Healthy Leaders Assessment

This tool will be used to put together a personal plan that will support you to take control of your health and wellbeing, promoting improved performance for you and your team.

Answer the questions below by rating yourself on a scale of 1 to 10 (1 = Totally disagree with the statement, 10 = Totally agree)

Evaluation Form

Step 1 of 4

25%

Physical
1) I'm in good physical shape and I'm happy with my weight*
2) I don’t have any medical conditions (chronic or ongoing)*
3) I take regular exercise (30 minutes physical exercise at least 3 times per week)*
4) I always have energy and time to pursue my personal hobbies and interests*
5) My energy levels at work are high*

Mental
1) My motivation levels at work are high*
2) I manage my stress levels very well*
3) My anxiety levels are low*
4) On a Sunday evening, I'm really looking forward to the coming weeks work*
5) My business and personal goals are aligned*

Nutrition
1) I have a consistently well balanced diet*
2) I have a low sugar intake*
3) I understand the effects of food types (carbs, protein & fat)*
4) I drink less than the recommended levels of alcohol (14 units per week)*
5) I avoid eating unhealthy snacks*

Cultural
1) I'm achieving the desired culture within the business*
2) My behaviour as a leader fosters the desired culture in the business*
3) I can easily quote examples of behaviours that regularly demonstrate our company values*
4) My business is constantly striving for (and demonstrating) excellence*
5) As a leader I believe I'm performing at the best I can be*
Declaration*
I understand what my information will be used for and have read the privacy policy

Evaluation Form

Step 1 of 4

Physical

Mental

Nutrition

Cultural