Spirituality Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
My life has meaning and purpose.
0
1
2
3
4
5
6
7
8
9
10
I am pleased with what I give back to the world.
0
1
2
3
4
5
6
7
8
9
10
I have centering/spiritual practices that are a regular part of my life.
0
1
2
3
4
5
6
7
8
9
10
I have activities that I do regularly to renew my soul, to center myself, and to gain perspective.
0
1
2
3
4
5
6
7
8
9
10
My core values and beliefs guide my thoughts, behaviors, and daily decisions in a way that makes me feel good..The way I live my life is consistent with my spirituality, and core values and beliefs.
0
1
2
3
4
5
6
7
8
9
10
I have a deep sense of gratitude for the many good things in my life.
0
1
2
3
4
5
6
7
8
9
10
I seek forgiveness from family and friends when I have hurt them.
0
1
2
3
4
5
6
7
8
9
10
I can forgive myself when I have made a mistake.
0
1
2
3
4
5
6
7
8
9
10
People who know me well would describe as compassionate.
0
1
2
3
4
5
6
7
8
9
10
I am a part of a community that enriches my spiritual life.
0
1
2
3
4
5
6
7
8
9
10
Rest & Play Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I get enough rest to renew myself most of the time.
0
1
2
3
4
5
6
7
8
9
10
I am satisfied with the amount of time that I set aside for healthy fun.
0
1
2
3
4
5
6
7
8
9
10
I have at least one hobby or interest that renews me, and I take intentional time for it on a regular basis.
0
1
2
3
4
5
6
7
8
9
10
I actively take advantage of opportunities to try new healthy ways to have fun.
0
1
2
3
4
5
6
7
8
9
10
I enjoy recreational activities in my community, work, school, places of worship, or other local organizations.
0
1
2
3
4
5
6
7
8
9
10
I am able to take my mind off of work while I am away from it.
0
1
2
3
4
5
6
7
8
9
10
I take time to laugh and enjoy life.
0
1
2
3
4
5
6
7
8
9
10
I am confident that the amount of time I spend on email, online, watching TV, on my computer, on my phone and other technology is good for my overall well-being.
0
1
2
3
4
5
6
7
8
9
10
I frequently have fun where alcohol and other drugs are not involved.
0
1
2
3
4
5
6
7
8
9
10
I use some of my free time to renew my relationship with myself.
0
1
2
3
4
5
6
7
8
9
10
Handling Emotions Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
People who know me would say that I handle my emotions in a healthy way.
0
1
2
3
4
5
6
7
8
9
10
I avoid using alcohol, other drugs, and other unhealthy habits to deal with my emotions.
0
1
2
3
4
5
6
7
8
9
10
I am able to share the full range of emotions (including sadness, fear, joy, laughter, and worry) with people I trust.
0
1
2
3
4
5
6
7
8
9
10
When someone I care about is upset, I am comfortable listening, rather than telling them what to do.
0
1
2
3
4
5
6
7
8
9
10
I have a solid and healthy sense of confidence in myself.
0
1
2
3
4
5
6
7
8
9
10
I feel good about the way I handle my emotions and how they affect my relationships.
0
1
2
3
4
5
6
7
8
9
10
I am able to communicate my emotions in a positive way without being irritable, critical, or angry.
0
1
2
3
4
5
6
7
8
9
10
I know the early warning signs of depression and anxiety, and seek help if I recognize these signs in myself.
0
1
2
3
4
5
6
7
8
9
10
When I’m feeling emotionally overwhelmed I turn to others for support and help.
0
1
2
3
4
5
6
7
8
9
10
The way I express my emotions demonstrates respect towards myself and others.
0
1
2
3
4
5
6
7
8
9
10
Healthy Relationships Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I am satisfied with the amount of time I spend with the important people in my life.
0
1
2
3
4
5
6
7
8
9
10
I am satisfied with the honest conversations I am able to have with others who are important to me.
0
1
2
3
4
5
6
7
8
9
10
My friends and family can count on me, if they reach out to me for help.
0
1
2
3
4
5
6
7
8
9
10
I am able to forgive family and friends for past or present hurts.
0
1
2
3
4
5
6
7
8
9
10
I am happy with my friendships and other social connections.
0
1
2
3
4
5
6
7
8
9
10
In my close relationships, I am very satisfied that there is a good balance between give and take.
0
1
2
3
4
5
6
7
8
9
10
I can say “no” when I want or need to without worrying about the reactions of others.
0
1
2
3
4
5
6
7
8
9
10
I feel good about the impact of my use/or non-use of alcohol and other drugs has on my relationships with family, friends, and colleagues.
0
1
2
3
4
5
6
7
8
9
10
I feel good about the amount of trust, respect, and honesty that exists in my relationships with the people in my life.
0
1
2
3
4
5
6
7
8
9
10
I am able to identify and then work to change unhealthy relationships when needed.
0
1
2
3
4
5
6
7
8
9
10
Care for Body Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I get an amount of regular physical activity that is healthy.
