My Maintenance Plan Self-Care Worksheet

This worksheet uses the results of your “Self-Care Assessment” to create a self-care maintenance plan. At the Source link below, select the Community Resources tab, then choose the Self-Care Starter Kit. In Developing Your Self-Care Plan, complete the “Self-Care Assessment” and use this “My Maintenance Self-Care Worksheet” to identify current practices, consider new ones, and address any barriers to your self-care. You can also find the Self-Care Assessment in the resource with the same name.

Self-Care Assessment

An employee can complete this brief quiz to identify areas where they do and don’t care for themselves. The assessment looks at areas of self-care and offers many examples for easy responses: physical (do you get enough sleep, wear clothes you like), psychological (do you go on day trips, write in a journal), emotional (do you seek out comforting people or places, let yourself cry and laugh), spiritual (do you spend time in nature, meditate), relationship (do you make time for friends, ask for help when you need it), and professional (do you take a lunch break, take time to chat with co-workers, arrange your workspace so it’s comfortable).