Very unhealthy or hazardous - Lives in an area with high levels of emissions and pollution where targeted action is being taken to improve air quality. Unable to escape breathing this in. Highly likely to be detrimental to healthy living and damaging to health

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Moderate air quality - Air quality is acceptable. However, for some pollutants there may be moderate health risks for a very small percentage of the population who are unusually sensitive to air pollution.

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Little or no water is available and/or the water supply is contaminated and harmful to health. May have lost thirst mechanism entirely due to chronic dehydration.  Can have severe gut health problems, cognitive impairment, muscle and skeletal pain and there is a higher risk of falls and breakages as a result of cognitive impairment.

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Insufficient clean water is available leading to thirst and poor levels of hydration. Headaches and gut health problems are a regular feature. A need for water can also be confused with hunger.

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The water supply is intermittent and/or not always clean enough to drink. This leads to inadequate levels of hydration.

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A source of clean water is readily available but fails to drink a sufficient amount each day to keep hydrated.

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Very poor diet, fails to have 5 fruit and vegetables a day, sufficient sources of protein and natural fats. Regularly includes heavily processed foods, ready meals and fast food. Eats too little or to excess. Is unable or not prepared to cook or prepare real food for themselves. Is often on medication which further depletes vitamins and minerals and can drive food cravings.

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Poor or imbalanced diet - eats too much or too little of a particular nutrient. Is therefore over or under weight for their BMI which is potentially having an impact on health. May be on medication which further depletes vitamins and minerals. May be unable or not prepared to cook or prepared real food for themselves.

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Average diet with just about sufficient nutrients to maintain good health. Sometimes has 5 vegetables and fruits a day however diet lacks diversity and variety for excellent health. Regularly substitutes home cooked meals for ready-meals. Can cook but not consistently well.

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Eats fairly healthily, diet is reasonably ok and normally manages 5 fruit and vegetables a day and up to 20 different plants a week without difficulty and contains sufficient protein and natural fats. Eats minimal amounts of fast food and can/does cook and prepare meals for themselves. Aware of portion sizes and these are usually about right.

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Poor or low connection with nature. Little knowledge or interest in the countryside. Only very occasionally leaves the city or town.

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Moderate connection with nature. Rarely visits the countryside and has little knowledge or understanding of wildlife, flora and fauna. Gains little or no satisfaction from time spent in the countryside.

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Average connection with nature. Takes occasional trips out to the country and has some knowledge of the wildlife and flora and fauna. Enjoys the time spent there but does not fully appreciate the surroundings.

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Suffering from a serious or severe physical medical condition or full blown mental illness where the symptoms are significantly impacting on the quality of life, and/or is in constant and debilitating pain.

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Physical and/or mental health symptoms have increased in severity, the situation is not so good and there are often times where multiple symptoms are showing/occurring. Life has taken a turn for the worse, with constant disruptions to quality of life. And/or suffers with moderate levels of pain.

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The physical health condition and/or mental health has deteriorated and the symptoms are more noticeable and more frequent. It is starting to affect life, but only in minor, isolated ways. Pain is experienced more regularly but still tolerable.

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Homeless or about to become homeless

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Living in poor, substandard and/or cramped accommodation

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Living in accommodation basically suitable for needs, secure, warm with water & sanitation

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Not in regular employment and has little or no income. Has significant levels of debt. Struggles to make ends meet and may need to rely on food banks. And/or worklife balance is very poor. Can never afford a holiday

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Has an income well below the level of the NMW and is bearly able to afford to pay for current lifestyle. Level of debt is becoming a problem and is a worry. Taking a holiday is very rare. And/or worklife balance is poor

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Has an income almost sufficient to meet the cost of the current lifestyle. Has low levels of debt. Can afford a holiday every couple of years. Manages to maintain a reasonable worklife balance

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Sedentary lifestyle and has very little or no regular exercise, either through choice or poor mental or physical health. Takes less than 3,000 steps per day. The lack of physical exercise is detrimental to good health.

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Hyperactivity may be present, struggles to have regular periods of rest and/or often suffers from long periods of insomnia. Has less than 2 hours sleep a night on a regular basis and is potentially damaging to health & well-being

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The bad or no life - Very unhappy - Suffers with depression and is not enjoying life. Has few or no interests and no hobbies and does not attend any form of entertainment or sporting events. May feel that life is not worth living even potentially contemplating suicide.

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Seriously addicted to or dependent on one or more behaviours which are detrimentally impacting on quality of life and health

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Regular experimentation which is becoming a pattern and showing signs of addiction as the behaviour takes hold & becomes more important to lifestyle

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Starting on a pathway to addiction (trying or experimenting) with the behaviour mostly for fun and enjoyment

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No friends or relatives. Has little or no contact or interaction with other human beings for long periods of time. Leading to loneliness and poor mental health

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Has some contact with friends or relatives but this is very sporadic and infrequent. Sometimes goes days without seeing other people to talk to.

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Sense and feeling of loneliness is starting to emerge as regular contact with other human beings reduces. Has some friends and relatives but contact is not all that frequent.

