Wellness Assessment
Unit: Intro to Health
Age: Middle or High School
Learning Target: The student will reflect upon their personal wellness standing. The students will write a SMART goal to help improve their lowest area of wellness.
How I teach the lesson:
I do this lesson the day after I go over each of the 7 Dimensions of Wellness with my students during one of the first few weeks of the semester. At the beginning of class after our daily routines (energizer, journal) I hand out this assessment and explain it to the students. During the class period they will complete the assessment and then write a one page reflection about it. In this reflection they must answer the following questions: what was your lowest score? Did it surprise you that it was your lowest score? Why/why not? Did any of your other scores surprise you? What are 2 practical things that you could do to raise your lowest score?
Once the students are done with their reflection they must then write a SMART goal explaining how they are going to try to raise their lowest score. At the end of the semester they will reflect to see if they actually completed their goal and why or why not.
Once the students are done with their reflection they must then write a SMART goal explaining how they are going to try to raise their lowest score. At the end of the semester they will reflect to see if they actually completed their goal and why or why not.
The Assessment
SEVEN DIMENSIONS OF WELLNESS
This is a personal assessment of your overall state of wellness. This assessment will help make you aware of lifestyle choices you have made in hopes that you will maintain and/or improve your level(s) of wellness in the future. Read each statement and circle the answer that best describes you. (5 for ALWAYS………….1 for NEVER)
This is a personal assessment of your overall state of wellness. This assessment will help make you aware of lifestyle choices you have made in hopes that you will maintain and/or improve your level(s) of wellness in the future. Read each statement and circle the answer that best describes you. (5 for ALWAYS………….1 for NEVER)
I. SOCIAL Wellness: the process of creating and
maintaining healthy relationships through the choices we make.
ALWAYS
|
NEVER
|
||||
1. I have many positive and healthy relationships
|
5
|
4
|
3
|
2
|
1
|
2. I resolve conflict in healthy and positive ways
|
5
|
4
|
3
|
2
|
1
|
3. I consider the consequences of my behaviors on
those around me
|
5
|
4
|
3
|
2
|
1
|
4. I try to communicate directly using “I” messages
|
5
|
4
|
3
|
2
|
1
|
5. I participate in a wide variety of social activities
|
5
|
4
|
3
|
2
|
1
|
6. I recognize that I can be part of a group and I
don’t always need to be the center of it
|
5
|
4
|
3
|
2
|
1
|
YOUR
SCORE: ____________
(30 possible)
(30 possible)
II. EMOTIONAL Wellness: the process of accepting our
worth, creating, recognizing, and expressing our feelings, and talking to
ourselves in healthy ways. Creating and maintaining a positive realistic
self-concept is also part of this process.
ALWAYS
|
NEVER
|
||||
1. I have worth
|
5
|
4
|
3
|
2
|
1
|
2. I recognize that I have feelings
|
5
|
4
|
3
|
2
|
1
|
3. I share my feelings with others
|
5
|
4
|
3
|
2
|
1
|
4. I take actions to control my stress
|
5
|
4
|
3
|
2
|
1
|
5. I can and do express anger in healthy ways
|
5
|
4
|
3
|
2
|
1
|
6. I listen to my inner self
|
5
|
4
|
3
|
2
|
1
|
7. It is easy for me to laugh at my mistakes
|
5
|
4
|
3
|
2
|
1
|
8. I am able to give honest compliments
|
5
|
4
|
3
|
2
|
1
|
9. I listen to and accept good advice
|
5
|
4
|
3
|
2
|
1
|
10. I seek help if I have a problem
|
5
|
4
|
3
|
2
|
1
|
YOUR
SCORE: ____________
(50 possible)
(50 possible)
.
III. PHYSICAL Wellness: the process
of making choices to create a healthy body. The choices we make are related to
exercise, nutrition, rest and sleep, stress management, avoiding injury and
illness, and the uses of drugs.
