Wellness Quiz
Dr. Bruce Forciea
The following quiz provides information about wellness in a number of
categories. Each question has a point value. Answer each question and
add the points. There is a discussion of each score following the quiz.
This quiz is for informational purposes only and is not intended to give
medical advice or replace the information given by a healthcare
practitioner.
Answer the following questions to the best of your ability.
1. I exercise regularly: Points
1. do not exercise
3. 1-2 times per week
5. 3-5 times per week _______
2. My exercise regimen consists of:
1. do not exercise
3. aerobics or resistance exercises but not both
5. both aerobic and resistance exercises _______
3. I perform stretching exercises:
1. do not do stretches
5. I perform stretches when I regularly exercise _______
4. Regarding my weight, I am:
1. very much overweight (>40 lbs)
2. moderately overweight (30-40 lbs)
3. significantly overweight (20-30lbs)
4. mildly overweight (5-20lbs)
5. of normal weight (within 5 lbs) _______
5. If you are a male is your waist size greater than 40 inches?
1. yes
5. no _______
6. If you are a female is your waist size greater than 35 inches?
1. yes
5. no _______
7. My cholesterol is:
1. very high (total cholesterol > 250)
2. moderately high (between 220-250)
3. high (between 200-220)
4. normal (between 180-200)
5. low (< 180) _______
8. My blood pressure is:
1. high (140/90)
3. moderately high (between 120/80 and 139/89)
4. normal (120/80)
5. low (<120/80) _______
9. My resting pulse is:
1. over 100 beats per minute (bpm)
2. 90-100 bpm
3. 80-90 bpm
4. 70 – 80 bpm
5. less than 70 bpm ________
10. My blood sugar (glucose) is:
1. high (greater than 100 ml/dl)
5. normal ________
11. I get _____ hours of sleep every night:
1. less than 5
3. 6-7
5. 8 or greater ________
12. I feel rested when I awake after a night’s sleep.
1. never
2. rarely
3. sometimes
4. frequently
5. always ________
13. I have difficulty falling asleep:
1. always
2. frequently
3. sometimes
4. rarely
5. never ________
14. Overall I feel stress in my life:
1. every day
2. most days
3. occasionally
4. rarely
5. never ________
15. I use techniques such as relaxation, exercise, meditation or yoga to
control my stress:
1. never
2. rarely
3. sometimes
4. frequently
5. always ________
16. I feel I have a purpose to my life:
1. never
2. rarely
3. sometimes
4. frequently
5. always ________
17. I take a good multivitamin supplement every day:
1. never
2. rarely
3. sometimes
4. frequently
5. always ________
18. I take other nutrients for my health in addition to a multivitamin:
1. never
2. rarely
3. sometimes
4. frequently
5. always ________
19. I feel as though my overall health is:
1. poor
2. average
3. above average
4. very good
5. excellent ________
20. Generally I have a positive outlook on life:
1. never
2. rarely
3. sometimes
4. frequently
5. always ________
21. I have a sense of control over my work:
1. never
2. rarely
3. sometimes
4. frequently
5. always ________
22. My mind is sharp:
1. never
2. rarely
3. sometimes
4. frequently
5. always ________
23. I can remember things such as names, events and what I have read:
1. never
2. rarely
3. sometimes
4. frequently
5. always _________
24. I am forgetful:
1. always
2. frequently
3. sometimes
4. rarely
5. never _________
25. Generally I have a sense of purpose to my life:
1. never
2. rarely
3. sometimes
4. frequently
5. always _________
26. I spend time exercising spiritual growth:
1. never
2. rarely
3. sometimes
4. frequently
5. always _________
27. I follow a spiritual set of beliefs or a religion:
1. never
2. rarely
3. sometimes
4. frequently
5. always _________
28. I eat a diet that contains at least 6 servings of fruits or vegetables daily:
1. never
2. rarely
3. sometimes _________
4. frequently
5. always
29. I am tolerant of others views:
1. never
2. rarely
3. sometimes
4. frequently
5. always _________
30. I smoke:
1. always
2. frequently
3. sometimes
4. rarely
5. never _________
31. I use alcohol or other recreational drugs:
1. always
2. frequently
3. sometimes
4. rarely
5. never _________
Scoring
Point totals:
120-150
Congratulations, you are living a healthy lifestyle. Keep up the good work.
100-119
You are living a somewhat healthy lifestyle and have some areas that
need improvement. Go back to the sections in which you scored low and
consider ways in which to improve in those areas.
80-99
Your lifestyle is in need of some serious modification and could lead to
disease. You should consider making some major changes in your life.
Less than 80
Your lifestyle is considered to be unhealthy. You should seriously
consider making changes since you have a greater chance of suffering
from illness.
Wellness Quiz