Self-care assessment quiz
| Rarely/Never | Sometimes | Often | |
|---|---|---|---|
| I see non-work friends at least once a week | 0 | 1 | 2 |
| I make time for my hobbies | 0 | 1 | 2 |
| I have enough time to spend with my family | 0 | 1 | 2 |
| I find my job satisfying | 0 | 1 | 2 |
| I feel good about myself | 0 | 1 | 2 |
| I get enough sleep | 0 | 1 | 2 |
| I say no to responsibilities I don't think I can handle | 0 | 1 | 2 |
| I exercise several times a week | 0 | 1 | 2 |
| My job feels manageable | 0 | 1 | 2 |
| I stay home from work when I'm sick | 0 | 1 | 2 |
| I schedule and go to my needed medical appointments | 0 | 1 | 2 |
| I have trouble falling asleep because I am worrying about school | 2 | 1 | 0 |
| I stay at work for more than an hour after school ends or spend more than an hour working at home on weeknights | 2 | 1 | 0 |
| I cry about school-related issues | 2 | 1 | 0 |
| I do schoolwork on both Saturday and Sunday | 2 | 1 | 0 |
| I don't feel like I am a good enough teacher | 2 | 1 | 0 |
| I dread going to work | 2 | 1 | 0 |
| I feel irritable more often than I used to | 2 | 1 | 0 |
| I'm exhausted | 2 | 1 | 0 |
| I feel guilty when I'm not working | 2 | 1 | 0 |
| Rarely/Never | Sometimes | Often | |
|---|---|---|---|
| I see non-work friends at least once a week | 0 | 1 | 2 |
| I make time for my hobbies | 0 | 1 | 2 |
| I have enough time to spend with my family | 0 | 1 | 2 |
| I find my job satisfying | 0 | 1 | 2 |
| I feel good about myself | 0 | 1 | 2 |
| I get enough sleep | 0 | 1 | 2 |
| I say no to responsibilities I don't think I can handle | 0 | 1 | 2 |
| I exercise several times a week | 0 | 1 | 2 |
| My job feels manageable | 0 | 1 | 2 |
| I stay home from work when I'm sick | 0 | 1 | 2 |
| I schedule and go to my needed medical appointments | 0 | 1 | 2 |
| I have trouble falling asleep because I am worrying about school | 2 | 1 | 0 |
| I stay at work for more than an hour after school ends or spend more than an hour working at home on weeknights | 2 | 1 | 0 |
| I cry about school-related issues | 2 | 1 | 0 |
| I do schoolwork on both Saturday and Sunday | 2 | 1 | 0 |
| I don't feel like I am a good enough teacher | 2 | 1 | 0 |
| I dread going to work | 2 | 1 | 0 |
| I feel irritable more often than I used to | 2 | 1 | 0 |
| I'm exhausted | 2 | 1 | 0 |
| I feel guilty when I'm not working | 2 | 1 | 0 |
Source(s): Forst (2020)
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