1
What is your age?
Kies één antwoord
2
What is your gender
Kies één of meer antwoorden
3
I am looking forward to join the Wellness Program
Kies één antwoord
4
I feel healthy
1 means very unhealthy, 10 means very healthy
5
I have enough energy
1 means no energy, 10 means a lot of energy
6
I would like to be more physically active
1 means I do not want to be more active, 10 means I really want to be more active.
7
During the day I experience pain or other physical problems.
1 means I have no pain at all, 10 means I have a lot of pain every day
8
I pay enough attention to a healthy lifestyle
1 means no attention at all, 10 means a lot of attention
9
I would like to spend more time and energy on a healthy lifestyle
1 means I do not want to spend any time on this, 10 means I want to spend a lot of time on this
10
I feel like I belong in society
1 means I feel like I don't belong at all, 10 means I feel like I fully belong
11
I can concentrate/focus well
1 means I can't focus at all, 10 means I can focus very well
12
I sleep well
1 means I sleep poorly, 10 menas I sleep very well
13
I find it easy to make social contact with others
1 means I find it difficult to connect, 10 means I find it very easy to connect
14
I feel happy
1 means very unhappy, 10 means very happy
15
I look forward to going to work
1 means I never look forward to it, 10 means I always look forward to it
16
I have enough energy to carry out my tasks at work
1 means I have no energy, 10 means I have a lot of energy
17
I enjoy my work
1 means not at all, 10 means very much
18
I pay attention to my posture when lifting heavy objects.
1 means not at all, 10 means very much.