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Self-Care Self-Assessment Survey

Instructions: Please read each statement carefully and select the response that best describes your experience over the past month. Choose the number that corresponds to how often each statement applies to you:

  1. Never
  2. Rarely (Once or twice)
  3. Sometimes (A few times a month)
  4. Often (Once or twice a week)
  5. Always (Almost every day)



1. 

I make time for hobbies or activities that bring me joy.







2. 

I regularly engage in activities that promote personal growth or learning.







3. 

I seek support from friends, family, or a support network when needed.







4. 

I practice mindfulness or meditation to manage stress.







5. 

I prioritize activities that help me relax and unwind.







6. 

I set and maintain boundaries to protect my time and energy.







7. 

I take breaks during the day to rest and recharge.







8. 

I engage in regular physical activity that I enjoy.







9. 

I prioritize getting enough sleep each night.







10. 

I eat a balanced diet that nourishes my body and mind.