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EXERCISE

This document appears to be a wellness lifestyle questionnaire containing 24 questions about an individual's health and safety habits. The questions cover a range of topics including exercise, diet, stress management, social support systems, recreational activities, substance abuse, safety practices, environmental stewardship, and studying habits. The respondent is asked to rate how often each statement applies to them on a scale from "never" to "nearly always".

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Rex Agua
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185 views2 pages

EXERCISE

This document appears to be a wellness lifestyle questionnaire containing 24 questions about an individual's health and safety habits. The questions cover a range of topics including exercise, diet, stress management, social support systems, recreational activities, substance abuse, safety practices, environmental stewardship, and studying habits. The respondent is asked to rate how often each statement applies to them on a scale from "never" to "nearly always".

Uploaded by

Rex Agua
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name:

Grade Level:
Nearly
Always
Always Often Seldom Never
(5)
Wellness Lifestyle Questionnaire (4) (3) (2) (1)
1. I participate in vigorous aerobic activity for 20
minutes, 3x a day          
2. I participate in strength training exercises, 2 or
more days per week          
3.I perform flexibility exercises a minimum of 2x per
week.          

4. I maintain my recommended body weight.          


5. I eat 3 regular meals that include a wide variety of
food every day.          
6. I limit the amount of fats in my diet on most days
of the week.          

7. I eat fruits and vegetables every day          


8. I regularly avoid snacks, especially those high in
calories and fat.          
9. I readily recognize problems and act on it when I
am under excessive tension and stress.          
10. I am able to perform effective stress
management techniques.          
11. I have close friends and relatives with whom I
can discuss personal problems and approach for
help when needed.          
12. I spend most of my leisure time in wholesome
recreational activities.          
13. I can deal effectively with disappointments and
temporary feeling of sadness, loneliness, and
depression.          
14. I can work out emotional problems without
turning to alcohol or violent behavior.          
15. I associate with people who have a positive
attitude about life.          

16. I do not spend time and talent worrying about


failures.          
17. I wear a seatbelt, whenever I am in a car or
vehicle          
18. I do not drive under the influence of alcohol
nor read, write or send text messages while
driving.          
19. I avoid being alone in public places and staying
out until midnight.          
20. I always keep doors and windows locked,
especially when I am alone at home.          
21. I support community efforts to minimize
pollution.          
22. I use energy conservation tips and encourage
others to do the same          

23. I study in a clean environment          


24. I participate in recycling programs in my
community.          

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