For health:
* Sickly
* Ailing
* Indisposed
* Unwell
* Under the weather
* Run-down
* Fragile
* Delicate
For quality:
* Badly
* Unsatisfactorily
* Inferiorly
* Subpar
* Mediocre
* Unskilled
* Inadequately
For performance:
* Unsuccessfully
* Ineffectively
* Inefficiently
* Clumsily
* Awkwardly
For emotional state:
* Unhappily
* Sadly
* Miserably
* Deplorably
Please provide more context if you need a more specific alternative.