Monroe Community College - State University of New York


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WORKSHEET 1-B:


Current lifestyle assessment.


Select the word that best represents your current lifestyle
in response to the statement.
  1. I speed when I am driving.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I wear a seatbelt when in a car.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I drive after drinking alcohol.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I ride with drivers who have been drinking.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I keep the doors locked then traveling in a motor vehicle.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I smoke cigarettes.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I use smokeless tobacco.
 Always: Regularly: Sometimes: Rarely: Never:
  1. My normal living environment is smokefree.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I drink more than two alcoholic beverages daily.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I smoke marijuana daily.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I use cocaine products daily.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I currently use anabolic steroids or other illegal performance enhancement supplements.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I engage in unprotected sexual activities with multiple partners.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I get enough sleep.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I get enough rest and relaxation.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I engage in social activities.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I can play and have fun.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I am impatient.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I get angry easily and often.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I treat people politely and with respect.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I blame others for my misfortunes/failures.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I accept responsibility for my behavior.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I allow other people to trigger an emotional response from me.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I eat a lot of fresh fruits and vegetables.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I eat a lot of fatty and processed foods.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I eat the correct volume of food.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I drink enough water.
 Always: Regularly: Sometimes: Rarely: Never:
  1. My body fat percentage is acceptable.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I engage in roller coasting diets. (Continuous weight gain and loss.)
 Always: Regularly: Sometimes: Rarely: Never:
  1. I use "over the counter" diet products.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I exercise at least 3 days each week.
 Always: Regularly: Sometimes: Rarely: Never:
  1. My blood pressure is under 120/80.
 Always: Regularly: Sometimes: Rarely: Never:
  1. My cholesterol level is under 240.
 Always: Regularly: Sometimes: Rarely: Never:
  1. When lifting heavy objects I use good posture, lifting with my legs.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I include cardiovascular exercise in my workouts..
 Always: Regularly: Sometimes: Rarely: Never:
  1. I dress appropriately for the exercise that I engage in. (Weight belt, proper foot wear, cool clothing.)
 Always: Regularly: Sometimes: Rarely: Never:
  1. I pay attention to my body and stop exercising when I become fatigued or suffer pain..
 Always: Regularly: Sometimes: Rarely: Never:
  1. I keep a log of my workouts.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I follow the "no pain, no gain" philosophy of exercise.
 Always: Regularly: Sometimes: Rarely: Never:
  1. I warm-up and cool-down when I exercise.
 Always: Regularly: Sometimes: Rarely: Never:


Rating Scale
Score
Risk of Accident or Illness
40 - 71
Low Risk
72 - 103
Below Average Risk
104 - 135
Average Risk
136 - 167
Above Average Risk
168 - 200
High Risk
runner runner
Go Back To Main Menu Go To Worksheet 1-C

 
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Programs Course Descriptions Graduation PE Requirements Facilities Athletics Department
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Faculty and Staff Faculty Web Sites SUNY Learning Network FAQs
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MCC-B770