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This Integrative Health and Wellness Assessment is intended for informational purposes only.  It is not a substitute for professional medical advice, diagnosis or treatment.  However, you are more than welcome to print out this form and discuss it with your physician.

Integrative Health and Wellness Assessment for Mind and Emotions

Assessing our mental capacity helps us examine our belief system, thoughts, behaviors and values. Through both logical and non-logical mental processes, we become aware of a broad range of subjects that have the potential to enhance our full appreciation of the many great pleasures in life.

 

Choose the response that most resembles how you feel about making changes or improvements to your mental area.

Mental Action Plan
Please List 3 changes that you can implement into your current lifestyle over the next 3 months:

Our Emotions
Assessing our emotions assists us in our willingness to acknowledge the presence of feelings, value them as important information to notice, and express them. When we recognize the value of our emotions we are in a position of new insight and understanding.

Choose the response that most closely resembles how you feels about making changes or improvements to your emotional areas

Emotional Action Plan

Please list 3 changes that you can implement into your current lifestyle over the next 3 months: