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Care Planning WHO (Five) Well-Being Index

Please indicate for each of the five statements which is closest to how you have been feeling over the last two weeks.  Higher numbers mean better well-being. Download a copy of the form from here

 
 

Over the last two weeks

 All of the time

 Most of the Time

More than half of the time

Less than half of the time

 Some of the time

 At no time

 1

 I have felt cheerful and in good spirits

 5

 4

 3

2

1

0

 2

I have felt calm and relaxed 

 5

 4

3

2

1

0

 3

 I have felt active and vigorous

 5

 4

3

2

1

0

 4

 I woke up feeling fresh and rested

 4

3

2

1

0

 5

 My daily life has been filled with things that interest me

 5  4  3  2  1  0