Welcome to 004 Health Status Questionnaire page of AmadeusWeb | Wisdom.
Kindly tick the applicable items, giving details where possible in the textbox that appears.
Physical
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- On a scale of 1 to 5 (1 being very poor, 5 being excellent), how would you rate your current overall physical health?
- Describe your typical sleep routine. Are you experiencing any difficulties with falling asleep, staying asleep, or sleeping too much?
- What is your current energy level throughout the day? Are you experiencing persistent fatigue or a lack of vitality?
- Describe your current eating habits. Are you eating regular, nutritious meals, or have there been significant changes in your appetite or food choices?
- Are you experiencing any physical pain, discomfort, or chronic health issues? If so, please describe the impact on your daily life.
- How often do you engage in physical activity or exercise? What type and intensity?
- Are you currently taking any medications or supplements? Are you adhering to prescribed regimens?
- Have you noticed any recent changes in your weight? Was this intentional or unintentional?
- How would you rate your body's ability to recover from physical exertion or illness?
- Are you engaging in any habits that negatively impact your physical health (e.g., excessive alcohol consumption, smoking)?
Intellectual
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- How would you rate your current level of mental clarity and focus on a scale of 1 to 5?
- Are you finding it easy to concentrate on tasks and maintain attention?
- Do you feel mentally stimulated and engaged in learning or new ideas?
- Are you experiencing any difficulties with memory or cognitive processing?
- How often do you engage in activities that challenge your mind (e.g., reading, puzzles, learning new skills)?
- Do you feel satisfied with your opportunities for intellectual growth and development?
- Are you experiencing any stress or anxiety related to intellectual demands (e.g., work, studies)?
- Do you feel creative and able to express your ideas?
- Are you able to problem-solve effectively and think critically?
- Do you feel a sense of curiosity and a desire to learn more about the world around you?
Emotional
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- On a scale of 1 to 5 (1 being very negative, 5 being very positive), how would you rate your overall emotional well-being recently?
- Describe the predominant emotions you have been experiencing over the past few days.
- How often do you experience feelings of sadness, anxiety, anger, or irritability?
- How well do you feel you understand your own emotions and their triggers?
- How effectively are you currently managing difficult or overwhelming emotions?
- Do you feel supported in expressing your emotions to others?
- How would you rate your level of self-esteem and self-acceptance?
- Are you experiencing any feelings of hopelessness or a lack of motivation?
- How resilient do you feel in the face of emotional challenges or setbacks?
- Do you engage in activities that help you regulate and improve your mood?
Spiritual
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- Do you feel a sense of connection to something larger than yourself (e.g., nature, universe, belief system, community)? Please describe.
- How important is your spiritual or belief system in providing you with comfort and guidance?
- Are you currently finding meaning and purpose in your life?
- Do you engage in any spiritual practices (e.g., meditation, prayer, mindfulness, attending religious services)? How often?
- Do you feel a sense of inner peace or contentment?
- Are your values and beliefs aligned with how you are currently living your life?
- Do you feel connected to a community or group that shares your spiritual or philosophical views?
- Have you experienced any recent events that have challenged your spiritual beliefs or sense of meaning?
- Do you feel a sense of hope for the future?
- How does your spiritual or belief system help you cope with challenges and adversity?
Professional
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- How satisfied are you with your current work or primary activities (including studies, volunteering, homemaking)? On a scale of 1 to 5.
- Do you feel a sense of purpose and fulfillment in your work or activities?
- How would you describe your current level of work-related stress?
- Do you feel supported and valued by your colleagues, supervisors, or those you work with?
- Are you facing any significant challenges or conflicts in your professional environment?
- Do you feel that your skills and talents are being utilized effectively?
- Do you have a healthy work-life balance?
- Do you see opportunities for growth and advancement in your current professional path?
- Do you feel secure and stable in your current professional situation?
- How does your work or primary activity impact your overall well-being (positively or negatively)?
Financial
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- How would you rate your current level of financial security on a scale of 1 to 5?
- Are you currently experiencing any significant financial stressors or worries? Please describe.
- Do you feel in control of your finances (e.g., budgeting, saving, managing debt)?
- Are you able to meet your basic financial needs comfortably?
- Do you have any significant debts or financial obligations that are causing you stress?
- Do you feel informed and knowledgeable about your financial situation?
- Are you planning for your future financial needs (e.g., retirement, emergencies)?
- Do you feel that your income is adequate for your needs and desired lifestyle?
- Are there any financial habits you would like to change?
- How does your financial situation impact your overall sense of security and well-being?
Social
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- How satisfied are you with your current social connections and relationships? On a scale of 1 to 5.
- Do you feel a sense of belonging and connection with the people in your life?
- How often do you engage in meaningful social interactions?
- Do you feel you have a strong support network of friends, family, or community members?
- Are there any relationships in your life that are causing you significant stress or negativity?
- Do you feel comfortable reaching out to others for support when you need it?
- Are you actively involved in any social groups, clubs, or communities?
- Do you feel understood and accepted by the people around you?
- Are you able to set healthy boundaries in your relationships?
- How does your social life contribute to your overall happiness and well-being?
Environmental
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- How would you rate the overall quality of your living environment on a scale of 1 to 5 (e.g., safety, cleanliness, comfort)?
- Do you feel safe and secure in your home and immediate surroundings?
- Is your living space comfortable and conducive to relaxation and well-being?
- Do you have access to green spaces or nature? How often do you connect with nature?
- How is the air and water quality in your environment? Do you have any concerns?
- Are you exposed to excessive noise or pollution in your daily life?
- Do you feel a sense of connection to your local community?
- Are there any aspects of your physical environment that are causing you stress or discomfort?
- Do you feel that your environment supports your overall health and well-being?
- Are you taking any steps to create a more healthy and sustainable living environment?
NOTA BENE: If you are using a desktop and a mail client is not configured, and you are unable to set it up, you will have to use whatsapp / copy the prepared email content and send it manually to imran@amadeusweb.com or whatsapp.
Index | Name | About | Tags | Size |
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1 | Driven To Heal | No About Set | #No Tags Set | 13 bytes |
2 | 001 Introduction | No About Set | #No Tags Set | 7.24 KB |
3 | 002 Beliefs and Habits | No About Set | #No Tags Set | 3.54 KB |
4 | 003 Quick Health Status Check | No About Set | #No Tags Set | 3.69 KB |
5 | 004 Health Status Questionnaire | No About Set | #No Tags Set | 8.75 KB |
6 | 005 Booklet For Achieving Growth Goals | No About Set | #No Tags Set | 7.17 KB |