Self Care Assessment

Self-Care Assessment

Rate the following areas according to frequency:

3 = I do this frequently

2 = I do this occasionally

1 = I rarely do this

0 = I never do this

___      Eat healthy meals regularly (breakfast, lunch, and dinner)

___      Engage in physical activity such as: dancing, swimming, walking, running, playing sports,

            going to the gym, pilates, or some other physical activity that is enjoyable

___      Get 7-8 hours of quality sleep each night

___      Take regular vacations, including day trips and mini-vacations

___      Get regular medical care and attention for the purpose of prevention

___      Make time for solitude and self-reflection

___      Read self-development and self-help literature

___      Demonstrate a healthy ability to say “no” to requests of others

___      Communicate personal wants and needs clearly and with confidence

___      Give and receive compliments with ease

___      Express feelings freely (laugh, cry, get angry, be sad, etc.)

___      Participate in professional projects and tasks that are exciting and rewarding

(Adapted from National Alliance on Mental Illness Self-Care Inventory)

Scoring

Calculate your Self-Care Assessment Score by adding each rating.

• 28-36 – You are doing a great job at self-care – keep it up.
• 18-27 – You seem to be neglecting some important aspect of self-care – let’s talk.
• 17 and below – You are in serious need for self-care – let’s work together.