____When at rest, my pulse is
70 beats a minute or less.
____I participate in at least
one recreational sport or activity on a weekly
basis.
____I find time for 30 minutes
of vigorous exercise at least 3 times a week.
____I don’t tire easily
while doing physical activity.
____I’m comfortable with
my body.
____My weight is in the correct
range for my height.
____I can’t pinch and
inch of fat anywhere on my body.
____My doctor, family or friends
have not urged me to lose weight during the last
year.
____I’m able to relax
without any trouble.
____I deal well with stressful
situations.
____I’m able to complete
tasks that I have started.
____I don’t have trouble
falling asleep or waking up.
Note: if you don’t drink alcoholic beverages,
give yourself one point for each of the next four
statements.
____I drink less than two alcoholic
drinks per day.
____I don’t drink more
when under stress or when I’m depressed.
____In the last 12 months, I
have not operated a moving vehicle after drinking
alcohol.
____When I’m drinking,
I don’t do things I later regret.
Note: If you have never smoked, give yourself
one point for each of the next five statements.
____I have never smoked cigarettes.
____I smoke less than one pack
of cigarettes per day.
____I have not smoked cigarettes
in the last 12 months.
____I don’t use any form
of tobacco (cigars, chewing tobacco, pipes etc).
____I only smoke low-tar and
low nicotine cigarettes.
____I’m able to fall asleep
in less than 20 minutes.
____It is rare that I wake up
during the night.
____I usually sleep between
seven and nine hours per night.
____When I get up in the morning
I feel rested and ready to go.
____I usually have a lot of
energy.
____I don’t have high
blood pressure.
____I’ve never had high
blood pressure.
____I’ve had my blood
pressure checked within the last six months.
____My immediate family has
no history of high blood pressure or cardiovascular
disease.
____When I drive or am a passenger
I always wear my seat belt.
____When I ride a bicycle I
always wear a helmet.
____In the last three years,
I have not had a moving violation or an accident
of any kind.
____I never ride with someone
who has been drinking alcohol.
____I’m happy with my
social relationships.
____I feel comfortable talking
over my problems with other people.
____I can’t think of many
areas in my life that disappoint me.
____I feel that I’m a
happy person.
____Given a chance to live my
life over again I would change very little.
____Total
Scoring:
A score of 30 to 39 indicates
that you are leading a healthy lifestyle. Keep
up the good work.
A score of 15 to 29 indicates
that your lifestyle could use some improvement.
Try adopting more healthy habits.
A score of 0 to 14 indicates
that you are leading an unhealthy lifestyle. Now
is the time to change your ways so you can live
a longer, more productive life.
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