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Universal · Skills

Self-Care Worksheet

Six domains, rated honestly, one action each

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Self-care isn't a bubble bath — it's the boring maintenance that keeps you functioning. Rate each domain, then pick one action per domain for the week.

Physical
sleep, movement, food, water, medical
How well am I tending this?
none
1
2
3
4
5
6
7
8
9
10
most
One small action this week
Emotional
feelings, support, expression, rest from intensity
How well am I tending this?
none
1
2
3
4
5
6
7
8
9
10
most
One small action this week
Mental
stimulation, learning, focus, fewer inputs
How well am I tending this?
none
1
2
3
4
5
6
7
8
9
10
most
One small action this week
Social
connection, repair, time alone, boundaries
How well am I tending this?
none
1
2
3
4
5
6
7
8
9
10
most
One small action this week
Spiritual
meaning, nature, ritual, awe
How well am I tending this?
none
1
2
3
4
5
6
7
8
9
10
most
One small action this week
Practical
money, admin, environment, future-self tasks
How well am I tending this?
none
1
2
3
4
5
6
7
8
9
10
most
One small action this week
The one domain I'll prioritize first — and why
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