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The Amare Mental Wellness Assessment - Amare Mental Health Assessment

Mental Wellness Assessment

What's the State of Your Mental Wellness?

Directions:

  • For Questions 1 - 14, select the term (Rarely, Occasionally, Often) that best applies to your general wellness state.
  • For Questions 15 - 20, select the term (Rarely, Occasionally, Often) that best applies to your mental wellness over the last 2 weeks.

In General, How Often Do You...

1.

...experience stressful situations?

Rarely Occasionally Often
2.

...feel tired or fatigued?

Rarely Occasionally Often
3.

...get less than eight hours of sleep?

Rarely Occasionally Often
4.

...feel anxious/depressed?

Rarely Occasionally Often
5.

...feel overwhelmed or confused?

Rarely Occasionally Often
6.

...have a low sex drive?

Rarely Occasionally Often
7.

...put on weight around the belly?

Rarely Occasionally Often
8.

...diet to lose weight?

Rarely Occasionally Often
9.

...get "stressed out" by choosing the foods you eat?

Rarely Occasionally Often
10.

...crave carbohydrates (sugar, sweets, breads, or other "comfort" foods)?

Rarely Occasionally Often
11.

...experience problems concentrating?

Rarely Occasionally Often
12.

...experience tension headaches?

Rarely Occasionally Often
13.

...experience digestive problems such as gas, bloating, or heartburn?

Rarely Occasionally Often
14.

...get sick or catch colds/flu?

Rarely Occasionally Often

Over the Last 2 Weeks How Often Have You...

15.

...felt Lively?

Rarely Occasionally Often
16.

...been Active?

Rarely Occasionally Often
17.

...felt Energetic?

Rarely Occasionally Often
18.

...been Cheerful?

Rarely Occasionally Often
19.

...felt Alert?

Rarely Occasionally Often
20.

...been Motivated?

Rarely Occasionally Often

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