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7/30/2019 Corbin7e Lab 01
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Lab Resource Materials: The Healthy Lifestyle Questionnaire
The purpose of this questionnaire is to help you analyze your lifestyle behaviors and to help you make decisions
concerning good health and wellness for the future. Information on this Healthy Lifestyle Questionnaire is of a personal
nature. For this reason, this questionnaire is not designed to be submitted to your instructor. It is for your information
only. Answer each question as honestly as possible and use the scoring information to help you assess your lifestyle.
Directions: Place an X over the yes circle to answer yes. If you answer no, make no mark. Score the questionnaireusing the procedures that follow.
1. I accumulate 30 minutes of moderate phys-
ical 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 flexibility 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 ex-
pend each day.
9. I am able to identify situations in daily lifethat cause stress.
10. I take time out during the day to relax and
recover from daily stress.
11. I find time for family, friends, and things I
especially enjoy doing.
12. I regularly perform exercises designed 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 ef-
fectively if called on in 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 medi-cal 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 aluminum.
30. I practice environmental protection, such
as carpooling and energy conservation.
Overall ScoreTotal Yes Answers
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
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La
bResource
Materials
Scoring: Give yourself 1 point for each yes answer. Add your scores for each of the lifestyle behaviors. To calculate
your overall score, sum the totals for all lifestyles.
Avoiding Adopting
Physical Managing Destructive Practicing Safety
Activity Nutrition Stress Habits Safe Sex Habits
1. 5. 9. 13. 17. 19.
2. 6. 10. 14. 18. 20.
3. 7. 11. 15.
4. 8. 12. 16.
Total + Total + Total + Total + Total +
Personal Using Being an Sum All
Knowing Health Medical Informed Protecting the Totals for
First Aid Habits Advice Customer Environment Overall Score
21. 23. 25. 27. 29.
22. 24. 26. 28. 30.
Total + Total + Total + Total + Total =
TheHealthyLifestyle
Questionnaire
Interpreting Scores: Scores of 3 or 4 on the four-item
scales are indicative of generally positive lifestyles. For
the two-item scales, a score of 2 indicates the pres-
ence of positive lifestyles. An overall score of 26 or more
is a good indicator of healthy lifestyle behaviors. It is
important to consider the following special note when
interpreting scores.
Special Note: Your scores on the Healthy Lifestyle
Questionnaire should be interpreted with caution. There
are several reasons for this. First, all lifestyle behaviors
do not pose the same risks. For example, using tobacco
or abusing drugs has immediate negative effects on
health and wellness, whereas others, such as know-
ing first aid, may have only occasional use. Second,
you may score well on one item in a scale but not on
another. If one item indicates an unhealthy lifestyle in an
area that poses a serious health risk, your lifestyle may
appear to be healthier than it really is. For example, you
could get a score of 3 on the destructive habits scale
and be a regular smoker. For this reason, the overall
score can be particularly deceiving.
Strategies for Change: In the space to the right, you
may want to make some notes concerning the healthy
lifestyle areas in which you could make some changes.
You can refer to these notes later to see if you have
made progress.
Healthy Lifestyle Ratings
Rating
Two-Item
Scores
Four-Item
Scores
Overall
Scores
Positive
lifestyles2 3 or 4 26 to 30*
Consider
changesLess than 2 Less than 3 Less than 26
*See Special Note.
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Lab 1A Wellness Self-Perceptions
Name Section Date
Purpose: To assess self-perceptions of wellness
Procedures
1. Place an X over the appropriate circle for each question (4 = strongly agree, 3 = agree, 2 = disagree, 1 = strongly
disagree).
2. Write the number found in that circle in the box to the right.
3. Sum the three boxes for each wellness dimension to get your wellness dimension totals.
4. Sum all wellness dimension totals to get your comprehensive wellness total.
5. Use the rating chart to rate each wellness area.
6. Complete the Results section and the Conclusions and Implications section.
Strongly Strongly
Question Agree Agree Disagree Disagree Score
1. I am happy most of the time. 4 3 2 1
2. I have good self-esteem. 4 3 2 1
3. I do not generally feel stressed. 4 3 2 1
Emotional Wellness Total =
4. I am well informed about current events. 4 3 2 1
5. I am comfortable expressing my views and opinions. 4 3 2 1
6. I am interested in my career development. 4 3 2 1
Intellectual Wellness Total =
7. I am physically fit. 4 3 2 1
8. I am able to perform the physical tasks of my work. 4 3 2 1
9. I am physically able to perform leisure activities. 4 3 2 1
Physical Wellness Total =
10. I have many friends and am involved socially. 4 3 2 1
11. I have close ties with my family. 4 3 2 1
12. I am confident in social situations. 4 3 2 1
Social Wellness Total =
13. I am fulfilled spiritually. 4 3 2 1
14. I feel connected to the world around me. 4 3 2 1
15. I have a sense of purpose in my life. 4 3 2 1
Spiritual Wellness Total =
Comprehensive Wellness(Sum of five wellness scores)
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WellnessSe
lf-Perceptions
Lab1A
In the results below, record your scores from the previous page; then determine your ratings for each score using the
Wellness Rating Chart. Record your ratings in the Results section.
Results
Wellness Dimension Score Rating
Emotional-mental
Intellectual
Physical
Social
Spiritual
Comprehensive
Wellness Rating Chart
Rating
Wellness
Dimension Scores
Comprehensive
Wellness Scores
High-level wellness 1012 5060
Good wellness 89 4049
Marginal Wellness 67 3039
Low-level wellness Below 6 Below 30
Conclusions and Implications: In the space provided below, use several paragraphs to describe your current
state of wellness. Do you think the ratings are indicative of your true state of wellness? Are there areas in which there isroom for improvement?