A Self-Assessment Tool for Clients and Social Work Professionals ... - Free Printable

This is a personal self-assessment worksheet. Because it asks about your life, feelings, and goals, there is no single "correct" answer like in math or science. Only you can fill this out truthfully.

However, I can help you understand what to write in each section by giving you examples of what students often put in these spaces. You can use these ideas to think about your own answers.

Step-by-Step Guide to Filling Out the Worksheet

1. Date of Assessment
* What to do: Write today’s date in the center circle.
* Example: April 23, 2026

2. Personal Responsibilities
* What it means: Things you *have* to do for yourself or others.
* Examples: Doing homework, cleaning my room, taking care of a pet, helping with dinner.

3. Financial Responsibilities
* What it means: How you handle money. If you don’t have a job yet, think about allowances or saving.
* Examples: Saving allowance for a video game, paying for lunch money, budgeting for clothes.

4. Skills
* What it means: Things you are good at doing.
* Examples: Drawing, coding, playing soccer, solving math problems, listening to friends.

5. Values
* What it means: Beliefs that are important to you. What kind of person do you want to be?
* Examples: Honesty, kindness, hard work, loyalty, creativity.

6. Spirituality
* What it means: This doesn’t just mean religion. It can mean how you find peace or meaning.
* Examples: Going to church, meditating, spending time in nature, feeling connected to the universe.

7. Needs
* What it means: Things you must have to be healthy and happy.
* Examples: Sleep, healthy food, exercise, support from family, quiet time.

8. Interests
* What it means: Hobbies and things you like to learn about.
* Examples: Reading fantasy novels, playing guitar, astronomy, baking, video games.

9. Goals and Priorities
* What it means: What you want to achieve soon (goals) and what matters most right now (priorities).
* Examples: Goal: Get an A in science. Priority: Spending time with family.

10. Health
* What it means: Your physical and mental well-being.
* Examples: Drinking more water, managing stress, running three times a week, getting 8 hours of sleep.

11. Motivations
* What it means: What drives you to keep going? Why do you do what you do?
* Examples: Wanting to go to college, making my parents proud, curiosity, wanting to be strong.

12. Leisure Activities
* What it means: Fun things you do when you have free time.
* Examples: Watching movies, hanging out with friends, hiking, playing board games.

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Final Answer:

Since this is a personal reflection tool, you must fill in the blanks with your own honest thoughts. Use the examples above as inspiration, but write what is true for your life right now. There is no wrong answer as long as it reflects your current situation.