My Wellness Check-In

Seven parts of life. Rate how each feels today, then pick one small step. There are no right answers, and the numbers are not a score or a test.

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If you are in crisis or thinking about hurting yourself Call or text 988, or call 911 in an emergency. You deserve help right now.

My Wellness Check-In

Circle a number for each area (1 = not good today, 5 = good today). Then write one small step.

AreaHow it feels todayOne small step I could take
Physical
Body, rest, movement, water		1   2   3   4   5

Emotional
Noticing and handling feelings		1   2   3   4   5

Spiritual
Meaning, purpose, values, or faith		1   2   3   4   5

Intellectual
Learning and thinking things through		1   2   3   4   5

Social
Connection and belonging		1   2   3   4   5

Environmental
Daily routine, space, belongings		1   2   3   4   5

Financial
How I think about and handle money		1   2   3   4   5

If you are in crisis, call or text 988, or call 911. This sheet is for reflection only. It is not a test or a diagnosis.