Pensacola State College - physical wellness self assessment -

	Activity:	Never	Rarely	Sometimes	Regularly	Always
		1	2	3	4	5
1	I engage in moderate physical activity (walking) for at least 150 minutes per week or vigorous exercise, example HIIT (high intensity interval training) for at least 75 minutes per week.	_____	_____	_____	_____	_____
2	I do resistance training exercises at least two times per week.	_____	_____	_____	_____	_____
3	I do stretching exercises at least five days per week.	_____	_____	_____	_____	_____
4	I do Pilates, dance, tai chi, yoga, or other activities for balance and core strength.	_____	_____	_____	_____	_____
5	I eat a healthy well balanced diet and avoid processed foods and sugary drinks.	_____	_____	_____	_____	_____
6	I live a healthy life style. I do not smoke, vape, use alcohol in excess, or engage in risky or unsafe behaviors, such as not wearing seatbelts, texting while driving, or practicing unsafe sex.	_____	_____	_____	_____	_____
7	I get an adequate amount of quality sleep and wake up rested most mornings.	_____	_____	_____	_____	_____
8	I listen to my body and make appropriate adjustments or seek professional help if necessary.	_____	_____	_____	_____	_____
9	I have prepared a family medical tree with medical health history information for at least three generations, including dates for the beginning of health issues or deaths.	_____	_____	_____	_____	_____
10	I have an annual physical with a doctor and keep a personal medical history log of vaccinations, surgeries, illnesses, and medications I am currently taking.	_____	_____	_____	_____	_____