Fully Alive: Whole-Person Health Self Assessment
This assessment invites you to reflect gently and honestly on your well-being across four key pillars of She. Fully Alive — Physical, Mental, Social, and Spiritual Health — where you are at right now. There are no “right” or “wrong” answers; this is about awareness, intention, and compassion.
Name
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Email
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Physical Health: Rate each statement from 1 (Never) to 5 (Always).
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1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
I feel energized and well-rested.
I nourish my body with balanced meals and hydration.
I engage in regular movement or exercise that supports my body.
I listen to my body’s signals (hunger, fatigue, pain, etc.).
I prioritize preventive care and attend regular check-ups.
I have adapted my physical care to meet the changing needs of my body over time.
I honor the phases of my physical body—its strength, vulnerability, and aging process.
Physical Health Result
Mental Health: Rate each statement from 1 (Never) to 5 (Always).
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1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
I can focus and think clearly throughout most of the day.
I manage stress in healthy, productive ways.
I regularly practice mindfulness, reflection, or self-awareness.
I experience a sense of calm or resilience, even during challenges.
I have tools or support when I'm feeling overwhelmed.
I am aware of how past experiences have shaped my current mental patterns.
I continue to learn and grow mentally, regardless of my age or stage of life.
Mental Health Result
Social Health: Rate each statement from 1 (Never) to 5 (Always).
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1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
I feel authentically connected to others in my life.
I have people I trust to share openly and honestly with.
I spend meaningful time with people who uplift me.
I set and maintain healthy boundaries in relationships.
I both give and receive support with balance.
I honor the evolution of my relationships across different life stages.
I nurture both new and longstanding connections in meaningful ways.
Social Health Result
Spiritual Health: Rate each statement from 1 (Never) to 5 (Always).
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1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
I feel connected to something greater than myself (God, the Divine, nature, purpose, etc.).
I engage in spiritual practices that nourish me (prayer, meditation, reflection, etc.).
I create space for stillness, presence, and sacred pause.
My actions are aligned with my deepest values.
I feel a sense of purpose or sacredness in my daily life.
I reflect on how my spirituality has changed or deepened over time.
I embrace spiritual practices that meet me where I am in this season of life.
Spiritual Health Result
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