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Has a reasonable network of contacts on a personal level, both friends and relatives but the level of support and contact is less than would be desired for complete happiness.

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Unhealthy air quality - everyone is likely to experience health effects with those who have pre-existing conditions potentially experiencing more serious health effects

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Unhealthy for sensitive groups - people who are particularly sensitive to air pollution may experience health effects. Generally most people will be unaffected.

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Good air quality - Lives in an area with generally clean air or has use of air filtration or purifying devices. Regularly able to get out into the countryside away from pollution and breathe fresh clean air.

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A good source of clean water is readily available and drinks the recommended 2 litres every day to keep properly hydrated.

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Is generally in good health both physically and mentally, other than some  minor ailments or conditions which are effectively controlled by medication. Lives life free from excessive levels of pain.

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Physical and/or mental health is not as good as it was and some medical interventions are starting to become necessary. Mild symptoms or pain are being experienced but this  not affecting the quality of life.

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Living in good standard accommodation suitable for needs, which is comfortable secure, warm with all necessary basic facilities

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Living in accommodation more than suitable for needs with all facilities & mod cons

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Has a sufficient level of income to pay for current lifestyle with little or no debt (other than a mortgage and/or car loan). Able to pay for holiday every year. In full control of the balance  between the demands of work with home life

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Undertakes only light activity such as moving about rather than sitting or lying down. This includes moving around your home, walking at a slow pace, standing up and undertaking household chores such as cleaning and dusting, making the bed and vacuuming.

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Moderate levels of activity. Takes between 7,500 and 10,000 steps per day. Does exercise but gets less than the 2 1/2 hours per week of the recommended moderate aerobic activity. Aerobic exercise at this moderate intensity level, causes you to breathe harder & deeper than at a sedentary level.

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Reasonably physically fit. Conscious of the need to exercise and takes the stairs rather than the escalator. No training plan or regular exercise in place. Walks whenever possible and manages to take 10,000 steps 3 or 4 times a week.

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High levels of physical activity, spends time most days exercising. Walks 12,500 steps most days and has at least 150 minutes of moderate intensity activity or 75 minutes of vigorous intensity activity a week spread over 4 to 5 days or every day.

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Has less than 4 hours sleep per night on a regular basis and/or has some difficulty in being able to relax and fully rest oneself

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Average levels of sleep is achieved (4-5 hours per night) on a regular basis. Has occasional periods of rest and relaxation each day and spends some time keeping the brain active by partaking in reading, watching TV, etc.

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Has between 5 and 7 hours sleep per night. Has some periods of sufficient rest and relaxation each day and spends some time keeping the brain active by partaking in reading, watching TV, etc.

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The unpleasant life - Unhappy or discontented with life in most respects. Has little or no enjoyment or social life and rarely goes out to enjoy oneself or socialise with others.

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The OK life - Neutral (is neither happy or unhappy) with life. Muddles along and very much goes with the flow. Doesn't make plans or commit oneself but nevertheless occasionally goes out for entertainment or socialising purposes.

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The pleasant life - Happy or generally content with life. Has a few hobbies and interests and a reasonable social life. Goes out to enjoy oneself and socialise several times a month.

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The good life - very happy and fulfilled. Gets great enjoyment from life with an optimistic outlook and wakes up happy most days. Has many interests and several hobbies and a great social life. Learns new things and participates in community, volunteering or other altruistic activities. Regularly goes out to enjoy themselves and attends lots of social events/ entertainment scenarios.

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Fully in control & living life free from any form of addictive behaviour. An addictive behaviour can be anything that provides stimulation that is both rewarding and reinforcing and can lead to developing an addiction. This can be very broad and can include food, sugar, alcohol, drugs, smoking/vaping, gambling, gaming.

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An excellent balanced diet, largely prepared from scratch by oneself. Predominantly eats real and healthy food with more than 7 plants (vegetables, fruits, nuts, seeds, herbs and spices) a day and 30 different plants a week together with sources of protein and natural fats. Is careful about what is eaten everyday and is very conscious of portion sizes.  A strong emphasis on preventing health problems.

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Able to sleep well and gets enough sleep to feel fully rested and refreshed every night. Sleeps on average for more than 7 hours per night. Regularly manages to have periods of rest and relaxation to recuperate from the challenges in life. Spends time on enriching activities such as hobbies, reading or watching films or TV.

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Strong connection with nature. Regularly spends a considerable amount of time out in the countryside. Knows about and appreciates the plants, flowers, trees, animals, birds & insects and soaks up the scenary and beauty and wonder of nature.

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Strong and loving family relationships with one or more close lifelong friends who are readily available at a moments notice to offer support, companionship and conversation.

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No connection with nature. Unable to access the countryside and therefore is not connected to nature. This could be through lack of interest, will or means to get out doors and into the country

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Dependent & reliant upon the addictive behaviour(s) using increased amounts and/or more frequently, possibly even engaging in risky or dangerous behaviour

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Has an income at the National Minimum Wage level or close to it and is just about able to keep up with the current cost of living. Has manageable levels of debt. Occasional holidays are possible. Manages to maintain an average work/life balance

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