WELLNESS QUIZ VERSION 2
Physical
Some description about this section
Do you smoke?
Yes
No
How many times per week do you exercise?
0
1-2
3-4
5+
On average, how many hours per day do you spend in front of a computer or TV?
0-2
3-5
6-9
10+
How many servings of vegetables do you have per day?
0
1-2
3-4
5+
Regarding meals, you most often:
Cook your own food
Eat precooked meals
Eat out/order delivery
Eat food cooked by someone else
Your Physical Wellness Evaluation:
Needs Improvement!
Your Physical Wellness Evaluation:
Good to Go!
Points Earned
Social
Some description about this section
I feel generally satisfied with the relationships in my life.
Yes
No
Not sure
How often do you make plans with friends, co-workers, or family throughout the week?
Never
Rarely
Sometimes
Always
When you have free time, you prefer to:
Watch Netflix/relax at home
Spend time with family/friends
Read
Exercise
Go to a bar/club
Do you participate in any hobbies in your free time? Clubs, sports, etc.?
Yes
No
Your Social Wellness Evaluation:
Needs Improvement!
Your Social Wellness Evaluation:
Good to Go!
Points Earned
Intellectual
Some description about this section
When is the last time you learned something new?
Within the past two weeks
Within the past month
Within the past few months
More than 6 months ago
Do you read physical books?
Never
Rarely
Sometimes
Always
I effectively manage my time and know how to prioritize my tasks.
Yes
No
Not sure
I feel motivated to complete the outstanding tasks in my life.
Yes
No
Sometimes
Your Intellectual Wellness Evaluation:
Needs Improvement!
Your Intellectual Wellness Evaluation:
Good to Go!
Points Earned
Emotional
Some description about this section
I feel supported and have someone that I can turn to for advice during difficult times.
Yes
No
Not sure
I feel emotionally satisfied and am in good standings in my closest relationships.
Yes
No
Sometimes
I suffer from anxiety and depression or other types of distress at times.
Yes
No
I practice self-care and easily manage my day to day emotions.
Yes
No
Not sure
Your Emotional Wellness Evaluation:
Needs Improvement!
Your Emotional Wellness Evaluation:
Good to Go!
Points Earned
Spiritual
Some description about this section
I feel hopeful and optimistic when I think about life.
Yes
No
I believe in something greater than what is known.
Yes
No
Not sure
I take time to meditate, journal, or quiet my mind each week.
Yes
No
Your Spiritual Wellness Evaluation:
Needs Improvement!
Your Spiritual Wellness Evaluation:
Good to Go!
Points Earned
Financial
Some description about this section
I have enough savings to safely hold me over if an emergency were to come up.
Yes
No
Not sure
I participate in a long-term savings strategy such as a 401k or an investment account.
Yes
No
I manage my credit card debt and pay attention to my credit score on a regular basis.
Yes
No
I have access to the resources necessary to learn more about financial planning.
Yes
No
Not sure
Your Financial Wellness Evaluation:
Needs Improvement!
Your Financial Wellness Evaluation:
Good to Go!
Points Earned
Occupational
Some description about this section
I feel motivated and fulfilled in my current role, company, and career.
Yes
No
I have a sense of job security and feel as though I have a clearly defined career path.
Yes
No
I have a trusted ally or mentor that I can confide in about career avdvice. I feel heard.
Yes
No
Your Occupational Wellness Evaluation:
Needs Improvement!
Your Occupational Wellness Evaluation:
Good to Go!
Points Earned
Environmental
Some description about this section
I feel safe at home, in my community, and life in general.
Yes
No
I use non-toxic cleaning producs in my home and tend to recycle most of the time.
Yes
No
I ride my bike, take public transit, or walk over driving.
Yes
No
Your Environmental Wellness Evaluation:
Needs Improvement!
Your Environmental Wellness Evaluation:
Good to Go!
Points Earned
Your Physical Wellness Evaluation:
Needs Improvement!
Your Physical Wellness Evaluation:
Good to Go!
Points Earned
Your Social Wellness Evaluation:
Needs Improvement!
Your Social Wellness Evaluation:
Good to Go!
Points Earned
Your Intellectual Wellness Evaluation:
Needs Improvement!
Your Intellectual Wellness Evaluation:
Good to Go!
Points Earned
Your Emotional Wellness Evaluation:
Needs Improvement!
Your Emotional Wellness Evaluation:
Good to Go!
Points Earned
Your Spiritual Wellness Evaluation:
Needs Improvement!
Your Spiritual Wellness Evaluation:
Good to Go!
Points Earned
Your Financial Wellness Evaluation:
Needs Improvement!
Your Financial Wellness Evaluation:
Good to Go!
Points Earned
Your Occupational Wellness Evaluation:
Needs Improvement!
Your Occupational Wellness Evaluation:
Good to Go!
Points Earned
Your Environmental Wellness Evaluation:
Needs Improvement!
Your Environmental Wellness Evaluation:
Good to Go!
Points Earned
Total Points