This page is best viewed with 800x600 monitor display.

animated goddess mdbs banner animated goddess

"For Informational Use Only"
For more detailed information contact your health care provider
about options that may be available for your specific situation.

MoonDragon's Alternative Health Information
Well Being Questionaire

Different aspects of life can undermine health or support and enhance it. Certain physical factors or psychological strains like an unhappy relationship increase susceptibility to illness. You can increase your resilience by identifying these traits and making the necessary changes in your life. These may be in the realm of "Body", such as diet or exercise, or "Mind", for example finding ways to handle stress or difficult emotions. This questionaire is designed to enable you to find out more about the different aspects of well-being.

Print out the entire questionaire and check off the boxes that apply to you most. Return to the beginning and add up your scores for each section of questions. Write your score in the boxes that are provided at the bottom of each column. For each section read General Guidance to find out about the significance of the questions you have answered. Then read Your Score to evaluate the individual aspects of your well-being.

BODY


PHYSICIAL WELL-BEING

1. Do you feel well and energetic?
A
B
C
2. Are you physically fit enough to do the things you want to?
A
B
C
3. Are you free of unexplained physical symptoms?
A
B
C
4. Do you get all the sleep you need?
A
B
C
5. Do you exercise for at least 20-30 minutes three times a week?
A
B
C
6. Do you give yourself time to warm up and cool down before and after exercising?
A
B
C
7. Are you comfortable about your weight, shape, and physical condition?
A
B
C
8. Given a choice do you walk or use the stairs?
A
B
C
TOTAL
A_______
B_______
C_______

GENERAL GUIDANCE

Physical fitness helps all the body systems function at their best and is important for the prevention of major diseases. It also boosts energy, helps reduce stress and benefits emotional well-being. Obesity results from lack of exercise as well as overeating, and places you at risk of developing diabetes, stroke, arthritis, and other diseases.

YOUR SCORE


RISK-TAKING

1. Do you smoke?
A
B
C
2. Do you use potentially dangerous recreational drugs?
A
B
C
3. Do you have more than three alcoholic drinks a day if a man, or two if a woman?
A
B
C
4. Do you take risks when driving (such as drinking alcohol, speeding, not wearing a seatbelt)?
A
B
C
5. Do you smoke in bed?
A
B
C
6. Do you carry a weapon?
A
B
C
7. Do you take part in dangerous sports?
A
B
C
8. Are you careless when working with toxic or flammable substances?
A
B
C
TOTAL
A_______
B_______
C_______

GENERAL GUIDANCE

Taking unnecessary risks can endanger not just your life but those of others and it increases stress and emotional problems.

YOUR SCORE


NUTRITION

1. Do you eat a well-balanced, low-fat diet with high fiber foods and plenty of fresh fruits and vegetables?
A
B
C
2. Do you keep your daily fat intake below 30% of calorie intake?
A
B
C
3. Do you keep your salt and sugar intake down?
A
B
C
4. Do you eat poultry and fish rather than red meat?
A
B
C
5. Do you drink enough fluids to keep your urine pale yellow?
A
B
C
6. Do you rarely skip meals?
A
B
C
7. Do you resist eating when not hungry?
A
B
C
8. Do you avoid junk food and processed food?
A
B
C
9. Do you refrain from following diet fads?
A
B
C
10. Do you minimize your caffeine intake (coffee, tea, cola)?
A
B
C
TOTAL
A_______
B_______
C_______

GENERAL GUIDANCE

What you eat and drink provides energy for cell growth, maintenance, and repair, and for physical and mental activity. A diet low in fats and high in fiber, fruits, and vegetables can protect against disease. Junk and processed foods are low in fiber and high in fats, added sugars, and chemical additives. Fad diets may take weight off, but are difficult to maintain and pounds lost are quickly regained.

YOUR SCORE


FAMILY HEALTH

1. Treatment for high blood pressure?
A
B
2. A heart attack before the age of 40?
A
B
3. Very high cholesterol?
A
B
4. Diabetes?
A
B
5. Gout?
A
B
6. Glaucoma?
A
B
7. Breast cancer?
A
B
8. Bowel cancer?
A
B
TOTAL
A_______
B_______

GENERAL GUIDANCE

Inheritance predisposes you to some diseases, and certain conditions are passed on in the genes. Even if close relatives lived to an old age, remember that genetic advantages can be undone by an unhealthy lifestyle.

YOUR SCORE


BODY MAINTENANCE

1. Do you floss your teeth daily?
A
B
2. Do you have an annual dental checkup?
A
B
3. Do you avoid over-exposure to the sun and use sunscreens when appropriate?
A
B
4. If you are ill or injured, do you know what to do?
A
B
5. WOMEN: Do you have a cervical (pap) smear at least every three years?
A
B
6. WOMEN: Do you check your breasts for lumps and changes every month?
A
B
7. MEN: Do you check your testicles for lumps and changes at least every three months?
A
B
8. OVER 40: Do you get a glaucoma test at least every four years?
A
B
9. OVER 40: Do you get your blood pressure checked annually?
A
B
10. OVER 50: Have you discussed an occult blood stool test with your health care provider?
A
B
10. OVER 50: Do you get a regular mammogram?
A
B
TOTAL
A_______
B_______

GENERAL GUIDANCE

Regular health checkups are important, particularly as you get older, to identify potential problems while a cure is still possible. While this is especially true if any close relatives have been treated for inherited diseases, environment and lifestyle contribute to many serious illnesses and can exacerbate any genetic predisposition.

YOUR SCORE


WORK & ENVIRONMENT

1. Are you well enough to work every day?
A
B
C
2. Do you feel secure and satisfied in what you do?
A
B
C
3. Do you feel valued and recognized?
A
B
C
4. Do you feel you have resources you need?
A
B
C
5. Do you get along with the people you deal with?
A
B
C
6. Do you feel you are learning and developing?
A
B
C
7. Do you look forward to your work day?
A
B
C
8. Is your environment free from pollution (air, noise, chemicals)?
A
B
C
9. Do you feel in control of your workload?
A
B
C
10. Do you sit, stand, or move at work in ways that minimize strain on your back, joints, muscles, and eyes?
A
B
C
11. Do you take enough breaks during the day to keep your mind alert and reduce body tension?
A
B
C
12. Are you happy with your commute between home and work?
A
B
C
13. Do you feel that those closest to you at home are supportive of your work?
A
B
C
TOTAL
A_______
B_______
C_______

GENERAL GUIDANCE

Feeling stimulated and fulfilled in your daily work is an important part of emotional well-being. As well as the nature of the activity itself, the conditions in which you operate are important for both physical and mental health. Although global or national environmental factors may be beyond your control, there is often a lot you can do to minimize risks in the home or workplace.

YOUR SCORE

CONTINUED...PAGE 2

MoonDragon's Holistic Health Links Page 1

MoonDragon's Holistic Health Links Page 2

MoonDragon's Alternative Health Information Index


MoonDragon's Health Index Page

MoonDragon's ObGyn Information & Discussion Index by Subject Order

MoonDragon's ObGyn Information & Discussion Index by Alphabetical Order