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NYONL Self-Care Practices Survey

Instructions

The first two sections of the survey ask questions about possible self-care practices.
 
The first section relates to personal self-care practices. Keep in mind there are no right or wrong answers. When filling out this part of the scale, please indicate how frequently you engage in each of the following by selecting the frequency for each item below that best fits you.
 
The second section relates to professional self-care practices. Remember, there are no right or wrong answers. When filling out this part of the scale, please indicate how frequently you engage in each of the following by selecting the frequency for each item below that best fits you.
 
The last section of the survey relates to demographic questions about yourself and your current position in healthcare. Please indicate the response that best fits you.
Personal

I engage in physical activities
Never
Rarely
Sometimes
Often
Very Often
I laugh
Never
Rarely
Sometimes
Often
Very Often
I engage in spiritual practices
Never
Rarely
Sometimes
Often
Very Often
I get adequate sleep for my body
Never
Rarely
Sometimes
Often
Very Often
I spend quality time with people I care about
Never
Rarely
Sometimes
Often
Very Often
I participate in activities that I enjoy
Never
Rarely
Sometimes
Often
Very Often
I accept help from others
Never
Rarely
Sometimes
Often
Very Often
I engage in physical intimacy
Never
Rarely
Sometimes
Often
Very Often
I take action to meet my emotional needs
Never
Rarely
Sometimes
Often
Very Often
Professional

I take small breaks throughout the workday
Never
Rarely
Sometimes
Often
Very Often
I seek out professional development opportunities
Never
Rarely
Sometimes
Often
Very Often
I take vacations
Never
Rarely
Sometimes
Often
Very Often
I acknowledge my successes at work
Never
Rarely
Sometimes
Often
Very Often
I problem solve when I have challenges at work
Never
Rarely
Sometimes
Often
Very Often
I reserve work tasks for designated work hours (e.g., paperwork, emails, work-related colleague contact)
Never
Rarely
Sometimes
Often
Very Often
I attend to feelings of being overwhelmed with my work
Never 
Rarely
Sometimes
Often
Very Often
I seek out colleagues I find supportive
Never
Rarely
Sometimes
Often
Very Often
I am able to say "no" when appropriate
Never
Rarely
Sometimes
Often
Very Often
Demographics

Age
Gender
Race
Primary Position
Highest Level of Education
Number of Years in Nursing
Number of Years in present position
Work Status at Primary Position
Do you work for a Magnet Designated Facility?
What type of facility do you work for?
What NYONL region do you work in?
How many hour do you work a week?
What area (s) do you work in? (Check all that apply)
Marriage status
Household income
How many dependents do you have?
Current Progress,
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