ALWAYS
|
NEVER
|
||||
1. I exercise aerobically at least three times a
week
|
5
|
4
|
3
|
2
|
1
|
2. I eat a nutritious breakfast every morning
|
5
|
4
|
3
|
2
|
1
|
3. I eat foods high in nutrients and avoid unhealthy
foods
|
5
|
4
|
3
|
2
|
1
|
4. I choose to be tobacco free
|
5
|
4
|
3
|
2
|
1
|
5. I choose to be alcohol free
|
5
|
4
|
3
|
2
|
1
|
6. I get 7-8 hours of sleep every night
|
5
|
4
|
3
|
2
|
1
|
7. I do my best to avoid injury and accidents
|
5
|
4
|
3
|
2
|
1
|
8. I maintain a desirable weight
|
5
|
4
|
3
|
2
|
1
|
9. I avoid riding when I can walk
|
5
|
4
|
3
|
2
|
1
|
10. I protect myself from sexually transmitted
infections (STIs)
|
5
|
4
|
3
|
2
|
1
|
11. I wear my seat belt when in a car
|
5
|
4
|
3
|
2
|
1
|
YOUR
SCORE: ____________
(55 possible)
(55 possible)
IV. OCCUPATIONAL Wellness: the process of making and
maintaining choices related to work include working in a job for which we are
well suited and from which we gain satisfaction. If you are a student attending
school, you may consider this your occupation.
ALWAYS
|
NEVER
|
||||
1. I learn/work in a school/career that I enjoy
|
5
|
4
|
3
|
2
|
1
|
2. My schoolwork/work is meaningful
|
5
|
4
|
3
|
2
|
1
|
3. I work in a healthy and safe environment
|
5
|
4
|
3
|
2
|
1
|
4. I receive personal growth with my work
|
5
|
4
|
3
|
2
|
1
|
5. I balance work with rest and play in my life
|
5
|
4
|
3
|
2
|
1
|
6. My work contributes to the well-being of others
|
5
|
4
|
3
|
2
|
1
|
7. I stay current in local and world issues
|
5
|
4
|
3
|
2
|
1
|
8. I read often and enjoy it
|
5
|
4
|
3
|
2
|
1
|
9. I continue to do the best I can when I work
|
5
|
4
|
3
|
2
|
1
|
10. I have a good mental attitude
|
5
|
4
|
3
|
2
|
1
|
YOUR
SCORE: ____________
(50 possible)
(50 possible)
V. INTELLECTUAL Wellness: the process of using our
minds to create greater understanding and appreciation of the world and
ourselves.
ALWAYS
|
NEVER
|
||||
1. I read material, which makes me think
|
5
|
4
|
3
|
2
|
1
|
2. I listen to ideas different than mine
|
5
|
4
|
3
|
2
|
1
|
3. I question myself
|
5
|
4
|
3
|
2
|
1
|
4. I question my biases
|
5
|
4
|
3
|
2
|
1
|
5. I read the newspaper
|
5
|
4
|
3
|
2
|
1
|
6. I appreciate and participate in the fine arts
(music/art)
|
5
|
4
|
3
|
2
|
1
|
7. I watch TV deliberately not habitually
|
5
|
4
|
3
|
2
|
1
|
8. I am computer literate
|
5
|
4
|
3
|
2
|
1
|
9. I challenge myself and view learning as a
lifelong process
|
5
|
4
|
3
|
2
|
1
|
10. I view mistakes as learning points
|
5
|
4
|
3
|
2
|
1
|
11. I get along well in school
|
5
|
4
|
3
|
2
|
1
|
YOUR
SCORE: ____________
(55 possible)
(55 possible)
VI. ENVIRONMENTAL Wellness: the process of making
choices which will contribute to sustaining or improving the quality of life in
the world, including air, water, and land quality.
