Activity: | Never | Rarely | Sometimes | Regularly | Always | |
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| | | | |
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1 | I take time alone to think about life’s meaning, where I fit in, and what I value. | |||||
2 | I am grateful for little things each day. | |||||
3 | I have faith in a greater power, nature, or connectedness of all living things. | |||||
4 | I take time to appreciate and enjoy nature each day. | |||||
5 | I have developed a sense of purpose based on my own spiritual values, and I work for peace in my life and in my surroundings. | |||||
6 | I seek ways to serve others without expectations of anything in return. | |||||
7 | I am able to honestly say “I am sorry, please forgive me,” when I error. | |||||
8 | I am able to forgive those who have wronged me and not hold a grudge. | |||||
9 | I recognize that there are many spiritual paths, and I am respectful of the rituals and traditions of others and am not judgmental. | |||||
10 | I have a love and respect for all living creatures and regard them and the health of our planet itself as important links in life’s vital living chain. |
SPIRITUAL WELLNESS:
TOTAL SCORE FOR PHYSICAL WELLNESS = __________
Rating Scale: 36-50: Excellent – You are practicing good health habits that will reduce health risks.
30-35: Good – You are generally practicing healthy habits but could still improve.
20-29: Fair – You need to consider making some healthy behavior changes.
Below 20: Poor – You may need to make some immediate healthy life style adjustments.