Pastor Health Self-Assessment

Name

Phone Number

Email

Using the scale below, rate the following areas in terms of agreement:

4 = strongly agree; 3 = agree; 2 = disagree; 1 = strongly disagree

Spiritual

1. I consistently spend time in fruitful prayer.

1

2

3

4

2. I consistently practice taking Sabbath rest away from ministry each week.

1

2

3

4

3. I consistently enjoy the presence and provision of Jesus in my life.

1

2

3

4

4. I am confident in the calling to ministry and/or my specific church.

1

2

3

4

Relational

1. I spend intentional non-ministry time with my wife and/or children each week.

1

2

3

4

2. I enjoy friendships in which I can be myself and share deeply.

1

2

3

4

3. I have healthy relationships with church leaders and members.

1

2

3

4

Emotional

1. I consistently feel that I have bandwidth to minister to more people.

1

2

3

4

2. I feel hopeful about the present and future.

1

2

3

4

3. I am content in Christ regardless of my circumstances.

1

2

3

4

Physical

1. I practice a healthy lifestyle (diet, exercise, sleep).

1

2

3

4

2. I have energy to engage in hobbies/activities outside of ministry.

1

2

3

4

3. I feel confident that I can maintain my ministry/life pace in the future.

1

2

3

4

Ministry Leadership

1. I am able to spend ample time using my spiritual gifts in my ministry setting.

1

2

3

4

2. I have a clear vision for my church and its future.

1

2

3

4

3. I feel respected and trusted by my church leaders.

1

2

3

4

Personal Development/Growth

1. I am actively growing in ministry skills and development.

1

2

3

4

2. I know where to find resources and help for the obstacles I face in ministry.

1

2

3

4

3. I regularly reflect on and apply God's Word to my life and circumstances.

1

2

3

4

I am interested in the following:

Connecting with other pastors

Receiving coaching

I need help to stay in ministry

I need help to change the future of my church