Self-care assessment worksheet wheel

Physical Well-Being

Rate (0-5)

How satisfied are you with your current level of:

Physical activity
Sleep
Nutrition

What small changes can you make to improve in these areas?

Emotional Well-Being

Rate (0-5)

Stress levels

Emotional resilience-

What activities or practices help you:

Manage stress

Enhance emotional well-being

Social Connections:

Assess the quality of your social relationships

How can you nurture existing connections?

And foster new ones

Intellectual Stimulation

How do you engage your mind intellectually currently?

Write Activities or learning opportunities that can stimulate your mind.

Work-Life Balance

Assess the balance between your work and personal life.

How can you create a healthier balance between the two?

References:

Seligman ME. Positive psychology, positive prevention, and positive therapy. Handbook of positive psychology. 2002 May;2(2002):3-12.

You can download more Mental Health worksheets here.

Please note: There may be a more up-to-date and editable version of this worksheet available here which may be more suitable to present to clients if you are a therapist or to use in a classroom as a teacher or guidance counselor.