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Self Care
Key to Personal Development

Change starts with awareness. Who you are today and how you feel about yourself is a culmination of your experiences, beliefs, perceptions and habits.

Take a few minutes to complete the Self Care Primer. You will receive your response to the questions by email upon completion. Your contact information and your responses are not retained by the system.

Reflect on your response...and make the most of the opportunity to create awareness.

Knowledge is information that changes something or somebody - either by becoming grounds for action, or by making an individual (or an institution) capable of different or more effective action. Peter Drucker

Learn the essential keys to personal energy management and reclaim your energy, restore your balance and celebrate your gifts. You can do it. We will show you how!

To your success!

Self Care Primer - Self Assessment
Please note that all fields followed by an asterisk must be filled in.
First Name*
E-mail Address*
Country*
1. I feel bored, stressed or frustrated with work, life or relationships.
A. Rarely
B. Sometimes
C. Often
2. I feel overwhelmed by time constraints and too much to do
A. Rarely
B. Sometimes
C. Often
3. I feel blocked, stuck or drifting without direction
A. Rarely
B. Sometimes
C. Often
4. I am prone to negative Self talk
A. Rarely
B. Sometimes
C. Often
5. I can't seem to get beyond my own imperfections
A. Rarely
B. Sometimes
C. Often
6. I feel guilty whenever I say no to someone's request for help
A. Rarely
B. Sometimes
C. Often
7. I don't feel that I deserve love or attention
A. Rarely
B. Sometimes
C. Often
8. I have a deep need for approval
A. Rarely
B. Sometimes
C. Often
9. I don't trust my own judgment
A. Rarely
B. Sometimes
C. Often
10. I allow others to direct my life
A. Rarely
B. Sometimes
C. Often
11. I never have enough energy to do what I want
A. Rarely
B. Sometimes
C. Often
12. I feel confused and don't know what I want to do with my life
A. Rarely
B. Sometimes
C. Often
13. I find it impossible to relax
A. Rarely
B. Sometimes
C. Often
14. I can't seem to slow down
A. Rarely
B. Sometimes
C. Often
15. My schedule leaves me no time for me-time
A. Rarely
B. Sometimes
C. Often
16. I resist regular exercise
A. Rarely
B. Sometimes
C. Often
17. I indulge my addictions (coffee, cigarettes, comfort food)
A. Rarely
B. Sometimes
C. Often
18. My eating habits are all over the place - I skip meals, eat just before bed, or eat too much in one sitting.
A. Rarely
B. Sometimes
C. Often
19. My greatest source of satisfaction comes from my work
A. Rarely
B. Sometimes
C. Often
20. I have trouble getting to sleep
A. Rarely
B. Sometimes
C. Often
21. I suffer from insomnia
A. Rarely
B. Sometimes
C. Often
22. I have recurring physical aches and pains (neck & shoulder tension, headaches, stomach aches, back pain etc)
A. Rarely
B. Sometimes
C. Often
23. I feel isolated - all alone, with no one to speak to about issues or concerns
A. Rarely
B. Sometimes
C. Often
24. I avoid looking at myself or really seeing myself when I look in the mirror
A. Rarely
B. Sometimes
C. Often
25. I have a difficult time being kind with myself, even when I am sick
A. Rarely
B. Sometimes
C. Often
26. I tend to take control of the situation
A. Rarely
B. Sometimes
C. Often
27. I don't like to acknowledge when I make mistakes.
A. Rarely
B. Sometimes
C. Often
28. People come to me for support
A. Rarely
B. Sometimes
C. Often
29. I tend to cast judgments
A. Rarely
B. Sometimes
C. Often
30. I tend to worry what other people might think about me
A. Rarely
B. Sometimes
C. Often
31. I don't like silence, being by myself or sitting still for any length of time
A. Rarely
B. Sometimes
C. Often
32. I don't trust myself or my intuition
A. Rarely
B. Sometimes
C. Often
33, I have high expectations of myself and others
A. Rarely
B. Sometimes
C. Often
34. I have difficulty making decisions and setting priorities
A. Rarely
B. Sometimes
C. Often
35. I don’t trust others easily
A. Rarely
B. Sometimes
C. Often
36. I tend to feel disappointed or frustrated when I don’t get results I expect
A. Rarely
B. Sometimes
C. Often
37. I don’t like being praised in public.
A. Rarely
B. Sometimes
C. Often
38. I find it difficult to receive and accept presents
A. Rarely
B. Sometimes
C. Often
39. I find it difficult to set and maintain personal boundaries.
A. Rarely
B. Sometimes
C. Often
40. I worry about the state of the world and our future(environment, politics, economy
A. Rarely
B. Sometimes
C. Often
41. I feel depleted and frustrated unable to get satisfaction from things that used to fulfill me.
A. Rarely
B. Sometimes
C. Often
42. I feel ensnared and trapped - like I never have enough time, energy or commitment for my own self care.
A. Rarely
B. Sometimes
C. Often
43. What feelings were evoked by this self-care primer?

Please enter the word that you see below.

  



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