Wheel of Wellness — Full Question Bank
Each audience variant contains 18 questions (3 per dimension). Items are mapped to their source instrument and adapted at or below a 4th-grade reading level. Response options use a consistent 4-point scale per audience.
1. Generalized (All Audiences)
Source instruments: WHO-5 Well-Being Index (WHO, 1998); PROMIS Global Health-10 (NIH, 2009)
Response scale: Almost all the time · More than half the time · Some of the time · Once in a while
Physical Wellness 💪
| # |
Question |
Source |
Adapted From |
| G1 |
In the past month, how often have you felt tired or worn out? |
PROMIS Global08 |
Fatigue item (reverse-scored) |
| G2 |
How would you rate your overall physical health right now? |
PROMIS Global01 |
General health rating |
| G3 |
In a typical week, how often do you move your body in a way that feels good (walking, stretching, playing)? |
PROMIS Global06 |
Everyday physical activities |
Emotional Wellness 💗
| # |
Question |
Source |
Adapted From |
| G4 |
In the past two weeks, how often have you felt calm and at ease? |
WHO-5 Item 2 |
Calm and relaxed |
| G5 |
In the past two weeks, how often have you felt cheerful or in good spirits? |
WHO-5 Item 1 |
Cheerful and in good spirits |
| G6 |
How often have you felt worried, sad, or upset in a way that was hard to shake? |
PROMIS Global10 |
Emotional problems (reverse-scored) |
Social Wellness 🤝
| # |
Question |
Source |
Adapted From |
| G7 |
Do you have people in your life you can count on when things get hard? |
PROMIS Global05 |
Satisfaction with social activities and relationships |
| G8 |
How satisfied are you with how you get along with the people closest to you? |
PROMIS Global05 |
Social relationships |
| G9 |
In the past month, how often have you felt alone even when other people were around? |
WHO-5 (adapted) |
Social connectedness (reverse-scored) |
Daily Life Wellness 📋
| # |
Question |
Source |
Adapted From |
| G10 |
How confident are you that you can handle everyday tasks like bills, forms, and schedules? |
PROMIS Global06 |
Everyday activities capacity |
| G11 |
In the past two weeks, how often has your sleep been restful? |
PROMIS Global09 |
Sleep quality |
| G12 |
How safe do you feel in your home and neighborhood? |
PROMIS (adapted) |
Personal safety |
Purpose Wellness ⭐
| # |
Question |
Source |
Adapted From |
| G13 |
In the past two weeks, how often has your daily life been filled with things that interest you? |
WHO-5 Item 5 |
Daily life filled with interest |
| G14 |
How would you rate your quality of life right now? |
PROMIS Global02 |
Quality of life |
| G15 |
Do you feel like your life has meaning or direction? |
WHO-5 (adapted) |
Purpose and meaning |
Growth Wellness 🌱
| # |
Question |
Source |
Adapted From |
| G16 |
In the past two weeks, how often have you felt active and full of energy? |
WHO-5 Item 3 |
Active and vigorous |
| G17 |
Are you learning or trying anything new right now? |
WHO-5 (adapted) |
Interest and engagement |
| G18 |
How often do you make time for things that help you grow (reading, classes, hobbies)? |
PROMIS (adapted) |
Personal development |
2. Parent / Caregiver
Source instruments: CWBS-SF (Tebb & Berg-Weger, 2016); CAREPAL-8 (Ullrich et al., 2024); Preparedness for Caregiving Scale (Archbold et al., 1990)
Response scale: Almost every day · More days than not · Once in a while · Rarely
Physical Wellness 💪
| # |
Question |
Source |
Adapted From |
| P1 |
When did you last see a doctor for YOUR own health check? |
CWBS-SF |
Basic needs: self-care |
| P2 |
In the past month, how often have you felt tired or worn out from caregiving? |
CAREPAL-8 Item 2 |
PHQ-9 fatigue item |
| P3 |
In a typical week, how often do you get enough sleep? |
CWBS-SF |
Physical well-being |
Emotional Wellness 💗
| # |
Question |
Source |
Adapted From |
| P4 |
How often do you feel worn out or weighed down by all you have to do? |
CAREPAL-8 Item 2 |
PHQ-9 fatigue / burden |
| P5 |
In the past two weeks, how often have you been bothered by not being able to stop or control worrying? |
CAREPAL-8 Item 1 |
GAD-7 worry item |
| P6 |
How often do you feel like you are doing a good job as a caregiver? |
Preparedness Scale |
Perceived competence |
Social Wellness 🤝
| # |
Question |
Source |
Adapted From |
| P7 |
Do you have someone who can watch your kids so you can take a break? |
CWBS-SF |
Respite and support |
| P8 |
Is there someone you can talk to honestly about how hard caregiving can be? |
CAREPAL-8 (adapted) |
Emotional support |
| P9 |
How often do you spend time with friends or do something fun for yourself? |
CWBS-SF |
Personal time |
Daily Life Wellness 📋
| # |
Question |
Source |
Adapted From |
| P10 |
How confident are you about handling school meetings, doctor visits, and paperwork for your family? |
