Coleman Wellness Self-Test, evaluate your lifestyle and health

What is the CWST?

A quick and easy tool to help you evaluate how the 5 parts of your lifestyle (PHYSICAL, MENTAL, EMOTIONAL, SOCIAL, BELIEFS) may be influencing your over-all health

How does the CWST work?

The CWST is fully automated! There is no charge for this wonderful service!
You are welcome to take the CWST as many times as you like — especially if you wish to re-evaluate your wellness progress.
Before you begin responding to CWST’s 50 short statements, check [√ ] two goals you are currently setting for yourself.
After you complete all 50 statements, click the “submit” button and wait a moment for your test results to appear. Review your results carefully. If you have questions or desire a more in depth analysis of your test results, please consider scheduling a follow-up appointment with Beverly. You will also receive an email with your score summaries for your personal records. This will enable you to evaluate your wellness progress by comparing future CWST scores with any of your past CWST scores. Your CWST test results will show you which parts of your lifestyle are likely to be 1) supporting or 2) obstructing your over-all health and life goals – now and in the future.
To ensure uninterrupted delivery of your test results, please add our e-address to your e-address book or whitelist: wellness@beverlycoleman.com

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Step 1 of 6

16%

Before you begin the CWST, please provide the following:

Name*

Name

Terms & Conditions*

I agree to the Terms & Conditions

Check the first and second statements that most closely define your goals at this time (the second choice will appear, once you have made your first choice):

Your first choice:*

My goal is to improve my over-all health and vitality

My goal is to heal or reduce the severity of a health problem I am currently experiencing

My goal is to attract healthier social relationships

My goal is to prevent future health problems

My goal is to attract more material resources

Your second choice:*

My goal is to heal or reduce the severity of a health problem I am currently experiencing

My goal is to attract healthier social relationships

My goal is to prevent future health problems

My goal is to attract more material resources

Your second choice:*

My goal is to improve my over-all health and vitality

My goal is to attract healthier social relationships

My goal is to prevent future health problems

My goal is to attract more material resources

Your second choice:*

My goal is to improve my over-all health and vitality

My goal is to heal or reduce the severity of a health problem I am currently experiencing

My goal is to prevent future health problems

My goal is to attract more material resources

Your second choice:*

My goal is to improve my over-all health and vitality

My goal is to heal or reduce the severity of a health problem I am currently experiencing

My goal is to attract healthier social relationships

My goal is to attract more material resources

Your second choice:*

My goal is to improve my over-all health and vitality

My goal is to heal or reduce the severity of a health problem I am currently experiencing

My goal is to attract healthier social relationships

My goal is to prevent future health problems

YOUR PHYSICAL WELLNESS
How your over-all health and energy meet the demands of your daily life

1. My parents and grandparents are/were relatively free of major diseases such as cancer, heart problems, diabetes, etc.*

Yes

Don't know

2. During childhood my parent(s) discouraged me from eating candies, sodas and non-nutritious snack foods.*

Yes

Sometimes

3. I have access to adequate financial resources to take care of my basic physical survival needs (food, clothing, shelter, healthcare).*

Yes

Sometimes

4. I eat foods that are free of toxic additives, pesticides, chemical processing and genetic modifications (GMO).*

Usually

Sometimes

Please specify which of these items you include in your current lifestyle

toxic additives

pesticides

chemical processing

genetic modifications

5. Whenever possible I avoid skin contact with toxic lotions, cosmetics, household cleaning agents and any other product that I am aware may be harmful to my over-all health.*

Usually

Sometimes

Please specify which of these items you include in your current lifestyle

toxic lotions

toxic cosmetics

toxic household cleaning agents

6. During a period of one week, I eat a wide variety of colorful, fresh fruits, vegetables, legumes (beans) and whole grains.*

Usually

Sometimes

Please specify which of these items you include in your current lifestyle

fruits

vegetables

legumes

whole grains

7. I limit my intake of sugars, starches, oils/fats and salt.*

Usually

Sometimes

Please specify which of these items you include in your current lifestyle

sugars

starches

oils/fats

salt

8. I get 7 to 8 hours of restful sleep in a completely dark room daily.*

Usually

Sometimes

9. I maintain a desired weight -- avoiding both underweight and overweight.*

Yes

Sometimes

10. I do a combination of deep breathing, stretching, aerobic and strength-training exercises for at least 30 minutes four times weekly.*

