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 put a check mark in the corresponding box.

This is for your eyes only or to share with your Accountability Partner. 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.


1.I often compare myself to others then feel despair.
2.I often feel inadequate as a spouse, parent, friend, sibling, coach, or leader.
3.I often feel as if nothing good happens to me.
4.I often take things/people for granted.