Physical
I participate in regular exercise (3 times a week or more).
I eat a well balanced diet, eating to fuel myself for energy and health.
My weight is within 10 pounds of the ideal weight for my height.
My alcohol consumption is 7 drinks (shot, beer or glass of wine) or fewer per week.
I always wear my seat belt.
I do not use tobacco in any form.
I have had a physical exam in the last 3 years. (I have had a baseline health exam for comparing future visits.)
I generally get seven to nine hours of satisfying/restful sleep.

Interpersonal
I have nourishing, intimate relationships with my immediate/extended family members.
I have at least one friend with whom I can share almost anything.
I have nourishing friendships with friends and acquaintances.
I seek help and support when I need it.
I experience and effectively express a wide range of emotions and respond to others' feelings appropriately.
I solicit and accept feedback from others.
I stick up for myself when it is necessary and appropriate.
I can set boundaries without guilt and anxiety.

Intellectual
I pursue interests/hobbies outside of work/home responsibilities.
I enroll in classes/workshops/retreats to expand my horizons and knowledge.
I engage in conversations and events with others having differing lifestyles and opinions.
I read four or more books a year for purely pleasurable reasons.
I review articles, books, CDs and journals to increase my professional knowledge.
I am curious and always seeking new learning experiences.
I engage in an activity that sparks my creativity. (It may be playing with children, a hobby, volunteering, etc.)
I have done at least one thing this year that has involved a risk.

Emotional
I maintain a realistic and basically positive self image.
I usually face up to problems and cope with change effectively. I have a proactive approach.
I experience a wide range of emotions.
I seldom experience periods of depression.
I laugh frequently throughout the day, keeping a healthy perspective on life.
I find time for fun or play a couple of times a week. (Lasting five minutes to hours.)
I receive comments on my ability to respond appropriately to others' emotional needs.
I rarely compare myself to others or experience envy/jealousy.

Spiritual
I set aside 15-20 minutes each day for prayer or meditation.
I have taken the time, as an adult, to review my ideas of being a spiritual being.
I participate in regular spiritual rituals with people who share my beliefs.
I keep the purpose of my life clearly in mind and let it guide my goal setting and decision making.
I regularly offer my time and possessions in service to others.
I am sensitive to ultimate truths and the spiritual dimension of life.
I readily forgive myself for mistakes.
I readily forgive others for their mistakes.

Tally your check marks for each category and record them:
_____ Physical
_____ Interpersonal
_____ Intellectual
_____ Emotional
_____ Spiritual
_____ TOTAL

Your total number gives you an idea of how your health habits contribute to or detract from your overall health in all the dimensions of your life. 

Score your portfolio:

35-40 . . . Outstanding Hope you know you role-model positive living to others.
26-34 . . . Excellent Your lifestyle habits are life/health enhancing.
19-25 . . . Average You obviously make choices to enhance your health; however, improvement would be beneficial.
<=18 . . . Below Average The quality of your health/life is probably negatively impacted by your lifestyle choices. 

Ask yourself the following questions:
Which area of your life needs the most immediate attention?
What behavior or attitude, if stopped today, would improve your health/life?
What behavior or attitude, if begun today, would improve your health/life?
Who could help advise or guide you in this area?