Let'S Do This!: Activity 1 Lifestyle Evaluation
Let'S Do This!: Activity 1 Lifestyle Evaluation
Let'S Do This!: Activity 1 Lifestyle Evaluation
Nutrition
1. I eat a variety of food each day, including five or more 3 1 0
servings of fruits and/or vegetables.
2. I limit the amount of fat and saturated fat in my diet. 3 1 0
3. I avoid skipping meals. 2 1 0
4. I limit the amount of salt and sugar I eat. 2 1 0
Nutrition Score: _____ _____ ____
Tobacco Use
If you never use tobacco, enter a score of 10 for this section and go to the next section.
1. I avoid using tobacco. 2 1 0
2. I smoke only low-tar-and-nicotine cigarettes or 2 1 0
I smoke a pipe or cigars, or use smokeless tobacco.
Tobacco Use Score: _____ _____ _____
Safety
1. I wear a safety belt while riding in a car. 2 1 0
2. I avoid driving while under the influence of alcohol 2 1 0
or other drugs.
3. I obey traffic rules and the speed limit when driving. 2 1 0
4. I read and follow instructions on the labels of potentially
harmful products or substances, such as household 2 1 0
cleaners, poisons, and electrical appliances.
5. I avoid smoking in bed. 2 1 0
Safety Score: _____ _____ _____
Disease Prevention
1. I know the warning signs of cancer, heart attack, and stroke. 2 1 0
2. I avoid overexposure to the sun and use sunscreen. 2 1 0
3. I take recommended medical screening tests
(such as blood pressure checks and Pap tests), 2 1 0
immunizations, and booster shots.
4. I practice monthly breast/testicles self-exams. 2 1 0
5. I am not sexually active or I have sex with only one
mutually faithful, uninfected partner or I always engage in
“safer sex” (using condoms), and I do not share needles 2 1 0
to inject drugs.
YOUR BODY IS
YOUR MOST
PRICELESS
POSSESSION.
TAKE CARE OF IT.