{"id":177809,"date":"2026-08-14T09:22:03","date_gmt":"2026-08-14T09:22:03","guid":{"rendered":"https:\/\/pabau.com\/?p=177809"},"modified":"2026-08-14T13:03:58","modified_gmt":"2026-08-14T13:03:58","slug":"self-care-inventory","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/templates\/self-care-inventory\/","title":{"rendered":"Self-care inventory: Free PDF for therapy sessions"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"Self-care inventory: Free PDF for therapy sessions\",\"description\":\"A self-care inventory clinical form template for healthcare professionals to administer to patients. It covers 55 statements across six domains, rated on a five-point frequency scale, with space for clinician notes and recommendations.\",\"url\":\"https:\/\/pabau.com\/templates\/self-care-inventory\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Mental Health Assessment\",\"Clinical Documentation\",\"Healthcare Wellbeing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"mainEntity\":{\"@type\":\"DigitalDocument\",\"name\":\"Self-Care Inventory\",\"description\":\"A clinical form template with patient details, 55 self-care statements across physical, psychological, emotional, spiritual, intellectual, and workplace domains, a five-point frequency scale, a patient improvement plan, and a healthcare professional's notes section.\",\"encodingFormat\":\"application\/pdf\",\"url\":\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/templates\/self-care-inventory\/self-care-inventory.pdf\",\"inLanguage\":\"en\",\"isAccessibleForFree\":true,\"offers\":{\"@type\":\"Offer\",\"price\":\"0\",\"priceCurrency\":\"USD\",\"availability\":\"https:\/\/schema.org\/InStock\"},\"hasDigitalDocumentPermission\":{\"@type\":\"DigitalDocumentPermission\",\"permissionType\":\"https:\/\/schema.org\/ReadPermission\"},\"author\":{\"@type\":\"Organization\",\"name\":\"Pabau\",\"url\":\"https:\/\/www.pabau.com\"},\"datePublished\":\"2026-08-13\"},\"datePublished\":\"2026-08-13\",\"dateModified\":\"2026-08-14\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The self-care inventory is a clinical form template. The patient rates their own habits, and the healthcare professional reviews the answers with them.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>It covers six domains: physical, psychological, emotional, spiritual, intellectual, and workplace or professional self-care. There is no separate social domain.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>All 55 statements use one five-point frequency scale, from 1 for never through to 5 for always.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The form carries no validated cutoff score. Compare domain averages and flag every statement rated 1 or 2.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau sends the inventory as a digital form and files the completed ratings in the patient record.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<div style=\"background: linear-gradient(135deg, #E2F2FD 0%, #DFE3FD 100%); border-radius: 16px; padding: 40px; margin: 32px 0;\">\n<h2 style=\"margin: 0 0 12px 0; font-size: 22px; color: #121d36;\">Download your free self-care inventory<\/h2>\n<p style=\"margin: 0 0 20px 0; color: #444; font-size: 15px;\">A nine-page clinical form with patient name, age, and date fields, then 55 self-care statements grouped into six domains. Every statement is rated from 1 (never) to 5 (always). It closes with a patient improvement plan and a healthcare professional&#8217;s notes and recommendations section.<\/p>\n<a style=\"display: inline-block; background: #037CD2; color: #fff; padding: 14px 28px; border-radius: 8px; text-decoration: none; font-weight: 600; font-size: 15px;\" href=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/templates\/self-care-inventory\/self-care-inventory.pdf\" target=\"_blank\" rel=\"noopener\">Download template<\/a>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Patients rarely arrive with a clear picture of how they look after themselves. Asking about sleep, boundaries, and time off one question at a time eats a session, and the answers are hard to compare three months later.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10273960\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10273960\/\">self-care inventory<\/a> turns that conversation into a form. Your patient rates 55 statements across six domains, and you record your observations and recommendations underneath. This guide covers what is inside the PDF, how to administer and read it, and how to turn the results into a plan.<\/p>\n\n\n\n<h2 id=\"h-what-is-a-self-care-inventory\" class=\"wp-block-heading\">What is a self-care inventory?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A self-care inventory is a structured questionnaire that asks how often a person practices specific self-care behaviors. It replaces a vague sense of coping badly with a rating for each habit, so strengths and neglected areas are visible on one page.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This template is a clinical form. It opens with name, age, and date fields, then runs 55 rated statements across six domains. Two written sections close it. The patient fills in a short improvement plan, and you complete the healthcare professional&#8217;s notes and recommendations section.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So the roles are split. The patient supplies the ratings and names their own next steps. You administer the form, read the pattern back to them, and record what you observed and what you recommend.