THE CIRCLE OF LIFE SURVEY

Dimensions of Wellness and the Circle of Life:

Holistic wellness considers multiple, interconnected dimensions of health (physical, emotional, financial, spiritual, social, intellectual, occupational, and environmental) that comprise the Circle of Life. Each dimension can directly influence longevity and quality of life. Also, the dimensions of wellness are interconnected. Achieving a balance is critical for surviving and thriving.

Use the following survey to rate your personal satisfaction with the dimensions of wellness on a scale of 1 to 10, with 1 star being least satisfied and 10 stars being most satisfied.
1. Physical Health

Overall physical health, including maintaining of a healthy body, having good physical health habits, eating nutritious food, performing regular physical activity and exercise, and obtaining appropriate healthcare.
How satisfied are you with your physical health?*
Where do you want to be with your physical health?*
Physical Gap (i.e. growth potential)
Difference between where you are and where you want to be
How does this make you feel?
(Optional)
2. Emotional Health

Psychological stability, mood, and peace of mind from minute to minute, day to day.
How satisfied are you with your emotional health?*
Where do you want to be with your emotional health?*
Emotional Gap (i.e. growth potential)
Difference between where you are and where you want to be
How does this make you feel?
(Optional)
3. Financial Health

Spending, saving, borrowing, and planning in ways that will enable you to be resilient and pursue opportunities.
How satisfied are you with your financial health?*
Where do you want to be with your financial health?*
Financial Gap (i.e. growth potential)
Difference between where you are and where you want to be
How does this make you feel?
(Optional)
4. Spiritual Health

Peace with life, meaning, purpose, connection to something greater than yourself, having a set of values, principles, morals and beliefs.
How satisfied are you with your spiritual health?*
Where do you want to be with your spiritual health?*
Spiritual Gap (i.e. growth potential)
Difference between where you are and where you want to be
How does this make you feel?
(Optional)
5. Social Health

Having an interest in and concern for the needs of others and humankind. Participation in meaningful relationships with family, friends, romantic partners, and others in your community that provide social support and a greater sense of purpose.
How satisfied are you with your social life?*
Where do you want to be with your social life?*
Social Gap (i.e. growth potential)
Difference between where you are and where you want to be
How does this make you feel?
(Optional)
6. Intellectual Health

Participation in activities that support learning, self discovery and awareness, development of knowledge, skills, and perspective to become more effective in personal and professional lives, leading to personal fulfillment, satisfaction, and enhanced quality of life.
How satisfied are you with your personal development?*
Where do you want to be with your personal development?*
Personal Development Gap (i.e. growth potential)
Difference between where you are and where you want to be
How does this make you feel?
(Optional)
7. Occupational Health

Aligns with your values, interests, and skills; provides a sense of purpose and meaning; allows you to make a positive impact on the world; provides opportunities for growth and development; offers a good work-life balance.
How satisfied are you with your career and occupation?*
Where do you want to be with your career and occupation?*
Career and Occupation Gap (i.e. growth potential)
Difference between where you are and where you want to be
How does this make you feel?
(Optional)
Environmental Health (Work and Home)

An environment promotes physical, mental, and emotional well-being, through factors such as access to healthy food, clean air, natural light, physical activity, positive relationships, and stress reduction.
How satisfied are you with your environment (work and home)?*
Where do you want to be with your environment (work and home)?*
Environment Gap (i.e. growth potential)
Difference between where you are and where you want to be
How does this make you feel?
(Optional)
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Should be Empty:

Dimensions of Wellness and the Circle of Life:

1. Physical Health

2. Emotional Health

3. Financial Health

4. Spiritual Health

5. Social Health

6. Intellectual Health

7. Occupational Health

Environmental Health (Work and Home)

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