Whole Person Health Inventory
Assessment
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Whole Person Health Inventory
Assessment
PHYSICAL
I participate regularly (three times a week or more in a moderate or vigorous physical exercise program.
yes
No
I eat a well-balanced diet.
Yes
No
My weight is within 10 lbs. of the ideal weight for my height.
Yes
No
My alcohol consumption is seven drinks (shot, beer, or glass of wine) or fewer per week.
Yes
No
I always wear my seat belt.
Yes
No
I do not smoke cigarettes, cigars, or a pipe.
Yes
No
I generally get adequate and satisfying sleep.
Yes
No
MENTAL
I seldom experience periods of depression.
Yes
No
I generally face up to problems and cope with change effectively.
Yes
No
I worry very little about future possibilities or things I can’t change.
Yes
No
I laugh several times a day and usually fit “play” into my schedule.
Yes
No
I am curious and always on the lookout for new learning.
Yes
No
I maintain a realistic and basically positive self-image.
Yes
No
I choose to feel confident and optimistic.
Yes
No
RELATIONAL
I seek help and support when I need it.
Yes
No
I have at least one friend with whom I can share almost anything.
Yes
No
I have nourishing intimate relationships with family and/or friends.
Yes
No
I experience and express a wide range of emotions and respond to others’ feelings appropriately.
Yes
No
Each day includes comfortable and stimulating interaction with others.
Yes
No
I solicit and accept feedback from others.
Yes
No
I stick up for myself when it’s necessary and appropriate.
Yes
No
I maintain a realistic and basically positive self-image.
Yes
No
SPIRITUAL
I set aside 15-20 minutes each day for prayer or meditation.
Yes
No
I participate in regular spiritual rituals with people who share my beliefs.
Yes
No
I accept my limitations and inadequacies without embarrassment or apology.
yes
No
I keep the purpose of my life clearly in mind and let it guide my goal setting and decision making.
Yes
No
I regularly offer my time and possessions in service to others.
Yes
No
I readily forgive myself and others.
yes
No
Calculation
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