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is not a diagnostic instrument and it carries no validated cutoff score. For practitioners in <a href=\"https:\/\/pabau.com\/industry\/mental-health-emr\/\">mental health settings<\/a>, it works as a baseline you can repeat and compare against later.<\/p>\n\n\n\n<h2 id=\"h-the-six-self-care-domains-in-the-inventory\" class=\"wp-block-heading\">The six self-care domains in the inventory<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The form groups its statements into six domains, and each domain holds a different number of items. Read all six, because a patient who scores well in one often has nothing at all in another.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Physical self-care (12 items):<\/strong> eating regularly and well, exercise, <a href=\"https:\/\/pabau.com\/templates\/sleep-hygiene-worksheet\/\">sleep<\/a>, medical care, time off when sick, vacations, and time away from screens.<\/li>\n\n\n\n<li><strong>Psychological self-care (10 items):<\/strong> self-reflection, journaling, personal psychotherapy, noticing inner experience, trying new things, and saying no to extra responsibilities.<\/li>\n\n\n\n<li><strong>Emotional self-care (7 items):<\/strong> quality time with people they enjoy, staying in contact with valued others, self-affirmation, comforting activities, and expressing feelings.<\/li>\n\n\n\n<li><strong>Spiritual self-care (10 items):<\/strong> reflecting on beliefs and morals, meditation or prayer, time in nature, spiritual community, optimism, and contributing to causes they believe in.<\/li>\n\n\n\n<li><strong>Intellectual self-care (6 items):<\/strong> reading unrelated to work, hobbies and personal interests, curiosity, learning opportunities, and intellectual challenge.<\/li>\n\n\n\n<li><strong>Workplace or professional self-care (10 items):<\/strong> breaks during the workday, boundaries with clients and colleagues, workload balance, a comfortable workspace, supervision, and peer support.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">There is no standalone social domain in this form. The relationship items live elsewhere. Emotional self-care covers quality time and contact with valued others, and the workplace domain covers engaging with co-workers and peer support groups.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The workplace domain assumes the patient is working. For a retired patient, a student, or someone out of work, mark those ten items as not applicable. Read the remaining five domains instead of forcing an answer.<\/p>\n\n\n\n<h2 id=\"h-how-to-administer-and-score-the-self-care-inventory\" class=\"wp-block-heading\">How to administer and score the self-care inventory<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The patient rates all 55 statements on a single five-point frequency scale, then you review the pattern domain by domain together. Expect 10 to 15 minutes for the ratings and a similar amount of time for the discussion.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Complete the header.<\/strong> Fill in name, age, and date. The date matters, because the form is most useful when you compare two copies taken months apart.<\/li>\n\n\n\n<li><strong>Explain the scale.<\/strong> Every statement is rated 1 for never, 2 for rarely, 3 for sometimes, 4 for often, or 5 for always. One scale covers all six domains.<\/li>\n\n\n\n<li><strong>Ask them to rate the last month.<\/strong> Answering for a typical recent month keeps the ratings honest. Rating an ideal week produces a flattering form that tells you nothing.<\/li>\n\n\n\n<li><strong>Work out a domain average.<\/strong> Add the ratings within a domain and divide by that domain&#8217;s item count. Averages let you compare the six, whereas raw totals cannot, because item counts run from 6 to 12.<\/li>\n\n\n\n<li><strong>Read the low ratings one by one.<\/strong> Any statement rated 1 or 2 is a concrete behavior you can talk about, even inside a domain whose average looks healthy.<\/li>\n\n\n\n<li><strong>Complete both closing sections.<\/strong> The patient names strengths, areas to improve, and specific steps. You then add observations, discussion points, and recommendations underneath.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">The form ships without scoring bands, so avoid describing a total as high or low against a norm. Treat the numbers as a structured conversation and as a baseline you can repeat. When you want a measure with published cutoffs alongside it, the <a href=\"https:\/\/pabau.com\/templates\/outcome-rating-scale-ors\/\">outcome rating scale<\/a> supplies them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau sends the inventory as a <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake form<\/a> before the appointment. The completed answers file themselves against the patient record, so the session starts with the discussion instead of the paperwork.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/downloadable_template_article\/self-care-inventory\/digital-forms.webp\" alt=\"Digital forms in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Digital forms in Pabau let you send the self-care inventory ahead of the visit and store the completed ratings in the patient&#8217;s record.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-which-patients-the-form-suits-best\" class=\"wp-block-heading\">Which patients the form suits best<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The inventory suits any patient whose treatment plan touches stress, lifestyle, or recovery habits. It is most at home in counseling, psychology, and wellness programs, where behavior between appointments matters as much as the appointment itself.