Here is a detailed Neftaly Wellbeing Self-Assessment Template designed to help employees evaluate their current physical, mental, and emotional wellness. This self-assessment serves as a starting point for participation in Neftaly’s wellbeing and development initiatives, helping employees identify areas for improvement and track their progress over time.

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Neftaly Wellbeing Self-Assessment Template

Issued by: Neftaly Development Strategic Partnerships Office
Under: Neftaly Development Royalty
Employee Name: ___________________________
Department: _____________________________
Date of Assessment: _______________________

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Instructions:

This self-assessment is divided into five core areas of wellbeing. Rate yourself on a scale from 1 (Strongly Disagree) to 5 (Strongly Agree) for each statement. Be as honest as possible to get a clear picture of your current state of wellbeing.

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Section 1: Physical Wellbeing

Focuses on your energy levels, physical activity, and overall health.

Statement	Rating (1–5)
I get at least 7–8 hours of quality sleep most nights.
I eat a balanced and nutritious diet regularly.
I drink enough water and stay hydrated throughout the day.
I engage in regular physical activity or exercise.
I feel physically healthy and rarely experience chronic pain or fatigue.

Subtotal (Physical Wellbeing): ______ / 25

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Section 2: Emotional Wellbeing

Relates to how well you manage emotions, stress, and mental resilience.

Statement	Rating (1–5)
I feel emotionally balanced and in control most days.
I am able to manage stress in a healthy way.
I feel positive and optimistic about my personal and professional life.
I have healthy coping strategies for difficult situations.
I rarely feel overwhelmed or emotionally exhausted.

Subtotal (Emotional Wellbeing): ______ / 25

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Section 3: Mental Wellbeing

Focuses on focus, mental clarity, learning, and intellectual stimulation.

Statement	Rating (1–5)
I feel mentally focused and productive during my workday.
I actively seek new knowledge or opportunities to learn.
I manage my time effectively and can prioritize tasks well.
I feel intellectually stimulated in my role.
I take regular breaks to avoid burnout or mental fatigue.

Subtotal (Mental Wellbeing): ______ / 25

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Section 4: Social Wellbeing

Explores relationships, support systems, and work-life interactions.

Statement	Rating (1–5)
I have strong, supportive relationships with friends or family.
I feel connected to my colleagues and team at work.
I make time for meaningful social interactions outside of work.
I feel a sense of belonging in my work environment.
I am comfortable seeking support when I need help.

Subtotal (Social Wellbeing): ______ / 25

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Section 5: Work-Life Integration

Evaluates balance, boundaries, and satisfaction with overall life roles.

Statement	Rating (1–5)
I maintain a healthy balance between my work responsibilities and personal life.
I set clear boundaries between work time and personal time.
I have time for hobbies, rest, and activities I enjoy.
I feel fulfilled both professionally and personally.
I am able to disconnect from work when necessary.

Subtotal (Work-Life Integration): ______ / 25

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Overall Wellbeing Score

• Total Score (All Sections): ______ / 125

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Reflection and Action Plan

1. Which areas had the highest scores? What are you doing well?
2. Which areas had the lowest scores? What might need attention or change?
3. What are three small, achievable actions you can take this month to improve your wellbeing?
4. How will you track your progress?
   • Weekly check-ins
   • Monthly reflections
   • Journaling
   • Using a wellness app
   • Other: ______________________________________________

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Next Steps

• Schedule a one-on-one discussion with a Neftaly Advice Desk Officer or Wellbeing Coordinator to review your results (optional).
• Incorporate your reflections into your Neftaly Quarterly Personal Development Plan.
• Reassess yourself at the end of the quarter to measure growth and improvement.

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