Dr. C's Well-Being Pulse Check
This short-and-sweet survey will enable you to check-in with your well-being -- so you can track your well-being over time. This is especially helpful if you are committed to taking your well-being to the next level -- because it gives us a baseline to compare your results against. Ready to begin? Great! Let's get started.
Start
 
What is your first name? *

 
And what is your last name, {{answer_QZucbXxQvjnX}}? *

 
When you think of the term well-being, what does it mean to you? *

 
How would you describe your overall well-being? *

 
If you had a magic wand and you could improve your well-being in any possible way, how would you use the magic wand? *

 
{{answer_QZucbXxQvjnX}}, you will now be shown a series of statements about your well-being,

Please read them each carefully and rate the extent to which you agree or disagree with each of them.
 
Well-Being Self-Appraisal

 
Over the last two weeks, I have felt cheerful and in good spirits. *

 
Over the last two weeks, I have felt calm and relaxed.  *

 
Over the last two weeks, I have felt active and vigorous. *

 
Over the last two weeks, I woke up feeling fresh and rested. *

 
My daily life has been filled with things that interest me  *

 
My closest friends and family members would rate my overall well-being as:
*

The scale is 1 - 5 points; the higher the number the better the well-being.





 
The people I work with would rate my overall well-being as: *

The scale is 1 - 5 points; the higher the number the better the well-being.





 
Goal Accomplishments

 
How would you rate your overall self-care for the past year? *

Please answer based on your conceptualize 'self-care' -- which could include medical care, fitness activities, nutrition, sleep, or other areas of self-care that are important to you.
 
{{answer_QZucbXxQvjnX}}, what would you say was your most significant accomplishment in your work last year? *

 
{{answer_QZucbXxQvjnX}}, what would you say was your most significant accomplishment in your life last year? *

 
What career field are you in? *









 
What is your job title? *

 
Goal Setting & Development Planning

 
What goals would you like to set for yourself and your well-being for the next year? *

You can focus on your overall work/life balance and well-being, or on a specific dimension: Physical, Financial, Social, Mental, Purpose, Emotional
 
What is the biggest challenge you face in managing your well-being -- and thriving? *

 
Which dimensions (types) of your well-being would you like to improve the most? *


Great job completing the survey {{answer_QZucbXxQvjnX}}

Your well-being score is {{var_score}}/25

If you would like a summary report of your responses to be sent to you -- as well as an explanation of what your score means -- please be sure to click on the "Please email me" button below.

If you know someone who would like the survey, please help us spread the word and share it using the links below. 

I'm so glad I could help you to take care of yourself today - by tracking how well your well-being is doing. You can also learn more about your well-being in my workshops -- learn registration details on my website at www.DrSuzieCarmack.com

Dr. Suzie Carmack, PhD, MFA, MEd, ERYT
Yes! Please email me my results.