№ lp_2_3_39084
File format: docx
Character count: 3873
File size: 17 KB
Structured health and lifestyle assessment form presenting scaled statements across multiple wellbeing domains and concluding with scoring, change readiness measures, and a three-month action planning section.
Type of document:
Health and wellness self-assessment questionnaire
Purpose:
Informational assessment of lifestyle, habits, and wellbeing
Format:
Structured questionnaire with Likert-scale responses
Assessment scale:
1 = Never; 2 = Rarely; 3 = Occasionally; 4 = Frequently; 5 = Always
Sections:
Life Balance/Satisfaction; Relationships; Spiritual; Mental; Emotional; Physical/Nutrition; Physical/Exercise; Physical/Weight; Environmental; Health Responsibility
Total scoring categories:
10 domains with individual maximum scores
Includes:
Readiness to Change scale; Priority for Making Change scale; Confidence in Ability scale
Time frame referenced:
Next 3 months (Action Plan section)
Disclaimer:
Not a substitute for professional medical advice, diagnosis, or treatment
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
Not specified
Country:
United States
Institution:
National Center for Complementary and Integrative Health
Parent organization:
National Institutes of Health
Document type:
Charter
Subject area:
Clinical trial oversight
Governing body:
Data and Safety Monitoring Board
Scope:
Data and safety monitoring of clinical trials
Regulatory references:
NOT-98-084; NOT-99-107
Funding source:
National Center for Complementary and Integrative Health
Intended users:
Clinical trial investigators and monitoring board members
Year:
2025
Region / City:
Geneva, Switzerland
Topic:
Health, Traditional Medicine
Document Type:
Request for Proposals (RFP)
Organization / Institution:
World Health Organization (WHO)
Author:
World Health Organization (WHO)
Target Audience:
Bidders, Contractors
Period of Validity:
23 February 2025
Date of Approval:
Not specified
Date of Changes:
Not specified
Note:
Context
Year:
2018
Region / City:
USA
Subject:
Nursing Education, Scholarship
Document Type:
Educational Framework
Institution:
American Association of Colleges of Nursing (AACN)
Author:
American Association of Colleges of Nursing (AACN)
Target Audience:
Nursing educators, nursing students, healthcare professionals
Period of Effectiveness:
2018-ongoing
Approval Date:
2018
Date of Changes:
None
Year:
2025
Region / City:
General
Theme:
Manufacturing, Industrial Systems, Smart Manufacturing
Document Type:
Course Overview
Organization:
EON Reality Inc
Author:
EON Reality Inc
Target Audience:
Engineers, operators, supervisors, and planners in manufacturing industries
Period of validity:
Not specified
Approval Date:
Not specified
Date of changes:
Not specified
Institution:
National Institute of Integrative Medicine
Committee:
Human Research Ethics Committee (EC00436)
Document type:
Research reporting form
Report type:
Annual Report or Final Report
Related policy:
NHMRC National Statement for the Ethical Conduct of Research in Humans
Project information required:
Project title, HREC approval number, date of original approval
Investigator role:
Primary Chief Investigator
Reporting elements:
Project status, ethical issues, amendments, adverse events, participant withdrawal, research results, publications and presentations
Declaration:
Confirmation of compliance with original and subsequently approved HREC conditions
Submission method:
Email submission to [email protected]
Issuing body:
NIIM Human Research Ethics Committee
Year:
2026
Region / City:
Warren, Ohio
Topic:
Certification, Health Care, Holistic Health
Document Type:
Application Form
Organization / Institution:
The American Institute of Health Care Professionals
Author:
The American Institute of Health Care Professionals
Target Audience:
Health care professionals seeking certification
Validity Period:
4 years
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2020
Region / city:
N/A
Topic:
Sustainability Science
Document Type:
Research Article
Organization / Institution:
N/A
Author(s):
William C. Clark, Alicia G. Harley
Target Audience:
Researchers, Academics, Sustainability Professionals
Period of Validity:
N/A
Date of Approval:
N/A
Date of Changes:
N/A
Year:
2020
Region / city:
San Francisco
Theme:
Integrative Health, Mindfulness, Yoga
Document Type:
Health Program Overview
Organization:
San Francisco VA Medical Center
Author:
Caitlin Hildebrand
Target Audience:
Veterans, Healthcare Professionals
Period of Action:
Ongoing
Approval Date:
2020
Date of Changes:
N/A
Note:
Description of the document
Note:
Year
Theme:
Energy Design
Document Type:
Workshop Report
Target Audience:
Design professionals
Year:
2024
Region / City:
Pasadena, CA
Theme:
Health Psychology, Hypnosis, Biofeedback
Document Type:
Biography
Organization / Institution:
Saybrook University
Author:
Dr. Donald Moss
Target Audience:
Academics, Professionals in Health Psychology and Psychophysiology
Effective Date:
2024
Date of Changes:
N/A
Year:
2026
Region / City:
Not specified
Topic:
Cancer genomics, epigenetics, prostate cancer
Document type:
Supplementary material
Institution:
Not specified
Authors:
Chennan Li et al.
