Wellness Self- Assessment

How do you rate on these dimensions of wellness?

For each statement in this survey, select the response that corresponds best to your experience.

Scoring You will need to keep track of your answers for each dimension. Give yourself
1 point for ‘Never,’
2 points for ‘Sometimes,’
3 points for ‘Often,’
4 four points for ‘Most of the time,’
5 points for ‘All the time.’
The higher your score, the higher your level of wellness is for that dimension.

Dimension 1: Physical Wellness (3,2, 4 = 9)

1: I feel that I get an adequate amount of sleep and I awake feeling refreshed.
Never, Sometimes, Often, Most of the time, or All the time.

2: I engage in at least 30 minutes of moderate physical activity (for example, brisk walking,
cycling) a day.
Never, Sometimes, Often, Most of the time, or All the time.

3: I eat regular, nutritious meals that give me the energy I need to stay active and get through
the day.
Never, Sometimes, Often, Most of the time, or All the time.

Dimension 2: Social Wellness (4, 3, 4 = 11)

4: I'm able to find the time to maintain healthy relationships with my loved ones.
Never, Sometimes, Often, Most of the time, or All the time.

5: I feel that I belong in a group or community.

Never, Sometimes, Often, Most of the time, or All the time.

6: I am able to communicate with a wide variety of people and to get along

with them.
Never, Sometimes, Often, Most of the time, or All the time.

Dimension 3: Intellectual Wellness (5, 5, 4 = 14)

7: I seek out new challenges and am interested in learning new things.
Never, Sometimes, Often, Most of the time, or All the time.

8: I value and nurture my curiosity and creativity.

Never, Sometimes, Often, Most of the time, or All the time.

9: I participate actively in scholastic, cultural, and community activities.

Never, Sometimes, Often, Most of the time, or All the time.
Dimension 4: Spiritual Wellness (3, 5, 3 = 11)
10: I feel an overall sense of peace and well being in my life.
Never, Sometimes, Often, Most of the time, or All the time.

11: I understand my own values and beliefs, and respect the values, ethics,
and beliefs of others.
Never, Sometimes, Often, Most of the time, or All the time.

12: I believe that my life has meaning and direction.

Never, Sometimes, Often, Most of the time, or All the time.

Dimension 5: Environmental Wellness (4, 3, 3 = 10)

13: I care for and respect the environment and the community.
Never, Sometimes, Often, Most of the time, or All the time.

14: I am aware of risks within my environment and make adjustments to my lifestyle accordingly
(for example, travel health, personal safety).
Never, Sometimes, Often, Most of the time, or All the time.

15: I try to live an eco-friendly lifestyle (for example, using a reusable water bottle, turning lights
off).
Never, Sometimes, Often, Most of the time, or All the time.

Dimension 6:Financial Wellness (3, 4, 3 = 10)

16: I have both short term and long-term financial goals.
Never, Sometimes, Often, Most of the time, or All the time.

17: I live within my means.

Never, Sometimes, Often, Most of the time, or All the time.

18: I budget my spending each month.

Never, Sometimes, Often, Most of the time, or All the time.

Dimension 7: Emotional Wellness (3, 3, 4 = 10)

19: I'm able to ask for or seek out help when I need it, either from friends and family, or from
professionals.
Never, Sometimes, Often, Most of the time, or All the time.

20: I express my feelings or anger in ways that are not harmful to me or others.
Never, Sometimes, Often, Most of the time, or All the time.

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

Never, Sometimes, Often, Most of the time, or All the time.
Add up your total scores for each dimension of wellness.

1 point for ‘Never,’

2 points for ‘Sometimes,’
3 points for ‘Often,’
4 four points for ‘Most of the time,’
5 points for ‘All the time.’
The higher your score, the higher your level of wellness is for that dimension.

When you’ve determine your final score for each dimension, think about which wellness
dimensions could use some work.

Dimension Total Points Rank

(Highest points = rank 1, lowest
points = rank 7

Physical Wellness 9 4

Social Wellness 11 2

Intellectual Wellness 14 1

Spiritual Wellness 11 2

Environmental Wellness 10 3

Financial Wellness 10 3

Emotional Wellness 10 3

ANSWER THE FOLLOWING QUESTIONS:

1. The behaviour I would like to change or improve is

My physical wellness.

2. If this behaviour was altered the benefit would be

Overall better physical health, which will tie into other areas of wellness
and help