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360WeCo Inc. Wellness Assessment
Welcome to 360WeCo Inc. We are a BIPOC organization established in 2020, with over 20 years industry experience. We focus on integrating health and wellness plans and information. The contents of each assessment in completely confidential and will be held with the highest level of security. These assessments take between 20-60 minutes to complete. Please be clear and honest in communication for best results. We will be integrating to a more automated process in the near future.
* Indicates required question
Email
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Record my email address with my response
H-E-L-L-O! What's your name?
Your answer
On a Scale of 1-10 how is your physical wellness today?
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Ugh! Bed ridden!
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10
Great! Full of energy.
Do you have any current physical issues or concerns?
Your answer
Are you satisfied with your physical health?
Yes
No
Other:
Clear selection
Do you have a regular doctor or nurse practitioner?
Yes
No
Clear selection
Are you currently using any medications?
Yes
No
Clear selection
On a scale from 1-10 how is your mental/emotional health today?
I'm thinking of hospitalization
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10
Remarkably Well!
Clear selection
Have you experienced any mental health issues in the last 12 months?
Yes
No
Clear selection
Are you currently seeing a mental health professional?
Yes
No
Clear selection
Do you consider yourself a spiritual person?
Meh, don't really see the point.
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Spiritually Aligned (not religious)
Clear selection
Are you where you think you need to be in your spiritual wellness?
Not at all
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10
100%
Clear selection
Do you have a spiritual advisor?
Yes
No
Clear selection
On a scale of 1-10 are you financially secure?
Not at all
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Very
Clear selection
Are you comfortable with money and budgeting?
Yes
No
Clear selection
Is your credit score important to you?
Yes
No
Clear selection
Do you have 3 people in your close circle of friends?
Yes
No
Clear selection
On a scale from 1-10 how satisfied are you with your social wellness?
Needs work
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10
Very grateful
Clear selection
On a scale from 1-10, do you find your work/ occupation fulfilling?
Empty (but it's a job)
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Love it!
Clear selection
Is your workplace environment healthy & productive
Dirty, unorganized, toxic
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Perfect for the work I do!
Clear selection
When you think about the environments you are in (home, neighborhood, work, social, extracurricular) where do you place your environmental wellness score?
Have major concerns
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Overall, I feel healthy in these spaces!
Clear selection
Do you have at least 1 plant in your life?
Yes
No
Clear selection
How would you rate your intellectual wellness score?
under inspired
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well balanced
Clear selection
What current wellness activities do you participate in?
Reading
Writing
Walking (at least 30 minutes total per day)
Music (Playing, Listening, Creating)
6-8 hours sleep per day
Meditation or Yoga
Gym or Physical Fitness Class
Art (Creating or enjoying)
Travel (leisure)
Nature
Water (Active water sport or observer)
Massage Therapy
Other:
Is there any additional information you would like us to know about your health and wellness?
Your answer
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