Healthy Lifestyle Profile, Pro-Health Test - the question form

Questions: 52 · 10 minutes
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1. I discuss my problems and doubts with people close to me.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
2. I prefer a diet low in fat and cholesterol.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
3. I tell my doctor about any unusual changes or symptoms.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
4. I follow a specific exercise program.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
5. I get enough sleep.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
6. I feel that I am growing and developing in a positive way.
1 - Disagree
2 - Somewhat disagree
3 - Somewhat agree
4 - Completely agree
7. I find it easy to praise others for their achievements.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
8. I limit my intake of sugar and foods that contain sugar.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
9. I read or listen to health-related programs.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
10. I do vigorous physical activity (at least 20 minutes of intense exercise) at least 3 times a week.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
11. Each day, I make time to relax and rest.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
12. I believe that my life has a purpose.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
13. I maintain meaningful and serious relationships with others.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
14. I eat 6–11 servings of bread, grains, or whole-grain pasta each day (1 serving = 25–30 g bread; 1 serving = 50 g porridge/cereal; 1 serving = 50 g cooked pasta).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
15. I ask the healthcare professionals involved in my care to repeat things so that I can understand their instructions.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
16. I engage in fairly vigorous exercise or physical activity (for example, brisk walking for 30–40 minutes, five or more times per week).
Disagree
Somewhat disagree
Somewhat agree
Strongly agree
17. I accept the things in life that I cannot change.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
18. I look to the future.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
19. I spend time with close friends.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
20. I eat 2–4 servings of fruit each day (1 serving = 1 medium-sized fruit or 1/2 cup of fruit juice).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
21. I seek an alternative opinion about my diagnosis (or prescribed treatment).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
22. In my free time, I swim, dance, or ride a bicycle.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
23. When I go to bed, I focus on pleasant thoughts.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
24. I feel satisfied and at peace.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
25. I easily show care, love, and warmth toward others.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
26. I eat 3 to 5 servings of vegetables each day (one serving is one medium-sized vegetable, or a small plate of cooked/raw vegetables, or a small bowl of vegetable soup).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
27. I discuss health concerns that worry me with different health professionals.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
28. I do strength training exercises at least 3 times per week.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
29. I use specific techniques to manage stress.
1 - Disagree
2 - Somewhat disagree
3 - Somewhat agree
4 - Strongly agree
30. I work toward long-term goals.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
31. I feel understood by the people who matter to me, and I also understand them.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
32. I eat 2–3 servings of milk, yogurt, or cheese daily (1 serving = 1 cup of 1% milk or yogurt; 1 serving = one 30 g slice of cheese).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
33. I examine my body at least once a month for potentially dangerous changes or warning signs.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
34. I get physical activity in my daily routine (for example, I use the stairs instead of an escalator or elevator).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
35. I try to balance my time between work and rest.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
36. I feel that each day brings something new or unusual that requires effort.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
37. I find opportunities for close relationships.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
38. I eat no more than 2–3 servings of protein foods per day (e.g., meat or meat products, fish, eggs, beans/legumes, nuts).
1 – Disagree
2 – Disagree somewhat
3 – Agree somewhat
4 – Strongly agree
39. I ask healthcare professionals how to take better care of my health.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
40. I measure my pulse during physical activity.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
41. I spend 15–20 minutes each day relaxing or meditating.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
42. I know what is important to me in life.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
43. The people I spend time with are supportive of me.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
44. I read food labels to learn what is in the product, including the balance of proteins, fats, carbohydrates, and beneficial nutrients.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
45. I attend specialized health education programs.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
46. I reach my target heart rate (the required heart rate) when I exercise.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
