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Check-in Assessment

Create an image of a calm, serene environment with elements of self-care, such as a cozy room with plants, soothing colors, and a person relaxing with a journal and tea.

Self-Care Check-In Quiz

Welcome to the Self-Care Check-In Quiz! This assessment is designed to help you evaluate your current mental and physical well-being. By answering some straightforward questions, you can gain insight into your self-care practices and emotional state.

Assess your hygiene and nutrition
Identify your emotional feelings
Recognize healthy and unhealthy habits
Reflect on your overall mental state

8 Questions2 MinutesCreated by CaringHeart291

When is the last time you took a shower?

Today

Yesterday

2 days ago

3+ days ago

Can't remember

Which sentiments do you agree with right now?

I am incapable of taking care of myself without great effort.

I am losing control over my ability to contain emotional outbursts

I am becoming overwhelmed over little things

My academic workload is causing me stress

My personal life is causing me stress

I feel physically ill and I believe this is due to mental factors

I have/would like to self-harm

I feel suicidal

I have reoccurring suicidal thoughts

I have mentally considered the logistics of committing suicide

How many meals have you had in the last 48 hours?

5-6

3-4

0-2

On a scale of 1-10, rate your current mental state.

Have you had water OR a water-based drink like sparkling water in the last 48 hours?

Yes

Yes but not enough of it

Which of these healthy behaviors have you done in the past week?

Ate a healthy meal at least once a day

Brushed teeth daily at least 2 times

Done a skincare routine

Had physical contact with a loved one

Had a good night's sleep

Woke feeling rested most days

Felt capable of handling classwork most days

Felt inspired, creative, or excited about something

Done something active some/most days

Gone outside to spend time in nature

Gone off-campus

Had a meal outside of my room

Gotten through the day without a nap

Been on-time and attended school consistently

Been on-time and attended work consistently

Checked in with the family via message or video chat

Did a fun activity such as baking, journaling, drawing, video games, etc

Kept my room clean most days

Which of these unhealthy behaviors have you done in the past week?

Canceled plans or didn't show up when I was supposed to

Avoided showering until my hair got so greasy I couldn't hide it

Ran out of laundry or let trash pile up

Slept during the day at inappropriate times

Fell behind on schoolwork/readings

Needed to ask for an assignment extension

Procrastinated on assignments until the last minute

Avoided loved ones or pushed away help

Purposefully gone hungry due to inability to leave room/self punishment

Left food trash in my room

Caused my room to smell bad because of lack of cleaning

Worn the same outfit multiple days in a row without changing

Had severe nightmares

Had a meltdown

Was unable to control hand flaps, angry outbursts, or crying

What emotions are present?

Anger

Sadness

Regret

Guilt

Anxiety

Hurt

Lack of motivation

Overwhelmed

Hopeless

Dread

Irritation

Emptiness

Loneliness

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