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Personal Wellness Assessment Worksheet
Personal Wellness Assessment Worksheet
Personal Wellness Assessment Worksheet
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
For each item, select the frequency that best describes you right now.
Most of Rarely or
No. Item Always Sometimes
the time Never
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
6 I am a good listener. 4 3 2 1
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
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
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
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
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
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
TOTAL 9 14 23