Self-assessment for Observing Change
Transformation and change, especially when associated with our personal healing/growth experiences, are often much more subtle than we expect, which is often the reason when our efforts to create a new outcome, comfort, or experience for ourselves fail... Not seeing progress is often because our progress is titrated over time, meaning it occurs in small quantities that are commonly missed!

This self-assessment is to help you take a snapshot of where you are now, so you can compare every 4 weeks or so with a re-assessment...(CAUTION: I don't recommend reassessing more often than every 2 weeks, to give yourself time to process and integrate the subtle shifts. It is fine to go longer between assessments, too; however; if you find yourself feeling frustrated with your progress and it has been more than two weeks since self-assessment - I recommend a self check-in to clarify your truth vs. your feelings...they don't always match, as is a normal part of the human experience.
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How to Self-Assess...
What is the quality of your self-relationship?
Poor, I do not like myself
I like/love me...or at least accept myself as I am
Clear selection
What is the overall quality of your external relationships? (friends, family, romantic partners, coworkers, etc)
Poor, I struggle in my relationships with others
Stress free, all is well with others
Clear selection
What is your overall state of being?                                 You may evaluate your state as your big picture (health, mindset, self-relationship, relationship with others, behavior, career, life, energy levels, sleep quality, stuck-ness, or other outcomes specific to you)...or just evaluate based on one pressing issue of the moment (just one thing, either from the list or whatever has your attention at this time)
I'm in a very poor state, something is causing me great discomfort
Everything is awesome!
Clear selection
How is your quality of sleep?
not good at all, I'm unrested
pretty good, I am able to rest
Clear selection
My family stress is:
None
Severe
Clear selection
My relationship stress is:
None
Severe
Clear selection
My work stress is:
None
Severe
Clear selection
My health stress (mental, emotional, or physical):
None
Severe
Clear selection
My ability to relax is:
Not able to relax
I can easily relax
Clear selection
What is my level of physical discomfort?
None, I am comfortable in my body
Severe, I am uncomfortable in my body
Clear selection
What is my level of emotional discomfort?
None, I am in a good emotional place
None, I am experiencing emotional discomfort
Clear selection
What is my current mental state?
All good, able to shift thinking away from negative thoughts
Severe, I am spiraling in a pattern of negative self-talk
Clear selection
What medications am I currently taking?
Where do I feel tension or discomfort in my body?
What thoughts and/or feelings are associated with these sensations of tension or discomfort?
What thoughts or feelings are you focusing on recently?
What chronic, repetitive symptoms or illness is currently presenting?
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