0
1
2
3
4
5
6
7
8
9
10
I treat my body with respect.
0
1
2
3
4
5
6
7
8
9
10
I am comfortable with my sexuality, knowing that my sexual decisions are healthy and physically and emotionally safe for.
0
1
2
3
4
5
6
7
8
9
10
The daily decisions that I make about what I eat and drink are healthy.
0
1
2
3
4
5
6
7
8
9
10
I go to the doctor and dentist for regular check-ups, and go for help when a health problem arises.
I feel comfortable about my relationship with food.
I know that the decisions that I make about the use of tobacco, and alcohol and/or other drugs are healthy for me.
0
1
2
3
4
5
6
7
8
9
10
I feel comfortable about my relationship with food.
0
1
2
3
4
5
6
7
8
9
10
I know that the decisions that I make about the use of tobacco, and alcohol and/or other drugs are healthy for me.
0
1
2
3
4
5
6
7
8
9
10
My current weight is healthy for me.
0
1
2
3
4
5
6
7
8
9
10
I feel a healthy sense of self-worth and self-esteem regarding my body.
0
1
2
3
4
5
6
7
8
9
10
Most days I get seven to eight hours of sleep.
0
1
2
3
4
5
6
7
8
9
10
Stress Resilience Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I adjust to changes in my life in a positive way.
0
1
2
3
4
5
6
7
8
9
10
I am dealing well with changes, planned or unplanned, that have occurred in my life.
0
1
2
3
4
5
6
7
8
9
10
I seek support from others, rather than isolating myself, in times of stress or transition.
0
1
2
3
4
5
6
7
8
9
10
I set realistic goals for myself.
0
1
2
3
4
5
6
7
8
9
10
I have the tools necessary to handle a major life challenge.
0
1
2
3
4
5
6
7
8
9
10
I recognize the physical signs of stress: headaches, trouble sleeping, feelings of depression, or outbursts of anger, and try to make healthy adjustments accordingly.
0
1
2
3
4
5
6
7
8
9
10
When I encounter challenges, I am able to keep them in perspective.
0
1
2
3
4
5
6
7
8
9
10
When I have a problem, I turn to others for support rather than keeping it to myself.
0
1
2
3
4
5
6
7
8
9
10
I have healthy ways to handle the stresses in my life, such as exercise, meditation, creative outlets or yoga.
0
1
2
3
4
5
6
7
8
9
10
I refrain from using alcohol, drugs, or food to numb or self-medicate myself when I am stressed.
0
1
2
3
4
5
6
7
8
9
10
Vocation Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I make good use of my talents and passions in the work I do.
0
1
2
3
4
5
6
7
8
9
10
I am satisfied with how my work/school/service is balanced with my personal life.
0
1
2
3
4
5
6
7
8
9
10
I have others in my life who enjoy the same kind of work/school/service I do.
0
1
2
3
4
5
6
7
8
9
10
I welcome new opportunities to learn new things which will enhance my work/school/service.
0
1
2
3
4
5
6
7
8
9
10
I enjoy my current vocation.
0
1
2
3
4
5
6
7
8
9
10
My vocation is compatible with my beliefs and values.
0
1
2
3
4
5
6
7
8
9
10
If I were to decide to make a change in my vocation, I would know where to begin.
0
1
2
3
4
5
6
7
8
9
10
I am satisfied with the pay and recognition I receive for my work.
0
1
2
3
4
5
6
7
8
9
10
I am proud of myself when it comes to the work I do.
0
1
2
3
4
5
6
7
8
9
10
I have a clear sense of purpose and direction in my work/school/service.
0
1
2
3
4
5
6
7
8
9
10
Organization Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I have a way of keeping track of my calendar, and keeping my commitments organized that works well for me.
0
1
2
3
4
5
6
7
8
9
10
I have a budget and savings and/or retirement plan and have a method for helping me stick with it.
0
1
2
3
4
5
6
7
8
9
10
I am always on time for school, work, and other commitments.
0
1
2
3
4
5
6
7
8
9
10
I regularly take time to clean and organize my personal spaces, such as my home, car, office, etc.
0
1
2
3
4
5
6
7
8
9
10
I am happy with the way I organize my priorities to ensure that I have enough time to dedicate to all of the different aspects of my life.
0
1
2
3
4
5
6
7
8
9
10
At the end of each day I usually feel like I completed most everything I had planned to get done.
0
1
2
3
4
5
6
7
8
9
10
I regularly make time to plan ahead for things so that I rarely have to rush around at the last minute to get ready.
0
1
2
3
4
5
6
7
8
9
10
Others whose lives are impacted by mine would describe me as organized.
0
1
2
3
4
5
6
7
8
9
10
My finances are well organized because I do the following: maintain a budget, keep track of expenditures, save money, balance my checkbook, pay all bills on time, organize tax information and file my taxes on time.
0
1
2
3
4
5
6
7
8
9
10
I regularly go through my possessions and get rid of/donate things I no longer need or want.
0
1
2
3
4
5
6
7
8
9
10