*This questionnaire is based on a larger overall health assessment instrument, and in its abbreviated 20-question format does not meet the scientific standards to be considered reliable or valid. Let this year be a milestone in the story of your life, where you put yourself first so that you can be the best version of yourself, for you, and everyone who interacts with you. No matter what year you are reading this in, January is a great month for new beginnings and opportunities to follow through on commitments that incrementally improve your overall mental health and well-being. If you do not have health insurance, you can access free or low cost services and/or resources at pharmacies and community health centers. These professionals can work with you to identify which areas in your life are causing you the most distress and help co-create a plan to begin making changes that will benefit your overall health and well-being. You may even have access to your own health coach as a part of your plan’s benefits. If you have health insurance, most insurance companies offer a wealth of resources for healthy living habits and practices. If you scored a 9 or higher, it is strongly recommended that you contact a licensed health professional to get started on making small changes to your lifestyle. If you scored a 4-8, taking greater care of yourself is indicated and it may be a good idea to consult with your physician and/or a qualified licensed mental health professional. If you scored a 0-3, you have excellent mental health hygiene, way to go! You value your health, and have committed to staying healthy because you know that it benefits yourself and all those who interact with you. – Give yourself one (1) point for every YES answer on questions 13-20. – Give yourself one (1) point for every NO answer on questions 1-12. Do you feel like you have too much to do and not enough time? Do you have trouble concentrating because of personal problems, worries, depression, anxiety, or financial stress/concerns?Ģ0. In the last 12 months have you suffered from chronic or recurring pain?ġ9. Do you take drugs or medication which affect your mood or help you relax?ġ8. Do you have any restrictions that would limit your ability to exercise?ġ7. Do you have any injuries or other health problems that prevent you from doing things that other people your age normally do?ġ6. Have you been stressed out or worried about your finances in the last 12 months?ġ5. In the last two weeks, have you been bothered by having little interest or pleasure in doing things for more than half the days, if not daily?ġ4. In the next 6 months are you planning on making any changes to your health (ex: get better sleep, eat fresh fruits and vegetables, cope better with stress, etc.)?ġ3. Do you engage in vigorous exercise – that is, exercising that causes big increases in your breathing or heart rate for at least 20 minutes for at least 3 days a week?ġ2. Do you exercise – that is, planned activity that increases your breathing rate and causes you to break a light sweat for at least 30 or more minutes for at least 3 days a week?ġ0. Do you eat healthy most, if not all days? (five or more servings of fruits and vegetables/day)ĩ. Do you feel safe and secure most, if not all of the time?Ĩ. Is your relationship with your partner, or closest friend stronger than ever?ħ. Is there someone in your life that gives you positive energy every day?Ħ. Is there someone in your life who encourages you?ĥ. Do you feel good about your physical appearance?Ĥ. Do you make time for regular trips with friends and family?ģ. Do you feel connected to a community of people?Ģ. This 20 item YES/NO primer questionnaire* will help you see if your mental health hygiene is in good order.ġ. Below is a quick questionnaire that assesses some of the lifestyle characteristics that affect our mental health. And, there are also healthy practices that are specifically strongly linked with positive mental health outcomes. After all, the body is a system and when we take care of our body as a whole – as a complete interdependent system – that’s when we truly thrive. But what are you doing to take good care of your mental health? Many of the same healthy practices that we engage in to take care of our physical well-being, also takes care of our mental well-being. You go to your annual physical, get your teeth cleaned once every 6 months. Mental Health and Physical Health are Inextricably Connected
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