The Personal Physical Health Assessment measures more than just your physical health. It also measures your attitude about health and the influence of your environment on your health. It indicates to you those areas of your physical life contributing to a healthy lifestyle and those needing improvement.
By achieving optimum health you have the energy and strength to effortlessly accomplish whatever you choose, as well as having the backup energy to handle whatever emergencies may arise in your life.
Directions: Rate each statement on a scale of 1 to 5 with 1 being virtually not at all, and 5 being absolutely true. Place your number on the line provided. Total your score at the end of each section. Remember the goal of the assessment is to give you a starting point for your journey to success. Don't be disappointed if you fall short of perfect scores at this point in time. Your scores will increase as you make progress on your journey to Total Success. Interpretation of the scores will be discussed at the end of the section.Personal Physical Health Assessment
|Rate the following statements from 1 [Virtually not at all] to 5 [Absolutely true]:|
|1.||I have undergone appropriate physical check ups within the last year (eyes, ears, general, blood tests, dental, etc.).|
|2.||I am at the ideal weight for my size/body type.|
|3.||I exercise regularly (3 times/week).|
|4.||I am physically fit for my age.|
|5.||I have no neglected medical problems.|
|6.||I get enough sleep with no reoccurring problems. (i.e. insomnia, sleep apnea, etc.).|
|7.||I regularly have “quiet/down time.”|
|8.||I eat foods that provide optimum nutrition/supplementation.|
|9.||I drink adequate amounts of water (minimum 32 ounces/day).|
|10.||I avoid foods and habits that are deleterious to my health or reduce my energy (excessive caffeine, sugar, high fat, alcohol, tobacco, drugs etc.).|
|11.||I recognize my illnesses and injuries and seek treatment in a timely manner.|
|12.||I have healthy ways of relieving my stress (exercise, therapy, talking meditation).|
|13.||My physical environment contains minimal toxic substances, (asbestos, lead, pollutants, noise, etc.) that can harm my body or reduce my energy.|
|14.||I experience adequate light, fresh air and comfortable temperatures.|
|15.||I surround myself with a neat, clean, and pleasant environment.|
|16.||My life is well organized.|
|17.||I regularly indulge my body in ways that make it feel and look great (massages, haircuts, manicures, saunas, etc.).|
|18.||I wear clothes that are comfortable, enjoyable, and make me look great.|
|19.||I participate in physical activities regularly that are enjoyable, stimulating and energizing.|
|20.||I am satisfied with the quantity and quality of my sexual life.|
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