Personal Wellness Assessment Worksheet

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LMCS3652 - BASIC WELLNESS TOPIC 2 - DIMENSIONS OF WELLNESS

NAME: MUHAMMAD AIMAN BIN MOHD NAWAWI MATRIX NO: A182386

PERSONAL WELLNESS ASSESSMENT

A Wellbeing Assessment Tool

Wellbeing is an essential component of excelling in academics and in life. Maintaining your


wellbeing requires intentionality, reflection, and a commitment to choosing thoughts and
behaviours that help you to be at your best. Please complete the following assessment, answering
each question honestly (as it is, not as you wish it would be). There is no "right" result, except the
one that is most accurate for you. This tool will help you to develop an Individual Plan for Enhanced
Wellbeing that could dramatically enhance your academic as well as life experience. Thank you.

Choose the number that best describes you.

Very Somewhat Somewhat Very


No. Wellbeing Component
Unhealthy Unhealthy Healthy Healthy

1 Physical Health 1 2 3 4

2 Social Health 1 2 3 4

3 Emotional Health 1 2 3 4

4 Spiritual Health 1 2 3 4

5 Intellectual Health 1 2 3 4

After completing the above section, decide which area(s), if any, you think you should work on
improving. Now answer the following set of questions regarding each dimension of wellness.
Indicate how often you think the statements describe you.
LMCS3652 - BASIC WELLNESS TOPIC 2 - DIMENSIONS OF WELLNESS

Personal Wellness Assessment With 8 Dimensions of Wellness

For each item, select the frequency that best describes you right now.

Most of Rarely or
No. Item Always Sometimes
the time Never

1 I maintain my desired weight. 4 3 2 1

I engage in cardiovascular exercise 3-


2 5 times per week for at least 30 4 3 2 1
minutes.
I engage in strength training/
3 resistance exercise 2-3 times per 4 3 2 1
week.
I engage in protective behaviours like
4 wearing a seat belt and using 4 3 2 1
sunscreen when appropriate.
I feel good about the condition of my
5 4 3 2 1
body.

6 I get 7-10 hours of sleep each night. 4 3 2 1

I am confident that I can maintain a


7 4 3 2 1
nutritious diet.

My body heals itself quickly when I get


8 4 3 2 1
sick or injured.

I feel sleepy or tired at work or in


9 4 3 2 1
class.
I listen to my body and seek
10 professional advice when there is 4 3 2 1
something wrong.

TOTAL 6 8 4 18
LMCS3652 - BASIC WELLNESS TOPIC 2 - DIMENSIONS OF WELLNESS

For each item, select the frequency that best describes you right now.

Most of Rarely or
No. Item Always Sometimes
the time Never

When I meet people, I feel good about


1 4 3 2 1
the impression I make on them.

I am open, honest and get along well


2 4 3 2 1
with other people.
I participate in a wide variety of social
3 activities and enjoy being with people 4 3 2 1
who are different from me.
I try to be a “better person” and work on
4 behaviours that have caused problems 4 3 2 1
in my interactions with others.
I get along well with the members of my
5 4 3 2 1
family or friends.

6 I am a good listener. 4 3 2 1

I am able to balance my own needs


7 4 3 2 1
with the needs of others.

I have someone I can talk to about my


8 4 3 2 1
private feelings.

I consider the feelings of others and do


9 4 3 2 1
not act in hurtful or selfish ways.

I consider how what I say might be


10 4 3 2 1
perceived by others before I speak.

TOTAL 18 8 26
LMCS3652 - BASIC WELLNESS TOPIC 2 - DIMENSIONS OF WELLNESS

For each item, select the frequency that best describes you right now.

Most of Rarely or
No. Item Always Sometimes
the time Never

I find it easy to laugh about things that


1 4 3 2 1
happen in my life.

I use alcohol/ nicotine/ other


2 4 3 2 1
substances to manage stress.

My emotions are difficult to understand


3 4 3 2 1
or describe.
When I am angry, I try to let others
4 know in a non-confrontational and non- 4 3 2 1
hurtful way.
I feel that I am able to cope with my
5 4 3 2 1
daily stress.

I am able to appropriately express my


6 4 3 2 1
feelings.

I feel good about myself and believe


7 4 3 2 1
others like me for who I am.
When I am upset, I talk to others and
8 actively try to work through my 4 3 2 1
problems.
I am flexible and adapt or adjust to
9 4 3 2 1
change in a positive way.

My friends regard me as a stable,


10 4 3 2 1
emotionally well-adjusted person.

TOTAL 12 6 3 21
LMCS3652 - BASIC WELLNESS TOPIC 2 - DIMENSIONS OF WELLNESS

For each item, select the frequency that best describes you right now.

Most of Rarely or
No. Item Always Sometimes
the time Never

I think it's important to conserve natural


1 4 3 2 1
resources.

