Four-pillar check-in

1 = not at all like me · 5 = very like me

1. 01 Most days I have enough energy for the things I need to do.

   1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
2. 02 I move my body in a way I enjoy at least a few times a week.

   1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
3. 03 I often feel physically run down, tense or tired.

   1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
4. 04 I can usually stay with one task without my attention scattering.

   1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
5. 05 When something worries me, I can set it aside for a while.

   1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
6. 06 My thoughts often race or loop when I want to rest.

   1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
7. 07 I have a clear sense of what matters to me and why.

   1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
8. 08 I make time for people and activities that feel meaningful to me.

   1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
9. 09 I often feel out of touch with my own feelings.

   1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
10. 10 I have regular moments of stillness, prayer, meditation or quiet reflection.

    1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
11. 11 I feel connected to something larger than myself, however I understand it.

    1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me
12. 12 Whole days go by without a single quiet moment to myself.

    1 Not at all like me 2 A little like me 3 Somewhat like me 4 Mostly like me 5 Very like me