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It fits patients who work in helping roles particularly well. A nurse, social worker, or therapist will recognize the workplace items immediately. Boundaries with clients, caseload balance, and supervision are their daily pressure points. Family caregivers respond to the same section.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Those patients carry a known risk of <a href=\"https:\/\/pabau.com\/blog\/therapist-burnout-signs-causes-and-prevention\/\">burnout in helping professions<\/a>. Leaders in a <a href=\"https:\/\/pabau.com\/industry\/psychology-practice-software\/\">psychology practice<\/a> also find the form useful as a shared vocabulary, since it gives patients words for habits they have never named.<\/p>\n\n\n\n<h2 id=\"h-turning-the-results-into-a-self-care-action-plan\" class=\"wp-block-heading\">Turning the results into a self-care action plan<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A completed form is only worth the plan that comes out of it. The last two pages exist for that reason, and they work best when you fill them in together before the patient leaves.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Pick one domain.<\/strong> Start with the lowest average, or with the domain the patient cares most about. Trying to lift all six at once reliably produces no change at all.<\/li>\n\n\n\n<li><strong>Name one statement to move.<\/strong> Choose a single item rated 1 or 2, such as taking breaks during the workday, and make that the target rather than the whole domain.<\/li>\n\n\n\n<li><strong>Make it specific.<\/strong> Turn it into something countable, the way a <a href=\"https:\/\/pabau.com\/templates\/goal-setting-worksheets\/\">goal setting worksheet<\/a> does. A 20-minute walk on three mornings a week beats a resolution to exercise more.<\/li>\n\n\n\n<li><strong>Anchor it to an existing routine.<\/strong> Pair the new habit with something the patient already does daily, such as a lunch break or the commute home. Attached habits survive. Free-floating ones do not.<\/li>\n\n\n\n<li><strong>Write your recommendations underneath.<\/strong> Use the professional notes section for what you observed, what you suggest, and anything worth revisiting at the next appointment.<\/li>\n\n\n\n<li><strong>Book the repeat.<\/strong> Set a date roughly 90 days out to complete the form again, and compare the two copies domain by domain.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/automated-workflows-software\/\">Automated workflows<\/a> handle the follow-up so nothing depends on memory. The repeat assessment, the reminder, and the follow-up appointment all fire on schedule while your team works on the visit in front of them.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/downloadable_template_article\/self-care-inventory\/appointment-scheduling-in-pabau.webp\" alt=\"Appointment scheduling in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Booking the follow-up in Pabau before the patient leaves fixes a date for the repeat inventory while the plan is still fresh.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>File a copy of the completed form in the patient record before your patient takes theirs home. Repeat it at 90 days and set the two copies side by side. A half-point move in a domain average convinces a patient far more than a vague sense of doing better. It also shows which of your recommendations took hold.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-using-the-inventory-with-patients-at-risk-of-burnout\" class=\"wp-block-heading\">Using the inventory with patients at risk of burnout<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Compassion fatigue is the emotional and physical exhaustion that builds when someone absorbs the suffering of the people they care for. It shows up as reduced empathy, numbness, and a sense that the work no longer makes a difference.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients working in healthcare, social care, and emergency services carry that risk, and so do people caring for a relative at home. The workplace items map onto it closely: breaks, boundaries, caseload balance, supervision, and peer support.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Low ratings scattered across the emotional, psychological, and spiritual domains are worth raising, especially when they have dropped since the last copy of the form. A repeat assessment that falls in several domains at once is the signal to act on.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The inventory does not diagnose burnout or anything else. Use it to open the conversation, then refer or escalate where your clinical judgment says so. The wider picture of <a href=\"https:\/\/pabau.com\/blog\/burnout-in-healthcare\/\">burnout in healthcare<\/a> puts one form in context.<\/p>\n\n\n\n<h2 id=\"h-documenting-the-inventory-in-your-practice-workflow\" class=\"wp-block-heading\">Documenting the inventory in your practice workflow<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Decide when the form goes out, and the rest becomes routine. Common points are intake, the start of a program, and every review appointment after that, which keeps the interval consistent across your caseload.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau Scribe, our AI scribe, captures the discussion around the results so the plan reaches the patient record without extra typing. <a href=\"https:\/\/pabau.com\/features\/ai-medical-scribe\/\">AI-assisted documentation<\/a> also drafts the summary letter for the patient or their referring physician.