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My Self-Care Plan

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My Self-Care Plan

Self-care wellness illustration

🎯 My Self-Care Goal

My self-care goal for this week:

This week I want to focus on...

⚠️ My Triggers and Warning Signs

Common warning signs (tick all that apply):

Feeling overwhelmed

Trouble sleeping

Getting easily frustrated

Avoiding people or activities

Physical tension (headaches, tight muscles)

Difficulty concentrating

My personal triggers/warning signs (write in general terms):

1. When I _________________________, I notice _________________________

2. When I _________________________, I notice _________________________

3. When I _________________________, I notice _________________________

🛠️ My Self-Care Strategies

Complete at least 4 strategies (label each by hauora area: physical, mental, emotional, social):

Strategy 1: ___________________________ Hauora area: ___________

When I will use it: ___________________________________________________

Why it helps: _______________________________________________________

Strategy 2: ___________________________ Hauora area: ___________

When I will use it: ___________________________________________________

Why it helps: _______________________________________________________

Strategy 3: ___________________________ Hauora area: ___________

When I will use it: ___________________________________________________

Why it helps: _______________________________________________________

Strategy 4: ___________________________ Hauora area: ___________

When I will use it: ___________________________________________________

Why it helps: _______________________________________________________

🤝 Boundaries and Support

Choose two options that work for you:

I will set a limit

I will ask for help

I will use supportive communication

I will reframe a thought

One boundary or support action I will take:

📊 How I Will Check If It's Working

Self-rating: How confident am I that this plan will help? (Circle one)

1 - Not confident 2 - A little confident 3 - Somewhat confident 4 - Confident 5 - Very confident

Evidence statement: I will know my plan is working when...

➡️ Next Small Step

My next action:

What: ____________________________________________________________

When: ___________________________________________________________

Who can help (optional): ________________________________________

About This Worksheet

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Created with Kuraplan's AI, designed for real classroom use.

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