Fillable Well-Being Quiz Score yourself for each of the (Colorado Judicial Branch)

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Well-Being Quiz Score yourself for each of the (Colorado Judicial Branch)

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7. I take care of my body:
a. I get 7-8 hrs of sleep per night
b. I brush & floss my teeth
c. I eat at least 5 fruits/veggies per day
d. I limit junk food/fast food
Score yourself for each of the questions below
using the rating scale to the right. Write the
value in the blank. Total will auto-calculate.
Well-Being Quiz
Adopted from the Academic Success Center,
Oregon State University, 2011
3. I limit the amount of television I watch each day
1. I take time for myself every day
2. I make time for my spirituality (in any form) mindfulness, or religious discipline
4. I limit the amount of facebook/internet surfing I do each day
5. I exercise 5 days per wk for 30min
6. I drink 6-8 glasses of water per day
8. My hair, nails, and appearance are good
9. I generally wear clean clothes
10. I get together with a friend at least 1x per month
11. I have a relaxing bedtime routine
12. I usually know what I need and what I'm feeling
13. My organized environment supports my goals
14. I take breaks & have something to look forward to
15. I know what I'm passionate about
TOTAL
5 - Almost Always True
4 - True Most of the Time
3 - Sometimes True
2 - Rarely True
1 - Hardly Ever True
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Well-Being Quiz Scoring Guide
Adopted from the Academic Success Center, Oregon State University, 2011
72-90:
Way to go! You are taking excellent care of yourself. Now you can delve further into things
like getting massages, simplifying your life, and getting rid of as many stressors as you can.
54-71:
You know how to take care of yourself. Now, do it consistently. Would it help to track your
daily self-care? What can you do that would allow for some of these self-care habits to
happen regularly?
36-53:
You may value yourself, but can you prioritize self care a bit more? Set an evening just for
you every week with no outside obligations. Examine your calendar to get rid of
unimportant meetings, etc. Turn off the TV/Facebook/the internet after an hour of
watching/surfing, etc. Put in a daily half hour for you in your appointment book. Let go of
unrealistic standards of how much you can get done in a day. Cut your to do list for the day
in half. Now use that time to work on one thing on the checklist above until you form a
habit. Then move onto another one.
18-35:
You feel guilty every time you take time for yourself. You need to realize that your family,
friends, school and work don't want an empty vessel. They want a vibrant, authentic,
energetic you. Talk with your family and friends about how you want to start taking better
care of yourself. Is there a way you can use your friends and family to build in time for your
self care? If they are supportive, see if they are open to having you be accountable to
them. Which thing from the above checklist do you think would have the most impact on
your energy and well-being? Work on that action until it becomes a habit.
0-17:
Your actions don’t seem to reflect that you prioritize taking care of yourself. What are you
prioritizing instead? You need to realize that your family, friends, school and work don't
want an empty vessel. They want a vibrant, authentic, energetic you. Talk with your family
and friends about how you want to start taking better care of yourself. Remember, you are
just as important as the other people in your life. Shine for them! Pick an easy, non-
threatening action to start caring for yourself. Maybe you can drink one more glass of
water or take 5 minutes alone. Start small and work your way up.
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Well-Being Quiz Score yourself for each of the (Colorado Judicial Branch)

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Completed 1 November 2021

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