Target audience:
Researchers in oncology and molecular biology
Sample type:
Plasma and buffy coat
Methods:
ctDNA sequencing, 5mC/5hmC methylomics, clonal reconstruction
Timepoints:
Baseline, restaging, progression, off-study
Genes analyzed:
AR, BRCA2, erythroid markers, platelet/megakaryocyte markers, globins
Data included:
Sequencing metrics, methylation percentages, gene-level events, survival analysis
Associated figures:
8 supplementary figures, 2 supplementary tables
Statistical analyses:
Spearman correlation, Kruskal-Wallis test, Mann-Whitney U test, Kaplan-Meier survival estimates, log-rank test
Year:
2026
Institution:
Louisiana State University
Course Type:
Proposal for new ILC course
Target Audience:
Undergraduate students
Credits:
3
Delivery Mode:
Face to Face, Hybrid, Online, LSU Online, Dual Enrollment
Board of Regents Area:
Social / Behavioral Sciences
Primary Proficiency:
Intercultural Knowledge and Competence
Assessment Method:
Rubric-based evaluation of knowledge, skills, and attitudes dimensions
Course Coordinator:
Not specified
Course Period:
Academic semester
Year:
2026
Institution:
Louisiana State University
Course Type:
New ILC Course Proposal
Credits:
3
Primary Proficiency:
Oral Communication
Delivery Mode:
Face to Face, Hybrid, Online
Assessment Method:
Rubric-based evaluation of organization, language, delivery, supporting material, central message
Target Audience:
Undergraduate students
Department:
Integrative Learning Core Committee
Submission Date:
2026-03-16
Year:
Not specified
Region / City:
Not specified
Topic:
Integrative Medicine, Family Medicine
Document Type:
Fellowship Curriculum
Institution:
Mount Sinai
Author:
Not specified
Target Audience:
Medical professionals
Period of validity:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Region / Country:
United States
Topic:
Law enforcement training and officer wellness
Document type:
Survey supporting statement
Agency / Institution:
Bureau of Justice Statistics (BJS)
Author:
Bureau of Justice Statistics
Target audience:
Law enforcement agencies, policymakers, researchers
Survey period:
September 2023 – May 2024
Legal authority:
34 USC § 10132
Data collection agent:
RTI International
Sample size:
Approximately 3,500 general-purpose law enforcement agencies
Related programs:
Law Enforcement Core Statistics (LECS), LEMAS core survey, Census of Law Enforcement Training Academies (CLETA), Law Enforcement Suicide Data Collection (LESDC)
Note:
Year
Topic:
Wellness Policy, Nutrition, Physical Activity
Document Type:
Assessment Tool
Organization:
Arizona Department of Education
Author:
Arizona Department of Education
Target Audience:
School administrators, educators, school staff
Period of validity:
Ongoing
Year:
2022
Region / City:
Arizona
Subject:
Mental health, school wellness
Document Type:
Application Instructions
Organization:
Arizona Department of Education
Author:
Arizona Department of Education
Target Audience:
Local Educational Agencies (LEAs), school personnel, community partners
Period of validity:
09/30/2021 - 09/29/2026
Approval Date:
September 30, 2021
Amendment Date:
N/A
Document type:
Standard Operating Procedure
Title:
Health and Wellness Center Staffing
Organization:
Job Corps
Department:
Health and Wellness Center
Regulatory reference:
Policy and Requirements Handbook (PRH) Chapter 5.2 R3, R5; Exhibits 5-3 and 5-6; Information Notice 15-27
Responsible role:
Center Director
Approval authority:
Regional Office or National Office in consultation with Regional Health Specialists
Scope:
Health and Wellness Center staffing and supervision
Applicable professions:
Health and Wellness Director, Registered Nurse, Licensed Practical/Vocational Nurse, physicians, nurse practitioners, physician assistants, dental staff, TEAP specialists, mental health professionals
Licensing requirement:
State licensure and compliance with state and federal practice acts
Staffing standards reference:
PRH Exhibit 5-6
Status:
Example standard operating procedure requiring center-specific adaptation
Effective date:
Not specified
Geographic applicability:
United States, state-specific practice laws
Year:
2023
Region / City:
Santa Fe
Topic:
Employee Wellness, Mental Health
Document Type:
Resolution
Organization:
City of Santa Fe
Author:
Councilor Amanda Chavez, Councilor Chris Rivera
Target Audience:
City Employees
Period of Action:
2023-2025
Approval Date:
Not specified
Date of Changes:
Not specified
Context:
A resolution by the City of Santa Fe to establish a two-year pilot program supporting the physical and mental wellbeing of employees, including new leave benefits for wellness and fitness.