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If I take care of myself well, then I am able to take better care of others.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I make time to moderately work out for at least 30 minutes, 5 days a week.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I feel out of control with my emotions.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I believe that self-care is selfish.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I often make time to be creative.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

If I am not able to do my regular preferred exercise, I don’t do any.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

When I engage in creative tasks, I feel fulfilled.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

My home organization needs to improve.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I wish I had more patience.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I help others to the point that I neglect my own needs.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I often remind my loved one whey they have forgotten something they will need for an activity/activities.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

My quiet activities enable me to access and reflect on my thoughts, feeling, and needs.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I manage my time well.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I get enough quality sleep and am well rested.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I make time for seeing or connecting with people who lift me up.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

Saying no to people is so difficult for me.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I have a very difficult time falling or staying asleep.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I enjoy connecting with friends.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I allow myself to do mindless activities (watching tv, videos, etc) in moderation.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I make reasonable time for play and leisure.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

Sometimes, a moderate level of mindless activities are just what I need.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

It is hard for me to assertively ask for what I need.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

Leisure activities are a waste of time.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I mindlessly and excessively consume media.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

Every day I try to plan 15 minutes or more for just me so I can fill my cup.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I practice and value time for quiet.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I get in the middle and referee my loved ones/friends when they are arguing.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I nourish my body with a whole range of nutritional value foods without shame or guilt.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I talk kindly to myself.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I am a discerning consumer of media.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I have food freedom (i.e. I can make sensible choices about my food intake without shame or guilt.)

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I delegate house/school/work tasks so I am not the only doing them.

Not at all like me

A little like me

Neutral

More like me

Extremely

None

My faith/spirituality are important to me and keep me grounded.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

My partner and I have regular check-ins to share openly how we are feeling and what we need.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

If I lose my temper, I can learn from my mistakes, make amends, and forgive myself.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

My idea of a dream weekend is a “me-cation.”

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I prioritize and spend quality time with my partner.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

I am satisfied with my spirituality, faith and/or practices.

Not at all like me

A little like me

Neutral

More like me

Extremely like me

None

Time's up

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Psychologist offering in-person and virtual sessions. PsyPact psychologist and offers therapy in multiple states. Click on link
Based in Erie, Colorado 80516

720-807-8211