If 5 represents your best possible life, and 0 represents your worst possible life, where do you feel you stand at this time?
|
|
|
|
|
To what degree did you feel some or all of the following feelings yesterday – physical pain, worry, sadness, stress, anger?
|
|
|
|
|
In the last week, how often did you eat fruits or vegetables?
|
|
|
|
|
To what degree are you treated with respect
|
|
|
|
|
In the last week, did you learn or do something interesting?
|
|
|
|
|
How often do you take substances (such as prescription items, alchohol, or illicit drugs) that impair your ability to function normally ?
|
|
|
|
|
To what degree do you worry about money
|
|
|
|
|
I know what is expected of me at work
|
|
|
|
|
I have materials and equipment I need to do my work right
|
|
|
|
|
My supervisor(s) seems to care about me as a person
|
|
|
|
|