Happiness Habits Assessment Form
Evaluate your daily routines and habits that contribute to your overall happiness and well-being.
How satisfied are you with your overall happiness in the past month?
*
1
2
3
4
5
How frequently do you engage in the following happiness habits?
*
Rows
Never
Rarely
Sometimes
Often
Always
Expressing gratitude
1
2
3
4
5
Physical activity or movement
6
7
8
9
10
Connecting with friends or family
11
12
13
14
15
Mindfulness or meditation
16
17
18
19
20
Getting enough restful sleep
21
22
23
24
25
I am able to find something positive in challenging situations.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Which of the following best describes your typical morning routine?
*
I start my day with a positive habit (e.g., gratitude, exercise, reading)
I check my phone or emails first
I rush to get ready
Other
How much do you agree with the following statements?
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I take time for self-care regularly
26
27
28
29
30
I feel connected to people in my life
31
32
33
34
35
I set aside time for activities I enjoy
36
37
38
39
40
I manage stress in healthy ways
41
42
43
44
45
How would you rate your ability to manage stress?
*
1
2
3
4
5
Which area do you feel needs the most improvement for your happiness?
*
Please Select
Physical health
Relationships
Work-life balance
Mindset
Self-care
Other
How often do you take time to do something you enjoy?
*
Daily
A few times a week
Once a week
Rarely
If you wish, share one habit you’d like to build for greater happiness.
Submit Assessment
Should be Empty: