6 Dimensions of Wellness

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This is a super quick survey to gain some additional insights into your wellness! It will only take you 3-4 minutes.

I respect and care for my body by attending medical, dental and eye appointments.

Yes

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I participate in some type of physical activity 3-5 times a week.

Yes

Clear selection

I eat a well-balanced diet of fruits and vegetables.

Always

Sometimes

Never

Clear selection

I feel my sleep gives me adequate energy for the day.

Always

Sometime

Never

Clear selection

I try new things.

Yes

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I am currently reading a book I enjoy.

Yes

I would like to

Clear selection

I keep up to date on current events and/or politics.

Yes

They don't interest me.

Clear selection

I know how to effectively express my feelings.

Always

Sometimes

Never

Clear selection

I feel I can manage my stress.

Always

Sometimes

Never

Clear selection

I attend counseling sessions when I feel I need to.

Yes

Clear selection

I have meaning and purpose in my life.

Yes

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I take time for myself and my personal needs.

Always

Frequently

Never

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I write down my thoughts in a journal or notebook.

Yes

Occasionally

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I am involved in social media. I.e. Facebook, Twitter, Instagram

Yes

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I have a social support circle that I can turn to and receive help and advice.

Yes

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I feel I can seek guidance from friends.

Yes

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I have the skills to maintain healthy relationships.

Yes

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I would like to learn more about how to maintain healthy relationships.

Yes

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I feel needed at work.

Yes

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I am respected at work.

Yes

I don't know.

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What is your gender?

Male

Female

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What is your age?

Under 20 years old

Between 21-30 years old

Between 31-40 years old

Between 41-50 years old

Between 51-64 years old

65 years old and older

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Submit

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