Healthstyle - a Self-Test

Cigarette Smoking Always Sometimes Never If you are currently a non-smoker enter a score of 10 for this section. Non-Smoker 1. I avoid smoking cigarettes. 2 1 0 Smoking Score: Physical Activity and Exercise Always Sometimes Never 1. I accumulate 30 or more minutes of moderate physical activity at least 5 days a week (e.g.. walking, yard work, golf w/o a power cart . . .) or engage in vigorous exercise for 20 minutes at least 3 times a week (e.g. jogging, swimming, aerobics . . .). 4 1 0 2. I do things like taking stairs instead of elevators and don't worry about getting the closest available parking spot. 2 1 0 3. I do exercises that enhance my muscle tone and flexibility at least 2 - 3 times per week. 2 1 0 4. I enjoy a variety of recreational activities with friends and family. 2 1 0 Activity and Exercise Score: Eating Habits Always Sometimes Never 1. I eat a combined 5 servings of fruits and vegetables every day. 2 1 0 2. I eat a variety of grains, breads, pastas and cereal. 2 1 0 3. I limit the amount of fat, saturated fat and cholesterol I eat (including fat on meats, eggs, butter, cream, shortenings, and organ meats such as liver). 2 1 0 4. I limit the amount of salt I eat by cooking with only small amounts, not adding salt at the table, and avoiding salty snacks. 2 1 0 5. I avoid eating too much sugar (especially frequent snacks of sticky candy or soft drinks). 2 1 0 Eating Habits Score: Stress Control Always Sometimes Never 1. I have a job or do other work that I enjoy. 2 1 0 2. I find it easy to relax and express my feelings freely. 2 1 0 3. I recognize early, and prepare for, events or situations likely to be stressful for me. 2 1 0 4. I have close friends, relatives, or others whom I can talk to about personal matters and call on for help when needed. 2 1 0 5. I participate in group activities (such as church and community organizations) or hobbies that I enjoy. 2 1 0 Stress Control Score: Alcohol and Drugs Always Sometimes Never 1. I avoid drinking alcoholic beverages or I drink no more than 1 or 2 drinks a day. 2 1 0 2. I avoid using alcohol or other drugs (especially illegal drugs) as a way of handling stressful situations or the problems in my life. 2 1 0 3. I am careful not to drink alcohol when taking certain medicines (for example, medicine for sleeping, pain, colds, and allergies), or when pregnant. 2 1 0 4. I read and follow the label directions when using prescribed and over-the-counter drugs. 2 1 0 Alcohol and Drug Score: Safety Always Sometimes Never 1. I wear a seatbelt while riding in a car. 2 1 0 2. I avoid driving while under the influence of alcohol and other drugs. 2 1 0 3. I obey traffic rules and the speed limit when driving. 2 1 0 4. I am careful when using potentially harmful products or substances (such as household cleaners, poisons, and electrical devices). 2 1 0 Safety Score: Smoking Activity and Exercise Eating Habits Stress Control Alcohol and Drugs Safety