Wellness-Focused Exercise Programme
Mood and Wellness Assessment (MWA)
This questionnaire is designed to help us understand your recent experiences and overall well-being over the past
seven days. Your responses will assist us in tailoring a wellness-focused exercise program that best meets your needs. Please answer the following questions honestly and to the best of your ability.
Your total score will provide insight into your mood and well-being over the past week. Please note that this assessment is not a diagnostic tool but a way to evaluate your recent mood and overall wellness.
We appreciate your participation.
Ethical Considerations
As part of our commitment to enhancing the wellness-focused exercise program, completing this questionnaire in full is a mandatory requirement for all participants.
- All questions must be answered to ensure we can personalize the program to better suit your needs.
- The data collected will be used solely to improve your experience. All responses will remain confidential, and information will be analyzed in aggregate to protect your privacy.
Your input is essential in helping us create a program that truly supports your wellness goals.
Thank you for your cooperation and understanding.
Participant Information
Please provide your full name to help us personalize your experience in the program:
Mood and Wellness Check-In Questionnaire
1. Mood: How often have you felt down, depressed, or hopeless?
2. Interest in Activities: How often have you lost interest or pleasure in activities you usually enjoy?
3. Energy Levels: How often have you felt fatigued or lacking in energy?
4. Sleep Patterns: How often have you experienced trouble sleeping, either sleeping too much or too little?
5. Appetite: How often have you experienced changes in your appetite or weight (e.g., eating too much or too little)?
6. Concentration: How often have you had difficulty concentrating or making decisions?
7. Irritability: How often have you felt irritable?
8. Self-Perception: How often have you felt bad about yourself or that you are a failure?
9. Social Withdrawal: How often have you avoided social interactions or preferred to be alone?
10. Physical Symptoms: How often have you experienced unexplained aches or pains?
Thank you for taking the time to complete this questionnaire.
Your input is invaluable in helping us create a personalized wellness-focused exercise program that supports your goals and well-being.
The responses you provide will help us better understand your recent experiences and adjust the program accordingly to meet your needs.
We appreciate your cooperation and wish you the best on your journey toward enhanced wellness.
Copyright Notice
This questionnaire is the intellectual property of the Scientific Society for Health Education “BIOAGOGHI.”
Reproduction or distribution of this document, in whole or in part, without permission is prohibited. All rights reserved. For more information, please contact us at wellness@bioagoghi.com.
You confirm your participation and agreement with all the terms of this questionnaire by submitting your responses, which will serve as your digital signature.
