Sample Health Risk Assessment Page 3

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35. I take responsibility for my actions and
45. At work, my level of authority is consistent with my
understand the effects that they have on others.
level of responsibility.
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5
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Values, Spirituality, and Beliefs
Intellectual Wellness
46. I feel that my life has a purpose.
36. I keep informed about social, political, and/or
current events.
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47. I am able to discuss my values and beliefs with my
family and friends in a reasonable manner.
37. I seek opportunities to learn new things through
different mediums such as television, books,
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newspaper, internet, etc.
48. My actions are guided by my own beliefs rather than the
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beliefs of others.
38. Before making decisions, I gather facts and
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consider all viable options.
49. I spend a portion of every day in personal reflection.
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39. I enjoy activities such as the arts, visiting
museums, or attending plays or concerts.
50. I am tolerant of the values and beliefs of others.
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5
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40. I enjoy learning new information on a daily
basis.
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Occupational Wellness
41. I enjoy my work.
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5
42. I am satisfied with the balance between my work time
and leisure time.
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43. I am satisfied with my ability to manage and control my
work load.
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44. The level of stress in my work environment is
manageable for me.
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