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Very Unhealthy

Somewhat Unhealthy

Somewhat Healthy

Very Healthy

Physical Wellness

1

2

3

4

Social Wellness

1

2

3

4

Emotional Wellness

1

2

3

4

Environmental Wellness

1

2

3

4

Spiritual Wellness

1

2

3

4

Rarely, if Ever

Sometimes

Most of the Time

Always

1.  I maintain a desirable weight.

1

2

3

4

2.  I engage in vigorous exercises such as brisk walking.

1

2

3

4

3.  I do exercises designed to strengthen my muscles and joints.

1

2

3

4

4.  I warm up and cool down by stretching before and after vigorous exercise.

1

2

3

4

5.  I feel good about the condition of my body.

1

2

3

4

6.  I get 7-8 hours of sleep each night.

1

2

3

4

7.  My immune system is strong and I am able to avoid most infectious diseases.

1

2

3

4

8.  My body heals itself quickly when I get sick or injured.

1

2

3

4

9.  I have lots of energy and can get through the day without being overly tired.

1

2

3

4

10.  I listen to my body; when there is something wrong, I seek professional advice.

1

2

3

4

Rarely, if Ever

Sometimes

Most of the Time

Always

1.  When I meet people, I feel good about the impression I make on them.

1

2

3

4

2.  I am open, honest, and get along well with other people.

1

2

3

4

3.  I participate in a wide variety of social activities and enjoy being with people who are different than me.

1

2

3

4

4.  I try to be a "better person" and work on behaviors that have caused problems in my interactions with others.

1

2

3

4

5.  I get along well with the members of my family.

1

2

3

4

6.  I am a good listener.

1

2

3

4

7.  I am open and accessible to a loving and responsible relationship.

1

2

3

4

8.  I have someone I can talk to about my private feelings.

1

2

3

4

9.  I consider the feelings of others and do not act in hurtful or selfish ways.

1

2

3

4

10.  I consider how what I say, might be perceived by others before I speak.

1

2

3

4

Rarely, if Ever

Sometimes

Most of the Time

Always

1.  I find it easy to laugh about things that happen in my life.

1

2

3

4

2.  I avoid using alcohol as a means of helping me forget my problems.

1

2

3

4

3.  I can express my feelings without feeling silly.

1

2

3

4

4.  When I am angry, I try to let others know in non-confrontational and non-hurtful ways.

1

2

3

4

5.  I am a chronic worrier and tend to be suspicious of others.

1

2

3

4

6.  I recognize when I am stressed and take steps to relax through exercise, quiet time, or other activities.

1

2

3

4

7. I feel good about myself and believe others like me for who I am.

1

2

3

4

8.  When I am upset, I talk to others and actively try to work through my problems.

1

2

3

4

9.  I am flexible and adapt or adjust to change in a positive way.

1

2

3

4

10.  My friends regard me as a stable, emotionally well-adjusted person.

1

2

3

4

Rarely, if Ever

Sometimes

Most of the Time

Always

1.  I am concerned about environmental pollution and actively try to preserve and protect natural resources.

1

2

3

4

2.  I report people who intentionally hurt the environment.

1

2

3

4

3.  I recycle my garbage.

1

2

3

4

4.  I reuse plastic and paper bags and tin foil.

1

2

3

4

5.  I vote for pro-environmental candidates in elections.

1

2

3

4

6.  I write my elected leaders about environmental concerns.

1

2

3

4

7. I consider the amount of packaging covering a product when I buy groceries.

1

2

3

4

8.  I try to buy products that are recyclable.

1

2

3

4

9. I use both sides of the paper when taking class notes or doing assignments.

1

2

3

4

10.  I try not to leave the faucet running too long when I brush my teeth, shave, or bathe.

1

2

3

4

Rarely, if Ever

Sometimes

Most of the Time

Always

1.  I believe life is a precious gift that should be nurtured.

1

2

3

4

2.  I take time to enjoy nature and the beauty around me.

1

2

3

4

3.  I take time alone to think about what's important in life - who I am, what I value, where I fit in, and where I'm going.

1

2

3

4

4.  I have faith in a greater power, be it a God-like force.

1

2

3

4

5.  I engage in acts of caring and good will without expecting something in return.

1

2

3

4

6.  I feel sorrow for those who are suffering and try to help them through difficult times.

1

2

3

4

7. I feel confident that I have touched the lives of others in a positive way.

1

2

3

4

8.  I work for peace in my interpersonal relationships, in my community, and in the world at large.

1

2

3

4

9. I am content with who I am.

1

2

3

4

10. I go for the gusto and experience life to the fullest.

1

2

3

4

Rarely, if Ever

Sometimes

Most of the Time

Always

1. I tend to act impulsively without thinking about the consequences.

1

2

3

4

2.  I learn from my mistakes and try to act differently the next time.

1

2

3

4

3. I follow directions or recommended guidelines and act in ways likely to keep others and myself safe.

1

2

3

4

4.  I consider the alternatives before making decisions.

1

2

3

4

5. I am alert and ready to respond to life's challenges in ways that reflect thought and sound judgment.

1

2

3

4

6.  I tend to let my emotions get the better of me and I act without thinking.

1

2

3

4

7. I actively try to learn all I can about products and services before making decisions.

1

2

3

4

8.  I manage my time well, rather than time managing me.

1

2

3

4

9.  My friends and family trust my judgment.

1

2

3

4

10. I think about my self-talk (the things I tell myself) and then examine the real evidence for my perceptions and feelings.

1

2

3

4

IDEAL SCORE

YOUR SCORE

Physical Wellness

40

Social Wellness

40

Emotional Wellness

40

Environmental Wellness

40

Spiritual Wellness

40

Mental Wellness

40