Your Health Checklist
Read each statement below and respond by selecting
always
,
sometimes
, or
never
for each item. Select
always
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 treat others with respect.
a always
b sometimes
c never
2.
I am willing to work at my relationships.
a always
b sometimes
c never
3.
I demonstrate love and respect for members of my family.
a always
b sometimes
c never
4.
When there’s a disagreement, I try to see the points of view of other family members.
a always
b sometimes
c never
5.
I ask for help from family members when I need support.
a always
b sometimes
c never
6.
I provide positive input that helps other family members feel appreciated and supported.
a always
b sometimes
c never
7.
I enjoy spending time with peers.
a always
b sometimes
c never
8.
I have both casual and close friendships.
a always
b sometimes
c never
9.
I expect to be treated with consideration and respect by my friends or dates.
a always
b sometimes
c never
10.
I follow strategies for practicing abstinence.
a always
b sometimes
c never