State of Health

Welcome to your Wellness/State of Health

I feel gloomy, or a sense of hopelessness or helplessness

rarely Sometimes but not often Around half the time Most of the time

When I wake up, I don't feel like getting up

Sometimes, for a few minutes

Occasionally it is very difficult

I struggle but less than half the time

I struggle most of the time

I have thoughts that my life is worthless

Almost never Sometimes Less than half the time Most of the time

I am tired and lack energy

Seldom Sometimes Less than half the time More than half the time

I generally move slower or speak slower than others

No A little A lot

I generally leave tasks to the last minute

Seldom Sometimes Often Most of the time &/or I don’t finish tasks

I eat more or less food than I feel is healthy:

Seldom Sometimes Often Most of the time

I take longer than 30 minutes to fall asleep or wake often

Seldom Sometimes Often Most of the time

I have a poor self-image

Not true for most part

Sometimes I feel badly about myself

I often feel badly about myself

Most of the time I feel badly about myself

I fidget or am restless or I am always on the go

Seldom Sometimes Often Most of the time

I worry about people or things I have no control over

Rarely Sometimes Often Most nights or most days

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