Spiritual Wellness Assessment
Personal Information
Name:
Date:
Reflection Questions
What does spiritual wellness mean to you?
How do you currently nurture your spiritual well-being?
Assessment
How often do you engage in activities that help you feel connected to something greater than yourself?
Never
Rarely
Sometimes
Often
Always
Do you have a sense of purpose or meaning in your life?
No
Unsure
Somewhat
Yes
Are you comfortable discussing your beliefs and values with others?
Never
Rarely
Sometimes
Often
Always
Additional Comments