Heidi Wilde

The Amare Mental Wellness Assessment - Amare Builder

 

Mental Wellness Assessment

What's the State of Your Mental Wellness?

Directions:

For Questions 1-14, select the term (Rarely, Occasionally, Often) that best applies to your general wellness state. For Questions 15-20, select the term (Rarely, Occasionally, Often) that best applies to your mental wellness over the last 2 weeks.

In General, How Often Do You...

1.

...experience stressful situations?

RarelyOccasionallyOften
2.

...feel tired or fatigued?

RarelyOccasionallyOften
3.

...get less than eight hours of sleep?

RarelyOccasionallyOften
4.

...feel anxious/depressed?

RarelyOccasionallyOften
5.

...feel overwhelmed or confused?

RarelyOccasionallyOften
6.

...have a low sex drive?

RarelyOccasionallyOften
7.

...put on weight around the belly?

RarelyOccasionallyOften
8.

...diet to lose weight?

RarelyOccasionallyOften
9.

...get "stressed out" by choosing the foods you eat?

RarelyOccasionallyOften
10.

...crave carbohydrates (sugar, sweets, breads, or other "comfort" foods)?

RarelyOccasionallyOften
11.

...experience problems concentrating?

RarelyOccasionallyOften
12.

...experience tension headaches?

RarelyOccasionallyOften
13.

...experience digestive problems such as gas, bloating or heartburn?

RarelyOccasionallyOften
14.

...get sick or catch colds/flu?

RarelyOccasionallyOften

Over the Last 2 Weeks How Often Have You...

15.

...felt Lively?

RarelyOccasionallyOften
16.

...been Active?

RarelyOccasionallyOften
17.

...felt Energetic?

RarelyOccasionallyOften
18.

...been Cheerful?

RarelyOccasionallyOften
19.

...felt Alert?

RarelyOccasionallyOften
20.

...been Motivated?

RarelyOccasionallyOften

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