Part 1: Understanding Your Wellbeing

1. Overall, do you consider yourself healthy?

Yes, very healthy

Somewhat healthy

Not very healthy

Unsure

2. Please explain why you chose this answer:

Part 2: Te Taha Tinana (Physical Wellbeing)

3. Check all the physical activities you do regularly:

Sports or exercise

Walking or cycling

Kapa haka

Dancing

Swimming

4. How many hours of sleep do you usually get each night?

Part 3: Te Taha Hinengaro (Mental/Emotional Wellbeing)

5. How do you usually feel during a typical school day?

Happy and excited

Calm and relaxed

Worried or stressed

Tired or unmotivated

6. What activities help you feel better when you're upset?

Part 4: Te Taha Whānau (Family/Social Wellbeing)

7. Who are the people you can talk to when you need help? (Check all that apply)

Parents/Caregivers

Teachers

Friends

Siblings

Other whānau members

Part 5: Te Taha Wairua (Spiritual Wellbeing)

8. What activities make you feel connected to your culture or beliefs?

9. Draw something that represents what makes you feel strong and healthy:

Te Whare Tapa Whā Assessment

Te Whare Tapa Whā Assessment

Part 1: Understanding Your Wellbeing

Part 2: Te Taha Tinana (Physical Wellbeing)

Part 3: Te Taha Hinengaro (Mental/Emotional Wellbeing)

Part 4: Te Taha Whānau (Family/Social Wellbeing)

Part 5: Te Taha Wairua (Spiritual Wellbeing)

About This Worksheet

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