1. Do you feel that the quality and quantity of your sleep is where it should be?

YesNoNA

2. Do you feel that your nutrition and water intake is where it should be?

YesNoNA

3. Do you feel that you are putting enough time and effort into an exercise program?

YesNoNA

4. Do you feel that you have developed the proper tools to handle life’s stressors without falling into periods of depression or undue anxiety?

YesNoNA

5. Do you feel comfortable with the connection you have with friends and family and are you putting the requisite effort to foster these relationships?

YesNoNA

6. Do you feel that your life allows for cognitive growth and enrichment?

YesNoNA

7. Do you feel like your work and home environment is calm, comfortable, stable, and a place of peace and harmony?

YesNoNA

8. Do you feel that you have the degree of intimacy that you feel would be optimal?

YesNoNA

9. Do you feel that you are challenging yourself with goals of self-improvement, growth, accomplishment?

YesNoNA

10. Do you feel comfortable with the degree of spirituality (as defined by you) that exists in your life?

YesNoNA

11. Do you feel that you put emphasis on self-care and self-love in the same way that you do daily tasks?

YesNoNA

12. Do you feel comfortable with the amount of time devoted to your own fun and entertainment?

YesNoNA

13. Do you feel that have 1 or more addictive trait that is interfering with your ability to be the best version of yourself?

YesNoNA

14. Do you feel that you have acquired and utilize the following life skills on a regular basis?

 a. Conflict Resolution

YesNoNA

 b. Barrer Maintenance

YesNoNA

 c. Financial Responsibility

YesNoNA

 d. Life Balance

YesNoNA

 e. Self-Awareness

YesNoNA

 f. Self-Inventory Maintenance

YesNoNA

 g. Recognition of zero-sum relationship

YesNoNA

 h. Altruism and Gratitude

YesNoNA