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"801\" height=\"554\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/02\/Write-patient-letters-in-seconds-1.webp\" alt=\"Drafting a patient letter from a treatment note in Pabau\" class=\"wp-image-123350\" srcset=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/02\/Write-patient-letters-in-seconds-1.webp 801w, https:\/\/pabau.com\/wp-content\/uploads\/2026\/02\/Write-patient-letters-in-seconds-1-300x207.webp 300w, https:\/\/pabau.com\/wp-content\/uploads\/2026\/02\/Write-patient-letters-in-seconds-1-768x531.webp 768w\" sizes=\"(max-width: 801px) 100vw, 801px\" \/><figcaption class=\"wp-element-caption\"><em>Pabau drafts the letter straight from your treatment note, so a summary of the review reaches the patient without retyping.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Patterns across a caseload can shape the program itself. If most patients in a group rate the physical items low, that argues for a walking group, a sleep session, or a referral pathway. It beats repeating the same advice one appointment at a time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/features\/email-sms-campaigns\/\">Email and SMS campaigns<\/a> handle the nudge to complete the form before the next review. Fewer forms arrive blank on the day, and <a href=\"https:\/\/pabau.com\/blog\/clinic-automations-for-revenue-growth\/\">practice automations<\/a> keep the admin cost of running the assessment close to zero.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/downloadable_template_article\/self-care-inventory\/sms-broadcast.webp\" alt=\"SMS broadcast in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>An SMS broadcast in Pabau reminds a group of patients to complete the self-care inventory before their next review appointment.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-how-pabau-keeps-self-care-assessments-in-the-patient-record\" class=\"wp-block-heading\">How Pabau keeps self-care assessments in the patient record<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">On paper, this form ends its life in a folder. Someone scans it or files it, and comparing today&#8217;s copy with the one from three months ago means finding both of them first. That friction is usually why the repeat assessment never happens.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In Pabau, the inventory is a digital form attached to the patient record. It goes out with the appointment reminder, the patient completes it on their phone, and the answers are waiting in their record before they arrive. Both copies sit in the same timeline, so the comparison takes seconds.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The follow-up runs on the same rails. Workflows schedule the repeat assessment and send the reminder. Pabau Scribe drafts the note from your discussion, and reporting shows which patients have an outstanding form. Your team spends the time on the conversation instead of the chase.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Pabau\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Send and store self-care assessments without paper                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&#8217;s digital forms, automated reminders, and patient records send the self-care inventory before the visit and keep every completed copy in one place. Comparing this quarter&#8217;s ratings with the last takes seconds.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The value of this form is not the number at the bottom of a column. It is the moment a patient reads back their own ratings and sees that they have not taken a day off since spring.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Administer it once for a baseline, write your recommendations in the professional notes section, and repeat it in about 90 days. Two copies side by side show whether anything moved. A single copy only shows you where to start.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Download the PDF above and use it at your next review appointment. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau sends, files, and reschedules assessments like this one for you.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Writing up the review?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/therapy-progress-notes-cheat-sheet\/\">Therapy progress notes cheat sheet<\/a> gives you a phrase bank for the wording payers expect.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Planning for a hard week ahead?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/cope-ahead-worksheet\/\">Cope ahead worksheet<\/a> rehearses one stressful situation with the patient before it happens.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Working on the physical domain?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/my-food-diary\/\">My food diary<\/a> records meals, hydration, exercise, and mood between appointments.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need the history behind the ratings?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/life-events-timeline\/\">Life events timeline<\/a> maps a patient&#8217;s turning points in the order they happened.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786616972863\"><h3 class=\"schema-faq-question\">What is a self-care inventory?<\/h3> <p class=\"schema-faq-answer\">A self-care inventory is a structured questionnaire that asks how often someone practices specific self-care behaviors. This template runs to 55 statements across six domains. The patient supplies the ratings, and the healthcare professional reviews them and adds recommendations.