1.	I cover my mouth and nose with a tissue when I cough or sneeze.

a  always      b  sometimes      c  never

	2.	I wash my hands before handling or eating food.

a  always      b  sometimes      c  never

	3.	When I am ill, I stay home and avoid close contact with other people.

a  always      b  sometimes      c  never

	4.	I eat plenty of fruits, vegetables, and whole-grain breads.

a  always      b  sometimes      c  never

	5.	I abstain from sexual activity.

a  always      b  sometimes      c  never

	6.	I participate in regular physical activity.

a  always      b  sometimes      c  never

	7.	I do not share eating utensils, dishes, glasses, bottles, cans, or food with others.

a  always      b  sometimes      c  never

	8.	I keep my hands away from my mouth, nose, and eyes.

a  always      b  sometimes      c  never

	9.	I scrub under my fingernails when I wash my hands.

a  always      b  sometimes      c  never

	10.	When I take a prescribed medication, I follow the directions and my doctor's orders carefully.

a  always      b  sometimes      c  never

	11.	I encourage other people to follow wise health practices.

a  always      b  sometimes      c  never

	12.	I bathe or shower daily.

a  always      b  sometimes      c  never