Self-care Check-up

Self-care Check-up

Rate how well, or how frequently, you believe that you engage in each activities.

Self-care Check-up

• 1 - I rarely do this/ I don’t do this well

• 2 - I sometimes do this/ I’m average at doing this

• 3 - I do this often/ I do this very well

Emotional Self-Care

Poll

Enjoying hobbies

• 1

• 2

• 3

Poll

‘Unplugging’ from technology (e.g. email, social media)

• 1

• 2

• 3

Poll

Expressing emotions and feelings (e.g. talking, journaling)

• 1

• 2

• 3

Poll

Appreciating own talents, accomplishments, and strengths

• 1

• 2

• 3

Poll

Learning about or exploring new things (e.g. hobbies, foreign languages)

• 1

• 2

• 3

Poll

Laughing about things

• 1

• 2

• 3

Physical Self-Care

Poll

Resting when unwell

• 1

• 2

• 3

Poll

Drinking enough water

• 1

• 2

• 3

Poll

Getting sufficient sleep

• 1

• 2

• 3

Poll

Eating regular meals

• 1

• 2

• 3

Poll

Maintaining good hygiene

• 1

• 2

• 3

Poll

Eating a healthy diet

• 1

• 2

• 3

Social Self-Care

Poll

Making time for friends or family

• 1

• 2

• 3

Poll

Staying in contact with distant connections (e.g. Skype, Facetime)

• 1

• 2

• 3

Poll

Doing fun activities with others/ enjoyable group activities

• 1

• 2

• 3

Poll

Making new friends/talking to new people

• 1

• 2

• 3