical care for prevention
    ___ Get medical care when needed
    ___ Take time off when needed
    ___ Get massages
    ___ Dance, swim, walk, run, play sports, sing, or do some other physical activity that is fun
    ___ Take time to be sexualwith yourself, with a partner
    ___ Get enough sleep
    ___ Wear clothes you like
    ___ Take day trips or mini-vacations
    ___ Other:
    Psychological Self-Care
    ___ Make time for self-reflection
    ___ Have your own personal psychotherapy
    ___ Write in a journal
    ___ Read literature that is unrelated to school
    ___ Let others know different aspects of you
    ___ Notice your inner experiencelisten to your thoughts, judgments, beliefs, attitudes, and feelings
    ___ Engage your intelligence in a new area, e.g. go to an art museum, history exhibit, sports event, theater performance
    ___ Practice receiving from others
    ___ Be curious
    ___ Say no to extra responsibilities sometimes
    ___ Other:
    Emotional Self-Care
    ___ Spend time with others whose company you enjoy
    ___ Stay in contact with important people in your life
    ___ Give yourself affirmations, praise yourself
    ___ Love yourself
    ___ Re-read favorite books, re-view favorite movies
    ___ Identify comforting activities, objects, people, relationships, places and seek them out
    ___ Allow yourself to cry
    ___ Find things that make you laugh
    ___ Express your outrage in social action, letters and donations, marches, protests
    ___ Play with children
    ___ Other:
    Spiritual Self-Care
    ___ Make time for reflection
    ___ Spend time with nature
    ___ Find a spiritual connection or community
    ___ Be open to inspiration
    ___ Cherish your optimism and hope
    ___ Be aware of nonmaterial aspects of life
    ___ Try at times not to be in charge or the expert
    ___ Be open to not knowing
    ___ Identify what is meaningful to you and notice its place in your life
    ___ Have experiences of awe
    ___ Read inspirational literature (talks, music, etc.)
    ___ Other:

    Adapted by BWell Health Promotion from: Transforming the Pain: A Workbook on Vicarious Traumatization. Saakvitne, Pearlman & Staff of TSI/
    CAAP (Norton, 1996)

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