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Healthy Lifestyle Assessment
The SSHQ (Study Skills and Habits Questionnaire) can help identify your areas of strength as well as those that need improvement. Below is a guideline for assessing lifestyle factors that affect your health and well being. To identify areas that are affecting you as a student, you're asked to answer a few general questions. If you're having problems in any of these areas, click on the more in depth questions, which offer suggestions and directed you to resources that can help.
1) Sleep habits: sleeping from 6 – 8 hours a night; waking feeling rested, alert and able to function during the day.
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Do you sleep between 6 and 8 hours every night and wake up feeling rested? Yes ____ No ____
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Do you often feel tired during the day or have trouble staying awake in class or when reading? Yes ____ No _____
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Would you like to look at ways to improve your sleep habits? Yes _____ No _____
2) Eating habits: eating a variety of foods each day; including foods from each of the 4 food groups each day; feeling satisfied after eating; no adverse physical reactions to food.
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Do you understand what a healthy diet is? Yes ____ No _____
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Do you eat every 2 – 3 hours throughout the day? Yes ____ No _____
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Do you eat the following foods each day:
Several servings of fruit and vegetables? Yes ____ No _____ Sometimes _____
Several servings of whole grain products? Yes ____ No _____ Sometimes _____
2 – 3 servings of calcium-rich food? Yes ____ No _____ Sometimes _____
2 – 3 servings of protein-rich food? Yes ____ No _____ Sometimes _____
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Are you satisfied with your eating habits? Yes ____ No ____ Sometimes _____
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Would you like to look at ways to improve your eating habits? Yes ____ No _____
3) Physical activity: engaging in 30-60 minutes of moderate physical activity 5-7 times per week; a combination of cardiovascular activity, strength training, and flexibility exercises.
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Do you engage in 30-60 minutes of moderate physical activity 5 – 7 days/ week? Yes ____ No _____ Sometimes _____
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What activities do you do? How often? ____________________________________
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Would you like to be more active? Yes ___ No ____
a) If yes, what sort of activities appeal to you? _____________________________
b) If no, are you satisfied with your activity level? ___________________________
c) Would you like to find ways to improve your physical activity level? Yes ____ No ___
If yes, go to Lifestyle Assessment Questions, section 3) Physical Activity.
4) Low to moderate alcohol consumption: limiting alcohol consumption to 2 or fewer standard drinks per day, with a maximum of 14 servings per week for males, and 9 servings per week for females.
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How often do you have a drink containing alcohol? _______ (daily, x per week, x per month, etc.)
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How many alcoholic drinks do you have on a typical day when you’re drinking? _____ (range or average)
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How often do you have 6+ drinks on a single occasion? ______
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How often during the last year have you found you didn’t do what was expected of you because you’d been drinking (missed a class, avoided studying, couldn’t get home, etc.) ______
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How often during the last year have you been unable to remember what you did the night before because of drinking? ______
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Would you like to look at ways to modify your drinking habits? Yes___ No___
5) Stress management: being aware of factors affecting your stress level; practicing activities that reduce negative effects of stress.
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Do you find being a student stressful at times? Yes ____ No _____
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Do you feel you manage your stress well? Yes ____ No _____
If yes, what do you do to manage stress? ______________________________________
If no, would you like to look at ways to improve your stress management? Yes _____ No _____
6) Effective time management: identifying a structure or system that helps you keep on track; recognizing time wasters; learning to prioritize; setting realistic goals; balancing your time between work and leisure activities.
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Do you ever miss deadlines for assignments, applications, etc.? Yes ____ No ____
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Do you ever stay up all or most of the night to study or finish assignments? Yes ____ No ____
If yes, how often? __________
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Do you feel you manage your time well? Yes ____ No ____
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Would you like to examine your time management strategies and look at ways to improve your on these? Yes _____ No _____
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