We all desire optimal health however we dont know how to achieve that. One of the reasons for that is we dont know what actions will give us a perfect health. The first step in getting healthy is to identify the reasons behind our present-day health conditions. Using this worksheet, we will be able to identify many areas that need attention from us. Some of these practices might need special supervision, especially for those who are under medication or carry certain medical conditions.
The worksheet is designed on a numerical system where each section carries a specific score. After answering the questionnaire, the employees are supposed to add the scores for each section till they get their final results. The scores of first, second and third columns are marked as T1, T2, T3 respectively. The total score for that table Total = T1 + T2 + T3
Tobacco Use Table
Smoking-related Actions
Circle the appropriate score
I avoid smoking cigarettes
4
1
0
I avoid pipes and cigars
2
1
0
I avoid spit tobacco.
2
1
0
I avoid passive smoking
2
1
0
Total = T1 + T2 + T3 =
T1
T2
T3
Alcohol and Other Drugs Table
Alcohol-related Actions
Circle appropriate score
I take less than 1 (women) or 2 (men) drinks daily
4
1
0
I avoid alcohol/drugs to deal with stress
2
1
0
I avoid alcohol during medications or pregnancies.
