Comprehensive Health Assessment Page 4

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Comprehensive Health Assessment
—continued
17. I sleep seven to eight hours daily.
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4
18. I refrain from using over-the-counter sleep-inducing aids.
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4
19. I follow sound dietary practices as an important adjunct to
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a health-enhancing physical activity program.
20. My current level of fitness allows me to participate fully
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and with reasonable comfort in my daily activities.
POINTS ________
Not true/
Somewhat true/
Mostly true/
Very true/
Nutrition and Weight Management
rarely
sometimes
usually
always
1. I balance my caloric intake with my caloric expenditure.
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4
2. I obtain the recommended number of servings from each
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4
of the food groups.
3. I select a wide variety of foods chosen from each of the
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4
food groups.
4. I understand the amount of a particular food that consti-
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4
tutes a single serving.
5. I often try new foods, particularly when I know them to be
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4
healthful.
6. I select breads, cereals, fresh fruits, and vegetables in
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4
preference to pastries, candies, sodas, and fruits canned in
heavy syrup.
7. I limit the amount of sugar that I add to foods during
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4
preparation and at the table.
8. I examine food labels to determine the presence of
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4
trans-fats (trans-fatty acids) and select foods free of
these fats.
9. I select primarily nonmeat sources of protein, such as peas,
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beans, and peanut butter, while limiting my consumption
of red meat and high-fat dairy products.
10. I consume an appropriate percentage of my total daily
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4
calories from protein.
11. I select foods prepared with unsaturated vegetable oils while
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reducing consumption of red meat, high-fat dairy products,
and foods prepared with lard (animal fat) or butter.
12. I carefully limit the amount of fast food that I consume
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during a typical week.
13. I consume an appropriate percentage of my total daily
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calories from fat.
14. I select nutritious foods when I snack.
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15. I limit my use of salt during food preparation and at
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4
the table.
16. I consume adequate amounts of fiber.
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4
17. I routinely consider the nutrient density of individual food
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4
items when choosing foods.
18. I maintain my weight without reliance on
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4
over-the- counter or prescription diet pills.
19. I maintain my weight without reliance on fad diets or
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4
liquid weight loss beverages.
20. I exercise regularly to help maintain my weight.
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4
POINTS ________
22
Focus on Health

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