Environmental Activity Readiness Questionnaire- EAR-Q
This questionnaire is one of the first steps to take when you are planning to evaluate your immediate work and living environments. The EAR-Q will help you decide whether or not you may need to seek outside support from your doctor or other agency to begin the sometimes emotional process of improving your environmental wellness. Having other professionals involved in your environmental improvement plan is a good idea, as they can help you with the change process.
Please read the questions carefully and check YES or NO opposite the question if it applies to you. If yes, please explain.
YES NO
____ ____ 1. Has anyone ever said that your home or office is
cluttered or messy?
Yes, _____________________________________________
____ ____ 2. Do you frequently avoid organizational tasks or dread tossing
things out?
Yes, _____________________________________________
____ ____ 3. Do you often spend time looking for things because these items are
not assigned a designated space?
Yes, _____________________________________________
____ ____ 4. Have you ever had an injury, or fall, or stumbled due to your
environment?
Yes, _____________________________________________
____ ____ 5. Do your family/friends create stress for you and could you say
that your environment is not a peaceful place?
Yes, _____________________________________________
____ ____ 6. Do you live in an unsafe environment?
Yes, _____________________________________________
____ ____ 7. Does change in your life create stress?
Yes, _____________________________________________
____ ____ 8. Do you have recyclable items that you do not bother to recycle?
Yes, _____________________________________________
____ ____ 9. Are you leaving your family/office without an emergency plan?
Yes, _____________________________________________
____ ____ 10. Have you neglected to have a long-range strategy for
your future life-course environmental needs?
Yes, _____________________________________________
____ ____ 11. Do you feel that it would be difficult for you to develop a network
of friends and agencies that you could call upon for environmental wellness assistance?
Yes,______________________________________________
___ ____ 12. Is your knowledge or environmental library out-of-date when it
pertains to environmental wellness?
Yes________________________________________________ .
If you answered NO to all of the questions above, it gives a general indication that your environmental wellness is stable. You may now wish to keep a journal of your environmental wellness. This journal can act as a teaching tool for others who may need your help in this area. If you answered Yes to any of the above questions, then you should evaluate the issue and develop a plan for improvement in this area. Seek outside support as often as needed, and remember that change can be difficult if it occurs in isolation or without a network of support from friends or family.
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