Name* First Last Email* Job Title*Job TitleAssistant/Deputy PrincipalHead of CollegeSenior LeaderWellbeing CoordinatorHead of Teaching and LearningTeacherCareer AdvisorAdministrationAccountsBusiness ManagerOther Physical SelfI know what my body needs to function optimally and to maintain energy. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I utilise rest and recovery as a way to look after my wellbeing. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I prioritise the 4 Pillars of Teacher Health (food, water, sleep and movement) no matter how busy I am. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I recognise the signs and signals that let me know my Physical Self needs attention. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I know how to refuel my Physical Self and do this as often as needed. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree Mindful SelfI am aware of my emotions and how they impact my day. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I take moments during the day to check in with how I feel. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I know how to increase positive emotions and actively work to do this. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I utilise Self-Care practices such as gratitude and meditation as a way to improve my Mindful Self. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I pay attention to my thoughts and the stories I tell myself and where possible change these to help me experience a more positive outcome. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree Learning SelfI learn for fun. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I am comfortable with being challenged when I learn and seek out ways to do this. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I balance learning what I need to and learning for fun within my life. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I seek out ways to gain new knowledge which I know will improve my overall wellbeing. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I am open minded and persistent when I learn, despite setbacks, challenges and being out of my comfort zone. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree Connected SelfI consciously think through how I can contribute positively to those I connect with. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I set aside time to connect with myself. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I am aware of who I spend most of my time with, the conversations I have and how this impacts my wellbeing. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I actively seek out and maintain connections as a way to enhance my wellbeing. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I connect with a variety of people in meaningful ways and continuously reflect on my connections, seeking to improve them. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree Purposeful SelfI know my values and seek to live truthfully to these as much as possible. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I feel as if I matter. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I meaningfully contribute to the lives of others. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I make decisions which align with my values and am confident to share this with others. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree I know how to and choose to bring meaning into my everyday life. 0 Strongly Disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree HiddenmaxHiddenmin
