Using the 5 Keys to Wellness

Wellness Wheel Questionnaire

1 = No/Never   2 = Sometimes   3 = Usually   4 = Yes/Always


General Health

1234
1.I usually feel good.
2.I have energy throughout the day.
3.I have little pain.
4.I sleep well and I don't wake up tired.
5.My body move with ease.
Total Score 0/20

Self Love

1234
1.I like myself.
2.I like my body.
3.I think happy thoughts most of the time.
4.I say nice things and don't talk bad about others.
5.I don't dwell on what others think.
Total Score 0/20

Breathing

1234
1.I am truthful about my feelings.
2.I notice when I'm stressed and can relax quickly.
3.I know how to deep breathe and practice it.
4.I take time to relax and breathe often.
5.I spend time outside breathing in nature daily.
Total Score 0/20

Positive Choices

1234
1.I eat two vegetables, two fruits and two grains every day.
2.I drink a lot of water and drink little caffeine or sugary drinks.
3.I watch or play in front of screens less than two hours per day.
4.I choose friends who like me just the way I am.
5.I always do my best.
Total Score 0/20

Balance

1234
1.I know what I enjoy and do it often.
2.I don't overdo.
3.I like to work on projects and help others.
4.I try new things often.
5.I play every day.
Total Score 0/20

Trust

1234
1.I believe good things usually happen.
2.I don't over-react often.
3.I am grateful or thankful for most everything.
4.I am kind and find kindness is returned back to me.
5.I go with the flow and learn from my mistakes.
Total Score 0/20

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