Harmony Assessment
Health
How satisfied are you with your current health status?
*
Please Select
1 - Not Satisfied
2 - Somewhat Dissatisfied
3 - Neither Dissatisfied nor Satisfied
4 - Somewhat Satisfied
5 - Very Satisfied
How frequently do you engage in physical exercise in a week?
*
Please Select
1 - Never
2 - 1 time/week
3 - 2-4 times/week
4 - 5-6 times/week
5 - Daily
How often do you have regular health check-ups?
*
Please Select
1 - Never
2 - Only when I'm sick
3 - Every 24-36 months
4 - Every 12-23 months
5 - Every 6-12 months
Health Score
Relationships
How satisfied are you with your current relationships (friends, family, partner)?
*
Please Select
1 - Not Satisfied
2 - Somewhat Satisfied
3 - Neither Dissatisfied nor Satisfied
4 - Somewhat Satisfied
5 - Very Satisfied
How often do you feel loved and supported in your relationships?
*
Please Select
1 - Never
2 - Rarely
3 - Occasionally
4 - Frequently
5 - Always
How often do you have conflicts in your relationships?
*
Please Select
1 - Frequently
2 - Occasionally
3 - Rarely
4 - Very Rarely
5 - Never
Relationships Score
Lifestyle
How satisfied are you with your current lifestyle, including hobbies, social activities, etc.?
*
Please Select
1 - Not Satisfied
2 - Somewhat Dissatisfied
3 - Neither Dissatisfied nor Satisfied
4 - Satisfied
5 - Very satisfied
How often do you engage in hobbies and activities that you enjoy?
*
Please Select
1 - Never
2 - Very Rarely
3 - Rarely
4 - Occasionally
5 - Very Frequently
How balanced do you feel your work-life balance is?
*
Please Select
1 - Not Balanced
2 - Poorly Balanced
3 - Average
4 - Somewhat Well Balanced
5 - Very Balanced
Lifestyle Score
Financial
How confident are you about your financial stability?
*
Please Select
1 - Not Confident
2 - Somewhat Unconfident
3 - Neither Confident nor Unconfident
4 - Somewhat Confident
5 - Very Confident
How often do you worry about your financial future?
*
Please Select
1 - Frequently
2 - Occasionally
3 - Rarely
4 - Very Rarely
5 - Never
How well do you manage your finances and savings?
*
Please Select
1 - Very Poorly Managed
2 - Somewhat Poorly Managed
3 - Neither Poorly Managed nor Well Managed
4 - Somewhat Well Managed
5 - Well Managed
Financial Score
Family
How satisfied are you with your current family relationships?
*
Please Select
1 - Not Satisfied
2 - Somewhat Dissatisfied
3 - Neither Dissatisfied nor Satisfied
4 - Satisfied
5 - Very satisfied
How often do you feel a sense of connection with your family?
*
Please Select
1 - Never
2 - Rarely
3 - Occasionally
4 - Frequently
5 - Always
How often do you have conflicts within your family?
*
Please Select
1 - Frequently
2 - Occasionally
3 - Rarely
4 - Very Rarely
5 - Never
Family Score
Spirituality
How satisfied are you with your spiritual or philosophical life?
*
Please Select
1 - Not Satisfied
2 - Somewhat Dissatisfied
3 - Neither Dissatisfied nor Satisfied
4 - Satisfied
5 - Very satisfied
How often do you engage in spiritual practices, such as meditation, prayer, reading spiritual texts, etc.?
*
Please Select
1 - Never
2 - Very Rarely
3 - Rarely
4 - Occasionally
5 - Very Frequently
How much does your spiritual belief system bring you comfort and understanding about life?
*
Please Select
1 - No Comfort
2 - Very Little Comfort
3 - Some Comfort
4 - Much Comfort
5 - A Great Deal of Comfort
Spirituality Score
Mental Well Being
How often do you feel mentally stressed or overwhelmed?
*
Please Select
1 - Always
2 - Frequently
3 - Occasionally
4 - Rarely
5 - Never
How much control do you feel you have over your emotions and thoughts?
*
Please Select
1 - No Control
2 - Very Little Control
3 - Average Control
4 - Above Average Control
5 - A Great Deal of Control
How often do you engage in self-care activities that promote mental wellness?
*
Please Select
1 - Never
2 - Very Rarely
3 - Rarely
4 - Occasionally
5 - Very Frequently
Mental Well Being Score
Career/Business
How satisfied are you with your current career situation?
*
Please Select
1 - Not Satisfied
2 - Somewhat Dissatisfied
3 - Neither Dissatisfied nor Satisfied
4 - Satisfied
5 - Very satisfied
How often do you feel stressed or overwhelmed by your work?
*
Please Select
1 - Frequently
2 - Occasionally
3 - Rarely
4 - Very Rarely
5 - Never
To what extent do you agree that your work aligns with your personal values and goals?
*
Please Select
1 - Strongly Disagree
2 - Disagree
3 - Undecided
4 - Agree
5 - Strongly Agree
Career/Business Score
Total Score
Please provide your name
*
First Name
Last Name
Please provide your email address
*
example@example.com
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