ALWAYS
|
NEVER
|
||||
1. I recognize my impact on the environment
|
5
|
4
|
3
|
2
|
1
|
2. I choose silent vs. noisy sports often
|
5
|
4
|
3
|
2
|
1
|
3. I limit my purchases to what I need vs. what I
want
|
5
|
4
|
3
|
2
|
1
|
4. I consider the environmental impact my purchases
may have
|
5
|
4
|
3
|
2
|
1
|
5. I minimize the use of car when I can bike or walk
|
5
|
4
|
3
|
2
|
1
|
6. I realize that there is no “away” when I throw
things in the garbage
|
5
|
4
|
3
|
2
|
1
|
7. I try to recycle paper, glass, cans, and plastic
|
5
|
4
|
3
|
2
|
1
|
8. I try to reuse products instead of buying and
throwing
|
5
|
4
|
3
|
2
|
1
|
9. I prefer to plant a tree than to cut one down
|
5
|
4
|
3
|
2
|
1
|
YOUR
SCORE: ____________
(45 possible)
(45 possible)
VII. SPIRITUAL Wellness: the process of discovering
meaning and purpose in life and demonstrating values through behaviors.
ALWAYS
|
NEVER
|
||||
1. I have a sense of meaning and purpose in life
|
5
|
4
|
3
|
2
|
1
|
2. I have a feeling of peace and wholeness
|
5
|
4
|
3
|
2
|
1
|
3. I meditate or pray regularly
|
5
|
4
|
3
|
2
|
1
|
4. I there is consistency between my values and
behaviors
|
5
|
4
|
3
|
2
|
1
|
5. I am free of self-destructive behaviors
|
5
|
4
|
3
|
2
|
1
|
6. I contribute to the well-being of others
|
5
|
4
|
3
|
2
|
1
|
7. I take time to enjoy nature and beauty around me
|
5
|
4
|
3
|
2
|
1
|
8. I accept my mortality
|
5
|
4
|
3
|
2
|
1
|
9. I value and appreciate life
|
5
|
4
|
3
|
2
|
1
|
YOUR
SCORE: ____________
(45 possible)
(45 possible)
WELLNESS ASSESSMENT
Your score
1. Social Wellness ________________(30)
2. Emotional Wellness_____________(50)
3. Physical Wellness_______________(55)
4. Occupational Wellness___________(50)
5. Intellectual Wellness_____________(55)
6. Environmental Wellness__________(45)
7. Spiritual Wellness_______________(45) TOTAL:___________________(330)
1. Social Wellness ________________(30)
2. Emotional Wellness_____________(50)
3. Physical Wellness_______________(55)
4. Occupational Wellness___________(50)
5. Intellectual Wellness_____________(55)
6. Environmental Wellness__________(45)
7. Spiritual Wellness_______________(45) TOTAL:___________________(330)
BONUS:
1. Add 5 points if you know how to perform CPR: _______
2. Add 5 points if you had fewer than 4 cans of soda in the last 7 days: _______
3. Add 5 points if you ALWAYS wear a life jacket when you are in a boat: _______
4. Add 5 points if you ALWAYS wear a helmet when you bike, rollerblade, or ride a motorcycle: _______
350-315 WOW! You are making excellent lifestyle choices!
314-280 GREAT! You are doing a good job.
279-245 AVERAGE! You can choose to make better choices.
244-0 OOPS! Take charge of your life today and make a few lifestyle changes for your benefit.
1. Add 5 points if you know how to perform CPR: _______
2. Add 5 points if you had fewer than 4 cans of soda in the last 7 days: _______
3. Add 5 points if you ALWAYS wear a life jacket when you are in a boat: _______
4. Add 5 points if you ALWAYS wear a helmet when you bike, rollerblade, or ride a motorcycle: _______
350-315 WOW! You are making excellent lifestyle choices!
314-280 GREAT! You are doing a good job.
279-245 AVERAGE! You can choose to make better choices.
244-0 OOPS! Take charge of your life today and make a few lifestyle changes for your benefit.
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