47. I slow down so I do not become overly tired.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
48. I feel connected to a power greater than myself.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
49. I resolve conflicts through discussion and compromise.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
50. I eat breakfast.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
51. When I need to, I seek help and advice.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
52. I am open to new experiences and challenging tasks.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
1. I discuss my problems and doubts with people close to me.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
2. I prefer a diet low in fat and cholesterol.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
3. I report any unusual signs or symptoms to my doctor.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
4. I follow a specific exercise program.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
5. I get enough sleep.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
6. I feel that I am growing and developing in a positive way.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
7. I readily praise others for their achievements.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
8. I limit my intake of sugar and sugar-containing foods.
1 - Disagree
2 - Somewhat disagree
3 - Somewhat agree
4 - Strongly agree
9. I read or listen to health-related programs.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
10. I do vigorous physical activity (at least 20 minutes of intense exercise) at least 3 times per week.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
11. Each day, I find time to relax and rest.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
12. I believe that my life has a purpose.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
13. I maintain meaningful and serious relationships with others.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
14. I eat 6–11 servings of bread, grains, or whole-grain pasta each day (1 serving = 25–30 g bread; 1 serving = 50 g cereal/porridge; 1 serving = 50 g cooked pasta).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
15. I ask the health professionals involved in my care to repeat information so that I can understand their instructions.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
16. I engage in fairly vigorous exercise or physical activity (e.g., brisk walking for 30–40 minutes, five or more times per week).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
17. I accept in my life what I cannot change.
1 – Disagree
2 – Rather disagree
3 – Rather agree
4 – Strongly agree
18. I look to the future.
1 – Disagree
2 – Rather disagree
3 – Rather agree
4 – Strongly agree
19. I spend time with close friends.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
20. I eat 2–4 servings of fruit each day (1 serving = 1 medium-sized piece of fruit or 1/2 cup of fruit juice).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
21. I seek a second opinion about my diagnosis (prescribed treatment).
1 - Disagree
2 - Somewhat disagree
3 - Somewhat agree
4 - Strongly agree
22. In my free time, I go swimming or dancing, or ride a bicycle.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
23. When I go to bed, I focus on pleasant thoughts.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
24. I feel content and at peace.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
25. I easily show care, love, and warmth toward others.
1 – Disagree
2 – Rather disagree
3 – Rather agree
4 – Completely agree
26. I eat 3 to 5 servings of vegetables each day (1 serving = 1 medium-sized vegetable, or a dessert plate of cooked/raw vegetables, or a dessert plate of vegetable soup).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
27. I discuss health concerns that worry me with different healthcare professionals.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
28. I do strength-training exercises at least 3 times per week.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
29. I use specific techniques to manage stress.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
30. I work toward long-term goals.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
31. I feel understood by the people who are important to me, and I understand them as well.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
32. I eat 2–3 servings of milk, yogurt, or cheese daily (1 serving = 1 cup of 1% milk or yogurt; 1 serving = a 30 g slice of cheese).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
33. I examine my body at least once a month for potentially dangerous changes or warning signs.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
34. I get physical activity in my daily routine (e.g., I take the stairs instead of the escalator or elevator).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
35. I try to balance my time between work and rest.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
36. I feel that each day brings something new, unusual, and requiring effort.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
37. I find opportunities to build close relationships.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
38. I eat no more than 2–3 servings of protein foods per day (e.g., meat, fish, eggs, beans, nuts).
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
39. I ask healthcare providers how best to take care of my health.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
40. I measure my pulse during physical activity.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
41. I spend 15–20 minutes each day relaxing or meditating.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
42. I know what is important to me in life.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
43. I feel supported by the people I spend time with.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
44. I read food labels to find out what they contain, including the balance of protein, fat, and carbohydrates and other beneficial nutrients.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
45. I attend health education programs.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
46. I reach my target heart rate (the needed heart rate) when I exercise.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
47. I slow down so I do not get too tired.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
48. I feel connected to a power greater than myself.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Completely agree
49. I resolve conflicts through discussion and compromise.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
50. I eat breakfast.
1 – Disagree
2 – Disagree somewhat
3 – Agree somewhat
4 – Strongly agree
51. When I need to, I seek help and advice.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
52. I am open to new experiences and challenging tasks.
1 – Disagree
2 – Somewhat disagree
3 – Somewhat agree
4 – Strongly agree
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