Million Dollar Fitness
My Self Care Check-in!
Name
*
First Name
Last Name
Where do I need to take care of myself more?
This is a quick coaching exercise to help you connect with yourself and find out what you may be needing.
Simply look at the list below and FIRST score each item out of 10. Then answer "What do I need?"
Finally answer the quick questions underneath - including ONE action for yourself! NB. It's important that the score is your FIRST response ie. your initial or gut reaction and how you are actually feeling NOT "shoulds".
So, let's take a more specific look at what form/s of self-care you might be needing…
1. My Energy Levels
1. My Energy Levels - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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1. My Energy Levels
2. How Inspired I'm Feeling
2. How Inspired I'm Feeling - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
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2. How Inspired I'm Feeling
3. Fun and Play
3. Fun and Play - How satisfied are you currently in this area? Score out of 10.
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Low
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1 is Low, 10 is High
What do I need? What would raise my score?
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3. Fun and Play
4. Self-Honesty
4. Self-Honesty - How satisfied are you currently in this area? Score out of 10.
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Low
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1 is Low, 10 is High
What do I need? What would raise my score?
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4. Self-Honesty
5. Peace and Quiet
5. Peace and Quiet - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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5. Peace and Quiet
6. Feeling Heard or Seen
6. Feeling Heard or Seen - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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6. Feeling Heard or Seen
7. Feeling Accepted and Understood
7. Feeling Accepted and Understood - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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7. Feeling Accepted and Understood
8. My Friendships
8. My Friendships - How satisfied are you currently in this area? Score out of 10.
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10
Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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8. My Friendships
9. My Physical Appearance
9. My Physical Appearance - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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9. My Physical Appearance
10. Feeling Loved and Appreciated
10. Feeling Loved and Appreciated - How satisfied are you currently in this area? Score out of 10.
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10
Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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10. Feeling Loved and Appreciated
11. My Environment (eg home, workspace)
11. My Environment - How satisfied are you currently in this area? Score out of 10.
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10
Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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11. My Environment
12. Physical Health
12. Physical Health - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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12. Physical Health
13. My Feelings and Emotional Health
13. My Feelings and Emotional Health - How satisfied are you currently in this area? Score out of 10.
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10
Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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13. My Feelings and Emotional Health
14. Organisation and Simplicity
14. Organisation and Simplicity - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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14. Organisation and Simplicity
15. Being Challenged and Stretched
15. Being Challenged and Stretched - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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15. Being Challenged and Stretched
16. Learning and Personal Growth
16. Learning and Personal Growth - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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16. Learning and Personal Growth
17. Money / Finances
17. Money / Finances - How satisfied are you currently in this area? Score out of 10.
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Low
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1 is Low, 10 is High
What do I need? What would raise my score?
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17. Money / Finances
18. Connection to Myself
18. Connection to Myself - How satisfied are you currently in this area? Score out of 10.
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Low
High
1 is Low, 10 is High
What do I need? What would raise my score?
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18. Connection to Myself
19. Relaxation and Pampering
19. Relaxation and Pampering - How satisfied are you currently in this area? Score out of 10.
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Low
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1 is Low, 10 is High
What do I need? What would raise my score?
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19. Relaxation and Pampering
20. Something Else
Please specify what the "something else" is...
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How satisfied are you currently in this area? Score out of 10.
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Low
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1 is Low, 10 is High
What do I need? What would raise my score?
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20. Something Else
What surprised you most about your responses?
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What patterns and themes do you notice?
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What else do you notice about your responses, that you perhaps haven't mentioned yet?
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Finally, write ONE action you will take THIS week to take more care of yourself:
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(Feel free to find a post-it and write your action/s on there to remind you!)
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