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Health Assessment Quiz

For each odd question, give your self 1 point if you said Yes/Agree and deduct one point if you said No/Disagree.
For each even question, give your self 1 point if you said No/Disagree and deduct one point if you said Yes/Agree.
Each section can thus yield a result between 8 and -8.
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Physical Health and Nutrition

1. I tend to fall asleep easily most of the time.
Yes/Agree
No/Disagree
2. I frequently skip meals or forget to eat because I am so busy.
Yes/Agree
No/Disagree
3. I wake up full of energy in the morning.
Yes/Agree
No/Disagree
4. I cannot walk for more than 10 minutes without getting out of breath.
Yes/Agree
No/Disagree
5. The quality of the food I eat is important to me.
Yes/Agree
No/Disagree
6. I often eat fast food or deep fried foods.
Yes/Agree
No/Disagree
7. I work out at least three times a week for 30 minutes.
Yes/Agree
No/Disagree
8. I have learned to live with chronic or recurrent pain (back pain, migraines, etc.)
Yes/Agree
No/Disagree
   

 
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Emotional Health and Well-being

1. I communicate my feelings and my needs easily, calmly and with confidence.
Yes/Agree
No/Disagree
2. I hold grudges and find it difficult to forgive others and myself.
Yes/Agree
No/Disagree
3. I am confident in my skills and abilities.
Yes/Agree
No/Disagree
4. I have a temper that I can’t seem to control.
Yes/Agree
No/Disagree
5. I enjoy close relationships with friends and loved ones.
Yes/Agree
No/Disagree
6. In reviewing my life so far, I wish I had accomplished more.
Yes/Agree
No/Disagree
7. I am confident and secure in my relationships.
Yes/Agree
No/Disagree
8. I carry the weight of painful past events in my heart.
Yes/Agree
No/Disagree
   

 
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Mental Health and Clear Thinking

1. I choose positive thoughts even in difficult situations.
Yes/Agree
No/Disagree
2. I often find it difficult to motivate myself.
Yes/Agree
No/Disagree
3. I keep an open mind and look out for new ideas and opportunities.
Yes/Agree
No/Disagree
4. I tend to expect the worse and to worry about outcomes.
Yes/Agree
No/Disagree
5. I feel like I can accomplish anything if I set my mind to it.
Yes/Agree
No/Disagree
6. My mind often runs negative tapes and I don’t know how to stop them.
Yes/Agree
No/Disagree
7. I do my best in every situation and give a 100%.
Yes/Agree
No/Disagree
8. I make excuses for myself all the time.
Yes/Agree
No/Disagree
   

 
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Spiritual Health and Soul Purpose

1. I have a clear vision of my future.
Yes/Agree
No/Disagree
2. I often ask myself why should we continue living.
Yes/Agree
No/Disagree
3. I feel a strong connection to a higher power.
Yes/Agree
No/Disagree
4. I don't believe anything is true unless it can be tested and proven by science.
Yes/Agree
No/Disagree
5. I meditate daily or have a habit of meditation.
Yes/Agree
No/Disagree
6. I dread the idea of dying because I do not believe in any kind of afterlife.
Yes/Agree
No/Disagree
7. I am becoming (or I have become) the person I always wanted to be and more.
Yes/Agree
No/Disagree
8. I don’t believe we can do anything to affect our fate.
Yes/Agree
No/Disagree
   

 
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Results

If you have scored 4 or lower in any category, it is a sign that you need to address the issues laid out in that part of the quiz. I hope this assessment tool has given you a glimpse into the state of your overall health and also of the balance or imbalance you may be experiencing in the four main aspects of your life. If you wish to save your results to discuss them with me, please...

Print and Save Your Results

Please print and save your results for your records. You may also bring them with you to your appointment.