Tools & Checklists - Soul Care Project

Tools and Checklists

Soul Care Self Assessment

The purpose of this activity is to help you in identifying a sense of your spirituality. There are no “right” or “wrong” answers. It is provided to guide you as you think through what brings you a sense of meaning and comfort.

1.	What are the most important relationships in your life?
	My family of origin (parents, siblings, etc) A significant other or spouse Children Friends God or a Higher Power People I work with Other ______________________
2.	Who or what helps you find meaning and a sense of purpose?
	Family relationships Friendships Work Relationships with the earth/environment God/Higher Power Other _____________________
3.	What helps you cope in difficult times?
	Support of family/friends Belief in the basic goodness of life Faith in God/Higher Power Music/poetry/literature Prayer or meditation Other _____________________
4.	How do you take care of yourself?
	Time alone Talking with others Physical exercise, diet Prayer, meditation, or other ritual Nothing Other _____________________
5.	Do you believe in God/a Higher Power?
	Yes Somewhat No
6.	If yes, how would you describe God/your Higher Power?
	Angry In control of all events Judging All-knowing Kind Able to do anything Loving Other ______________________
7.	If no, what are your beliefs about life?
	Random events Meaning comes from ________________ Hopelessness Other _______________________
8.	Are there any spiritual practices that are important to you?
	Attending religious services Prayer Reading Scripture Meditation Rituals Yoga Other _______________________

If you'd like to discuss any of these questions, you can Chat with a Counselor.

Personal Soul Care Screening Scale

This scale is designed to help you to examine what spiritual strengths you have as well as potential areas of distress. There are no “right” or “wrong” answers, however it will help you in identifying areas in which you may want to seek further resources or support.

I feel . . .

3
Strongly

2
Not as Much as I Would Like

1
Not at All

God/a Higher Power’s presence amidst my/my loved one’s illness.

At ease about my disease/loved one’s disease.

Confident in my/my loved one’s treatment process.

At peace about my/my loved one’s future.

Strength in my sense of spirituality or religious beliefs.

Supported by others who will listen to my fears and hopes.

Meaning in religious or spiritual rituals.

Comforted by my religious or spiritual beliefs.

That my/my loved one’s treatment team knows and understands our religious and spiritual beliefs.

Reassured that my support system hears and respects my religious or spiritual beliefs and questions.

Total

If you find that there is one or more areas where you marked a 2 or a 1, you may want to focus on the resources available on this site to help you with questions or find support. Or you may want to connect with a counselor through our free service, Chat with a Counselor.