Preparedness Scale |
System navigation readiness |
| P11 |
Does your family have the money and resources to cover your basic needs? |
CAREPAL-8 Items 5-8 (adapted) |
Financial / material needs |
| P12 |
Are you able to get the services and supports your family member with a disability needs? |
CAREPAL-8 Items 5-7 |
Information and service needs |
Purpose Wellness ⭐
| # |
Question |
Source |
Adapted From |
| P13 |
Do you feel accepted and respected by the professionals who work with your family? |
CAREPAL-8 Item 8 |
Professional acceptance |
| P14 |
How often do you feel like your role as a caregiver gives your life meaning? |
Preparedness Scale (adapted) |
Role meaning |
| P15 |
Is there anything outside of caregiving that is important to who you are? |
CWBS-SF |
Identity beyond caregiving |
Growth Wellness 🌱
| # |
Question |
Source |
Adapted From |
| P16 |
Are you learning new things about how to support your family member? |
Preparedness Scale |
Knowledge growth |
| P17 |
How often do you feel stuck or like nothing you do makes a difference? |
CAREPAL-8 (adapted) |
Helplessness / stagnation (reverse-scored) |
| P18 |
In the past month, have you done anything just for you (a class, a hobby, time with a friend)? |
CWBS-SF |
Personal growth activity |
3. Family Member / Household
Source instruments: Beach Center FQOL (Hoffman et al., 2006); FQoLS (Brown et al., 2006)
Response scale: Very satisfied · Satisfied · Neither satisfied nor dissatisfied · Dissatisfied
Physical Wellness 💪
| # |
Question |
Source |
Adapted From |
| F1 |
Do members of your family get the medical care they need when they need it? |
FQOL Item 19 |
Physical/Material: medical care |
| F2 |
Does your family feel safe at home, work, school, and in the neighborhood? |
FQOL Item 21 |
Physical/Material: safety |
| F3 |
Does your family have transportation to get to the places you need to be? |
FQOL Item 17 |
Physical/Material: transportation |
Emotional Wellness 💗
| # |
Question |
Source |
Adapted From |
| F4 |
Does your family have the support you need to handle stress? |
FQOL Item 13 |
Emotional Well-Being: stress support |
| F5 |
Do family members have some time to pursue their own interests? |
FQOL Item 15 |
Emotional Well-Being: personal time |
| F6 |
Do family members have outside help available for special needs? |
FQOL Item 16 |
Emotional Well-Being: outside help |
Social Wellness 🤝
| # |
Question |
Source |
Adapted From |
| F7 |
Do family members have friends or others outside the home they can lean on? |
FQOL Item 14 |
Emotional Well-Being: external support |
| F8 |
Does your family enjoy spending time together? |
FQOL Item 1 |
Family Interaction: enjoyment |
| F9 |
Do family members show that they love and care for each other? |
FQOL Item 5 |
Family Interaction: affection |
Daily Life Wellness 📋
| # |
Question |
Source |
Adapted From |
| F10 |
Are you able to get the services and supports your family member with a disability needs? |
FQOL Items 22-25 |
Disability-Related Support |
| F11 |
Does your family have a way to take care of expenses? |
FQOL Item 20 |
Physical/Material: finances |
| F12 |
Does your family have a good relationship with the service providers who work with your family member? |
FQOL Item 25 |
Disability-Related Support: providers |
Purpose Wellness ⭐
| # |
Question |
Source |
Adapted From |
| F13 |
Does your family solve problems together? |
FQOL Item 3 |
Family Interaction: problem-solving |
| F14 |
Do family members support each other to accomplish goals? |
FQOL Item 4 |
Family Interaction: goal support |
| F15 |
Does your family feel like it is handling life's ups and downs well? |
FQOL Item 6 |
Family Interaction: resilience |
Growth Wellness 🌱
| # |
Question |
Source |
Adapted From |
| F16 |
Do family members help the children learn to be independent? |
FQOL Item 7 |
Parenting: independence |
| F17 |
Do adults in the family know other people in the children's lives (friends, teachers)? |
FQOL Item 11 |
Parenting: involvement |
| F18 |
Do family members talk openly with each other? |
FQOL Item 2 |
Family Interaction: communication |
4. Professional (Therapists, Counselors, Coaches, Educators, Healthcare Workers)
Source instruments: ProQOL-5 (Stamm, 2010); OLBI (Demerouti et al., 2003)
Response scale: Almost every day · Several days a week · Once in a while · Rarely
Physical Wellness 💪
| # |
Question |
Source |
Adapted From |
| PR1 |
How often do you feel physically drained after your workday? |
ProQOL-5 Item 19 (adapted) |
Burnout: worn out |
| PR2 |
In the past month, how often have you lost sleep over the experiences of people you help? |
ProQOL-5 Item 8 |
Burnout: sleep disruption |
| PR3 |
How often do you feel on edge or jumpy because of things you hear at work? |
ProQOL-5 Item 5 |
STS: startle response |
Emotional Wellness 💗
