Assess Your Well-Being
Assess your own well-being on 7 levels.
* Required
Email address
*
Your email
Wishing you well-being on all 7 levels.
7 Elements of Well-Being
You will be asked 7 questions for each of the 7 elements of well-being. That is a total of 49 questions. Good luck and don't stress over your answers. You will have opportunity to do the survey again. This is just a baseline starting point with lots of room for us to grow and transform together.
My basic needs are met.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have enough money to spend on education.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have enough money to spend on experiences, such as travel or events.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have enough money to spend on gifts.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I can live within my means.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have enough to help others.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I like being a philanthropists by offering my time and talents at no charge.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
Overall I feel good.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I'm free from pain.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I don't have harmful habits or use substances.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I get 8 hours of sleep a night.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I get 20 minutes of exercise a day.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I keep a commitment to a healthy weight.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I take care of my body.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I like what I do with my time.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I know my life purpose and am excited about it.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have opportunities to use my gifts and talents.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have enough support to reach my goals.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have access to the education I need to reach my goals.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have control over my progress.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I feel like I am making progress toward fulfilling my life purpose.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I find the good in adversity.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I love myself!
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I feel strongly connected to my highest version of myself.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I freely admit my mistakes and learn from them.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I choose to be positive even in challenging circumstances.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I neutralize negative situations to the best of my ability.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
The moment I realize that I have slipped into negativity, I process my emotions until I feel positive again.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have satisfying relationships.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I enjoy being a member of my family.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
My friends support me and love me for who I am.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I like my neighborhood.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I feel safe in my neighborhood.
*
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I satisfied with the level of interaction I have with my neighbors.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I enjoy meeting new people and often reach out to strangers.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I care about the way my community uses our portion of the earth.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I believe that depletion of natural resources is avoidable.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
My community is careful with our waste management.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I'm focused on finding solutions, not blaming.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I join local efforts to make my community more sustainable.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
When I make suggestions, my community listens.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I believe that each community must do their part to transition the world to a greener way of living.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
My job has a positive impact on humanity.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
My job offers many ways for me to use my gifts and talents for the greater good.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
My job is my life purpose.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I am my own boss.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
If I had time and money I would get more involved with global projects.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I have a lot to offer to global well-being projects.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
I care about all humanity.
*
1 point
Strongly Disagree
1
2
3
4
5
6
7
Strongly Agree
Essay question: What is your definition of global well-being? Your answer can be as short or as long as you want.
*
1 point
Your answer
I enjoyed taking this survey.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
The survey gave me a desire to know more about the plan for HighestWell-Being.org.
*
1 point
Strongly Disagree
1
2
3
4
5
Strongly Agree
Are you ready for more information?
*
Yes! I want to watch a video to learn more.
Yes! I want to read a book to learn more.
Yes! I want to take a class to learn more.
Yes! I want to talk to someone on the phone to learn more.
Required
Which element of highest well-being did you score the highest?
*
1- Survival
2- Body
3- Mind
4- Spirit
5- Family
6- Community
7- Humanity
Which element of highest well-being did you score the lowest?
*
1- Survival
2- Body
3- Mind
4- Spirit
5- Family
6- Community
7- Humanity
Your Name
*
Your answer
Phone number
Your answer
How did you hear about this survey?
*
Tere invited me.
Candy invited me.
Facebook Ad
Google Search
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Never submit passwords through Google Forms.
Forms
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy