Emotional Self Care ____ Accept and love myself ____ Spend time with others whose company I enjoy
____ Identify comforting activities, objects, people, places and seek them out ____ Allow myself to experience full range of emotions (happy, sad, angry, frustrated, hopeful, etc.) ____ Laugh and smile often ____ Express my outrage in social action, letters, donations, marches, protests ____ Give myself affirmations, praise myself ____ Other: _____________________
____ TOTAL (0-24)
Physical Self Care ____ Eat regularly (e.g breakfast, lunch, and dinner) and healthily ____ Exercise ____ Get regular/preventive medical care and when needed ____ Take time off when sick ____ Dance, swim, walk, run, play sports, sing, or do some other fun physical activity ____ Get enough sleep
____ Take time to be physically intimate ____ Other: __________________________
____TOTAL (0-24)
5
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