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Health Self-Review

For caregivers and young people together

Health Self-Review

Rate your own emotional, physical, mental and spiritual health and write about why. Your young person does the same, then you share, discuss and each set an intention.

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Your answers stay on this page only. They are not stored or sent anywhere, and they are gone when you leave or reload the page.

If you could write a review for your own mental health, how many stars would you give? Rate yourself from 1–5 in each category, then write about why you gave yourself that rating. Be honest. Be kind. Be real. It’s okay to be light-hearted and funny as well just like those wild and hilarious one star reviews we read sometimes. This isn’t about perfection. It’s about reflection and growth. Next, have your young person complete the same activity and then discuss together.

Part 1: Caregiver

If this brings up something hard

Text STEVE to 741741 to connect with a trained counselor 24/7. We are in this together, and help is always available.

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Look at any areas where you gave yourself three stars or fewer and reflect.

Part 2: Young Person

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Look at any areas where you gave yourself three stars or fewer and reflect.

Part 3: Together

Share your ratings with each other and discuss. Then, set an intention that you’d each like to create around your mental health.

Then, set an intention that you’d each like to create around your mental health.
ItemCaregiverYoung Person
To care for my emotional well-being, I am setting the intention to:
To care for my physical well-being, I am setting the intention to:
To care for my mental well-being, I am setting the intention to:
To care for my spiritual well-being, I am setting the intention to:

Keep a copy

Copy your answers or print them. The copy goes to your clipboard or the print dialog only; this page still keeps nothing.