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Well done!

Staying committed to this programme is an accomplishment, something to be recognised and needs to be celebrated. We are hopeful that the healthy habits and coping mechanisms you have learnt will last a lifetime for you. In order to measure the success of this programme please take the time to re-submit your original questionnaire. 

Birthday
Employment Status

Mental Health Questions WEMWBS

Below are some statements about feelings and thoughts. Please take a few moments to answer the following 14 questions.

 

Please, tick the box that best describes your experience of each over the last two weeks?

1. I've been feeling optimistic about the future
None of the time
Rarely
Some of the time
Often
All of the time
2. I've been feeling useful
None of the time
Rarely
Some of the time
Often
All of the time
3. I've been feeling relaxed
None of the time
Rarely
Some of the time
Often
All of the time
4. I've been feeling interested in other people
None of the time
Rarely
Some of the time
Often
All of the time
5. I've had energy to spare
None of the time
Rarely
Some of the time
Often
All of the time
6. I've been dealing with problems well
None of the time
Rarely
Some of the time
Often
All of the time
7. I've been thinking clearly
None of the time
Rarely
Some of the time
Often
All of the time
8. I've been feeling good about myself
None of the time
Rarely
Some of the time
Often
All of the time
9. I've been feeling close to other people
None of the time
Rarely
Some of the time
Often
All of the time
10. I've been feeling confident
None of the time
Rarely
Some of the time
Often
All of the time
11. I've been able to make up my own mind about things
None of the time
Rarely
Some of the time
Often
All of the time
12. I've been feeling loved
None of the time
Rarely
Some of the time
Often
All of the time
13. I've been interested in new things
None of the time
Rarely
Some of the time
Often
All of the time
14. I've been feeling cheerful
None of the time
Rarely
Some of the time
Often
All of the time

Lifestyle and Wellness Questions

Over the last 2 weeks, how would you rate the following areas of your lifestyle?

1. Activity levels
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
2. Quality of sleep
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
3. Quality of nutrition
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
4. Energy levels
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
5. Confidence levels
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
5. Ability to manage stress
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
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