Self-Care Assessment Test

 

Evaluate Your Level Of Self-Care Practices

Assessment Questions

PART 1

1. Can you make and take time for you without feeling pangs of guilt?
Yes ____
No ____

2. Are your leisure activities a priority in your life?
Yes ____
No ____

3. Do you know what your needs are?
Yes ____
No ____

4. Do you take care of your needs and desires?
Yes ____
No ____

5. Do you regularly make some time for “me time”?
Yes ____
No ____

6. Do you feel okay about sometimes slowing down?
Yes ____
No ____

7. Do you understand the difference between self-indulgence and self-care?
Yes ____
No ____

8. Do you feel as though you deserve self-care?
Yes ____
No ____

 

PART 2

 

1. Do you say yes to requests from others when it is best for you to say no?
Yes ____
No ____

2. Do you constantly worry about everyone else, and not about yourself?
Yes ____
No ____

3. Do you do things that you really don’t want to do, or that will over extend you?
Yes ____
No ____

4. Are you running on empty?
Yes ____
No ____

5. Are you stressed out a lot of the time?
Yes ____
No ____

6. Are you overwhelmed?
Yes ____
No ____

7. Do you suffer from headaches?
Yes ____
No ____

8. Do you suffer from insomnia?
Yes ____
No ____

9. Are you chronically tired and have a lack of energy?
Yes ____
No ____

10. Do you crave and eat junk food often, and especially during times of stress?
Yes ____
No ____

Score Your Results

A) Part 1
Each NO answer = 1 point
Each YES answer = 0 points

Add up your score for Part 1
Total Score Part 1: ___________

 

B) Part 2
Each NO answer = 0 points [Repeat 0 points]
Each YES answer = 1 point

Add up your score for Part 2
Total Score Part 2: ___________

 

C) Add up both scores for Part 1 and Part 2
Total Score Part 1 + Part 2 = _________

 

RESULTS

If you scored 6 or more points, you can benefit from addressing your self-care practices and making a self-care plan.

The higher your point value, the more imperative it is that you address your self-care needs.