Parents MOT

Parents Name*

Do you usually get six to eight hours sleep?*
YesNo

Do you eat something fresh and unprocessed every day?*
YesNo

Do you allow time in your week to touch nature, no matter how briefly?*
YesNo

Do you get enough sunlight, especially in winter? l Do you drink enough water?*
YesNo

Do you see your gynaecologist (or the equivalent) at least once a year?*
YesNo

Do you see a dentist every six months?*
YesNo

Do you know enough about your body and health needs?*
YesNo

Do you get regular sexual thrills?*
YesNo

Do you feel you get enough fun exercise?*
YesNo

Are you hugged and touched amply?*
YesNo

Do you make time for friendships?*
YesNo

Do you have friends you can call when you are down and who really listen?*
YesNo

Can you honestly ask for help when you need it?*
YesNo

Do you regularly release your negative emotions?*
YesNo

Do you forgive yourself when you make a mistake?*
YesNo

Do you do things that give you a sense of fulfilment, joy and purpose?*
YesNo

Is there abundant beauty in your life?*
YesNo

Do you allow yourself to see beauty and to bring beauty into your home and office?*
YesNo

Do you make time for solitude?*
YesNo

Are you getting daily or weekly spiritual nourishment?*
YesNo

Can you remember the last time you laughed until you cried?*
YesNo

Do you ever accept yourself for who you are?*
YesNo

These questions are not meant to make you feel bad or guilty. They are only meant as kind reminders to help you see how you are currently caring for yourself. ©Louden 1992

Practitioners email address*
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Your email address
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