| Physical: |
|
1 pt. |
I am comfortable with my body; I like the way it is. |
|
1 pt. |
I am in good health. |
|
2 pt. |
I am fit. I have strength, flexibility and endurance. |
|
1 pt. |
I exercise moderately, at least 20 to 30 minutes three times per week. |
|
1 pt. |
I feel good about what I eat. |
|
1 pt. |
I enjoy eating. |
|
1 pt. |
I am within 10% of my ideal weight. (Use the following table)
Ideal weight for women: 100 pounds for the first five feet of height and five pounds for every inch over five feet. For example: a woman 5 feet, 4 inches tall would have an ideal weight of 100 + (5 x 4) = 120 pounds. Add 10% for a heavy frame and subtract 10% for small frame. Ideal weight for men: 106 pounds for the first five feet of height and six pounds for every inch over five feet. |
|
1 pt. |
I drink two cups or less of caffeinated beverages per day. |
|
1 pt. |
I don't drink alcohol, or I drink moderately. |
|
1 pt. |
I don't use recreational drugs or tranquilizers. |
|
1 pt. |
I enjoy nighttime sleep, usually six to eight hours without resorting to tranquilizers, sleeping pills or alcohol. |
|
1 pt. |
My sleep is restful, and I wake up feeling refreshed. |
|
1 pt. |
I do not feel threatened and get tense about my physical well-being. |
|
1 pt. |
I have plenty of energy. |
 |
|
Total |
|
|
| Mental: |
|
1 pt. |
I usually see the bright side of things. |
|
1 pt. |
I usually perceive problems as potential opportunities. |
|
1 pt. |
I do not feel threatened or get tense about my psychological well-being. |
|
1 pt. |
I do not feel threatened or get tense about my financial well-being. |
|
1 pt. |
I do not feel threatened or get tense about minor hassles of life, such as getting caught in traffic, someone being rude to me, missing an appointment, deadlines, etc. |
|
1 pt. |
I am flexible, and can adjust to change easily. |
|
1 pt. |
I am not rigidly attached to my idea about how things have to be. |
|
1 pt. |
I enjoy challenges. |
|
1 pt. |
I am able to commit myself to a specific task, project or job. |
|
1 pt. |
I am mentally active. I enjoy reading, writing, problem-solving and keeping up with what is happening in the world. |
|
5 pt. |
I love my job. |
|
|
Total |
|
|
| Emotional: |
|
1 pt. |
I am generally happy. |
|
1 pt. |
I don't have any major fears in life. |
|
1 pt. |
Fear of aging does not dominate my awareness. |
|
1 pt. |
I have a happy family life. |
|
1 pt. |
I enjoy friendships. |
|
1 pt. |
I get along with peers in the workplace. |
|
1 pt. |
I do not feel threatened and get tense about my emotional well-being. |
|
1 pt. |
I express how I feel in a healthy way. |
|
1 pt. |
I find occasion to laugh every day. |
|
1 pt. |
I am able to laugh at myself. |
|
5 pt. |
I have moments of pure joy (bliss) without a reason. |
|
|
Total |
|
|
| Spiritual: |
|
1 pt. |
My self-talk (the conversation that goes on in my head) is dominated by the theme How can I help? rather than, Me, Me, Me. In other words, I think of others more often than my own selfish interests. |
|
1 pt. |
I like to get involved in community or civic activities. |
|
2 pt. |
I like to get involved in global issues. |
|
|
Define your purpose in life: |
|
|
|
|
5 pt. |
If it was easy to define your life purpose, give yourself 5 points. |
|
1 pt. |
My home is a peaceful sanctuary. |
|
5 pt. |
I am able to enjoy inner silence regularly, on a daily basis. |
|
|
Total |
|
|
|
|
 |
