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Sample Completed Health Record

Date created: Wednesday, 15 November, 2023
Last modified on: Thursday, 16 November, 2023

Here you can add some health background details which can be useful in setting the scene. GO!

 Values are what make you who you are – see how you understand what values are compared to beliefs and then enter your values. GO!

You can take a health questionnaire to see how healthy you are.  GO! 

See how your attitude to change can affect whether you make changes to your health. GO!

You locus of control determines whether you are a victim of circumstance or whether you are in control. GO!

We split your overall health into a number of different ‘domains’.  You can see what these domains are and find out which you are stronger in by taking an overall health questionnaire – GO!

Having established how healthy you are across all the health domains, you can now prioritise which domains you might want to address – GO!

Within each domain there are a number of specific health areas.  You can look at the health areas in each domain and also see more information on each health area – GO!

Having looked at the different health areas, you can list the ones you want to tackle – GO!

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Hi - you haven't chosen a display name - but

it's 08 Apr, 2024 8:42 am

Set your health record personal password

As an additional layer of protection, you have set an additional personal password which will restrict any personal information that is shown on this page – which only you can see in any event.

You are not allowed to see this content.

Your Health

The following sections summarise your overall health.  You can complete as many as you like, and in any order, but in may ways it makes more sense to progress down the page.  Only enter what you feel comfortable putting in.  No-one else will be able to see your info. 

Once you have entered your personal password on this screen, you will have to hit ‘Refresh’ (F5 on many Windows machines) to have access to personal info.

Your Background

You can enter more details about yourself, only to make your profile more complete. You can even add a profile picture! We won’t look at it, use it or do anything with it at all!

This just starts you thinking about your health – feel free to add details at any time.

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Your Health Background Info


Your main focus: Financial health

Your secondary focus: Life journey

You haven’t entered another focus

You haven’t entered a phone number

General health info: Not bad really

You last edited these on 16/11/23

Your Values

Your values form your attitudes on life and determine how you think, the decisions you make and what you do.  It’s important to understand what they are – we help you to do that and give you choices in how to do it.

What’s the difference between values, attitudes and beliefs?  See more by clicking the button below.

Your Values

You entered your values on 16/11/23

Value 1: Integrity

Value 2: Honesty

Value 3: Humour

Value 4: Modesty

Value 5: Accountability

You haven’t entered a sixth value

Your Overall Health

This is where you  look at your current state of health overall. This might involve taking a health questionnaire, and as explained there are three to consider. The first two you can download or do on our site – the third you have to do on their site.

You only want a quick overview of your health and wellness, and will drill down in any areas needing work – use the Subjective Happiness Scale
You want to do a more detailed assessment and then focus on areas you’re already aware of – use the Oxford Happiness Scale
You want to look at your health across a number of different domains – use the Personal Wellness Questionnaire.

Overall health questionnaire results

You last edited these on 16/11/23

You reviewed how healthy you were by taking a questionnaire

The results and summary are shown below.

You took the Oxford questionnaire     and said you’d: Complete it online   you scored 118

The summary from this was that you were:   Somewhat happy or moderately happy. Satisfied. This is what the average person scores.

Overall health summary:  Somewhat happy or moderately happy. Satisfied. This is what the average person scores.  I’d probably agree with this.

Your attitude to change

This is where you  look at your attitude to change.  This is important – if you want to actually do something to improve your health, you have to make changes! You may know this already, but if not you can take a questionnaire to find out or confirm your view of what your attitude to change is.

Your attitude to change

You last edited your attitude to change on 16/11/23

You said you’d: download the attitude to change test       and your score was 7

Your attitude to change summary was positive overall.

You didn’t enter any  barriers to change. 

Your locus of control

This is where you  look at your locus of control.  This is important and determines a lot about you.  It’s whether you’re a passenger in life or someone who takes control. You can take a questionnaire to find out what your locus of control is.

Your locus of control

You last edited your locus of control on 16/11/23

You said: I would rather take a test to establish my locus of control

You then said: I’ll do the test online

and your score was 6

Your locus of control summary: This is interesting

Your Health Domains

Health is a big subject – we’ve used physical, financial and mental health to split it up.  It can be broken down into more ‘domains’ which reflect different sorts of health.

Your analysis of your health domains

Your strong domains were: Emotional, Financial

Your domains to improve were: Physical, Social

Your Questionnaire result scores were:

Emotional 9    Environmental 4   Financial 8   Intellectual 5

Occupational 7   Physical 3   Social 2   Spiritual 5

You can see in the chart below how you scored in each domain.

Prioritise your health domains

This is where you have to think about which domains you want to focus on. It isn’t always the domains where you feel you are weakest or the lowest score from the questionnaire!

There’s also the question of how important a domain is to you. 

So we ask you to look at the domains you should address (the weaker ones) AND the domains you want to address.

We do this by putting domains into quadrants – click the button below to prioritise your domains.

