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Lifestyle Assessment Inventory

To print this activity, download it as a pdf file, lab2.pdf

Purpose:
The purpose of this lifestyle assessment inventory is to increase your awareness of areas in your life that increase your risk of disease, injury, and possibly premature death. A key point to remember is that you have control over each of the lifestyle areas discussed. Awareness is the first step in making change.

Directions:
Place a check mark by each statement that applies to you.

A. Physical Fitness
	I exercise for a minimum of 20 to 30 minutes at least 3 days a week.
	I play sports routinely (2 to 3 times per week).
	I walk for 15 to 30 minutes (3 to 7 days per week).
B. Body Fat
	There is no place on my body where I can pinch more than 1 inch of fat.
	I am satisfied with the way my body appears.
C. Stress Level
	I find it easy to relax.
	I rarely feel tense or anxious.
	I am able to cope with daily stresses better than most people.
D. Car Safety
	I have not had an auto accident in the past 4 years.
	I always use a seat belt when I drive.
	I rarely drive above the speed limit.
E. Sleep
	I always get 7 to 9 hours of sleep.
	I do not have trouble going to sleep.
	I generally do not wake up during the night.
F. Relationships
	I have a happy and satisfying relationship with my spouse or boy-girlfriend.
	I have a lot of close friends.
	I have a great deal of family love and support.
G. Diet
	I generally eat three balanced meals per day.
	I rarely overeat.
	I rarely eat large quantities of fatty foods and sweets.
H. Alcohol Use
	I consume fewer than two drinks per day.
	I never get intoxicated.
	I never drink and drive.
I. Tobacco Use
	I never smoke (cigarettes, pipe, cigars, etc.).
	I am not exposed to second-hand smoke on a regular basis.
	I do not use smokeless tobacco.
J. Drug Use
	I never use illicit drugs.
	I never abuse legal drugs such as diet or sleeping pills.
K. Safe Sex
	I always practice safe sex (e.g., always using condoms or being involved in a monogamous relationship).

Scoring:

1.) Individual areas: If you have fewer than three checks in categories A through K, you can improve this area of your lifestyle.

2.) Overall lifestyle: Add up your total number of checks. Scoring can be interpreted as follows:

23 - 29 Very healthy lifestyle
17 - 22 Average healthy lifestyle
Less than 16 Unhealthy lifestyle (needs improvement)

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