Reflective Self-Accountability Assessment for Personal Well-Being

To enhance the reflective quality of the assessment while ensuring it can be completed in under 10 minutes, we can modify the format to include a brief reflective prompt after each section. This approach encourages deeper consideration of each area related to personal well-being

For each section, answer the "Yes" or "No" questions first.

Then, spend a moment reflecting on the prompt that follows each section. Write down any thoughts or insights that come to mind. This process is designed to deepen your understanding of your own self-accountability in personal well-being.

For each section, answer the "Yes" or "No" questions first.

Then, spend a moment reflecting on the prompt that follows each section. Write down any thoughts or insights that come to mind. This process is designed to deepen your understanding of your own self-accountability in personal well-being.

Full Name *

Email *

1. Physical Health:

Do you regularly engage in physical exercise (at least 30 minutes, 3 times a week)? *

Do you get at least 7-8 hours of sleep on most nights?

Do you have a balanced diet that includes fruits, vegetables, and essential nutrients? *

Reflective Prompt: Reflect on how your current physical health habits are influencing your daily energy levels and overall health.

2. Mental Health:

Do you practice stress-reduction techniques (such as meditation, mindfulness, or deep breathing exercises)? *

Do you take short breaks during your workday to prevent burnout? *

Have you established boundaries to avoid work-related communication during personal/family time? *

Reflective Prompt: Think about the ways in which your mental health practices (or lack thereof) affect your mood, productivity, and relationships.

3. Work-Life Balance:

Do you allocate time for hobbies or activities that you enjoy outside of work? *

Do you ensure that you have quality time with family and friends regularly? *

Do you avoid consistently working overtime or bringing work home? *

Reflective Prompt: Consider how your current work-life balance is impacting your personal happiness and professional satisfaction.

4. Self-Care Practices:

Do you engage in activities that specifically focus on your mental well-being (like counseling, reading for leisure, etc.)? *

Do you say no to additional responsibilities when you feel overwhelmed? *

Do you regularly take time to reflect on your personal goals and progress outside of your professional achievements? *

Reflective Prompt: Ponder the ways in which your self-care practices (or lack thereof) are contributing to your sense of fulfillment and self-worth.

Note:

This assessment is a self-reflective tool and is not a substitute for professional advice. If you have concerns about your well-being, consider consulting with a health or wellness professional.