Usually

Sometimes

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Your Physical Wellness Score

YOUR INTELLECTUAL / MENTAL WELLNESS
How you think, learn, set goals and solve problems

1. During childhood my parent(s) reassured me of my natural intelligence and ability to succeed in life.*

Yes

Sometimes

2. During childhood my parent(s) encouraged my involvement in educational activities.*

Yes

Sometimes

3. I listen respectfully to the thoughts and ideas of others even though I may disagree*

Usually

Sometimes

4. Whenever I have problems, I tend to face them squarely as I consider the most reasonable and effective solutions*

Usually

Sometimes

5. I think it is useful to explore new ideas and strategies for solving some of the problems I am confronted with.*

Usually

Sometimes

6. In order to achieve the goals I set for myself I plan the steps I must take and how I intend to use my time and resources.*

Usually

Sometimes

7. In order to think clearly and solve problems efficiently I remain open to learning and changing and I avoid habits and substances that interfere with normal brain functions.*

Usually

Sometimes

Please specify which of these items you include in your current lifestyle

I remain open to learning and changing

I avoid habits and substances that interfere with normal brain functions

8. I think it’s okay to get professional mental health counseling if I find myself in a difficult period of mental confusion, depression, unbearable stress/anxiety, post traumatic stress disorder (PTSD)*

Yes

Please specify which of these items you include in your current lifestyle

mental confusion

depression

unbearable stress/anxiety

post traumatic stress disorder (PTSD)

9. When I feel overworked and mentally exhausted. I take a mini-vacation and/or exercise break.*

Yes

Sometimes

10. I safeguard the health and vitality of my brain functions by eating lots of nutrient-dense "superfoods," promoting good circulation by exercising and not smoking or vaping, getting adequate and restful sleep, properly managing stress, avoiding substances that contribute to high levels of inflammation and toxic build-ups (i.e., refined, sugary, starchy, fatty, processed foods/drinks and toxic chemicals).*

Usually

Sometimes

Please specify which of these items you include in your current lifestyle

eating nutrient-dense "superfoods"

promoting good circulation by exercising

not smoking or vaping

getting adequate and restful sleep

properly managing stress

avoiding substances that contribute to high levels of inflammation and toxic build-ups

This field is hidden when viewing the form

Your Intellectual / Mental Wellness Score

YOUR EMOTIONAL WELLNESS
How you manage the expression of your feelings and needs

1. During childhood my parent(s) expressed love and affection toward me.*

Yes

Sometimes

2. During childhood my parent(s) avoided hitting or punishing me in an excessively harsh manner.*

Yes

Sometimes

3. When I look in the mirror, I feel good about my appearance.*

Usually

Sometimes

4. I am at ease expressing my feelings freely when appropriate.*

Yes

Sometimes

5. I am able to avoid being overcome by negative emotions such as fear, hatred, guilt, envy, greed, sorrow, depression, deep sadness, worry.*

Usually

Sometimes

Please specify which of these items you include in your current lifestyle

fear

hatred

guilt

envy

greed

sorrow

depression

deep sadness

worry

6. I avoid addictive/compulsive behaviors such as overeating, alcohol consumption, drug use, gambling, sex-related activities, technology preoccupations as a way of coping with my stressful feelings or problems.*

Yes

Sometimes

Please specify which of these items you include in your current lifestyle

overeating

alcohol consumption

drug use

gambling

sex-related activities

technology preoccupations

7. I feel as though I am a lovable person even with my shortcomings.*

Yes

Sometimes

8. When I feel as though I am being treated unfairly, I stand up for my rights.*

Usually

Sometimes

9. I am able to express my love, affection, friendship, caring, sexuality in ways that are satisfying to me and those with whom I am involved .*

Usually

Sometimes

Please specify which of these items you include in your current lifestyle

love

affection

caring

friendship

sexuality

10. Even when I feel as though I am being wronged by others, I am able to remain calm. as I seek greater understanding of the situation.*

