02 September 2024 Re-new Wellbeing Check Share this page Welcome to our Re-new Wellbeing Check. We’re interested in knowing about your use of prescribed or non-prescribed drugs, but please be assured that any information you share about this will be treated as strictly confidential. What's your first name? What's your contact email address? 1. Thinking about your general wellbeing, how would you describe the following areas of your life? No improvement needed Some small changes require Few things bother me in this area I have a lot of unhealthy habits This area needs significant improvement Mental health, stress and anxiety Impact of drinking alcohol or taking drugs Physical health and eating habits Sleep and motivation Relationships and social life 2. In the past 3 months, how often have you used the below substances? Never Once or twice Monthly Weekly Daily / almost daily Tobacco products Alcohol Non-prescribed drugs or prescribed medication taken not as advised by your doctor 3. During the past 3 months, how often have you had a strong urge to use any of the below? Never Once or twice Monthly Weekly Daily / almost daily Tobacco products Alcohol Non-prescribed drugs or prescribed medication taken not as advised by your doctor 4. During the past 3 months, how often has your use of any of the below led to health, social, legal or financial problems? Never Once or twice Monthly Weekly Daily / almost daily Tobacco products Alcohol Non-prescribed drugs or prescribed medication taken not as advised by your doctor 5. During the past 3 months, how often have you not been able to do what was normally expected of you because of your use of any of the below? Never Once or twice Monthly Weekly Daily / almost daily Alcohol Non-prescribed drugs or prescribed medication taken not as advised by your doctor 6. Has a anyone you know ever expressed concern about your use of any of the below? Never Yes, in the past 3 months Yes, but over 3 months ago Tobacco products Alcohol Non-prescribed drugs or prescribed medication taken not as advised by your doctor 7. Have you ever tried to cut down on using any of the below but weren’t able to?? Never Yes, in the past 3 months Yes, but over 3 months ago Tobacco products Alcohol Non-prescribed drugs or prescribed medication taken not as advised by your doctor Time's up
