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Radiant Powerful You

Assessing the Influence of Stress on Your Health

Rate each of the following on a scale of 1 to 5
(1 indicating “not true,” 5 indicating “entirely true”)

Don't forget to click 'Next' to rate the next statement.

Start

Question 1 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: OVERALL HEALTH

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 2 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: PERSONALITY

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 3 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: BODY

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 4 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: ENERGY LEVEL

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 5 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: SLEEP

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 6 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: WORK SATISFACTION

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 7 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: WORKLOAD / RESPONSIBILITY

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 8 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: HOME

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 9 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: PARTNERSHIP / MARRIAGE

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 10 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: FRIENDSHIPS

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 11 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: FAMILY RELATIONSHIPS

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 12 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: FINANCES

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 13 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: DAILY TO-DO LIST

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 14 of 41

Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: LIFE PURPOSE

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 15 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: OVERALL HEALTH

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 16 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: PERSONALITY

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 17 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: BODY

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 18 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: ENERGY LEVEL

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 19 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: SLEEP

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 20 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: WORK SATISFACTION

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 21 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: WORKLOAD / RESPONSIBILITY

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 22 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: HOME

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 23 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: PARTNERSHIP / MARRIAGE

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 24 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: FRIENDSHIPS

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 25 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: FAMILY RELATIONSHIPS

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 26 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: FINANCES

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 27 of 41

Emotional Health  I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: DAILY TO-DO LIST

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 28 of 41

Physical Health When it comes to my physical health, I tend to take shallow breaths/forget to breathe.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 29 of 41

Physical Health When it comes to my physical health, I tend to experience dehydration.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 30 of 41

Physical Health When it comes to my physical health, I tend to drink from a municipal water source.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 31 of 41

Physical Health When it comes to my physical health, I tend to eat more packaged/processed food than I'd like.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 32 of 41

Physical Health When it comes to my physical health, I tend to eat when distracted/rushed.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 33 of 41

Physical Health When it comes to my physical health, I tend to feel confused about what to eat.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 34 of 41

Physical Health When it comes to my physical health, I tend to sit for long durations.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 35 of 41

Physical Health When it comes to my physical health, I tend to spend a considerable amount of time on screens throughout the day.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 36 of 41

Physical Health When it comes to my physical health, I tend to prioritize work/family over exercise.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 37 of 41

Physical Health When it comes to my physical health, I tend to take prescribed medication.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 38 of 41

Physical Health When it comes to my physical health, I tend to lack sexual drive/desire.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 39 of 41

Spiritual Health I feel separated from, or confused about my life purpose.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 40 of 41

Spiritual Health I feel separated from, or confused about my inner wisdom.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

Question 41 of 41

Spiritual Health I feel separated from, or confused about my higher power.

A

1 Not True At All

B

2 Not Really True

C

3 Neutral

D

4 Somewhat True

E

5 Entirely True

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