3. Emotional: I am able to recognize and manage the different stressors in my life.

Dimensions of Wellness Self-Assessment Mark only one oval.

Never

1. Emotional: I am able to ask for/seek out help when I need it from friends, family or Occasionally

professionals. Sometimes

Often
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Always
Never

Occasionally

Sometimes
4. Physical: I get a good amount of sleep and wake up feeling refreshed.
Often
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Never

Occasionally

2. Emotional: I value self-exploration and self-improvement. Sometimes

Often
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Occasionally

Sometimes
5. Physical: I get at least 30 minutes of moderate physical activity each day (examples:
Often walking, biking, or jogging)
Always
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Occasionally

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6. Physical: I eat regular, nutritious meals that give me the energy I need to stay active 9. Spiritual: I believe my life is meaningful and has direction.
and get through the day.
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10. Environmental: I care for and respect the environment and the community.

7. Spiritual: I feel an overall sense of peace and well-being in my life. Mark only one oval.

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Occasionally
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Sometimes
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Often
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Often

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11. Environmental: I am aware of the risks within my environment and make

adjustments to my lifestyle accordingly (e.g. travel health, personal safety).
8. Spiritual: I feel an overall sense of peace and well-being in my life.
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Mark only one oval.
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Never
Occasionally
Occasionally
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Sometimes
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12. Environmental: I try to live an eco-friendly lifestyle (e.g. buying local food, driving 15. Intellectual: I try to challenge myself when it comes to learning new things.
less, turning the lights off).
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16. Occupational: I feel optimistic about my school and career goals.

13. Intellectual: I regularly read, listen to, or watch new things for fun.
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17. Occupational: I feel satisfied with my school performance.

14. Intellectual: I push myself out of my comfort zone when it comes to learning.
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18. Occupational: I have good study habits that help me learn and remember 21. Social: I respect others and their cultural identities.
information.
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Mark only one oval.
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Never
Occasionally
Occasionally
Sometimes
Sometimes
Often
Often
Always
Always

19. Social: I’m able to find the time to maintain healthy relationships with friends and This content is neither created nor endorsed by Google.
family.

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Never

Occasionally

Sometimes

Often

Always

20. Social: I feel I belong to a group or community.

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Often

Always