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Question 1 of 30
1. Question
Q. 1. I make enough time to relax each day.
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Never Rarely Sometimes Often Always
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Question 2 of 30
2. Question
I would like to improve this area.
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Question 3 of 30
3. Question
Q. 2. I lead a very active life.
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Never Rarely Sometimes Often Always
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Question 4 of 30
4. Question
I would like to improve this area.
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Question 5 of 30
5. Question
Q. 3. I exercise every day.
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Never Rarely Sometimes Often Always
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Question 6 of 30
6. Question
I would like to improve this area.
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Question 7 of 30
7. Question
Q. 4. I feel fit and have lots of energy.
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Never Rarely Sometimes Often Always
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Question 8 of 30
8. Question
I would like to improve this area.
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Question 9 of 30
9. Question
Q. 5. I generally feel well.
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Never Rarely Sometimes Often Always
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Question 10 of 30
10. Question
I would like to improve this area.
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Question 11 of 30
11. Question
Q. 6. I am a healthy weight for my height.
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Never Rarely Sometimes Often Always
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Question 12 of 30
12. Question
I would like to improve this area.
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Question 13 of 30
13. Question
Q. 7. I eat fruit and vegetables every day.
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Never Rarely Sometimes Often Always
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Question 14 of 30
14. Question
I would like to improve this area.
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Question 15 of 30
15. Question
Q. 8. My meal portions are a healthy size.
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Never Rarely Sometimes Often Always
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Question 16 of 30
16. Question
I would like to improve this area.
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Question 17 of 30
17. Question
Q. 9. I eat high fibre foods each day.
For example: grain bread, cereals, nuts, leafy green vegetables etc.
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Never Rarely Sometimes Often Always
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Question 18 of 30
18. Question
I would like to improve this area.
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Question 19 of 30
19. Question
Q. 10. I drink at least six glasses of water every day.
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Never Rarely Sometimes Often Always
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Question 20 of 30
20. Question
I would like to improve this area.
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Question 21 of 30
21. Question
Q. 11. I limit the amount of takeaway food or fried food I eat.
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Never Rarely Sometimes Often Always
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Question 22 of 30
22. Question
I would like to improve this area.
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Question 23 of 30
23. Question
Q. 12. I limit the amount of high sugar food and drinks I consume.
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Never Rarely Sometimes Often Always
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Question 24 of 30
24. Question
I would like to improve this area.
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Question 25 of 30
25. Question
Q. 13. I look after my personal hygiene.
eg: clean hair, nails, body, clothes, teeth
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Never Rarely Sometimes Often Always
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Question 26 of 30
26. Question
I would like to improve this area.
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Question 27 of 30
27. Question
Q.14. I consult a health practitioner when I have a health issue.
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Never Rarely Sometimes Often Always
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Question 28 of 30
28. Question
I would like to improve this area.
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Question 29 of 30
29. Question
Q. 15. I get at least 8 hours of sleep a night.
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Never Rarely Sometimes Often Always
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Question 30 of 30
30. Question
I would like to improve this area.
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