Integrated Health Self-Assessment

Integrated 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. By submitting this form, I consent to receiving relevant content from She. Fully Alive.
Complete this baseline now. At the end of the course, you'll take the same assessment again. The comparison will be one of your clearest measures of transformation.
Name*
Email*

Physical Health: Rate each statement from 1 (Never) to 5 (Always).*

Rows	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.
My sleep, digestion, energy levels, and physical comfort generally feel stable and well-regulated, even during busy or demanding seasons.
I regularly create space for my body to rest, recover, and restore after demanding seasons of life.

Mental Health: Rate each statement from 1 (Never) to 5 (Always).*

Rows	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.
My nervous system generally feels calm and regulated rather than constantly “on edge,” even during demanding periods.
After a stressful season ends, my mind gradually returns to clarity, steadiness, and emotional balance.

Social Health: Rate each statement from 1 (Never) to 5 (Always).*

Rows	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.
I am intentional about nurturing community and belonging in my life.
I believe that I am loved.

Spiritual Health: Rate each statement from 1 (Never) to 5 (Always).*

Rows	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.
I have a spiritual community where I feel safe to be my authentic self.
My spirituality is rooted in love.

Integrated Health Self Assessment