Self assessment 3

Spiritual Well-Being Questionnaire This questionnaire explores your views on the term spiritual. Assess each item against the question "How much is this a component of spirituality?" For each item, respond using the scale from 1 (very little) to 5 (very much).

1 = Very Little 2 = Little 3 = Medium 4 = Much 5 = Very Much

Note: The form will total your points for each domain and the entire assessment at the bottom of the page.

1. Celebrating significant moments 2. Zest for life 3. The place of obedience in living 4. Valuing personal instincts 5. Awareness of life's mysteries 6. Appreciating life as it happens 7. Justice 8. Honesty 9. Experiencing drama 10. Experiencing art 11. Trust between individuals 12. Forgiveness between individuals 13. Appreciating the natural environment 14. Moments of solitude 15. Appreciating beauty 16. Having responsibilities 17. Scientific understanding of the universe 18. Admiring something 19. Religious belief 20. Belonging to a faith community 21. Perception of living as a response to God (Other) 22. Personal relationship with God (Other) 23. Reverence to God (Other) 24. Admiring God (Other)

Your total score:

Score

24-120

Interpretation Your total score reflects your overall spiritual well-being.

Source: Adapted from Fisher, J. W., Francis, L. J., & Johnson, P. (2000). Assessing spiritual health via four domains of spiritual wellbeing: The SH5DI. Pastoral Psychology, 49, 133–145.

Personal well-being (Items 1–6)

Your domain scores: Higher scores indicate that you give priority to that domain.

Communal well-being (Items 7-12)

Environmental well-being (Items 13-18)

Transcendental well-being (Items 19-24

1. Q1:
2. Q2:
3. Q3:
4. Q4:
5. Q5:
6. Q6:
7. Q7:
8. Q8:
9. Q9:
10. Q17:
11. Q10:
12. Q11:
13. Q12:
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15. Q15:
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17. Q18:
18. Q19:
19. Q13:
20. Q20:
21. Q21:
22. Q22:
23. Q23:
24. Q24:
25. TotalScore: 0
26. Personal Score: 0
27. Communal Score: 0
28. Environmental Score: 0
29. Transcendental Score: 0