Client’s Monthly Assessment Name * First Name Last Name Wellness check in - On a scale from 1 to 10, 10 being excellent, how would you rate your current overall health and why? * What is your current weight? * Thinking about your physical health which includes physical illness and injury, how many days during the past 30 days was your physical health not good? * Thinking about your mental health, which includes stress, depression, and problems with emotions, how many days during the past 30 days was your mental health not good? * During the past 30 days, about how many days did poor physical or mental health keep you from doing usual activities, such as self-care, work, recreation or family time? * What challenges have you faced during the past 30 days? * In your own words, how would you describe your transition into a healthy lifestyle thus far? * Thank you!