Usually

Sometimes

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Your Emotional Wellness Score

YOUR SOCIAL WELLNESS
How you get along with others and with the environment

1. During childhood my parent(s) did their best to provide for my basic needs.*

Yes

Sometimes

2. During my teens I made mutually supportive and happy friendships.*

Yes

Sometimes

3. I have relatives, friends or others with whom I can talk about personal matters and call upon for help when needed.*

Yes

Sometimes

4. I participate in group activities that I enjoy – including family, friends, community activities, fellow workers, hobby/interests, sports.*

Yes

Sometimes

Please specify which of these items you include in your current lifestyle

family

friends

community activities

fellow workers

hobby/interests

sports

5. I have a job or work that I find satisfactory.*

Yes

Sometimes

6. I enjoy the company of a variety of people.*

Yes

Sometimes

7. When I find myself in conflict with someone in my family, at work, at school and/or another group, I attempt to solve the problem before it gets out of hand.*

Usually

Sometimes

Please specify which of these items you include in your current lifestyle

my family

at work

at school

another group

8. I am involved in services that help uplift and sustain my community and environment.*

Usually

Sometimes

9. I avoid being "pushy" and aggressive toward other people.*

Yes

Sometimes

10. I avoid letting other people dominate and control what I think, say or do.*

Usually

Sometimes

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Your Social Wellness Score

BELIEFS
How your beliefs and values may be influencing your wellbeing

1. During childhood my parent(s) taught me beliefs and values that have helped me understand my relationships with other people, cultures and the Universe.*

Yes

Sometimes

2. During childhood my parent(s) taught me to respect the rights of others to have values and beliefs that are different from mine.*

Yes

Sometimes

3. I believe that I should live in peace with all forms of human, animal and plant life that are not aggressively endangering my life and/or wellbeing.*

Yes

Sometimes

4. I believe in respecting the human rights of others (i.e., religion, nationality, race, ethnicity, gender, sexual orientation, age, economic status, education).*

Yes

Sometimes

5. I believe there is a power in the universe greater than I.*

Yes

Sometimes

Don't know

6. I believe there is a universal energy of some kind that I can access via prayer, meditation and/or positive thinking in order to assist me through difficult times.*

Yes

Sometimes

Don't know

7. I believe that my life has a purpose.*

Yes

Sometimes

Don't know

8. I believe I can accomplish almost any humanly achievable tasks I set my mind to.*

Yes

Sometimes

Don't know

9. I get more peace of mind and awareness through meditation, prayer and/or philosophical studies than from drugs and/or alcohol.*

Yes

Sometimes

Don't know

10. I make a conscious effort to align my daily behavior with what I consider my highest beliefs and values.*

Yes

Sometimes

Don't know

Email*

Enter Email Confirm Email

Your email address and any personal information will not be distributed or shared with any third parties.

How have you heard about us?*

Friend/Family

Website Visit

BM&T Publication

Harmony Community in Sedona, AZ

Participant of Beverly Coleman's Services

Other

Age Group*

Under 18

18-20

21-30

31-40

41-50

51-60

61-70

71-80

over 80

Gender Identity*

Male

Female

Non-binary or Fluid (optional)

Which continent do you live on or near?*

Northerly Americas (including Canada, US and its Territories)

Southerly Americas (including Mexico, Central and South Americas)

European Union (including parts of Russia, Asia, Nordic Regions, UK and its Territories)

Asia (including East, Southeast, Central, South Regions plus the Middle East)

Africa (including Zanzibar and parts of the Middle East)

Oceania (including Australia, New Zealand, Melanesia, Polynesia)

Other

Newsletter

Yes, I would like to receive the newsletter

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Your Beliefs Score

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Your Total Wellness Score

This field is hidden when viewing the form

Your Total Parented Score

Phone

This field is for validation purposes and should be left unchanged.

The Coleman Wellness Self-Test (CWST) is the sole intellectual property of Beverly E. Coleman/BeverlyColeman’s Wellcare Services. Unauthorized use or print of any part of the CWST is prohibited.