How Healthy is Your Lifestyle?

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* 1. Information

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* 2. Age

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* 3. Gender

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* 4. Using any number from 0 to 10, where 0 is having no energy and 10 is having an extremely high level of energy, what number would you use to rate your energy for today?

  10 Extremely high level of energy 9 8 7 6 5 4 3 2 1 0 No energy
Energy Level

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* 5. Using any number from 0 to 10, where 0 is having no stress and 10 is having an extremely high level of stress, what number would you use to rate your stress for today?

  10 Extremely high level of stress 9 8 7 6 5 4 3 2 1 0 No stress
Stress Level

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* 6. I know and apply deep diaphragm breathing to help me relax

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* 7. I eat the equivalent of three nutritious and balanced meals a day

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* 8. I am physically working out/walking for at least 20 minutes a day

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* 9. I am aware of my feelings and can describe that

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* 10. I understand how the brain works and it helps to regulate my feelings better

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* 11. I start my day being grateful

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* 12. I talk in a kind and positive manner with my inner self

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* 13. I participate in activities to help calm my brain (e.g., yoga, meditation)

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* 14. I made a point to listen attentively to others

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* 15. I spend an hour of quality time with a loved one (e.g., family or close friend)

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* 16. I pay kind attention to others

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* 17. I reach out to others with compassion

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* 18. I know my purpose and am living it

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* 19. I find positive meaning during hard times

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* 20. I forgive others

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* 21. I live mindful and in the moment

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* 22. I bounce back when adversity happens

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* 23. I accept situations and others as they are

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