BODY: Physical and Environmental Health
Do you maintain a healthy diet (low fat, low sugar, fresh fruits, grains and vegetables)?
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Is your water intake adequate (at least ½ oz./lb. of body weight; 160 lbs. = 80 oz.)?
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Are you within 20 percent of your ideal body weight?
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Do you feel physically attractive?
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Do you fall asleep easily and sleep soundly?
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Do you awaken in the morning feeling well-rested?
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Do you have more than enough energy to meet your daily responsibilities?
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Are your five senses acute?
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Do you take time to experience sensual pleasure?
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Do you schedule regular massage or deep-tissue body work?
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Does your sexual relationship feel gratifying?
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Do you engage in regular physical workouts (lasting at least 20 minutes)?
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Do you have good endurance or aerobic capacity?
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Do you breathe abdominally for at least a few minutes?
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Do you maintain physically challenging goals?
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Are you physically strong?
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Do you do some stretching exercises?
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Are you free of chronic aches, pains, ailments, and diseases?
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Do you have regular effortless bowel movements?
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Do you understand the causes of your chronic physical problems?
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Are you free of any drug (including caffeine and nicotine) or alcohol dependency?
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Do you live and work in a healthy environment with respect to clean air, water, and indoor pollution?
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Do you feel energized or empowered by nature?
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Do you feel a strong connection with and appreciation for your body, your home, and your environment?
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Do you have an awareness of life-energy or qi?
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MIND: Mental and Emotional Health
Do you have specific goals in your personal and professional life?
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Do you have the ability to concentrate for extended periods of time?
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Do you use visualization or mental imagery to help you attain your goals or enhance your performance?
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Do you believe it is possible to change?
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Can you meet your financial needs and desires?
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Is your outlook basically optimistic?
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Do you give yourself more supportive messages than critical messages?
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Does your job utilize all of your greatest talents?
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Is your job enjoyable and fulfilling?
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Are you willing to take risks or make mistakes in order to succeed?
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Are you able to adjust beliefs and attitudes as a result of learning from painful experiences?
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Do you have a sense of humor?
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Do you maintain peace of mind and tranquility?
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Are you free from a strong need for control or the need to be right?
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Are you able to fully experience (feel) your painful feelings such as fear, anger, sadness, and hopelessness?
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Are you aware of and able to safely express fear?
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Are you aware of and able to safely express anger?
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Are you aware of and able to safely express sadness or cry?
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Are you accepting of all your feelings?
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Do you engage in meditation, contemplation, or psychotherapy to better understand your feelings?
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Is your sleep free from distrubing dreams?
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Do you explore the symbolism and emotional content of your dreams?
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Do you take the time to let down and relax, or make time for activities that constitute the abandon or absorption of play?
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Do you experience feelings of exhilaration?
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Do you enjoy high self-esteem?
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SPIRIT: Spiritual and Social Health
Do you actively commit time to your spiritual life?
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Do you take time for prayer, meditation, or reflection?
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Do you listen and act upon your intuition?
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Are creative activities a part of your work or leisure time?
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Do you take risks or exceed previous limits?
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Do you have faith in a God, spirit guides, or angels?
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Are you free from anger toward God?
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Are you grateful for the blessings in your life?
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Do you take walks, garden, or have contact with nature?
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Are you able to let go of your attachment to specific outcomes and embrace uncertainty?
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Do you observe a day of rest completely away from work, dedicated to nurturing yourself and your family?
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Can you let go of self-interest in deciding the best course of action for a given situation?
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Do you feel a sense of purpose?
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Do you make time to connect with young children, either your own or someone else's?
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Are playfulness and humor important to you in your daily life?
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Do you have the ability to forgive yourself and others?
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Have you demonstrated the willingness to commit to a marriage or comparable long-term relationship?
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Do you experience intimacy, besides sex, in your committed relationships?
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Do you confide in or speak openly with one or more close friends?
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Do you or did you feel close to your parents?
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If you have experienced the loss of a loved one, have you fully grieved that loss?
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Has your experience of pain enabled you to grow spiritually?
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Do you go out of your way or give your time to help others?
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Do you feel a sense of belonging to a group or community?
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Do you experience unconditional love?
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