I feel accepted as part of the campus


2 4 3 2 1
community.

I feel safe in my living environment (e.g.


3 4 3 2 1
residence hall, apartment).
I engage in environmentally friendly
4 behaviours (e.g. turn off the lights, turn 4 3 2 1
off faucets).
I often feel that I have little control over
5 4 3 2 1
my safety.

6 I take time to appreciate nature. 4 3 2 1

My living space reflects my unique


7 4 3 2 1
personality.

8 I am in touch with my surroundings. 4 3 2 1

I have difficulty finding space to be


9 4 3 2 1
myself during the day.
I have ample access to modern utilities
10 (e.g. restrooms, electrical outlets, Wi- 4 3 2 1
Fi).

TOTAL 4 15 8 27
LMCS3652 - BASIC WELLNESS TOPIC 2 - DIMENSIONS OF WELLNESS

For each item, select the frequency that best describes you right now.

Most of Rarely or
No. Item Always Sometimes
the time Never

I believe life is a gift that should be


1 4 3 2 1
nurtured.

I take time to enjoy nature and the


2 4 3 2 1
beauty around me.
I take time to think about what’s
important in life – who I am, what I
3 4 3 2 1
value, where I fit in, and where I am
going.
I have a consistency between my
4 4 3 2 1
beliefs, values and behaviors.
I engage in acts of caring and good
5 will without expecting something in 4 3 2 1
return.
I feel sorrow for those who are
6 suffering and try to help them through 4 3 2 1
difficult times.
I feel confident that I have touched the
7 4 3 2 1
lives of others in a positive way.
I work for peace in my interpersonal
8 relationships, in my community, and in 4 3 2 1
the world at large.

9 I am content with who I am. 4 3 2 1

10 I experience life to the fullest. 4 3 2 1

TOTAL 4 24 2 30
LMCS3652 - BASIC WELLNESS TOPIC 2 - DIMENSIONS OF WELLNESS

FINANCIAL
WELLNES

For each item, select the frequency that best describes you right now.

Most of Rarely or
No. Item Always Sometimes
the time Never

I think it is important to spend less


1 4 3 2 1
than I earn.

2 I am able to pay my bills on time. 4 3 2 1

My financial situation is confusing and


3 4 3 2 1
overwhelming.

I am prepared for sudden financial


4 4 3 2 1
changes.

5 I have a plan in place to pay off debt. 4 3 2 1

I monitor and work to improve my


6 4 3 2 1
credit score.

I seek out information about retirement


7 4 3 2 1
options and financial planning.

I save part of my income in a savings


8 4 3 2 1
account.

I feel defined by the amount of money


9 4 3 2 1
I have in my bank account.

10 I stress about my finances. 4 3 2 1

TOTAL 6 16 22
LMCS3652 - BASIC WELLNESS TOPIC 2 - DIMENSIONS OF WELLNESS

For each item, select the frequency that best describes you right now.

Most of Rarely or
No. Item Always Sometimes
the time Never

1 I am interested in learning new things. 4 3 2 1

I try to keep abreast of current affairs -


2 4 3 2 1
locally, nationally, and internationally.
I enjoy creative and stimulating mental
3 activities/games (Sudoku, puzzles, 4 3 2 1
crosswords).
I am happy with the amount and
4 4 3 2 1
variety that I read.

I am able to analyse, synthesize, and


5 4 3 2 1
see more than one side of an issue.

I consider continuing my education


6 4 3 2 1
beyond college.

I enjoy and am able to engage in


7 4 3 2 1
intellectual discussions.

I make an effort to improve my verbal


8 4 3 2 1
and written skills.

I try to watch television programs that


9 4 3 2 1
are educational and enriching.

Before making decisions, I gather


10 4 3 2 1
facts.

TOTAL 6 16 22
LMCS3652 - BASIC WELLNESS TOPIC 2 - DIMENSIONS OF WELLNESS

For each item, select the frequency that best describes you right now.

Most of Rarely or
No. Item Always Sometimes
the time Never

1 I manage my time effectively. 4 3 2 1

2 I work effectively with others. 4 3 2 1

I am developing the necessary skills to


3 4 3 2 1
achieve my career goals.
I have confidence in my job search
4 skills (resume writing, interviewing, 4 3 2 1
etc.).
I have explored different career
5 4 3 2 1
options.

I spend a portion of my time doing


6 4 3 2 1
volunteer or service work.

Enjoyment is a consideration I use


7 4 3 2 1
when choosing a possible career.
I strive to develop good work habits.
8 (Examples: punctuality, dependability, 4 3 2 1
and initiative).
I feel that my current job interferes
9 4 3 2 1
with other aspects of my life.
I take advantage of opportunities to
10 learn new skills which will enhance my 4 3 2 1
future employment possibilities.

TOTAL 9 14 23

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