Health Inventories

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 
Chapter 8
Tobacco Staying Tobacco Free

Rate your commitment to being tobacco free. Select always, sometimes, or never for each item below. 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 am ready to say no if pressured to try tobacco.  
       a  always      b  sometimes      c  never        
      
  2.I am informed about tobacco's harmful effects on the body.  
       a  always      b  sometimes      c  never        
      
  3.I choose friends who are committed to being tobacco free.  
       a  always      b  sometimes      c  never        
      
  4.I choose healthy alternatives to using tobacco.  
       a  always      b  sometimes      c  never        
      
  5.My friends respect my decision to be tobacco free.  
       a  always      b  sometimes      c  never        
      
  6.I am confident about my decision to be tobacco free.  
       a  always      b  sometimes      c  never        
      
  7.I make plans for the future that do not include tobacco.  
       a  always      b  sometimes      c  never        
      
  8.I avoid situations where I know or suspect that people will be using tobacco.  
       a  always      b  sometimes      c  never        
      
  9.I am informed about the different dangers of smoking or chewing tobacco and the harmful effects of secondhand smoke.  
       a  always      b  sometimes      c  never        
      
  10.I obey the state and federal laws restricting the use of tobacco.  
       a  always      b  sometimes      c  never        
      
  11.I manage stress without using tobacco.  
       a  always      b  sometimes      c  never        
      
  12.I resist advertising messages that make smoking look attractive.  
       a  always      b  sometimes      c  never        

Personal Wellness Contract