Do you know that you can focus on various areas in your life to see if you are feeling better in specific ways? This is a fun, informal quiz to use for this purpose. Rate your improvement from 1 to 4, with 4 being the most improved. Leave it blank if it doesn’t apply to you. Take the results to your therapist for discussion.

LIFE ISSUES*:

__Self Esteem

__Ability to reach Life Goals

__Personal Safety

__Your work or career

__Level of happiness

__Intelligence

__Use of your talents

__Sense of Humor

__Ability to care for others

__Personal self-care/Attractiveness

__Ability to make friends

__Relationships (friends)

__Relationships (family)

__Getting along with coworkers

__Taking time for you

__Treating yourself well

__Putting your needs first

__Taking care of your body

__Not getting overly tired

__Taking care of yourself when ill

__Eating well

__Sleeping enough

__Exercising regularly

__Appropriate alcohol use (or none at all)

Track your progress on a regular basis. Therapy is all about improving your life and making it the best it can be!

(Adapted from It’s My Life Now by M. Dugan)