Cardiovascular Disease Project

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PersonalWellnessAssessment-LifestyleAssessmentInventory.docx

Personal Wellness Assessment (PWA) - Lifestyle Assessment Inventory

Purpose: The purpose of this Lifestyle Assessment Inventory is to identify areas in your life that increase your risk of disease and impact your fitness and wellness. Awareness of your current lifestyle behavior is the first step in making changes.

Procedure: Read each question and answer “Yes” or “No” or “Sometimes.” Keep track of the number of “each type of answer. You will record and submit these numbers in the "Personal Wellness Assessment Summary" assignment.

Fitness/Exercise

Yes

No

Sometimes

I do vigorous exercise for at least 150 minutes each week (30 min/five days a week). Examples: walking, brisk walking, biking, swimming etc.

yes

I do exercises to enhance my muscle tone at least 3 times each week. Examples: weight training, yoga, etc.

yes

I use part of my leisure time participating in physical activities. Examples: dancing, playing with my kids, gardening, golf, bowling etc.

yes

I look for additional ways to incorporate activity each day. Examples: taking the stairs, parking far out, walking to school, walking the dog etc.

yea

Nutrition/Eating Habits

Yes

No

Sometimes

I eat a variety of foods each day.

yes

I eat at least 5 servings of fruit and vegetables EVERY day.

x

I limit the amount of fat, saturated fat, trans fat and cholesterol I eat each day.

x

I limit the amount of sugar I eat each day (including soft drinks).

x

I limit the amount of salt I eat by cooking with small amounts, not adding table salt and avoiding salty snacks.

yes

I make a habit of reading the food labels for what I eat and buy.

x

Stress Control

Yes

No

Sometimes

I have a job, go to school or do other work that I enjoy.

yes

I find it easy to relax.

x

I recognize early and prepare for events or situations that might be stressful for me.

yes

I am able to cope with daily stresses without undue emotional distress.

x

I participate in group activities that I enjoy.

yes

I am able to use stress management techniques when I am in stressful situations.

yes

I am able to express my feelings and emotions to others and in appropriate ways.

x

Health

Yes

No

Sometimes

I get yearly checkups.

x

I get 7-9 hours of sleep every night.

x

I avoid cigarettes.

x

I do not use smokeless tobacco.

no

I consume alcohol in moderation (no more than 1 a day).

yes

I do not overuse prescription drugs.

no

I do not use illegal drugs.

no