You placed your health domains into four quadrants

There are domains you may not be strong in, and which you need to address, but there may also be domains that you WANT to address, and they may not be the same!

Quadrant 1 – You WANT and NEED to address:

Social, Physical

Quadrant 2 – You NEED to address but don’t WANT to: 

Spiritual, Environmental

Quadrant 3 – You WANT to address but don’t NEED to: 

Financial, Emotional

Quadrant 4 – You don’t WANT or NEED to address: 

Intellectual, Occupational

You looked at health areas we have within each domain

See health areas in domains

You looked at the health areas within each domain, and your initial thoughts were:


Health Area






Financial Planning




Work / Life balance




Communication skills



We have a page with information on each health area.  If you select a domain and health area you’ll be able to go and look. 

Domain for health area: Social

Health area to look at:  Communication skills

Click to go to the page containing information on   Communication skills

Your Action Plans

Action plans are where you choose a specific issue and start to tackle it. It will be focussed on one specific health area, and you will log the issue you want to address and the ideal outcome you want. You will be able to look at some exercises you can undertake related to this issue, and decide whether you want to include these in your action plan.

In future you will be able to enlist the help of experts in the specific area you have selected – browse the experts with the relevant skills and contact the one you want to use.

Finally you will be able to log how often you tackle a particular activity and how useful you found it.

This is where you will be able to see a summary of any action plans you have created, and you will be able to go to them from there. You will also be able to add a new action plan.

This is a sample page...

…on the real page you will be able to edit the info you’ve entered!

Values, Attitudes and Beliefs

You need to scroll down to see all the info in this popup – sorry for going on so much!

We all have our beliefs, attitudes and values – these have developed throughout our life based on who we are and what we have done. Let’s look at what these are.

The University of Reading explain: “People’s values, beliefs and attitudes are formed and bonded over time through the influences of family, friends, society and life experiences. So, by the time you’re an adult, you can hold very definite views on just about everything with a sense of “no one is going to change my mind”.

The combination of your personal values, beliefs and attitudes are your moral principles that guide you in life and affect your behaviour. However, your views can wildly differ to others and in an institution such as a school, these beliefs may be counter to the values of the school, child development or indeed the law.” 

Let’s look more closely at the differences between beliefs, attitudes and values.


These come from real experiences – we think our beliefs are based on reality, but in fact our beliefs colour our experiences; also, an original experience e.g. when we were a child is not the same as what’s happening now. Beliefs can be moral, religious or cultural and reflect who we are. They can be rational (‘it gets colder in winter’) or irrational (‘I am never going to make something of myself’).


This is an immediate belief or disposition about something specific. It is a recurring group of beliefs and behaviours aimed at specific groups, people, ideas or objects. They will normally be positive or negative and we will always behave that way to the target group. Examples of attitudes include confidence (I can or can’t do something), grateful (I an entitled to / grateful for XXX) and cheerful (I am generally happy / miserable).


These are things (principles or qualities) that we hold in high regard or consider to be worthwhile or right / wrong. They are formed by a belief related to the worth of something – an idea or behaviour. Some values are common (e.g. family comes first, the value of friendship) or cultural (which the whole community have – see video at here)

The theory

Links to Wikipedia

Expectancy Value Theory suggests you balance your beliefs about something with the value you attach to it. The Theory of Reasoned Action suggests that beliefs and evaluation about behavioural outcomes determine attitudes, and intentions lead directly to behaviour.


Expressions of confidence – can change over time


Learned predispositions to something – are subject to change


Ideals that guide our behaviour – Generally long lasting and often need life changing experience to change

Iceberg demonstrating implicit and explicit bias – from Owlcation

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Assess your overall health using a health questionnaire

You need to scroll down to see all the info in this popup – sorry for going on so much!

At YouDrive we try and help people improve their health. We use ‘health’ but we understand there are other terms such as wellbeing or even happiness that reflect how we are doing in our lives – if you’re interested in the different definitions and ideas see our page on the subject.

We want to help whether you have a particular problem – physical, financial or mental – or if you just want to improve some specific part of your life or just make some improvements overall.

You’d be surprised, but there has been a serious amount of scientific work done in this area over the last twenty years.

So first we allow you to assess your current health (or wellbeing, or happiness).  We do this by questionnaire.  Which one is determined by the type of person you are:

  1. You understand yourself well and want a quick overview of your health and wellness, and will drill down in any areas needing work
  2. You want to do a more detailed assessment and then focus on areas you’re already aware of
  3. You want to look at the whole situation in more detail across all the health domains.

By the way, we take your privacy seriously – we collect information that you choose to provide but we de-identify it as much as possible and will never share it with anyone without your explicit consent.

You can then drill down into some specific areas and there are more questionnaires to see your situation in these particular areas.  We provide you with specific information and refer you to other potential aspects of help. Our next step is to build a personalised action plan – for now we will make a suggestion for you to develop your own plan and then after a time you can see whether this has had a positive impact by retaking the test.

