THE CIRCLE OF LIFE SURVEY

Dimensions of Wellness and the Circle of Life:

Holistic wellness includes multiple, interconnected dimensions of health: physical, emotional, financial, spiritual, social, intellectual, occupational, and environmental. Together, these dimensions form your Circle of Life. Each one influences your overall quality of life, and they all affect each other. This survey is a starting point for understanding where you are right now, not where you think you should be.

Rate your personal satisfaction with each dimension on a scale of 1 to 10, with 1 star being least satisfied and 10 stars being most satisfied. Then rate where you'd like to be. There are no right or wrong answers.
1. Physical Health

Your overall physical well-being, including nutrition, physical activity, sleep, and access to 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
MotivatedHopefulFrustratedStuckIndifferentCuriousOverwhelmedContentOther (share more in the text field below)
Anything else you'd like to share about your physical health?
(Optional)
Take a moment to consider what one small step might look like for you in this area.
2. Emotional Health

Your psychological well-being, including mood stability, peace of mind, and ability to navigate stress and difficult emotions.
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
MotivatedHopefulFrustratedStuckIndifferentCuriousOverwhelmedContentOther (share more in the text field below)
Anything else you'd like to share about your emotional health?
(Optional)
Take a moment to consider what one small step might look like for you in this area.
3. Financial Health

Your relationship with money, including spending, saving, borrowing, and planning in ways that build resilience and allow you to 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
MotivatedHopefulFrustratedStuckIndifferentCuriousOverwhelmedContentOther (share more in the text field below)
Anything else you'd like to share about your financial health?
(Optional)
Take a moment to consider what one small step might look like for you in this area.
4. Spiritual Health

Your sense of meaning, purpose, and connection to something greater than yourself, including the values, principles, and beliefs that guide your life.
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
MotivatedHopefulFrustratedStuckIndifferentCuriousOverwhelmedContentOther (share more in the text field below)
Anything else you'd like to share about your spiritual health?
(Optional)
Take a moment to consider what one small step might look like for you in this area.
5. Social Health

The quality of your relationships with family, friends, romantic partners, and community, including the social support and sense of belonging those connections provide.
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
MotivatedHopefulFrustratedStuckIndifferentCuriousOverwhelmedContentOther (share more in the text field below)
Anything else you'd like to share about your social health?
(Optional)
Take a moment to consider what one small step might look like for you in this area.
6. Intellectual Health

Your engagement in learning, self-discovery, and personal development, including the growth of knowledge, skills, and perspectives that help you become more effective and fulfilled in your education and broader life.
How satisfied are you with your intellectual health?*
Where do you want to be with your intellectual health?*
Intellectual Health Gap (i.e. growth potential)
Difference between where you are and where you want to be
MotivatedHopefulFrustratedStuckIndifferentCuriousOverwhelmedContentOther (share more in the text field below)
Anything else you'd like to share about your intellectual health?
(Optional)
Take a moment to consider what one small step might look like for you in this area.
7. Occupational Health

Your satisfaction with work that aligns with your values and skills, provides a sense of purpose, offers opportunities for growth, and supports a healthy work-life balance.
How satisfied are you with your occupational health?*
Where do you want to be with your occupational health?*
Career and Occupation Gap (i.e. growth potential)
Difference between where you are and where you want to be
MotivatedHopefulFrustratedStuckIndifferentCuriousOverwhelmedContentOther (share more in the text field below)
Anything else you'd like to share about your occupational health?
(Optional)
Take a moment to consider what one small step might look like for you in this area.
8. Environmental Health (Work and Home)

The degree to which your surroundings support your well-being, including access to healthy food, clean air, natural light, positive relationships, and opportunities for 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
MotivatedHopefulFrustratedStuckIndifferentCuriousOverwhelmedContentOther (share more in the text field below)
Anything else you'd like to share about your environmental health?
(Optional)
Take a moment to consider what one small step might look like for you in this area.
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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

8. Environmental Health (Work and Home)

Save and share results