Integrative Psychiatrist


Holistic questionnaire

This is a questionnaire that I use as part of a comprehensive holistic assessment.

Answer the questions in each section below and total your score. Each response will be a number from 0 to 5. Please refer to the frequency described within the parentheses (e.g. 2 to 3 times a week) when answering questions about an activity; e.g. Do you maintain a healthy diet? However, when the question refers to an attitude or an emotion (most of the Mind and Spirit questions), e.g., Do you have a sense of humor? the response is more subjective, less exact, and you can refer only to the items describing the frequency, such as often or daily, but not to the numbered frequencies in parentheses.

0 = Never or almost never (once a year or less)

1 = Seldom (2 to 12 times a year)

2 = Occasionally (2 to 4 times a month)

3 = Often (2 to 3 times a week)

4 = Regularly (4 to 6 times a week)

5 = Daily (every day)