Wellness Self-Assessment

Simply choose the phrases below that best describe how you've been feeling lately. Your selections will be used to generate a profile of psychological wellness which you can print and save. We'll also supply links to information about any wellness issues identified by your responses.

THIS SERVICE IS FREE AND CONFIDENTIAL - NO RECORD OF YOUR RESPONSES WILL BE KEPT!

For each question below, click the button next to the best answer. When you've answered all twenty-two questions, click the 'SEND DATA' button (at the bottom of this page) to receive individualized feedback.


How have you been feeling, generally?

       I've been feeling perfectly happy

       I've been feeling very happy

       I've been feeling mostly happy

       I've been feeling down sometimes

       I've been feeling more down than up

       I've been feeling really down

How often are you bothered by health problems, aches or pains?

       I have daily health problems

       I feel unwell almost every day

       I'm unwell about half the time

       I'm ill occasionally

       I rarely feel ill

       I'm never ill

Have you felt depressed recently?

       Yes - I just wanted to die

       Yes - I didn't care about anything at all

       Yes - I've felt very depressed almost daily

       Yes - I've been very depressed sometimes

       Yes - I've been a little depressed

       No - I've not felt depressed recently

Have you felt in good control of yourself recently?

       Yes - I'm always in charge of me

       Yes - I'm in charge almost always

       Yes - I feel in charge most of the time

       No - I feel out of control at times

       No - I often feel out of control

       No - I feel totally out of control

Have you felt very nervous recently?

       Yes - so much that I can't do any work

       I've felt very nervous recently

       I've been a lot more nervous than I'd like

       I'm often bothered by my nerves

       I'm only a little bothered by nerves

       No - my nerves never bother me

How much useful energy do you have?

       I never feel tired

       I'm usually quite energetic

       My energy level is variable

       I'm often low in energy

       I usually feel low energy

       I have no energy at all

Have you been feeling downhearted lately?

       I'm never downhearted

       I'm rarely downhearted

       I'm more than a little downhearted

       I'm more often downhearted than not

       I'm mostly downhearted

       I'm always downhearted

Have you been feeling tense?

       Yes - I'm very tense all the time

       Yes - I'm tense most of the time

       Yes - but I'm only tense sometimes

       Yes - but I'm not very tense

       No - I rarely feel tense

       No - I'm never tense

How happy are you with your life nowadays?

       I can't imagine feeling better than this

       Most of the time I'm very happy

       I'm generally satisfied with my life

       Sometimes I feel pretty happy

       I'm often pretty dissatisfied with my life

       Most of the time I hate my life

Do you feel healthy enough for all your normal activities?

       Yes - my health is never a problem for me

       Yes - mostly I feel pretty healthy

       No - there are times when my illness interferes in my life

       No - My health problems prevent me from helping others

       My health has been such that I've needed help from others

       My health is so poor I've needed help with most activities

Have you recently felt sad, discouraged, or hopeless?

       Extremely down - I felt like giving up

       I've felt very discouraged lately

       I have recently felt somewhat discouraged

       Sometimes I feel discouraged but not often

       Occasionally I'm a little discouraged

       I'm never discouraged

Do you wake up feeling you've had a good rest?

       I never feel rested

       I only occasionally feel rested

       Often I feel rested

       More often than not I feel rested

       Most of the time I feel rested

       I always feel rested

Have you worried about your health recently?

       I'm extremely concerned about my health

       I'm very concerned about my health

       I'm concerned about my health

       I have minor worries about my health

       I rarely worry about my health

       I never worry about my health

Have you recently felt you were "losing it"?

       I have no fear of losing it

       I have just a little fear of losing it

       I'm somewhat fearful of losing it

       I definitely worry about losing it

       I'm seriously concerned about losing it

       I'm afraid I have a very serious problem with losing control

Is your life full of interesting activities?

       I never feel interested in things

       I rarely feel interested in my life

       I feel somewhat interested in my life

       I'm often involved in interesting activities

       I feel interested most of the time

       I'm always interested in my life

How active and vigorous have you felt lately?

       I'm very active and vigorous every day

       Most days I'm active and vigorous

       I'm active and vigorous much of the time

       I'm dull and sluggish some of the time

       I'm dull and sluggish most days

       I'm always dull and sluggish

Have you felt worried or upset lately?

       Yes - I'm very worried and upset all the time

       I'm very worried and upset most of the time

       I've been worried and upset more often than not

       I've been somewhat worried and upset lately

       I'm occasionally worried but not very upset

       I'm never worried or upset

Have you felt stable and self-confident recently?

       I'm not at all stable

       I'm only a little stable

       I'm somewhat stable

       I'm stable more often than not

       I'm stable most of the time

       I'm always stable

Have you been thinking about death lately?

       No - death is never on my mind

       I rarely think about death or dying

       I sometimes have thoughts of death

       I often think about death or dying

       I wouldn't mind it if I died soon

       I think I will kill myself soon

Have you felt cheerful lately?

       I'm never cheerful

       I'm rarely cheerful

       I'm often cheerful

       I'm more often cheerful than not

       I'm mostly cheerful

       I'm always cheerful

Have you felt exhausted lately?

       I'm never exhausted

       I'm rarely exhausted

       I'm often exhausted

       I'm more often exhausted than not

       I'm mostly exhausted

       I'm always exhausted

Have you recently felt stressed?

       Yes - almost more than I could bear

       Yes - I've felt a lot of stress lately

       Yes - My stress level is up

       Yes - but not a lot

       Yes - but only a little

       No - I never feel stressed