Check your quality of Life

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Page 1 of 4

OVERALL MENTAL HEALTH (Page 1 of 3)

 Ability to Managing stress
1 - WORST and 10 - BEST
 Anxiety
1 - WORST and 10 - BEST
 Appetite?
1 - WORST and 10 - BEST
 Depression
1 - WORST and 10 - BEST
 High energy level
1 - WORST and 10 - BEST
 Fitness programs
1 - WORST and 10 - BEST
 Medication Stabilization
1 - WORST and 10 - BEST
 Mood swings
1 - WORST and 10 - BEST
 Motivation level
1 - WORST and 10 - BEST
 Overall quality of life
1 - WORST and 10 - BEST
 Panic attacks
1 - WORST and 10 - BEST
 Quality of family relationships
1 - WORST and 10 - BEST
 Quality of personal relationships
1 - WORST and 10 - BEST
 Quality of work life
1 - WORST and 10 - BEST
 Sleep
1 - WORST and 10 - BEST
 Sobriety
1 - WORST and 10 - BEST
 Spiritual Connectedness
1 - WORST and 10 - BEST
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Page 1 of 4