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Templates
AI

Health And Wellness Check In

10 0 by Kavithalaya
Use Template

Promote wellbeing with an interactive check-in using Multiple-choice, Open-Ended, and Scale to assess health, mood, and team wellness levels.

Category Skills
1 - Multiple Choice
How many hours of sleep do you usually get?
  • 1. Less than 5
  • 2. 5–6
  • 3. 7–8
  • 4. 9+
2 - Multiple Choice
Which of these best describes your current energy levels?
  • 1. Always tired
  • 2. Sometimes alert
  • 3. Mostly energized
  • 4. Very energetic daily
3 - Multiple Choice
How often do you exercise each week?
  • 1. Never
  • 2. 1–2 days
  • 3. 3–4 days
  • 4. 5+ days
4 - Open Ended
What’s one thing you do daily for your well-being?
5 - Open Ended
What challenges your health the most right now?
6 - Scales
Rate your consistency in:
  • 1. Hydration
  • 2. Sleep
  • 3. Movement
  • 4. Mindfulness
7 - Scales
How well do you maintain:
  • 1. Work-life balance
  • 2. Emotional boundaries
  • 3. Nutrition tracking
  • 4. Break time
8 - This or That
Do you focus more on mental or physical health?
  • 1. Mental
  • 2. Physical
9 - Traffic Lights
Do you feel you're making time for wellness?
  • 1. Not at all
  • 2. Sometimes
  • 3. Yes
10 - Multiple Choice
How engaged do you feel at work right now?
  • 1. Very Engaged
  • 2. Somewhat Engaged
  • 3. Neutral
  • 4. Somewhat Disengaged
  • 5. Very Disengaged

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