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786616972864\"><h3 class=\"schema-faq-question\">How do you complete the form with a patient?<\/h3> <p class=\"schema-faq-answer\">Fill in the name, age, and date, then rate all 55 statements from 1 for never to 5 for always. The ratings take 10 to 15 minutes. The patient then notes strengths and next steps, and the clinician adds observations and recommendations.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786616972865\"><h3 class=\"schema-faq-question\">Which domains does the form cover?<\/h3> <p class=\"schema-faq-answer\">This template uses six domains: physical, psychological, emotional, spiritual, intellectual, and workplace or professional self-care. There is no separate social domain. Relationship items sit inside the emotional and workplace sections instead.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786616972866\"><h3 class=\"schema-faq-question\">How is a self-care inventory scored?<\/h3> <p class=\"schema-faq-answer\">Each statement scores 1 to 5. Add the ratings within a domain, then divide by that domain&#8217;s item count, because domains hold between 6 and 12 items. The form has no validated cutoff, so compare domain averages and flag every item rated 1 or 2.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786616972867\"><h3 class=\"schema-faq-question\">Which patients benefit most?<\/h3> <p class=\"schema-faq-answer\">Patients whose care touches stress, lifestyle, or recovery habits benefit most. It also suits people working in healthcare, social care, and emergency services, plus family caregivers, whose workplace and boundary items often rate lowest.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786616972868\"><h3 class=\"schema-faq-question\">How often should patients repeat it?<\/h3> <p class=\"schema-faq-answer\">Repeat it about every 90 days. That is long enough for a new habit to take hold and short enough to catch a decline early. It also lines up with a typical review appointment.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Download your free self-care inventory A nine-page clinical form with patient name, age, and date fields, then 55 self-care statements grouped into six domains. Every statement is rated from 1 (never) to 5 (always). It closes with a patient improvement plan and a healthcare professional&#8217;s notes and recommendations section. Download template Patients rarely arrive with [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":177807,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"84","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1133,1134,4138,1135],"tags":[921,1382,2119],"class_list":["post-177809","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mental-health","category-psychology","category-templates","category-therapy-counseling","tag-burnout","tag-template","tag-wellness-assessment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Self-care inventory: Free PDF for therapy sessions<\/title>\n<meta name=\"description\" content=\"Free 55-item self-care inventory across six domains. No cutoff; compare domain averages and flag scores of 1 or 2.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/nl\/templates\/self-care-inventory\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Self-care inventory: Free PDF for therapy sessions\" \/>\n<meta property=\"og:description\" content=\"Free 55-item self-care inventory across six domains. No cutoff; compare domain averages and flag scores of 1 or 2.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/nl\/templates\/self-care-inventory\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-14T09:22:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-14T13:03:58+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/self-care-inventory.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Despina Petrushevska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Geschreven door\" \/>\n\t<meta name=\"twitter:data1\" content=\"Despina Petrushevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/templates\\\/self-care-inventory\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/templates\\\/self-care-inventory\\\/\"},\"author\":{\"name\":\"Despina Petrushevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/80e6d36732fad68140a849f3c351449b\"},\"headline\":\"Self-care inventory: Free PDF for therapy sessions\",\"datePublished\":\"2026-08-14T09:22:03+00:00\",\"dateModified\":\"2026-08-14T13:03:58+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/templates\\\/self-care-inventory\\\/\"},\"wordCount\":2095,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/templates\\\/self-care-inventory\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/self-care-inventory.webp\",\"keywords\":[\"burnout\",\"template\",\"Wellness Assessment\"],\"articleSection\":[\"Mental Health\",\"Psychology\",\"Templates\",\"Therapy &amp; Counseling\"],\"inLanguage\":\"nl-NL\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/templates\\\/self-care-inventory\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/templates\\\/self-care-inventory\\\/\",\"name\":\"Self-care inventory: Free PDF for therapy sessions\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/templates\\\/self-care-inventory\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/templates\\\/self-care-inventory\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/self-care-inventory.webp\",\"datePublished\":\"2026-08-14T09:22:03+00:00\",\"dateModified\":\"2026-08-14T13:03:58+00:00\",\"description\":\"Free 55-item self-care inventory across six domains. 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