APPENDIX A | Self-Care Questionnaire
You can choose to read this book in alphabetical order or prioritize certain chapters. This questionnaire is designed to help you discover the self-care areas that would benefit from your immediate attention vs. ones that you can work on later. Read each statement and decide if it fits best in the True or False category and click on the answer that most fits right now. Quickly decide if it is True most of the time or not.
This is for your eyes only or to share with your Accountability Partner. Answers are confidential and not saved on the website. The quality of your results will depend on how honest you are when answering. Do your best to answer quickly and not overanalyze the statements. Go with your first instinct.
After submitting all the questions in each of the six (6) Self-Care categories, then click on the last tile labeled “Self-Care Priorities” to finish up the questionnaire. It takes about 10-15 minutes to complete and you can print your results by clicking on the printer icon.
Self-Care Categories and Related Chapters
Emotional• Embrace Enough-ness • Internally Validate • Make Peace with your Past • Prevent Perfectionism • Tame Anxiety |
Practical• Act on Awareness and Acceptance • Just Start • Question Your Time Management • Watch Your Wallet
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Physical• Discipline Yourself • Listen to Your Body • XOXO: Kiss(O) and Hug (X) Often
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Mental• Choose Wisely • Have Healthy Self-Advocacy • Keep your Power • Reduce Stress • Yield to Positive Perspectives
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Social• Build Boundaries • Forgive • N-O is Your New Y-E-S • Observe Relationships • Voice your Needs |
Spiritual• Grow with Gratitude • Surrender to Spiritual Practices • Unconditionally Love • Zealfully Play
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