Wellness Assessment

Are you ready to stop asking “Is this all there is?” and allowing stress, worry or fear to make you sick? What if you woke up each day feeling energized, motivated and directed to living out your dreams?

If you are interested in discovering what may be holding you back from living a purposeful, well life, please complete the following self-assessment by marking the statements that are true for you right now. I urge you not to over-think this and try to be accurate to your typical self.

Goals
Compared to what I dreamed of when young, I feel I am on track with my goals.
My life is meaningful and important to me.
I am an active participant in my life doing what I’ve always envisioned and not waiting for something to happen.
As I grow older, I have plenty of activities and interests to keep me engaged, happy and learning.
If today were my last, I’d have no regrets and feel as if I lived a full, purposeful life on my terms.
Relationships
I am happy with my relationship status (married, dating, single, etc.)
I have many close friends.
My family & friends appreciate me.
I enjoy hanging out with my family and friends.
I surround myself with positive, energetic people who do not drain me.
Career/Work
My job/career is exciting and I look forward to going to work every day.
My skills are put to good use at work.
My job responsibilities are clear.
My colleagues respect me and my expertise.
My values are aligned with those at my place of employment.
At any given time, when appropriate, I feel free to offer my opinions knowing they will be respectfully received, even if not necessarily agreed with.
I have an open and honest rapport with my manager.
I feel valued and optimistic when at work.
My employer has strict policies protecting employees against harassment, discrimination or inappropriate behavior.
When conflict arises, I am confident it is handled with fairness.
Self-care/Wellness
I exercise at least 3 – 4 times per week.
I live a balanced life getting enough sleep, working 8 hours a day or less, eating healthfully, avoiding too much alcohol and not smoking.
I manage my stress through exercise, meditation or some other method and have plenty of time for fun.
I take time off regularly to relax & de-stress.
I like myself and do not judge or criticize myself.
Communication
I actively listen to others, asking meaningful questions.
If a miscommunication happens, I deal with it immediately to clear the air.
I do not participate in gossip.
When asked for my opinion, I offer it constructively.
I enjoy encouraging others to be their best.
Final Score
Tally your score (1 point for each statement that’s true for you)
Your Info
Name
Phone (optional)

*Write down or remember your Final Score, then click Submit to see what your score means*

"Every adversity, every failure, every heartache carries with it the seed of an equal or greater benefit." Napoleon Hill