In future we will be engaging with medical and behavioural specialists to devise action plans for individual people with specific situations.

We have an overall questionnaire which you can complete which will assess your current state.

To close this box and go back click the X at the top or just click outside the box

Add your attitude to change - see how you view changes in your life

You need to scroll down to see all the info in this popup – sorry for going on so much!

Do you need to change?

No matter how healthy you are at the moment, the chances are that there are some areas you could improve. It may be that you have a real problem in one or more areas, and you would like to make some improvements.

At YouDrive we accept that there are many different degrees of ‘not wellness’ in a large number of different health areas, ranging from physical illness such as covid-19 through mental illness such as anxiety through to financial problems like debt.  We try and help where the problem ranges from ‘slight’ to quite bad’ – after this expert help and intervention may be needed.

However, especially in these times, we have to try and make these changes ourselves, possibly with some help from others, whether remotely or face to face.

The thing is, to make an improvement we have to change some things.

This involves changing our behaviour in some respects, and that’s not always easy.

Henry Ford, the creator of the assembly line, is quoted as saying “if you always do what you’ve always done, you’ll always get what you’ve always got”.  

henry ford

Another way of looking at this: “The definition of insanity is doing the same thing over and over again and expecting a different result.” – attributed to Albert Einstein.

Consequently we need to make some changes.  The problem is that we have already developed a lot of habits, some of which we need to break and replace by better ones.  Some of our bad habits have become entrenched, and the bad results they create in turn engender further bad habits to develop – in effect the bad habits can feed on themselves.

We need to understand how we can make changes and stick to them, and that’s what this part of your health profile is about.

It will involve some learning, through reading, some videos and some additional information and also seeing how you react to change currently.

It will also ask you to consider whether you feel you are in charge of your future, or whether you feel it’s all fate.

To close this box and go back click the X at the top or just click outside the box

Locus of Control

You need to scroll down to see all the info in this popup – sorry for going on so much!

  • We want to help people in all aspects of their health  – physical, financial and mental. We also provide detailed explanations of how overall health (or well-being) is measured.
  • We believe these things are often linked, so we try and address health holistically. We are building templates, questionnaires and exercises to help you identify what’s important to you.
  • We think people should try and take responsibility for  of their own health as much as they can.  See below for what that means.

People look at things differently.  Some people believe things happen to them, while others believe they can influence what happens to them. Technically this is called the ‘locus of control’.  People can have an Internal or external Locus of Control

So how do you see things?

Psychology Today have a 15 minute test which gives you a summary of your position you can buy the detailed results if you want to.

My Personality Test have a 10 minute test which gives you a summary.

People tend to take more responsibility (locus gets more internal) as they get older.  However, external isn’t always bad – for example if you are physically unable to do some things you can accept it and focus on the things you can do.  This American video explains the concept and gives examples of how this can affect relationships.

locus of control


  • More likely to take responsibility for actions
  • Tend to be less influenced by others


  • Blame outside forces for what happens
  • Don’t believe they can change their situation themselves

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Health domains

You need to scroll down to see all the info in this popup – sorry for going on so much!

We break down the overall concept of health or wellness into ‘bite-sized chunks’ that we can actually do something about.  The first level we call health domains.

We like the Life of Wellness site and we have chosen the following domains.

1. Emotional Wellness: Awareness and acceptance of feelings
2. Spiritual Wellness: A search for meaning and purpose
3. Intellectual Wellness: Recognition of your creativity, knowledge and skills
4. Physical Wellness: Need for physical activity and balanced nutrition
5. Environmental Wellness: Positive awareness and impact on your environment
6. Financial Wellness: Debt reduction, cash flow balance or financial future planning
7. Occupational Wellness: Personal achievement and enrichment from your career
8. Social Wellness: Contribution to your community

wellness wheel

Health Areas

Within each domain, we have included a number of health areas. These are specific issues that you can tackle.  Within each health area, e.g. Depression, once you have subscribed we have built additional information and exercises which you can do to help in the area.

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See which domains you should address

You need to scroll down to see all the info in this popup – sorry for going on so much!

Having established that we use 8 domains, you need to understand which you should concentrate on.

The 8 are:

  • Emotional
  • Environmental
  • Financial
  • Intellectual
  • Occupational
  • Physical
  • Social
  • Spiritual

You can take a questionnaire, which scores you in each domain.  You can decide which domains you are strong in, and which you need to improve.

Another analysis shows which domains you should look at, but also which domains you want to look at.

To close this box and go back click the X at the top or just click outside the box

A Butterfly Life: 4 Keys to More Happiness, Better Health and Letting Your True Self Shine

Times of change can be a challenge, no doubt! Whether it’s a relationship breakup, job loss, or being diagnosed with a serious health issue. Or you may WANT things to be different, but it feels a little scary or overwhelming. The butterfly reminds us change can be beautiful, even necessary, in order to realize our full potential and live our best life.