Spirituality Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I may not know what I want to do yet with my life, but I know my life has meaning and purpose.
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I am pleased with what I give back to the world.
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I am involved in an activity that really matters to me.
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I forgive others and I forgive myself.
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I seek forgiveness from family and friends when I have hurt them.
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I have activities that I do regularly to renew my soul, to center myself, and to gain perspective.
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I am a part of a community that enriches my spiritual life.
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The way I am living my life is consistent with my spirituality and values.
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I am thankful for the good things in my life.
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My spirituality and values influence my behavior, thoughts, and daily decisions.
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Rest & Play Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I get enough rest to rejuvenate myself most of the time.
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I am satisfied with the amount of time that I have set aside for healthy fun.
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I have at least one hobby or interest that renews me, and I make time for it on a regular basis.
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I feel good about the kinds of activities I’m involved in during my free time and know that they are good for my overall well-being.
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I enjoy recreational involvement in activities at school, in my community, at my place of worship, or with other local organizations.
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I actively take advantage of opportunities to find new activities and new ways to have fun.
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I am confident that my connection to technology such as video games, TV, computer, social media, and cell phone, is good for my overall well-being.
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I frequently have fun where alcohol and other drugs are not involved.
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The people with whom I spend my free time are a good influence on me.
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I use some of my free time to renew my relationship with myself.
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Handling Emotions Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
People who know me would say I handle my emotions in a healthy way.
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I avoid using alcohol, other drugs, and other possibly addictive behaviors to deal with my emotions.
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The way I show my emotions demonstrates a sense a of respect towards myself and others.
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I feel good about the way I handle my emotions and how that impacts my relationships.
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I have a solid and healthy sense of confidence in myself.
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I know the early warning signs of depression or anxiety and would feel comfortable seeking help from a trusted person if I felt this way.
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I am able to share my full range of emotions (including sadness, happiness, fear, pride, and worry) with people I trust.
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I am able to communicate my emotions in a positive way without being irritable, critical, or angry.
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When someone I care about is upset, I am comfortable listening and really being present to them.
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When I am feeling emotionally overwhelmed, I can turn to others for support and help.
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Healthy Relationships Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I am satisfied with the amount of time I spend with the important people in my life.
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I am satisfied with the honest conversations I am able to have with my family and others who are important to me.
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I feel good about the relationships that I have with my family members.
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I am happy with my friendships and other social connections.
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My friends and those who know me well would say that I am a good and trusted friend.
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My friends and I share the same positive values.
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I feel good about the impact my use/or non-use of alcohol and other drugs has on my relationships with my friends and family.
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I feel proud about the amount of trust, respect, and honesty that exists in my relationships, including my dating relationships, if applicable.
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When conflict comes up with family or friends, I am able to talk about it and resolve it in a productive way.
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I am able to identify and end unhealthy relationships when I need to.
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Care for Body Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
The daily choices I make about what I eat and drink are healthy.
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I have positive feelings about my relationship with food (what I eat, why I eat, and how often I eat).
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I feel good about the amount of regular exercise I get.
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I determine what is healthy and right for me in terms of weight and appearance, rather than letting my peers or the culture determine that for me.
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I go to the doctor and dentist for regular check ups and talk to someone about a health problem as soon it arises.
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I am comfortable with my sexuality and know that my sexual decisions are healthy and safe for me, physically, emotionally, and spiritually.
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I am proud of the amount of respect I show to my body.
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My current weight is healthy for me.
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I feel confident that my decisions regarding drugs, alcohol, and tobacco are serving me well.
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Most days I get at least eight hours of sleep during normal sleeping hours.
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Stress Resilience Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I feel good that things going on in my personal life rarely interfere with my concentration at school or work.
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I respond to changes in my life with a positive attitude.
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I feel good about the support I get from others when I have something big going on in my life.
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When I face a life challenge, I feel confident that I handle the accompanying stress in a healthy way.
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When I have problems, I am able to keep them in perspective.
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I set realistic goals for myself.
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When I have a problem, I turn to others for support rather than keeping it to myself.
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I am satisfied with the way I handle stress, handling it in healthy ways rather than coping by engaging in self-destructive habits or behaviors that hurt others.
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In the past month, I have been free from any symptoms of stress, such as trouble sleeping, headaches, outbursts of anger, or feelings of depression that may be related to stress.
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I am dealing well with any major life changes, planned or unplanned, that have occurred over the last few years.
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School & Work Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I feel good about my overall involvement in school, knowing I’m doing my best.
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I am personally satisfied with my grades.
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I am pleased with the connections I have with the teachers and staff at school.
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I feel good about the relationships I have with other students and how those relationships impact my all-around success at school.
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I am comfortable expressing my needs and wants at school and work.
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I am satisfied that my use of social media, the internet, and video games has no negative impact on my school, volunteer, or work performance
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I am confident that my school/volunteer/sports/job performance is helping me to guide my future in a positive way.
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I feel good about the way my decisions regarding alcohol and/or other drugs impact my learning, volunteer, sports, and/or job performance.
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I am beginning to see an area of study, or am developing an interest, that may influence what I will want to do for work as an adult.
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I am satisfied with the way I pay attention, participate, and prepare homework for my classes, extracurricular activities, volunteer work, or job.
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Organization Assessment
This assessment consists of eighty statements, ten for each of the eight different areas of wellness: care for the body, spirituality, relationships, stress resilience, organization, rest and play, work/school, and handling emotions.
Rank each statement NEVER (0) to ALWAYS (10).
I feel good about the way I spend, budget, and keep track of my money.
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I am always on time for school, work, and other commitments.
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I organize my time and plan ahead to make sure that I allow enough time to get everything done on time.
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I am happy with the way I organize my priorities, ensuring that I have enough time to dedicate to all the different parts of my life.
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I have a good method for remembering all of my assignments and other obligations and commitments.
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My backpack, locker, and bedroom are all organized, and I can quickly get my hands on anything I might need.
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I regularly take time to organize myself and my possessions so that I do not have to rush around at the last minute.
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I juggle school, friends, family, and other obligations in a healthy way.
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When thinking about how to spend my time and money, I think about others’ needs as well as my own.
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Most days I accomplish all of the things I set out to do that day.
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