| # |
Question |
Source |
Adapted From |
| PR4 |
I find my work as a helper to be deeply satisfying. |
ProQOL-5 Item 3 (adapted) |
CS: satisfaction from helping |
| PR5 |
How often do you feel depressed because of the experiences of people you help? |
ProQOL-5 Item 13 |
STS: depression from trauma |
| PR6 |
How often do you feel overwhelmed because your workload seems endless? |
ProQOL-5 Item 21 |
Burnout: overwhelm |
Social Wellness 🤝
| # |
Question |
Source |
Adapted From |
| PR7 |
Do you have colleagues or peers you can talk with honestly about difficult cases? |
ProQOL-5 (adapted) |
Peer consultation / support |
| PR8 |
How often do you feel connected to the people around you at work? |
ProQOL-5 Item 4 (adapted) |
Burnout-R: connectedness |
| PR9 |
How often do you feel trapped by your job? |
ProQOL-5 Item 10 |
Burnout: trapped |
Daily Life Wellness 📋
| # |
Question |
Source |
Adapted From |
| PR10 |
How well do you maintain a boundary between your work and your personal life? |
OLBI (adapted) |
Disengagement: work-life boundary |
| PR11 |
I am pleased with how I keep up with professional techniques and protocols. |
ProQOL-5 Item 16 |
CS: professional competence |
| PR12 |
How often do you feel bogged down by the systems and rules at work? |
ProQOL-5 Item 26 |
Burnout: systemic frustration |
Purpose Wellness ⭐
| # |
Question |
Source |
Adapted From |
| PR13 |
I believe I can make a difference through my work. |
ProQOL-5 Item 22 |
CS: impact |
| PR14 |
How often do you have happy thoughts about the people you help? |
ProQOL-5 Item 20 |
CS: positive regard |
| PR15 |
Are you happy that you chose this line of work? |
ProQOL-5 Item 30 |
CS: career satisfaction |
Growth Wellness 🌱
| # |
Question |
Source |
Adapted From |
| PR16 |
I am pleased with how I am able to keep up with helping techniques and protocols. |
ProQOL-5 Item 16 |
CS: professional growth |
| PR17 |
How often do you avoid situations that remind you of frightening things people you help have told you? |
ProQOL-5 Item 23 |
STS: avoidance (reverse-scored) |
| PR18 |
Are you the person you always wanted to be in this work? |
ProQOL-5 Item 17 (adapted) |
Burnout-R: self-concept |
5. Special Needs / Accessible Format (Person with Disability)
Source instruments: PWI-ID (Cummins & Lau, 2005); adapted from WHO-5
Response scale (emoji): 😟 Not Good · 😐 Okay · 🙂 Pretty Good · 😊 Good · 😄 Very Good
Note: 12 items (2 per dimension). Support person may assist with reading.
My Body 💪
| # |
Question |
Source |
Adapted From |
| SN1 |
How do you feel about your health? |
PWI-ID: Health |
Health domain |
| SN2 |
How do you feel about how safe you feel? |
PWI-ID: Personal Safety |
Safety domain |
My Feelings 💗
| # |
Question |
Source |
Adapted From |
| SN3 |
In the past two weeks, how often have you felt happy? |
WHO-5 Item 1 (simplified) |
Cheerful and in good spirits |
| SN4 |
In the past two weeks, how often have you felt calm? |
WHO-5 Item 2 (simplified) |
Calm and relaxed |
My People 🤝
| # |
Question |
Source |
Adapted From |
| SN5 |
How do you feel about how you get along with people? Like your family and friends. |
PWI-ID: Personal Relationships |
Relationships domain |
| SN6 |
How do you feel about doing things outside your home? Like in your community or neighborhood. |
PWI-ID: Community Connectedness |
Community domain |
My Day 📋
| # |
Question |
Source |
Adapted From |
| SN7 |
How do you feel about the things you have? Like your money and the things you own. |
PWI-ID: Standard of Living |
Material well-being |
| SN8 |
How do you feel about how your day goes? Like your routine and what you do. |
WHO-5 Item 5 (simplified) |
Daily life filled with interest |
What Matters ⭐
| # |
Question |
Source |
Adapted From |
| SN9 |
How do you feel about the things you do or make? |
PWI-ID: Life Achievement |
Achievement domain |
| SN10 |
How do you feel about your life as a whole? |
PWI-ID: Global |
Life as a whole (validity check) |
Growing 🌱
| # |
Question |
Source |
Adapted From |
| SN11 |
How do you feel about what will happen to you later in your life? |
PWI-ID: Future Security |
Future security domain |
| SN12 |
In the past two weeks, how often have you felt like doing things? |
WHO-5 Item 3 (simplified) |
Active and vigorous |
Scoring Notes
- Generalized, Parent/Caregiver, Family, Professional: 18 items. Score per dimension = mean of 3 items × 25 (range: 0-100). Overall score = mean of all 6 dimension scores.
- Special Needs: 12 items. Score per dimension = mean of 2 items × 20 (range: 0-100). Overall score = mean of all 6 dimension scores.
- Thresholds: 0-39 = Needs Attention · 40-59 = Moderate · 60-100 = Strong
- All instruments are screening tools for self-reflection. Not diagnostic.
Last updated: July 2026
Compiled for HELPipedia Wheel of Wellness / SpecialNeeds.help
