Wellness Self-Assessment

Welcome!

Take the first step towards a healthier, happier you. Our free wellness assessment evaluates your emotional, environmental, intellectual, occupational, physical, social, and spiritual well-being, helping you identify your strengths and areas that may need more attention. Gain valuable insights and uncover new dimensions of health you may not have explored before.

Full Name

Email

Phone

I find it easy to express my emotions in positive, constructive ways

Never

Rarely

Sometimes

Usually

I recognize when I am stressed and take steps to manage my stress (e.g., exercise, quiet time, meditation)

Never

Rarely

Sometimes

Usually

I am resilient and can bounce back after a disappointment or problem

Never

Rarely

Sometimes

Usually

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

Never

Rarely

Sometimes

Usually

I am able to make decisions with minimal stress or worry

Never

Rarely

Sometimes

Usually

When I am angry, I try to let others know in non-confrontational or nonhurtful ways

Never

Rarely

Sometimes

Usually

I am able to make decisions with minimal stress or worry

Never

Rarely

Sometimes

Usually

1 out of 8

I recognize the impact of my environment on my health

Never

Rarely

Sometimes

Usually

I surround myself with people who support me in my journey of being healthy and well

Never

Rarely

Sometimes

Usually

I am aware of and make use of health, wellness, and safety resources

Never

Rarely

Sometimes

Usually

I recognize the impact of my actions on my environment

Never

Rarely

Sometimes

Usually

I practice environmentally conscious behaviors (e.g., recycling)

Never

Rarely

Sometimes

Usually

I contribute towards making my environment a safer and healthier place

Never

Rarely

Sometimes

Usually

I seek out ways to improve my social environment

Never

Rarely

Sometimes

Usually

2 out of 8

I am curious and interested in the communities, as well as the world, around me

Never

Rarely

Sometimes

Usually

I search for learning opportunities and stimulating mental activities

Never

Rarely

Sometimes

Usually

I manage my time well, rather than it managing me

Never

Rarely

Sometimes

Usually

I enjoy brainstorming and sharing knowledge with others in group projects or tasks

Never

Rarely

Sometimes

Usually

I enjoy learning about subjects other than those I am required to study/in my field of work

Never

Rarely

Sometimes

Usually

I seek opportunities to learn practical skills to help others

Never

Rarely

Sometimes

Usually

I can critically consider the opinions and information presented by others and provide constructive feedback

Never

Rarely

Sometimes

Usually

3 out of 8

I get personal satisfaction and enrichment from work

Never

Rarely

Sometimes

Usually

I believe that I am able to contribute my knowledge, skills, and talents at work

Never

Rarely

Sometimes

Usually

I seek out opportunities to improve my knowledge or skills

Never

Rarely

Sometimes

Usually

I balance my social life and job responsibilities well

Never

Rarely

Sometimes

Usually

I effectively handle my level of stress related to work responsibilities

Never

Rarely

Sometimes

Usually

My work load is manageable

Never

Rarely

Sometimes

Usually

I explore paid and/or volunteer opportunities that interest me

Never

Rarely

Sometimes

Usually

4 out of 8

I engage in physical exercise regularly (e.g., 30 mins at least 5x a week or 10,000 steps a day)

Never

Rarely

Sometimes

Usually

I get 6-8 hours of sleep each night

Never

Rarely

Sometimes

Usually

I protect myself and others from getting ill (e.g., wash my hands, cover my cough, etc.)

Never

Rarely

Sometimes

Usually

I abstain from drinking alcohol; or if I do drink, I aim to keep my BAC < .06

Never

Rarely

Sometimes

Usually

I avoid using tobacco products or other drugs

Never

Rarely

Sometimes

Usually

I eat a balanced diet (fruits, vegetables, low-moderate fat, whole grains)

Never

Rarely

Sometimes

Usually

I get regular physical exams (i.e., annual, when I have atypical symptoms)

Never

Rarely

Sometimes

Usually

5 out of 8

I consciously and continually try to work on behaviors or attitudes that have caused problems in my interactions with others

Never

Rarely

Sometimes

Usually

In my romantic or sexual relationships, I choose partner(s) who respect my wants, needs, and choices

Never

Rarely

Sometimes

Usually

I feel supported and respected in my close relationships

Never

Rarely

Sometimes

Usually

I communicate effectively with others, share my views and listen to those of others

Never

Rarely

Sometimes

Usually

I consider the feelings of others and do not act in hurtful/selfish ways

Never

Rarely

Sometimes

Usually

I try to see good in my friends and do whatever I can to support them

Never

Rarely

Sometimes

Usually

I participate in a wide variety of social activities and find opportunities to form new relationships

Never

Rarely

Sometimes

Usually

6 out of 8

I take time to think about what’s important in life – who I am, what I value, where I fit in, and where I am going

Never

Rarely

Sometimes

Usually

I have found a balance between meeting my needs and those of others

Never

Rarely

Sometimes

Usually

I engage in acts of caring and goodwill without expecting something in return

Never

Rarely

Sometimes

Usually

I sympathize/empathize with those who are suffering and try to help them through difficult times

Never

Rarely

Sometimes

Usually

My values are true priorities in my life and are reflected in my actions

Never

Rarely

Sometimes

Usually

I feel connected to something larger than myself (e.g., supreme being, nature, connectedness of all living things, humanity, community)

Never

Rarely

Sometimes

Usually

I feel like my life has purpose and meaning

Never

Rarely

Sometimes

Usually

7 out of 8

8 out of 8

Discover Your Path to Wellness

Congratulations on completing the Wellness Self-Assessment! Your commitment to understanding and improving your well-being is commendable, and we appreciate the time and effort you've invested in this process.

Welcome!

Discover Your Path to Wellness

Congratulations on completing the Wellness Self-Assessment! Your commitment to understanding and improving your well-being is commendable, and we appreciate the time and effort you've invested in this process.

Move on to the next page for your Assessment Results