How is your Emotional Wellness?
Answers marked with a * are required.
Emotional Wellness Assessment
  This survey is 100% Confidential. ONLY Dr. Rodman will see your responses and contact information.
 
Below are 8 items that you may agree with or disagree with. On a scale of 1 to 7, rate your level of agreement with each item, being honest and open with yourself. *
  7 - Strongly Agree 6 - Agree 5 - Slightly Agree 4 - Neither Agree or Disagree 3 - Slightly disagree 2 - Disagree 1 - Strongly disagree
I feel completely satisfied with who I am today and where I am in my life
I refuse to be stuck in the past or to allow regrets and disappointments to cloud how I feel about “today”
I feel a strong sense of connection with others and never feel isolated, alone, or lonely
I have developed the ability to think rationally and optimistically
I do not hold onto grudges and I forgive others for not living up to my expectations
I have a great sense of control over my emotions, thoughts, and feelings
I have a healthy sense of humor and can laugh at life’s imperfections and challenges
I feel more gratitude on how my life is now and choose not to focus on what is lacking
 
 
 
Total your score here: *
 
 
 
Please provide the following information: *
First Name
Email
Age
Gender
 
 
 
Note Your Score... Then Click Finished to display what your score says about your level of Emotional Wellness!
  
 
 
 
 

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