Well-Being Ultimatum Pulse Check

1
What is your name?
First Name
Last Name
2
Email
example@example.com
3
What does the term "well-being" mean to you?
4
If you had a magic wand and could improve your well-being in any way, how would you use the magic wand?
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5
Describe your ideal vision of well-being 1 year from today.
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6
Who or what would benefit if you reach your ideal state of well-being?
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7
To get to your ideal vision, which area/s do you need to focus on improving?Choose the areas that you want to prioritize improving over the next 6 months.
Physical Well-Being
Financial Well-Being
Social Well-Being
Mental Well-Being
Purpose Well-Being
Emotional Well-Being
Other
8
Finish this phrase: "Over the last two weeks... I felt active and vigorous."
At no time
More than half of the time
Some of the time
Most of the time
Less than half of the time
All of the time
9
Finish this phrase: "Over the last two weeks.... I woke up feeling refreshed and rested."
At no time
More than half of the time
Some of the time
Most of the time
Less than half of the time
All of the time
10
Finish this phrase: "Over the last two weeks...I felt calm and relaxed"
At no time
More than half of the time
Some of the time
Most of the time
Less than half of the time
All of the time
11
Finish this phrase: ""Over the last two weeks...my daily life has been filled with things that interest me."
At no time
More than half of the time
Some of the time
Most of the time
Less than half of the time
All of the time
12
Finish this phrase: "Over the last two weeks...I felt cheerful and in good spirits."
At no time
More than half of the time
Some of the time
Most of the time
Less than half of the time
All of the time
13
Your Well-Being WHO-5 Score Below is your score - from a total of 25.
14
Based on your answers so far, what is your #1 well-being goal for the next 6 months?
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15
S1: What self-care strategies could help you achieve your goal?
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16
S2: Who could you share 'social support' with to achieve your goal?Who could be your 'buddy' during the process of achieving your goal?
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17
S3: What professional resources could help you to achieve your goal?Consider people (professionals), programs, courses, websites, books, etc.
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18
Well-Being Ultimatum Self-Leadership ContractToday I commit to pursuing my vision for my well-being, by committing to my 3S Goals (Self-care, Social Suport and Services) through my well-being ultimatum. By signing below I am making a commitment to taking care of myself -- to benefit my own life and the lives I love and lead.
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