Health Inventories

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 
Please read our Terms of Use and Privacy Notice before you explore our Web site. To report a technical problem with this Web site, please contact Technical Support.
 
Chapter 26:
Noncommunicable Diseases and Disabilities

Read each statement below and respond by selecting yes, sometimes, or no for each item. Select yes only for items you practice regularly or are sure about. After completing the inventory, click on the How Did I Rate? button to display a printable version of your answers and to find out your score.

      
  1.I avoid being around people who are smoking.  
       a  yes      b  sometimes      c  no        
      
  2.I abstain from using tobacco products myself.  
       a  yes      b  sometimes      c  no        
      
  3.I avoid adding salt to my food without first tasting it.  
       a  yes      b  sometimes      c  no        
      
  4.I eat foods high in fiber, including fruits and vegetables.  
       a  yes      b  sometimes      c  no        
      
  5.I keep my weight at an acceptable level.  
       a  yes      b  sometimes      c  no        
      
  6.I use some effective ways to relax.  
       a  yes      b  sometimes      c  no        
      
  7.I use a sunscreen when participating in outdoor activities.  
       a  yes      b  sometimes      c  no        
      
  8.I exercise aerobically at least three times a week.  
       a  yes      b  sometimes      c  no        
      
  9.I can identify some of the special challenges that people with disabilities face.  
       a  yes      b  sometimes      c  no        
      
  10.I am aware of ways in which my community has met or failed to meet the needs of people with special challenges.  
       a  yes      b  sometimes      c  no        

Personal Wellness Contract