INDIVIDUAL ASSESSMENT
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1 INDIVIDUAL ASSESSMENT
2 Holy Spirit! Which is Your Temple? Holy Spirit? (Pathways Logo Here) Joy Burt Conti Barbara Lewis
3 Holy Spirit! 1 Look at your assessment sheet. 2 How many points did you get in the four main aspects of wellness: spiritual, physical, social and mental? 3 Color in the blocks in each column according to the number you received in each aspect of wellness. 4 For example, if you answered yes to 7 questions under the spiritual aspects of wellness, color in 7 blocks in the first column starting from the top of the column. 5 If you only answered yes to 4, then color in only 4 blocks starting from the top of the column. 6 Then color in the number of yeses for physical, then social and then mental. 7 Always start at the top of the column. 8 Then look to see how sturdy your temple is and what columns you may want to work on to add more blocks.
4 Wholistic Wellness Questionnaire How many questions can you answer yes for your own life? On the second sheet of paper, place totals of positive responses on the corresponding pillars for your temple. For personal reflection only. Health # I take time to pray and meditate at least once each day. I experience a spiritual dimension in my daily life. I participate regularly with others in services of my faith. I find support from my faith community. I am able to forgive others and also myself. I feel that my life has meaning. I volunteer regularly my time, treasure and talent in service to others. Relational Health # I have positive communication with others each day. I have close, balanced and nourishing relationships with friends and or family. I have someone with whom I can share my deepest thoughts and concerns. I find support and assistance when I need it. I believe I respond to others feelings fittingly. I accept and ask for feedback from others. I will stand up for myself when it is necessary. Mental Health # I seldom have days when I feel depressed. I can usually handle my problems and cope with changes that occur. I rarely worry about things that I can t change or the future. I regularly take time for relaxation and or play and also laugh several times a day. I like to learn new things and am looking for opportunities to learn. I rarely feel angry towards others or myself. I choose to feel confident and optimistic. Please turn to other side and complete.
5 Health # I exercise (aerobics, walking, running, etc.) and average 30 minutes 3 times a week. I eat a well-balanced diet, minimizing the use of fats and highly processed foods, but including 2-4 servings of fruit and 3-5 servings of vegetables per day. My weight is within 10 lbs. of the ideal weight for my height. I consume no more than 7 drinks of alcohol (shot, beer, or glass of wine) or fewer per week, nor do I use illegal drugs. I do not smoke cigarettes, cigars, or a pipe, nor do I chew tobacco. I usually get enough sleep and feel rested in the morning. I drink approximately 8 glasses of water daily. Health # I try to always drive within the speed limit and exercise caution and courtesy. I always wear a seat belt when I drive or ride in a car. I have working smoke and carbon monoxide detectors in my home. My immunizations are up to date and I get a flu shot annually. I try not to use scatter rugs or have cords or other things in pathways; there are railings along my steps; I have a plan for escaping from a fire and use a night-light. In my shower/tub, I have grab bars and non-skid surfaces, and the hot water tank is set at medium. If I am prescribed medications, I learn about the purpose and side effects, take them properly, store them properly and carry a list of all medications (prescription and over the counter) to show to all health care providers. Keeping with our temple, have you passed inspection within the past 2 years when you: Total on your inspection # Saw your doctor and had a physical exam? Had your blood pressure checked and it is now normal? Had your blood sugar and cholesterol tested and they are now normal? Had your regularly scheduled gynecological exam and Pap test? Had your regularly scheduled mammogram, including regular self-examination? Had your eyes examined? Had your dental exam and cleaning? If you are over 50, a chance for more points. Have you had a colonoscopy? Have you had your bones scanned for osteoporosis and do you take calcium and vitamin D? Have you had a thyroid test? Have you talked with your doctor about the possible preventive use of aspirin? God s Design for the Highly Healthy Person by Walt Larimore, M.D., Zondervan, Grand Rapids Michigan, USA, 2003 Seeking Your Healthy Balance by Donald A Tubesing & Nancy Loving Tubesing, Whole Person Associates, Minnesota, USA 1991
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