Self-Care Inventory

• Go through the list below and check off ( √ ) each of the self-awareness behaviors you currently practice.
• Cross out any items that do not apply to you.
• Next, go through the list again and circle the “check box” of two (2) new areas of self-awareness that you are willing to initiate. (In making your selections of new behaviors, you may want to select one easy one and one scary one.)
• Indicate the date you intend to include these behaviors.
• Create an action plan you are willing to initiate to establish the 2 new areas of self-awareness.
• Once the new behaviors are established, check them off and circle two (2) more.

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