Healthy lifestyle questionnaire

Place an X over the yes  circle to answer yes. If you answer no , make no mark and score the questionnaire using the score system.

Questionnaire>>>>

1. I accumulate 30 minutes of moderate physical activity most days of the week (brisk walking, stair climbing, yard work, or home chores).
2. I do vigorous activity that elevates my heart rate for 20 minutes at least 3 days a week.
3. I do exercises for flexible at least 3 days a week.
4. I do exercises for muscle fitness at least 2 days a week.
5. I eat three regular meals each day.
6. I select appropriate servings from the major food groups each day.
7. I restrict the amount of fat in my diet.
8. I consume only as many calories as I expend each day.
9. I am able to identify situations in daily life that cause stress.
10. I take time out during the day to relax and recover from daily stress.
11. I find time for family, friend, and things I especially enjoy doing.
12. I regularly perform exercises design to relieve tension.
13. I do not smoke or use other tobacco products.    
14. I do not abuse alcohol.
15. I do not abuse drugs. (prescription or illegal)
16. I take over- the- counter drugs sparingly and use them only according to directions.
17. I abstain from sex or limit sexual activity to a safe partner.
18. I practice safe procedures for avoiding sexually transmitted infections (STI).
19. I use seat belts and adhere to the speed limit when I drive.
20. I have a smoke detector in my house and check it regularly to see that it is working.
21. I have had training to perform CPR if called on in an emergency.
22. I can perform the Heimlich maneuver effectively if called an emergency.
23.  I brush my teeth at least two times a day and floss at least once a day.
24. I get an adequate amount of sleep each night.
25. I do regular self exams, have regular medical checkups and seek medical advice when symptoms are present.
26. When I receive advice and/ or medication from a physician, I follow the advice and take the medication as prescribed.
27. I read product labels and investigate their effectiveness before I buy them.
28. I avoid using products that have not been shown by research to be effective.
29. I recycle paper, glass and aluminium.
30. I practice environmental protection such as carpooling and energy conservation.   

Score Protocol>>>