Taking the Lifestyle Questionnaire will give you insight into how healthy your lifestyle is already—and what areas you can improve upon. As you answer, be honest with yourself.
How healthy is your diet? Questionnaire This questionnaire is designed to allow you to assess the nutritional value of your diet. Answer yes or no to the questions below and then read the supplementary information that will help you to consider making changes to your diet. 1 Do you skip breakfast more than once a week? Yes No 2 3 4
Lifestyle Questionnaire – Worksheet | CardioSmart – American …
Jul 13, 2022 · Use this worksheet to give your health care team a sense of how physically active you are, your efforts to eat a heart-healthy diet, and if you use tobacco. This information will help pinpoint areas where you feel like you need more advice or support.
Lifestyle Questionnaire - 8+ Examples, Format, How to Make, Pdf
Apr 27, 2024 · Thankfully, there is a lifestyle questionnaire (usually called lifestyle survey questionnaire examples) that we can use to determine if we have a healthy lifestyle. The lifestyle questionnaire will help us get back on track on choosing a better lifestyle for our health.
lifestyle habits help lower your cholesterol, blood pressure, and the chance of a heart attack or stroke. They can also boost your mood, improve sleep and keep you feeling well. Use this worksheet to give us a sense of how physically active you are, your efforts to eat a heart-healthy diet, and if you use tobacco.
WHAT MIGHT YOU NORMALLY EAT / DRINK? Right now, are you following any particular diet or style of eating? If yes, what? And for how long have you followed this way of eating? What are some of the foods or meals you like MOST? What are some of …
Encourage you to eat fruit? In this survey, a “healthy diet” means eating a wide variety of foods which contain plenty of fiber and are low in fat, salt, and sugar. 1. How important do you feel other people’s support is in helping you eat a healthy diet? 2. How often do any of your co-workers: 3.
On a scale of 1 to 10, how likely are you to adopt a healthier lifestyle (1 = very unlikely; 10 = very likely)? 2. Do you have any specific goals for improving your health?
The Healthy Lifestyle and Personal Control Questionnaire …
Sep 24, 2014 · There are 12 items concerning diet, 8 items referring to a daily time management, 2 items referring to organized physical exercise and 4 items referring to practices of social support and positive thinking (e.g., positive thoughts during …
Health & Lifestyle Questionnaire Form Template | Jotform
Whether you need to collect health information for research purposes, or to offer advice and tips on diet and exercise, this free Health & Lifestyle Questionnaire will help you get the data you need. Just customize the form with your preferred background image, logo, and more to make it match your requirements.