Page 1
Emotional Wellness: understanding your own feelings and expressing emotions in a constructive way, and having the ability to deal with stress and cope with life's challenges.
I find it easy to express my emotions in positive, constructive ways
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I recognize when I am stressed and take steps to manage my stress (e.g., exercise, quiet time, meditation)
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I am resilient and can bounce back after a disappointment or problem
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I am able to maintain a balance of work, family, friends, and other obligations
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I am flexbile and adapt or adjust to change in a positive way
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I am able to make decisions with minimal stress or worry
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
When I am angry, I try to let others know in non-confrontational or non-hurtful ways
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
Page 2
Environmental Wellness: recognizing the interactions between yourself and your environment (natural and social), responsibly using available resources, and fostering a safer and healthier environment for others.
I recognize the impact of my actions on my environment.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I recognize the impact of my environment on my health.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I am aware of and make use of campus health, wellness, and safety resources.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I practice environmentally conscious behaviors (e.g., recycling).
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I seek out ways to improve the social environment at Ochsner Health.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I contribute towards making my environment a safer and healthier place.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I surround myself with people who support me in my journey of being healthy and well.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
Page 3
Intellectual Wellness: engaging in creative and mentally-stimulating activities, expanding your knowledge through cultural, artistic, or skill-based learning, and sharing knowledge and skills with others.
I am curious and interested in the communities, as well as the world, around me.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I search for learning opportunities and stimulating mental activities.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I manage my time well, rather than it managing me.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I enjoy brainstorming and sharing knowledge with others in group projects or tasks.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I enjoy learning about subjects other than those I am required to study/in my field of work.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I seek opportunities to learn practical skills to help others.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I can critically consider the opinions and information presented by others and provide constructive feedback.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
Page 4
Occupational Wellness: getting personal fulfillment from your job or academic pursuits, and contributing to knowledge and skills, while maintaining a work-life balance.
I get personal satisfaction and enrichment from work.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I believe that I am able to contribute my knowledge, skills, and talents at work.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I seek out opportunities to improve my knowledge or skills.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I balance my social life and job responsibilities well.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I effectively handle my level of stress related to work responsibilities.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
My work load is manageable.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I explore paid and/or volunteer opportunities that interest me.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
Page 5
Physical Wellness: making choices to avoid harmful habits and practice behaviors that support your physical body, health and safety.
I engage in physical exercise regularly (e.g., 30 minutes at least 5x a week or 10,000 steps a day).
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I get 6-8 hours of sleep each night.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I protect myself and others from getting ill (e.g., wash my hands, cover my cough, etc.).
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I drink alcohol in moderation without overindulging.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I avoid using tobacco products or other drugs.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I eat a balanced diet (fruits, vegetables, low-moderate fat, whole grains).
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I get regular physical exams (i.e., annual when I have atypical symptoms).
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
Page 6
Social Wellness: building and maintaining a diversity of supportive relationships, and dealing effectively with interpersonal conflict.
I consciously and continually try to work on behaviors or attitudes that have caused problems in my interactions with others.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Regularly)
In my romantic or sexual relationships, I choose partner(s) who respect my wants, needs, and choices.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Regularly)
I feel supported and respected in my close relationships.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Regularly)
I communicate effectively with others, share my views, and listen to those of others.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Regularly)
I consider the feelings of others and do not act in hurtful/selfish ways.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Regularly)
I try to see good in my friends and do whatever I can to support them.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Regularly)
I participate in a wide variety of social activities and find opportunities to form new relationships.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Regularly)
Page 7
Spiritual Wellness: having beliefs and values that a provide a sense of purpose and help give meaning and purpose to your life, and acting in alignment with those beliefs.
I take time to think about what's important in life - who I am, what I value, where I fit in, and where I am going.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I have found a balance between meeting my needs and those of others.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I engage in acts of caring and goodwill without expecting something in return.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I sympathize/empathize with those who are suffering and try to help them through difficult times.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
My values are true priorities in my life and are reflected in my actions.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I feel connected to something larger than myself (e.g., supreme being, nature, connectedness of all living things, humanity, community).
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
I feel like my life has purpose and meaning.
1 (Never)
2 (Rarely)
3 (Sometimes)
4 (Usually)
Email Address
Please note: This is a self-screening tool. Your email address will only be used to send you a copy of your results.