Do you drive when your ability may be affected by drugs?
Never
Occasionally
Are you aware of water safety rules?
Yes
No
If you participate in water sports or boating, do you wear a life jacket? (If not applicable, do not score.)
Yes
No
General
Average time watching TV per day (in hours)?
0 to 1
1 to 4
4+
Are you familiar with first-aid procedures?
Yes
No
Do you ever smoke in bed?
No
Occasionally
Yes
Page 220
Do you always make use of clothing and equipment provided for your safety at work? (If not applicable, do not score.)
Yes
Occasionally
No
Scoring Section
Count total number of symbols
1 point for each
3 points for each
5 points for each
Your total score ____
Your Lifestyle Profile will indicate where lifestyle changes should be made, but only if you answer the questions as objectively as possible.
Excellent 34-45: You have a commendable lifestyle based on sensible habits and lively awareness of personal health.
Good 46-55: You have a sound grasp of basic health principles. With a minimum of change you can develop an excellent lifestyle pattern.
Page 221
Risky 56-65: You are taking unnecessary risks with our health. Several of your lifestyle habits are based on unwise personal choices which should be changed if potential health problems are to be avoided.
Hazardous 66 and over: Either you have little personal awareness of good health habits or you are choosing to ignore them. This is a danger zonebut with a conscientious effort to improve basic living patterns even hazardous lifestyles can be modified and potential health problems overcome.