Health Check

Complete the following check list on a 1-6 scale

Six equals good SCORE
My level of self-esteem and self-worth High self-esteem / worth
My level of loneliness Not lonely at all
My level of frustration or worry Never frustrated – worried
My level of happiness Always happy
My level of tiredness (exclude exertion) Never tired
My level of general excitement – can’t wait for the day to get going Always excited
My level of motivation Fully motivated
My level of healthy trust in others (can trust easily but with wisdom) Don’t have a problem with trusting others
My level of being able to love unconditionally Can love others easily