Name
First Name
Last Name
Email
example@example.com
Phone Number
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Integrated Spiritual Wellness Assessment
Add an ISW rating in the 3 Realms on a scale of 1 (disagree) > 5 (agree)
The Internal Realm: Health Management
Section 1
I can mentally handle significant life stress.
Please Select
1
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3
4
5
The quality of my physical health meets my expectations.
Please Select
1
2
3
4
5
I recover quickly from an illness.
Please Select
1
2
3
4
5
I am satisfied with my health care.
Please Select
1
2
3
4
5
The External Realm: Wealth Management
Section 2
My environment helps my life to thrive.
Please Select
1
2
3
4
5
The state of my finances meets my expectations.
Please Select
1
2
3
4
5
I am satisfied with the advancement of my career.
Please Select
1
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5
I am free of any legal problems.
Please Select
1
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5
I am satisfied with and enjoy my recreation, sports, travel, entertainment.
Please Select
1
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5
I give back to my community.
Please Select
1
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5
The Eternal Realm: Spiritual Management
Section 3
I enjoy and spend time on my creative expression.
Please Select
1
2
3
4
5
I am satisfied with my relationships.
Please Select
1
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5
I am confident in my relationship with God.
Please Select
1
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5
I am confident I have eternal life with Jesus.
Please Select
1
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5
Submit
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