Simple Wellness Questionnaire

Rarely or never
Occasionally, but not consistently
Most days I feel rested
Almost always

No, my routine is very inconsistent
I try to have a routine, but it often changes
I generally follow a routine but allow flexibility
Yes, my sleep routine is very consistent

No, I don’t make any specific efforts
Occasionally, but not regularly
I make some efforts, but could do more
Yes, I actively optimise my sleep quality

No, I’m not clear on what I should be eating
I try but often end up over/under my target
I mostly eat according to my goals but sometimes slip
Yes, I eat in precise alignment with my goals

My diet consists mainly of processed foods
I try to eat healthier but often rely on processed foods
My diet is mostly whole foods with some indulgences
My diet is focused on whole foods and nutritional quality

I don’t pay attention to macronutrients at all
I try to balance macronutrients but it’s inconsistent
I have a fairly balanced approach to macronutrients
My diet is consistently balanced

Rarely or never
1-2 days per week
3-4 days per week
5+ days per week

I don’t have much variety
I try to include different exercises but lack consistency
My routine includes a mix of exercises
I consistently include a balanced variety

It’s very easy, I’m not pushing myself
It’s moderately challenging, but I could do more
My workouts are appropriately challenging
My workouts push me to my limits

I struggle to maintain consistency
I try to stay consistent but often fall off track
I’m fairly consistent, with occasional lapses
I’m very consistent

I don’t have any set habits
I have some habits but they’re not well-established
I have good habits but occasionally fall off
My habits are strong and well-established

I often give up or struggle to get back
I recover sometimes but it takes time
I recover quite quickly
I easily bounce back